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www.dpfg.com HAWKS POINT COMMUNITY DEVELOPMENT DISTRICT Advanced Meeting Package Regular Meeting Tuesday June 16, 2020 6:30 p.m. Location: Conducted Via Electronic Teleconference Note: The Advanced Meeting Package is a working document and thus all materials are considered DRAFTS prior to presentation and Board acceptance, approval or adoption.

HAWKS POINT COMMUNITY DEVELOPMENT …...2020/06/16  · Hawks Point Community Development District Board of Supervisors Meeting Tuesday, June 16th at 6:30 PM via Zoom All: We welcome

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Page 1: HAWKS POINT COMMUNITY DEVELOPMENT …...2020/06/16  · Hawks Point Community Development District Board of Supervisors Meeting Tuesday, June 16th at 6:30 PM via Zoom All: We welcome

wwwdpfgcom

HAWKS POINT COMMUNITY DEVELOPMENT DISTRICT

Advanced Meeting Package

Regular Meeting

Tuesday

June 16 2020 630 pm

Location

Conducted Via Electronic Teleconference

Note The Advanced Meeting Package is a working document and thus all materials are considered DRAFTS prior to presentation and Board acceptance approval or adoption

Hawks Point Community Development District

Board Members Hawks Point Community Development District Dear Board Members The Regular Meeting of the Board of Supervisors of the Hawks Point Community Development District was scheduled for Tuesday June 16 2020 at 630 pm at the Hawks Point Clubhouse 1223 Oak Pond Street Ruskin FL 33570 Due to current issues related to COVID-19 the Florida Governor released Executive Order 20-69 which allows governmental public meetings and required quorums to be completed via telephone conference In respect of current social distancing recommendations this meeting will be conducted via telephone in order to protect the health and safety of the public Both members of the board and the public may join this meeting via Zoom as follows Link to Join Zoom Meeting httpsus02webzoomusj84458893991pwd=NEdQT3V2ZWN3WDF3WEwrVXVzODJWUT09 Zoom Meeting ID 844 5889 3991 Password 665082 The advanced copy of the agenda for the meeting is attached along with associated documentation for your review and consideration Any additional support material will be distributed at the meeting The balance of the agenda is routine in nature Staff will present their reports at the meeting If you have any questions please contact me I look forward to seeing you there Sincerely Ray Lotito District Manager Cc Attorney

Engineer District Records

Hawks Point Community Development District

Board of Supervisors Meeting

Tuesday June 16th at 630 PM

via Zoom

All

We welcome you to join us for the Board of Supervisors Meeting to be held on Tuesday June 16th at 630 PM This meeting will be held via Zoom an online platform that allows us to hold necessary Board meetings without having to leave the safety of your home With Zoom you have two options for joining the meeting telephone or computer and it will all be audio based meaning no video recording Please follow the instructions below for either telephone or computer attendance If you have any questions in regard to the agenda please email them to raymondlotitodpfgcom before the meeting so that they can be answered accordingly We request that all participants mute their microphones Thank you for your patience in these trying times and we look forward to hearing from you

Join Zoom Meeting by Computer

httpsus02webzoomusj84458893991pwd=NEdQT3V2ZWN3WDF3WEwrVXVzODJWUT09

Meeting ID 844 5889 3991

Password 665082

Join Zoom Meeting by Phone

Dial by your location ndash Follow the Prompts ndash Meeting ID ndash 844 5889 3991 ndash Hit when it requests a participant ID

+1 253 215 8782 US +1 301 715 8592 US +1 346 248 7799 US (Houston) +1 929 205 6099 US (New York) +1 312 626 6799 US (Chicago) +1 669 900 6833 US (San Jose)

Page 1 of 3

District HAWKS POINT COMMUNITY DEVELOPMENT DISTRICT

Date of Meeting Tuesday June 16 2020 Time 630 PM Location Via Electronic Teleconference

Zoom Link httpsus02webzoomusj84458893991pwd=NEdQT3V2ZWN3WDF3WEwrVXVzODJWUT09

Meeting ID 844 5889 3991 Password 665082

Agenda

I Roll Call

II Audience Comments On Agenda Items ndash (limited to 3 minutes per individual)

III Landscape amp Pond Maintenance Reports

A LMP Landscape amp Irrigation Monthly Report To be Distributed

B Pond Maintenance Report-Stantec To be Distributed

IV Consent Agenda

A Consideration and Approval of Minutes of the May 19 2020 Regular Meeting

Exhibit 1

B Acceptance of the Unaudited May 2020 Financial Statements Exhibit 2

Page 2 of 3

V Administrative Matters

A Consideration of Resume from Shami Choon and Vacant Seat Qualification Requirements

Exhibit 3

VI Business Matters A New Business

1 Consideration of LMP Irrigation Controller 4 Repairs Proposal ndash Estimate No 66077 - $6230

Exhibit 4

2 Consideration of Exterior Wall Painting Proposals Exhibit 5

CertaPro Painters Proposal TBE8F30154 - $1132900

Shazam Construction Proposal - $1270000

3 Consideration of Exterior Wall Pressure Washing Proposals Exhibit 6

CertaPro Painters Proposal TB443B00157 - $195000

Shazam Construction Proposal - $160000

B Old Business

Page 3 of 3

VII Staff Reports

A District Manager Form 1 Statement of Financial Interests Reminder Exhibit 7

B District Counsel

District Counsel Update on Property Ownership

C District Engineer

VIII Supervisors Requests

IX Audience Comments ndash New Business ndash (limited to 3 minutes per individual for non-agenda items)

X Adjournment

EXHIBIT 1

MINUTES OF MEETING 1

HAWKS POINT 2

COMMUNITY DEVELOPMENT DISTRICT 3

The Regular Meeting of the Board of Supervisors of the Hawks Point Community Development 4 District was held on Tuesday May 19 2020 at 630 pm via electronic teleconference 5

FIRST ORDER OF BUSINESS ndash Roll Call 6

Mr Lotito called the meeting to order and conducted roll call 7

Present and constituting a quorum were 8

Chantal Copeland Board Supervisor Chairwoman 9 Sherri Keene Board Supervisor Vice Chairwoman 10 William Hathaway Board Supervisor Assistant Secretary 11 Caryn Williams Board Supervisor Assistant Secretary 12

Also present were 13

Ray Lotito District Manager DPFG Management amp Consulting LLC 14 Vivek Babbar District Counsel Straley Robin Vericker 15 Paul Gomez Landscape Maintenance Professionals Inc 16 David Manfrin Landscape Maintenance Professionals Inc 17 Mitchell Moore Stantec Engineering 18 Adam Markle Stantec Engineering 19 Joe Hamilton Steadfast Environmental 20 Cary Brown Hawks Point Resident 21

The following is a summary of the discussions and actions taken at the May 19 2020 Hawks Point CDD 22 Board of Supervisors Regular Meeting 23

SECOND ORDER OF BUSINESS ndash Audience Comments 24

Ms Brown indicated that she had sent in a list of questions for the Board regarding items on the 25 agenda Mr Lotito clarified in response that the electric meters were for irrigation pumps advised 26 that the Board was required to hire a District management firm with a number of responsibilities 27 dictated under Florida Statute 190 and addressed concerns regarding contract renewals 28

THIRD ORDER OF BUSINESS ndash Landscape amp Pond Maintenance Reports 29

A LMP Landscape amp Irrigation Monthly Report 30

Ms Brown asked about treatments used and Mr Gomez clarified that they were not Roundup 31

B Pond Maintenance Report ndash Stantec 32

FOURTH ORDER OF BUSINESS ndash Administrative Matters ndash Consent Agenda 33

A Exhibit 1 Consideration and Approval of Minutes of the April 21 2020 Meeting 34

B Exhibit 2 Acceptance of the Unaudited April 2020 Financial Statements 35

On a MOTION by Ms Copeland SECONDED by Ms Keene WITH ALL IN FAVOR the Board 36 approved Items A ndash B of the Consent Agenda for the Hawks Point Community Development District 37

FIFTH ORDER OF BUSINESS ndash Business Matters 38

A New Business 39

1 Exhibit 3 Presentation and Discussion of the FY 2021 Budget 40

Hawks Point CDD May 19 2020

Regular Meeting Page 2 of 3

2 Exhibit 4 Consideration and Adoption of Resolution 2020-02 Approving Proposed 41

Budget and Setting Public Hearing for Final Budget 42

On a MOTION by Mr Hathaway SECONDED by Ms Copeland WITH ALL IN FAVOR the Board 43 adopted Resolution 2020-02 Approving Proposed Budget and Setting Public Hearing for Final Budget 44 for the Hawks Point Community Development District 45

3 Exhibit 5 Hillsborough County Number of Registered Voters for Hawks Point ndash 1554 46

4 Exhibit 6 Consideration of Steadfast Environmental Proposal for Pond Plantings ndash No 47 98 - $450000 48

Mr Lotito indicated that this item was to improve quality of storm water discharge and to 49 proactively prevent erosion and noted that the plantings had been budgeted for multiple 50 years but never implemented Mr Hamilton gave an overview of areas for planting and 51 types of plants noting that budget restrictions may lead to the Board needing to prioritize 52 areas Discussion ensued 53

On a MOTION by Mr Hathaway SECONDED by Ms Williams WITH ALL IN FAVOR the Board 54 approved the Steadfast Environmental Proposal for Pond Plantings in the amount of $450000 for the 55 Hawks Point Community Development District 56

5 Exhibit 7 Consideration of LMP Proposal for Palm Trimming ndash No 65827 - $81900 57

This item was tabled to the next meeting pending determination of property ownership 58 by District Counsel 59

B Old Business 60

1 Exhibit 8 Consideration of the Stantec Proposal for Landscape Design for Improvement 61 of Monuments and Common Areas - $1275000 62

Mr Markle gave an overview of the proposal in terms of the scope of landscape design 63 and contractor oversight A resident indicated that she felt the cost of the proposal for 64 design was excessive Discussion ensued 65

On a MOTION by Ms Copeland SECONDED by Ms Williams WITH ALL IN FAVOR the Board 66 approved the Stantec Proposal for Landscape Design for Improvement of Monuments and Common 67 Areas in the amount of $1275000 for the Hawks Point Community Development District 68

2 Exhibit 9 Consideration of LMP Proposals 69

Replace Faulty Hunter 1 Station Decoder ndash Estimate No 64891 - $21050 70

Repair Controller 1 ndash Estimate No 64935 - $19100 71

Repair Controller 3 ndash Estimate No 64936 - $10600 72

Repair Controller 5 ndash Estimate No 64937 - $2900 73

On a MOTION by Mr Hathaway SECONDED by Ms Keene WITH ALL IN FAVOR the Board 74 approved all LMP repair and replacement proposals for the Hawks Point Community Development 75 District 76

Hawks Point CDD May 19 2020

Regular Meeting Page 3 of 3

SIXTH ORDER OF BUSINESS ndash Staff Reports 77

A District Manager 78

There being none the next item followed 79

B District Counsel 80

Mr Babbar noted that District Engineering had recommended an irrigation specialist and that a 81 proposal from the specialist would be forthcoming 82

C District Engineer 83

There being none the next item followed 84

SEVENTH ORDER OF BUSINESS ndash Supervisors Requests 85

There being none the next item followed 86

EIGHTH ORDER OF BUSINESS ndash Audience Comments ndash New Business 87

A resident asked about the ownership of a conservation area at 18th and Hawks Island and Mr 88 Hathaway indicated that this was CDD property The resident noted that the conservation area 89 had been overgrown onto the sidewalk 90

NINTH ORDER OF BUSINESS ndash Adjournment 91

Mr Lotito asked for final questions comments or corrections before requesting a motion to 92 adjourn the meeting There being none Mr Hathaway made a motion to adjourn the meeting 93

On a MOTION by Mr Hathaway SECONDED by Ms Williams WITH ALL IN FAVOR the Board 94 adjourned the meeting for the Hawks Point Community Development District 95

Each person who decides to appeal any decision made by the Board with respect to any matter 96 considered at the meeting is advised that person may need to ensure that a verbatim record of the 97 proceedings is made including the testimony and evidence upon which such appeal is to be based 98

Meeting minutes were approved at a meeting by vote of the Board of Supervisors at a publicly noticed 99 meeting held on ________________________ 100

101

Signature Signature

102

Printed Name Printed Name

Title Secretary Assistant Secretary Title Chairman Vice Chairman 103

EXHIBIT 2

Hawks Point

Community Development District

Financial Statements

(Unaudited)

Period Ending

May 31 2020

DEBT

GENERAL SERVICE CONSOLIDATED

FUND SERIES 2017 TOTAL

1 ASSETS

2

3 CASH 66142$ -$ 66142$

4 MMK 456665 - 456665

5 INVESTMENTS

6 REVENUE FUND - 203538 203538

7 INTEREST FUNDS - 195 195

8 PRINCIPAL FUNDS - - -

9 SINKING FUNDS - 1 1

11 RESERVE - 266003 266003

12 ACCOUNTS RECEIVABLE 2588 - 2588

13 ASSESMENTS RECEIVABLE 2781 3237 6018

14 DUE FROM GF - 172 172

15 PREPAID ITEMS - - -

16 DEPOSITS 451 - 451

17 TOTAL ASSETS 528627$ 473145$ 1001772$

18

19 LIABILITIES

20

21 ACCOUNTS PAYABLE 537$ -$ 537$

22 DUE TO DEBT SERVICE SERIES 2017 172 - 172

23 ACCRUED INTEREST PAYABLE DS 2017 - - -

24 DEFERRED REVENUE 2781 3237 6018

26

27 FUND EQUITY

28

29 RESTRICTED FOR

30 DEBT SERVICE - 469908 469908

32 ASSIGNED 1 QTR OPER 71304 - 71304

33 ASSIGNED FY 2018 INC IN RESERVES 15650 - 15650

34 ASSIGNED FY 2019 INC IN RESERVES 22500 - 22500

35 UNASSIGNED 415683 - 415683 36

37 TOTAL LIABILITIES amp FUND EQUITY 528627$ 473145$ 1001772$

Hawks Point CDDBalance Sheet

May 31 2020

Note GASB 34 government wide financial statements are available in the annual independent audit of the District The audit is

available on the website and upon request

Page 2

FY2020 VARIANCE

ADOPTED BUDGET ACTUAL FAVORABLE

BUDGET YEAR-TO-DATE YEAR-TO-DATE (UNFAVORABLE)

1 REVENUE

2

3 ASSESSMENT ON ROLL (NET) 453615$ 453615$ 450924$ (2691)$

4 ASSESSMENT ON ROLL EXCESS FEES - - - -

5 INTEREST REVENUE - - 1594 1594

6 MISCELLANEOUS REVENUE - - - -

7 ELECTRICITY COST SHARE WITH THE HOA 1600 1067 2633 1566

8 TOTAL REVENUE 455215 454682 455152 470

9

10 EXPENDITURES

11

12 ADMINISTRATIVE

13 BOARD OF SUPERVISORS 12000 8000 5539 2461

14 PAYROLL TAXES 918 612 503 109

15 PAYROLL SERVICE FEE 625 417 392 25

16 MANAGEMENT CONSULTING SERVICES 40000 26667 26667 -

17 GENERAL ADMINISTRATIVE 4800 3200 3200 -

18 MISCELLANEOUS 500 333 - 333

19 AUDITING 3200 3200 - 3200

20 REGULATORY AND PERMIT FEES 175 175 175 -

21 LEGAL ADVERTISEMENTS 1500 1000 1386 (386)

22 ENGINEERING SERVICES 5000 3333 1896 1437

23 LEGAL SERVICES - GENERAL 7500 5000 2895 2105

24 WEBSITE ADMINISTRATION 2265 2165 1749 416

25 TOTAL ADMINISTRATIVE 78483 54102 44401 9701

26

27 INSURANCE

28 INSURANCE (Liability Property amp Casualty) 6050 6050 5638 412

29 TOTAL INSURANCE 6050 6050 5638 412

30

31 DEBT SERVICE ADMINISTRATION

32 DISSEMINATION AGENT 1000 1000 1000 -

33 TRUSTEE FEES 10500 - - -

34 TRUST FUND ACCOUNTING 1500 1000 1000 -

35 ARBITRAGE 650 - - -

36 ASSESSMENT ADMINISTRATION 5000 5000 5000 -

37 TOTAL DEBT SERVICE ADMINISTRATION 18650 7000 7000 -

38

39 UTILITIES

40 ELECTRICITY-IRRIGATION 2928 1952 1191 761

41 TOTAL UTILITIES 2928 1952 1191 761

42

43 FIELD OPERATIONS

44 IRRIGATION MAINTENANCE amp REPAIRS 10000 6667 3960 2706

45 POND MONITORING amp MAINTENANCE 17700 10325 10325 -

46 POND PLANTINGS 5000 5000 - 5000

47 WETLAND MONITORING 7120 5340 1780 3560

48 LANDSCAPE MAINTENANCE 129000 86000 88400 (2400)

49 LANDSCAPE REPLENISHMENT 119898 79932 6520 73412

50 TREE TRIMMING 16800 11200 - 11200

51 STREETLIGHTS 2000 1333 - 1333

52 MISCELLANEOUS FIELD EXPENSES 18586 12391 8886 3504

53 CAPITAL PROJECTS - WELL DRILLING amp PUMP INSTALL - - 18165 (18165)

54 RESERVE - PAINT PERIMITER WALL - - 6350 (6350)

55 TOTAL FIELD OPERATIONS 326104 218188 144386 73802

Hawks Point

General Fund

Statement of Revenues Expenditures and Changes in Fund Balance

For the period from October 1 2019 through April 30 2020

Preliminary

Page 3

FY2020 VARIANCE

ADOPTED BUDGET ACTUAL FAVORABLE

BUDGET YEAR-TO-DATE YEAR-TO-DATE (UNFAVORABLE)

Hawks Point

General Fund

Statement of Revenues Expenditures and Changes in Fund Balance

For the period from October 1 2019 through April 30 2020

Preliminary

56

57 TOTAL EXPENDITURES BEFORE RESERVES 432215 287292 202616 84675

58

59 INCREASE FOR RESERVES 23000 - - -

60 INCREASE IN FUND BALANCE - - - -

61

62

63 TOTAL EXPENDITURES AFTER RESERVE 455215 287292 202616 84675

64

65 EXCESS OF REVENUE OVER (UNDER) EXPENDITURES - 167390 252535 85145

66

67 FUND BALANCE - BEGINNING 269666 269666 272602 272602

68 DECREASE IN FUND BALANCE - - - -

69 INCREASE IN RESERVE 23000 - - -

70 FUND BALANCE - ENDING 292666$ 437056$ 525137$ 357747$

71

72

73 FY 2018FY 2019 - Irrigation System Grounding Phased 15544$

74 FY 2018 - Perimieter Wall Paint Applications 5815

75 FY 2019 - Reserve Study Update 1100

77 FY 2020 - Irrigation System-Clocks 6442

Total Replacement Expenses for Reserves 28901$

Reserve Expenditure Components

Page 4

FY 2020 VARIANCE

ADOPTED BUDGET ACTUAL FAVORABLE

BUDGET YEAR-TO-DATE YEAR-TO-DATE (UNFAVORABLE)

1 REVENUE

2 ASSESSMENTS - ON-ROLL (Gross) 561051$ 527388$ 524922$ (2466)$

3 ASSESSMENTS - ON-ROLL EXCESS FEES - - - -

4 FUND BALANCE FORWARD - - - -

5 INTEREST - INVESTMENT - - 3703 3703

6 DISCOUNT (22442) - - -

7 TOTAL REVENUE 538609 527388 528624 1236

8

9

10 EXPENDITURES

11

12 PRINCIPAL

13 512020 235000 - 235000 (235000)

14 INTEREST EXPENSE

15 1112019 - - 144238 (144238)

16 512020 144238 - 144238 (144238)

17 1112020 140075 - - -

18 COUNTY COLLECTION CHARGES 11221 - - -

19 TOTAL EXPENDITURES 530534 - 523475 (523475)

20

21 EXCESS OF REVENUE OVER (UNDER) EXPENDITURES 8075 527388 5149 (522239)

22

23 OTHER FINANCING SOURCES (USES)

24 TRANSFER IN - - - -

25 TRANSFER OUT (USES) - - - -

26 TOTAL OTHER FINANCING SOURCES (USES) - - - -

27

28 NET CHANGE IN FUND BALANCE 8075 527388 5149 (522239)

29

30 FUND BALANCE - BEGINNING - - 464759 464759

31 FUND BALANCE APPROPRIATED - - - -

32

33 FUND BALANCE - ENDING 8075$ 527388$ 469908$ (57480)$

Hawks Point CDD

Debt Service - Series 2017

Statement of Revenues Expenditures and Changes in Fund Balance

For the period from October 1 2019 through April 30 2020

Page 5

Bank United

Balance Per Bank Statement 7549415$

Plus Deposits in Transit -

Less Outstanding Checks (935250)

Adjusted Bank Balance 6614165$

Beginning Bank Balance Per Books 4251943$

Cash Receipts 5000350

Cash Disbursements (2638128)

Balance Per Books 6614165$

Hawks Point CDD

Bank Reconciliation (GF)

May 31 2020

Page 6

Date Num Name Memo Receipts Disbursements Balance

Bank United EOY Balance 9460943

10012019 9035 DPFG MANAGEMENT amp CONSULTING LLC CDD Mgmt - October 385833 9075110

10022019 Hawks Point West HOA 2019-245- HPW 18866 9093976

10082019 646 Hawks Point HOA 2019245 - HPA 21225 9115201

10082019 Hawks Point West HOA 201956 - HPW 208516 9323717

10082019 1115 Egis Insurance amp Risk Advisors Ins - FY 2020 563800 8759917

10112019 9036 JAYMAN ENTERPRISES LLC Replace Bulbs at Entrances Rcvd 10119 23000 8736917

10112019 9037 Landscape Maintenance Professionals Inc Landscape Maint - October 1105000 7631917

10162019 1116 FLORIDA DEPT OF ECONOMIC OPPORTUNIT Annual Filing FY 2020 17500 7614417

10182019 9041 TAMPA BAY TIMES Legal Ad - Meeting Schedule 55200 7559217

10212019 9038 DPFG MANAGEMENT amp CONSULTING LLC Special Assessment - FY 2020 Continuing Disclosure ADA Compliance 650000 6909217

10212019 9039 JAYMAN ENTERPRISES LLC Replace Bulbs 7000 6902217

10212019 9040 STANTEC CONSULTING SERVICES INC Lake amp Pond Maint - Sept 10500 6891717

10242019 ACH102419 TAMPA ELECTRIC 830-930 - 1416 Little Hawk Dr 7637 6884080

10242019 ACH1024192 TAMPA ELECTRIC 830-930 - 2160 Golden Falcon Dr 7083 6876997

10242019 000652 Hawks Point HOA 20197-HPA 4921 6881918

10252019 694003DD ANDREW HERON Bos Mtg - 101519 18470 6863448

10252019 ACH102519 Innovative Employer Soltuions Bos Mtg - 101519 17140 6846308

10252019 694005DD KAREN OBRIEN Bos Mtg - 101519 18470 6827838

10252019 694004DD SHERRI KEENE Bos Mtg - 101519 18470 6809368

10252019 694002DD WILLIAM J HATHAWAY Bos Mtg - 101519 18470 6790898

10312019 Bank United Interest 691 6791589

Bank United EOM Balance 254219 2923573 6791589

11012019 9042 DPFG MANAGEMENT amp CONSULTING LLC CDD Mgmt - November 385833 6405756

11012019 9043 STANTEC CONSULTING SERVICES INC Lake amp Pond Maint - Pond 201-19 amp 21 - Sept 274000 6131756

11012019 9044 STRALEY ROBIN VERICKER Legal Svcs thru 101519 65999 6065757

11122019 1117 HAWKS POINT CDD DS 2017 Tax Collection Share co Wells Fargo 762290 5303467

11152019 9045 Landscape Maintenance Professionals Inc Landscape Maint - November amp Irrigation Repairs 1229369 4074098

11152019 9046 STANTEC CONSULTING SERVICES INC Lake amp Pond Maint - Oct 333600 3740498

11202019 9048 TAMPA BAY TIMES Legal Ad - Audit Meeting 42050 3698448

11222019 9047 STANTEC CONSULTING SERVICES INC Lake amp Pond Maint - Pond 20 - Oct 10500 3687948

11252019 ACH1125191 TAMPA ELECTRIC 101-1030 - 1416 Little Hawk Dr 7431 3680517

11252019 ACH1125192 TAMPA ELECTRIC 101-1030 - 2160 Golden Falcon Dr 8753 3671764

11292019 703783DD ANDREW HERON Bos Mtg - 111919 18470 3653294

11292019 ACH112919 Innovative Employer Soltuions Bos Mtg - 111919 20200 3633094

11292019 703785DD KAREN OBRIEN Bos Mtg - 111919 18470 3614624

11292019 703781DD MARIE CHANTAL COPELAND Bos Mtg - 111919 18470 3596154

11292019 703784DD SHERRI KEENE Bos Mtg - 111919 18470 3577684

11292019 703782DD WILLIAM J HATHAWAY Bos Mtg - 111919 18470 3559214

11302019 Bank United Interest 450 3559664

Bank United EOM Balance 450 3232375 3559664

12022019 9049 DPFG MANAGEMENT amp CONSULTING LLC CDD Mgmt - December 385833 3173831

12042019 694 Hawks Point HOA 20198-HPA 5105 3178936

12042019 503 Hawks Point West HOA 20197-HPW amp 20198-HPW 7388 3186324

12042019 1118 Site Masters of Florida LLC Investigation of pipe discharge Townhome Yard Drain Blockage 150000 3036324

12112019 9050 Illuminations Holiday Lighting Electrical Fix Holiday Lights - Deposit 261250 2775074

12132019 Bank United Funds Transfer - MMK to Opt Acct 4500000 7275074

12132019 Bank United Funds Transfer - MMK to Opt Acct 50834407 58109481

12162019 9055 TAMPA BAY TIMES Legal Ad - RFP Auditing Svc 36100 58073381

12182019 9051 Flatwoods Environmental Cut amp Dispose Brazilian Pepper 396500 57676881

12182019 9052 Landscape Maintenance Professionals Inc Landscape Maint - December 1105000 56571881

12182019 9053 STANTEC CONSULTING SERVICES INC Misc Environmental Services 137000 56434881

12182019 9054 STRALEY ROBIN VERICKER Legal Svcs thru 111519 57500 56377381

12182019 1119 HAWKS POINT CDD DS 2017 Tax Collection Share co Wells Fargo 49544765 6832616

12182019 1120 Innersync ADA Compliant website 124942 6707674

12262019 ACH1226191 TAMPA ELECTRIC 1031-122 - 2160 Golden Falcon Dr 8771 6698903

12262019 ACH1226192 TAMPA ELECTRIC 1031-1202 - 1416 Little Hawk Dr 9315 6689588

12272019 711993DD ANDREW HERON Bos Mtg - 121719 18470 6671118

12272019 ACH122719 Innovative Employer Soltuions Bos Mtg - 121719 20200 6650918

12272019 711995DD KAREN OBRIEN Bos Mtg - 121719 18470 6632448

12272019 711991DD MARIE CHANTAL COPELAND Bos Mtg - 121719 18470 6613978

12272019 711994DD SHERRI KEENE Bos Mtg - 121719 18470 6595508

12272019 711992DD WILLIAM J HATHAWAY Bos Mtg - 121719 18470 6577038

12312019 Bank United Interest 3091 6580129

Bank United EOM Balance 55349991 52329526 6580129

01022020 9056 DPFG MANAGEMENT amp CONSULTING LLC CDD Mgmt - January 385833 6194296

01082020 9057 Landscape Maintenance Professionals Inc Station decoders 82908 6111388

01082020 9058 STRALEY ROBIN VERICKER Legal Svcs thru 121519 10000 6101388

01102020 9159 Landscape Maintenance Professionals Inc Landscape Maint - January 1105000 4996388

01102020 9160 Mike White LLC Entry Monument repair 54119 4942269

01132020 1121 HAWKS POINT CDD DS 2017 Tax Collection Share co Wells Fargo 868256 4074013

01172020 9161 Illuminations Holiday Lighting Holiday Lights - Balance Due 231250 3842763

01172020 000534 Hawks Point West HOA 20201-HPW 4493 3847256

01272020 1122 STANTEC CONSULTING SERVICES INC Pond Maint - December Engineering Svcs thru 122719 353400 3493856

01272020 ACH012720 TAMPA ELECTRIC 123-1231 - 2160 Golden Falcon Dr 8116 3485740

01272020 ACH0127202 TAMPA ELECTRIC 1203-1231 - 1416 Little Hawk Dr 6682 3479058

01312020 072704 Innovative Employer Soltuions Bos Mtg - 12120 17140 3461918

01312020 721948DD KAREN OBRIEN Bos Mtg - 12120 18470 3443448

01312020 721945DD MARIE CHANTAL COPELAND Bos Mtg - 12120 18470 3424978

01312020 721947DD SHERRI KEENE Bos Mtg - 12120 18470 3406508

01312020 721946DD WILLIAM J HATHAWAY Bos Mtg - 12120 18470 3388038

01312020 Bank United Interest 1406 3389444

Bank United EOM Balance 5899 3196584 3389444

02052020 1124 DPFG MANAGEMENT amp CONSULTING LLC CDD Mgmt - February 385833 3003611

02052020 1125 Landscape Maintenance Professionals Inc Landscape Maint - February 1105000 1898611

02052020 1126 TAMPA ELECTRIC 101-1030 - 1416 Little Hawk Dr 308 1898303

02252020 1127 Landscape Maintenance Professionals Inc Landscape Maint - March 1105000 793303

02252020 02252020ACH TAMPA ELECTRIC 11-130 - 1416 Little Hawk Dr 7840 785463

02252020 02252020ACH TAMPA ELECTRIC 11-130 - 2160 Golden Falcon Dr 9092 776371

02282020 02182020ACH Innovative Employer Soltuions Bos Mtg - 21820 14080 762291

02282020 730271DD MARIE CHANTAL COPELAND Bos Mtg - 21820 18470 743821

02282020 730273DD SHERRI KEENE Bos Mtg - 21820 18470 725351

02282020 7302272DD WILLIAM J HATHAWAY Bos Mtg - 21820 18470 706881

02292020 Bank United Interest 203 707084

HAWKS POINT CDDCASH REGISTER

FY 2020

Page 7

Date Num Name Memo Receipts Disbursements Balance

HAWKS POINT CDDCASH REGISTER

FY 2020

Bank United EOM Balance 203 2682563 707084

03042020 1128 DPFG MANAGEMENT amp CONSULTING LLC CDD Mgmt - March 385833 321251

03122020 1129 STANTEC CONSULTING SERVICES INC Engineering Svcs thru 012420 73950 247301

03122020 ACH032520 TAMPA ELECTRIC 13120 - 22820 - 2160 Golden Falcon Dr 8527 238774

03122020 ACH0325202 TAMPA ELECTRIC 013120 - 22820 - 1416 Little Hawk Dr 6592 232182

03192020 BankUnited Funds Transfer 5000000 5232182

03192020 1130 HAWKS POINT CDD DS 2017 Tax Collection Share co Wells Fargo thru 030420 1437199 3794983

03242020 1131 Landscape Maintenance Professionals Inc Pencil Pruning of Crape Myrtles Landscape Maint -042020 1360500 2434483

03242020 1132 STANTEC CONSULTING SERVICES INC Pond Maint - January Feb 295000 2139483

03242020 1133 STRALEY ROBIN VERICKER Legal Svcs thru 021520 23250 2116233

03272020 1134 DPFG MANAGEMENT amp CONSULTING LLC CDD Mgmt - April 2020 385833 1730400

03272020 1135 Landscape Maintenance Professionals Inc Irrigation Inspection repairs 74858 1655542

03312020 BankUnited Interest 200 1655742

Bank United EOM Balance 5000200 4051542 1655742

04082020 1136 Accurate Drilling Solutions Service call - 032520 - Replacement for Controller on pump 4 60234 1595508

04082020 1137 STANTEC CONSULTING SERVICES INC Engineering Svcs thru 032020 61250 1534258

04082020 1138 STRALEY ROBIN VERICKER Legal Svcs thru 031520 93270 1440988

04082020 1139 TAMPA ELECTRIC 229-330 - Electricity 16915 1424073

04162020 1140 HAWKS POINT CDD DS 2017 Tax Collection Share co Wells Fargo thru 041320 298431 1125642

04232020 BankUnited Funds Transfer 5000000 6125642

04232020 1141 Accurate Drilling Solutions Well Drilling and new pump system installation 1816480 4309162

04282020 1142 STRALEY ROBIN VERICKER Legal Svcs thru 041520 57460 4251702

04302020 BankUnited Interest 241 4251943

Bank United EOM Balance 5000241 2404040 4251943

05012020 1143 DPFG MANAGEMENT amp CONSULTING LLC CDD Mgmt - May 2020 385833 3866110

05012020 ACH050120 Innovative Employer Soltuions Bos Mtg - 42120 14080 3852030

05012020 747666DD MARIE CHANTAL COPELAND Bos Mtg - 42120 18470 3833560

05012020 747667DD WILLIAM J HATHAWAY Bos Mtg - 42120 18470 3815090

05012020 747668DD SHERRI KEENE Bos Mtg - 42120 18470 3796620

05082020 ACH050820 Innovative Employer Soltuions Bos Mtg - 42120 8620 3788000

05082020 1 Caryn Williams BOS 04212020 18470 3769530

05112020 1144 Landscape Maintenance Professionals Inc Landscape Maint -052020 1105000 2664530

05112020 1145 STANTEC CONSULTING SERVICES INC Engineering Svcs thru 042420 25400 2639130

05112020 1146 TAMPA ELECTRIC 330-429 - Electricity 19915 2619215

05212020 1147 BUSINESS OBSERVER Legal Ad - Notice of Qualifying Period 51520 5250 2613965

05212020 1148 CertaPro Painters Paint exterior wall 24th to 30th Street 635000 1978965

05212020 1149 STANTEC CONSULTING SERVICES INC Pond Maint - March-April 295000 1683965

05292020 BankUnited Funds Transfer 5000000 6683965

05292020 755486DD Caryn Williams Bos Mtg - 51920 18470 6665495

05292020 ACH052920 Innovative Employer Soltuions Bos Mtg - 51920 14740 6650755

05292020 755485DD SHERRI KEENE Bos Mtg - 51920 18470 6632285

05292020 755484DD WILLIAM J HATHAWAY Bos Mtg - 51920 18470 6613815

05312020 BankUnited Interest 350 6614165

Bank United EOM Balance 5000350 2638128 6614165

Page 8

EXHIBIT 3

Vacant Position on the Board of Supervisors of the Hawkrsquos Point Community Development District The Hawkrsquos Point Community Development District (CDD) is soliciting interested candidates to fill a vacant position on the Board of Supervisors of the CDD (Board) The CDD is a local unit of special-purpose government which is created pursuant to Chapter 190 Florida Statutes The Board is comprised of 5 members who are public officials who are normally elected on the November General Elections who serve in staggered terms The vacancy is a result of a resignation of a board member due to a relocation The remaining term of the vacant supervisorrsquos seat is through November 2022

Qualification Requirements

1 Resident of the CDD

2 At least 18 years of age

3 Citizen of the United States

4 Legal resident of Florida and of the CDD

5 Registered to vote with the Hillsborough County Supervisor of Elections

Instructions for Interested Candidates

Interested candidates must submit a letter of interest and resume to Raymondlotitodpfgcom by 4 pm on Friday June 5 2020 The subject line in the email should read ldquoVacant Position on the Board of Supervisors of the Hawkrsquos Point CDDrdquo

The Letter of Interest must contain

1 A statement stating why you believe you are well suited for the position

2 Your vision for the CDD and what you would like to see the Community evolve into Please be specific

The Resume must contain

1 Your academic background and professional experience

2 Previous and current experience with governmental agencies and governing boards

Interested candidates should attend the Board meeting on Tuesday June 16 2020 at 630 pm and present a brief presentation about themselves and be prepared for a brief question and answer period with the current Board members

Additional Notes

The current Board members will discuss the candidates and may make an appointment at the June meeting If the Board cannot come to a consensus on one candidate or if they determine to not appoint any candidate to the vacant seat they may revisit the vacancy at a future meeting or leave the seat vacant until the November 2022 General Election

Please note that the person appointed to serve in the vacant seat will be required to submit a financial disclosure statement to the State and will be subject to Floridarsquos Government in the Sunshine Laws Public Records laws and Ethics laws

1

Sookdeo (Shami) Choon Phone number (813) 731-5564 1803 Oak Pond Street Ruskin Fl 33570 E-mailchoons27gmailcom

PROFESSIONAL HISTORY Firkins GroupGarber Nissan December 2013 to Present Commercial Vehicle Sales ManagerFinance Manager Auto Nation From January 2006 to December 2013 Sales 2006- 2007 Finance Manager 2007- 2008 Sales Manager Training Manager 2008-2009 Sales Finance 2009- 2011 Commercial Sales Manager Finance Manager 2011- 2020 Parts Depot Inc From 1990 to 2005 ___________________________________________________________________________________________ Operations Manager Florida Distribution 2002 ndash 2005 bull Responsible for total inventory control of all Florida warehouses frac12 of the corporationrsquos revenue bull Directed top management to complete acquisition consolidations which resulted in the corporationrsquos

expansion bull Managed all Florida branch warehouse managers and employees totaling 200 employees bull Increased productivity and shipping efficiency in all departments developed new delivery logistics

improved product availability to all customers as well a hired and efficiently trained employees bull Reviewed all customer service statistics daily and contacted customer directly on all issues bull Reviewed PampLrsquos for all units monthly bull Presented weekly productivity and financial reports to senior management bull Directed DOT monthly guidelines maintained driver files in accordance with DOT regulations and

implemented loss prevention programs Operations Manager for Florida Branch Distribution 1999 ndash 2002 bull Improved customer service by increasing product availability to customers by implementing new

delivery logistics bull Developed employee training implemented safety awareness and monthly safety programs Warehouse Manager of Miami Distribution Center 1998 ndash 1999 bull Developed and implemented productivity guidelines implemented delivery cost saving programs

and improved product availability to the corporationrsquos customers Branch Manager of West Palm Beach 1994 ndash 1998 bull Responsible for the opening of this new branch set the building layout as well as the delivery and

logistics systems

2

bull Increased sales by 80 over budget and kept operating cost as of sales Implemented new customer service department Hired and trained all employees

Assistant Branch Manager 1991 ndash 1994 bull Increased productivity by 20 and improved delivery service Customer Service Agent 1990 ndash 1991 bull Created and implemented customer service guidelines Wingate Automotive Group 1987ndash 1990 Trinidad amp Tobago Government National Security 1984- 1987 Field Operation

EXHIBIT 4

PO Box 267 Seffner FL 33583 O 813-757-6500 F 813-757-6501 Estimate

Submitted To Hawks Point CDD 250 International Parkway Suite 280 Lake Mary FL 32746

CDD - controller 4 - zones 1 and 2

Date 5232020

Estimate 66077

LMP REPRESENTATIVE

DG-TI

PO

W ork Order

DESCRIPTION QTY COST TOTAL

Controller 4 34 inch poly pipe 34 inch poly pipe clamps Labor 2 men $ 8500 per hour

Irrigation inspection repairs needed Repair 6 - 34 inch poly pipe line leaks

6 12 05

072 129

8500

432 1548 4250

TERMS AND CONDITIONS TOTAL $6230

LMP reserves the right to withdraw this proposal if not accepted within 30 days of the date listed above Any alteration or deviation to scope of work involving additional costs must be agreed upon in writing as a separate proposal or change order to this proposal Periodic invoices may be submitted if job is substantial in nature with final invoice being submitted at completion of project Any work performed requiring more than 5 days to complete is subject to progressive payments as portions of the work are completed No finance charge will be imposed if the total of said work is paid in full within 30 days of invoice date If not paid in full within 30 days then customer is subject to finance charges on the balance of the work from the invoice date at a rate of 15 per month until paid LMP shall have the right to stop work under this contract until all outstanding amounts including finance charges are paid in full Payments will be applied to the oldest invoices

ACCEPTANCE OF PROPOSAL The above prices scope of work and terms and conditions are hereby satisfactorily agreed upon LMP Inc has been authorized to perform the work as outlined and payment will be made as outlined above The above pricing does not include any unforeseen modifications to the said irrigation system that could not be reasonably accounted for prior to job start All plant material carries a one (1) year warranty provided LMP Inc is performing landscape maintenance services to the area installed or enhanced at the time of installation If not then there is no warranty on the plant material

OWNER AGENT

DATE

EXHIBIT 5

Independent Franchise Owner Job TBE8F300154 Terry Beamer 9266 Lazy Ln

Date 06012020

EXTERIOR PROPOSALEXTERIOR PROPOSALEXTERIOR PROPOSALEXTERIOR PROPOSAL Tampa FL 33614 813-936-9242

Fax 813 936-9172

1-800-462-3782

License PA2508

Full Workers Compensation Coverage$2000000 General Liability Insurance

DPFG Management amp Consulting LLC (Hawks Point) Raymond Lotito (SB) Hawks Point CDD Ruskin FL 33570 Phone 813-418-7473 Cell 813-220-6089 Email raymondlotitodpfgcom

Special Notes CERTAPRO PAINTERS WILL PAINT WALL FACING 19ST FROM 18TH-24TH

SPECIAL ATTENTION ADDRESSING STUCCO CRACKS USING CONCRETE AND MASONRY PATCH

SPECIAL ATTENTION PRESSURE WASHING LOOSE PEELING PAINT PRIOR TO PAINTING

CERTAPRO PAINTERS WILL ONLY PAINT STREET FACING SIDE- HOMEOWNERS SIDE EXCLUDED FROM PROPOSAL

CUSTOMER RESPONSIBILITIES Please cut back all shrubs bushes and palms away from wall

GENERAL DESCRIPTION Painting to Exterior Wall 18th-24th Facing 19th Ave

PREPARATION Washing To remove dirt mildew and loose paint so the new finish coat will adhere properly

Caulking To fill all cracks and gaps around windows and doorswood work to seal out moisture and drafts Stair step

cracks

Scraping Scrape all loose and peeling paint to ensure a firm base for the new paint

Masonry Repair to all cracks gaps and holes with elastemeric caulking or masonry patch as required

Sanding To degloss where necessary to promote adhesion of the top coat

Surface TypeArea Primer PurposePRIMING

Masonry Loxon sealerprimer Latex For propor top coat adhesion

Conditioner Loxon sealerprimer to all Latex For proper top coat adhesion

masonry surfaces

FINISH COATS

Surface Area

Exterior

ManufacturePaint Type

Sherwin Williams Resilience Ext Satin

Coats

1 primer-sealer 1 spray 1 backroll stucco

Color

Same As Existing

Clean Up Daily and upon completion

$1132900 All Labor Paint Materials

$1132900 TOTAL

Signature of Authorized Franchise Representative Date

Payment is due In Full upon Job Completion

(IWE HAVE READ THE TERMS STATED HEREIN THEY HAVE (IWE) HAVE EXAMINED THE JOB STATED HEREIN THEY EXPLAINED TO (MEUS) AND (IWE) FIND THEM TO BE HAVE SHOWN TO (MEUS) AND (IWE) FIND THE JOB TO SATISFACTORY AND HEREBY ACCEPT THEM BE SATISFACTORY AND HEREBY ACCEPT THE JOB AS

COMPLETE

SIGNATURE Date SIGNATURE Date

QUOTE

Shazam Construction LLC DATE MAY 13 2020

Shazam Hera 6773 Waterton Drive Riverview FL 33578 813-385-4591 ShazamConstructionLLCgmailcom Hawks Point CDD

TO Bill to Development Planning and Financing Group 15310 Amberly Drive Suite 175 Tampa FL 33647

QUANITY DESCRIPTION UNIT PRICE LINE TOTAL

Pressure wash the wall that parallels 19th avenue from 18th street to 24th street in Hawks Point CDD in Ruskin

$1270000

Repair any cracks with caulk or elastomeric as neededPrep for paint

Paint the wall that parallels 19th avenue from 18th street to 24th street in Hawks Point CDD in Ruskin

Paint using body trim and caps of exterior wall facing 19th avenue

Paint while matching existing colors

Paint using Sherwin Williams

All paint materials and labor is included

SUBTOTAL

SALES TAX

TOTAL $1270000

Make all checks payable to Shazam Construction LLC

THANK YOU FOR YOUR BUSINESS

EXHIBIT 6

Independent Franchise Owner Job TB443B00157 Terry Beamer 9266 Lazy Ln

Date 06052020

EXTERIOR PROPOSALEXTERIOR PROPOSALEXTERIOR PROPOSALEXTERIOR PROPOSAL Tampa FL 33614 813-936-9242

Fax 813 936-9172

1-800-462-3782

License PA2508

Full Workers Compensation Coverage$2000000 General Liability Insurance

DPFG Management amp Consulting LLC (Hawks Point) Raymond Lotito (SB) Hawks Point CDD Ruskin FL 33570 Phone 813-418-7473 Cell 813-220-6089 Email raymondlotitodpfgcom

Special Notes CERTAPRO PAINTERS PRESSURE WASHING PROPOSAL 18TH-24TH

CERTAPRO PAINTERS WILL PRESSURE WASH WALL FACING 19TH ST ONLY

GENERAL DESCRIPTION Painting to

PREPARATION Washing To remove dirt mildew and loose paint so the new finish coat will adhere properly

PRIMING Surface TypeArea Primer Purpose

Clean Up Daily and upon completion

All Labor Paint Materials

TOTAL

$195000

$195000

Signature of Authorized Franchise Representative Date

Payment is due In Full upon Job Completion

(IWE HAVE READ THE TERMS STATED HEREIN THEY HAVE (IWE) HAVE EXAMINED THE JOB STATED HEREIN THEY EXPLAINED TO (MEUS) AND (IWE) FIND THEM TO BE HAVE SHOWN TO (MEUS) AND (IWE) FIND THE JOB TO SATISFACTORY AND HEREBY ACCEPT THEM BE SATISFACTORY AND HEREBY ACCEPT THE JOB AS

COMPLETE

SIGNATURE Date SIGNATURE Date

QUOTE

Shazam Construction LLC DATE JUNE 5 2020

Shazam Hera 6773 Waterton Drive Riverview FL 33578 813-385-4591 ShazamConstructionLLCgmailcom Hawks Point CDD

TO Bill to Development Planning and Financing Group 15310 Amberly Drive Suite 175 Tampa FL 33647

QUANITY DESCRIPTION UNIT PRICE LINE TOTAL

Pressure wash the wall that parallels 19th avenue from 18th street to 24th street in Hawks Point CDD in Ruskin

$160000

All materials and labor is included

SUBTOTAL

SALES TAX

TOTAL $160000

Make all checks payable to Shazam Construction LLC

THANK YOU FOR YOUR BUSINESS

EXHIBIT 7

2019FORM 1 STATEMENT OF

Please print or type your name mailing FOR OFFICE USE ONLY FINANCIAL INTERESTS address agency name and position below

LAST NAME -- FIRST NAME -- MIDDLE NAME

MAILING ADDRESS

CITY ZIP COUNTY

NAME OF AGENCY

NAME OF OFFICE OR POSITION HELD OR SOUGHT

CHECK ONLY IF CANDIDATE OR NEW EMPLOYEE OR APPOINTEE

THIS SECTION MUST BE COMPLETED DISCLOSURE PERIOD THIS STATEMENT REFLECTS YOUR FINANCIAL INTERESTS FOR CALENDAR YEAR ENDING DECEMBER 31 2019

MANNER OF CALCULATING REPORTABLE INTERESTS FILERS HAVE THE OPTION OF USING REPORTING THRESHOLDS THAT ARE ABSOLUTE DOLLAR VALUES WHICH REQUIRES FEWER CALCULATIONS OR USING COMPARATIVE THRESHOLDS WHICH ARE USUALLY BASED ON PERCENTAGE VALUES (see instructions for further details) CHECK THE ONE YOU ARE USING (must check one)

COMPARATIVE (PERCENTAGE) THRESHOLDS OR DOLLAR VALUE THRESHOLDS

PART A -- PRIMARY SOURCES OF INCOME [Major sources of income to the reporting person - See instructions] (If you have nothing to report write none or na)

NAME OF SOURCE SOURCES DESCRIPTION OF THE SOURCES OF INCOME ADDRESS PRINCIPAL BUSINESS ACTIVITY

PART B -- SECONDARY SOURCES OF INCOME [Major customers clients and other sources of income to businesses owned by the reporting person - See instructions] (If you have nothing to report write none or na)

NAME OF NAME OF MAJOR SOURCES ADDRESS PRINCIPAL BUSINESS BUSINESS ENTITY OF BUSINESS INCOME OF SOURCE ACTIVITY OF SOURCE

PART C -- REAL PROPERTY [Land buildings owned by the reporting person - See instructions] You are not limited to the space on the (If you have nothing to report write none or na) lines on this form Attach additional

sheets if necessary

FILING INSTRUCTIONS for when and where to file this form are located at the bottom of page 2

INSTRUCTIONS on who must file this form and how to fill it out begin on page 3

CE FORM 1 - Effective January 1 2020 (Continued on reverse side) PAGE 1 Incorporated by reference in Rule 34-8202(1) FAC

FILING INSTRUCTIONS

IF ANY OF PARTS A THROUGH G ARE CONTINUED ON A SEPARATE SHEET PLEASE CHECK HERE

PART D mdash INTANGIBLE PERSONAL PROPERTY [Stocks bonds certificates of deposit etc - See instructions] (If you have nothing to report write none or na) TYPE OF INTANGIBLE BUSINESS ENTITY TO WHICH THE PROPERTY RELATES

PART E mdash LIABILITIES [Major debts - See instructions] (If you have nothing to report write none or na)

NAME OF CREDITOR ADDRESS OF CREDITOR

PART F mdash INTERESTS IN SPECIFIED BUSINESSES [Ownership or positions in certain types of businesses - See instructions] (If you have nothing to report write none or na)

BUSINESS ENTITY 1 BUSINESS ENTITY 2

NAME OF BUSINESS ENTITY

ADDRESS OF BUSINESS ENTITY

PRINCIPAL BUSINESS ACTIVITY

POSITION HELD WITH ENTITY

I OWN MORE THAN A 5 INTEREST IN THE BUSINESS

NATURE OF MY OWNERSHIP INTEREST

If you were mailed the form by the Commission on Ethics or a County Supervisor of Elections for your annual disclosure filing return the form to that location To determine what category your position falls under see page 3 of instructions Local officersemployees file with the Supervisor of Elections of the county in which they permanently reside (If you do not permanently reside in Florida file with the Supervisor of the county where your agency has its headquarters) Form 1 filers who file with the Supervisor of Elections may file by mail or email Contact your Supervisor of Elections for the mailing address or email address to use Do not email your form to the Commission on Ethics it will be returned State officers or specified state employees who file with the Commission on Ethics may file by mail or email To file by mail send the completed form to PO Drawer 15709 Tallahassee FL32317-5709 physical address 325 John Knox Rd Bldg E Ste 200 Tallahassee FL 32303 To file with the Commission by email scan your completed form and any attachments as a pdf (do not use any other format) send it to CEForm1legstateflus and retain a copy for your records Do not file by both mail and email Choose only one filing method Form 6s will not be accepted via email

Candidates file this form together with their filing papers MULTIPLE FILING UNNECESSARY A candidate who files a Form 1 with a qualifying officer is not required to file with the Commission or Supervisor of Elections WHEN TO FILE Initially each local officeremployee state officer and specified state employee must file within 30 days of the date of his or her appointment or of the beginning of employment Appointees who must be confirmed by the Senate must file prior to confirmation even if that is less than 30 days from the date of their appointment Candidates must file at the same time they file their qualifying papers Thereafter file by July 1 following each calendar year in which they hold their positions Finally file a final disclosure form (Form 1F) within 60 days of leaving office or employment Filing a CE Form 1F (Final Statement of Financial Interests) does not relieve the filer of filing a CE Form 1 if the filer was in his or her position on December 31 2019

SIGNATURE OF FILER Signature

____________________________________________

Date Signed

____________________________________________

CPA or ATTORNEY SIGNATURE ONLY If a certified public accountant licensed under Chapter 473 or attorney in good standing with the Florida Bar prepared this form for you he or she must complete the following statement

I _______________________________________ prepared the CE Form 1 in accordance with Section 1123145 Florida Statutes and the instructions to the form Upon my reasonable knowledge and belief the disclosure herein is true and correct

CPAAttorney Signature ______________________________

Date Signed _______________________________________

PART G mdash TRAINING For elected municipal officers required to complete annual ethics training pursuant to section 1123142 FS

I CERTIFY THAT I HAVE COMPLETED THE REQUIRED TRAINING

CE FORM 1 - Effective January 1 2020 PAGE 2 Incorporated by reference in Rule 34-8202(1) FAC

Examplesmdash You are the sole proprietor of a dry cleaning business fromwhich you received more than 10 of your gross incomemdashanamount that was more than $1500 If only one customer auniform rental company provided more than 10 of your drycleaning business you must list the name of the uniform rentalcompany its address and its principal business activity (uniform rentals) mdash You are a 20 partner in a partnership that owns a shopping mall and your partnership income exceeded the thresholds listed above You should list each tenant of the mall that provided more than 10 of the partnershiprsquos gross income and the tenantrsquos address and principal business activity

PART C mdash REAL PROPERTY[Required by s 1123145(3)(a)3 FS]In this part list the location or description of all real property in

Florida in which you owned directly or indirectly at any time during the disclosure period in excess of 5 of the propertyrsquos value You are not required to list your residences You should list any vacation homes if you derive income from them

Indirect ownership includes situations where you are abeneficiary of a trust that owns the property as well as situations where you own more than 5 of a partnership or corporation thatowns the property The value of the property may be determined by the most recently assessed value for tax purposes in the absence of a more current appraisal

The location or description of the property should be sufficient to enable anyone who looks at the form to identify the property Astreet address should be used if one exists PART D mdash INTANGIBLE PERSONAL PROPERTY

[Required by s 1123145(3)(a)3 FS]Describe any intangible personal property that at any time

during the disclosure period was worth more than 10 of your total assets and state the business entity to which the property related Intangible personal property includes things such as cash on hand stocks bonds certificates of deposit vehicle leases interests in businesses beneficial interests in trusts money owed you Deferred Retirement Option Program (DROP) accounts the Florida Prepaid College Plan and bank accounts Intangiblepersonal property also includes investment products held in IRAs brokerage accounts and the Florida College Investment Plan Note that the product contained in a brokerage account IRA or the Florida College Investment Plan is your assetmdashnot the account or plan itself Things like automobiles and houses you own jewelryand paintings are not intangible property Intangibles relating to the same business entity may be aggregated for example CDrsquos and savings accounts with the same bank

Calculations To determine whether the intangible property exceeds 10 of your total assets total the fair market value of all of your assets (including real property intangible property and tangible personal property such as jewelry furniture etc) When making this calculation do not subtract any liabilities (debts) that may relate to the property Multiply the total figure by 10 to arrive at the disclosure threshold List only the intangibles that exceed this threshold amount The value of a leased vehicle is the vehiclersquos present value minus the lease residual (a number which can be found on the lease document) Property that is only jointly owned property should be valued according to the percentage of your joint ownership Property owned as tenants by the entirety or as joint tenants with right of survivorship should be valued at 100 None of your calculations or the value of the property have to be disclosed on the form

Example You own 50 of the stock of a small corporation that is worth $100000 the estimated fair market value of your home and other property (bank accounts automobile furniture etc) is $200000 As your total assets are worth $250000 you must disclose intangibles worth over $25000 Since the value of the stock exceeds this threshold you should list ldquostockrdquo and the name of the corporation If your accounts with a particular bank exceed $25000 you should list ldquobank accountsrdquo and bankrsquos name

PART E mdash LIABILITIES[Required by s 1123145(3)(b)4 FS]List the name and address of each creditor to whom you owed

any amount that at any time during the disclosure period exceeded your net worth You are not required to list the amount of any debt or your net worth You do not have to disclose credit card and retail installment accounts taxes owed (unless reduced to a judgment) indebtedness on a life insurance policy owed to the company of issuance or contingent liabilities A ldquocontingent liabilityrdquo is one that will become an actual liability only when one or more future events occur or fail to occur such as where you are liable only as a guarantor surety or endorser on a promissory note If you are a ldquoco-makerrdquo and are jointly liable or jointly and severally liable it is not a contingent liability

Calculations To determine whether the debt exceeds your net worth total all of your liabilities (including promissory notes mortgages credit card debts judgments against you etc) Theamount of the liability of a vehicle lease is the sum of any past-due payments and all unpaid prospective lease payments Subtract the sum total of your liabilities from the value of all your assets as calculated above for Part D This is your ldquonet worthrdquo List each creditor to whom your debt exceeded this amount unless it is one of the types of indebtedness listed in the paragraph above (credit card and retail installment accounts etc) Joint liabilities with others for which you are ldquojointly and severally liablerdquo meaning that you may be liable for either your part or the whole of the obligation should be included in your calculations at 100 of the amount owed

Example You owe $15000 to a bank for student loans $5000 for credit card debts and $60000 (with spouse) to a savings and loan for a home mortgage Your home (owned by you and your spouse) is worth $80000 and your other property is worth $20000 Since your net worth is $20000 ($100000 minus $80000) you must report only the name and address of the savings and loan

PART F mdash INTERESTS IN SPECIFIED BUSINESSES[Required by s 1123145 FS]The types of businesses covered in this disclosure include

state and federally chartered banks state and federal savings and loan associations cemetery companies insurance companies mortgage companies credit unions small loan companies alcoholic beverage licensees pari-mutuel wagering companies utilitycompanies entities controlled by the Public Service Commission and entities granted a franchise to operate by either a city or acounty government

Disclose in this part the fact that you owned during the disclosure period an interest in or held any of certain positions with the types of businesses listed above You are required to make this disclosure if you own or owned (either directly orindirectly in the form of an equitable or beneficial interest) at any time during the disclosure period more than 5 of the total assets or capital stock of one of the types of business entities listed above You also must complete this part of the form for each of these types of businesses for which you are or were at any time during thedisclosure period an officer director partner proprietor or agent (other than a resident agent solely for service of process)

If you have or held such a position or ownership interest in one of these types of businesses list the name of the business its address and principal business activity and the position held with the business (if any) If you own(ed) more than a 5 interest in the business indicate that fact and describe the nature of your interest

PART G mdash TRAINING CERTIFICATION[Required by s 1123142 FS]If you are a Constitutional or elected municipal officer whose

service began before March 31 of the year for which you are filing you are required to complete four hours of ethics training which addresses Article II Section 8 of the Florida Constitution the Code of Ethics for Public Officers and Employees and the public records and open meetings laws of the state You are required to certify on this form that you have taken such training (End of Percentage Thresholds Instructions)

CE FORM 1 - Effective January 1 2020 Incorporated by reference in Rule 34-8202 FAC PAGE 6

NOTICE Annual Statements of Financial Interests are due July 1 If the annual form is not filed or postmarked by September 1 an automatic fine of $25 for each day late will be imposed up to a maximum penalty of $1500 Failure to file also can result in removal from public office or employment [s 1123145 FS]

In addition failure to make any required disclosure constitutes grounds for and may be punished by one or more of the following disqualification from being on the ballot impeachment removal or suspension from office or employment demotion reduction in salary reprimand or a civil penalty not exceeding $10000 [s 112317 FS]

WHO MUST FILE FORM 1 1) Elected public officials not serving in a political subdivision of the

state and any person appointed to fill a vacancy in such office unlessrequired to file full disclosure on Form 62) Appointed members of each board commission authority

or council having statewide jurisdiction excluding members of solelyadvisory bodies but including judicial nominating commission membersDirectors of Enterprise Florida Scripps Florida Funding Corporationand Career Source Florida and members of the Council on the Social Status of Black Men and Boys the Executive Director Governors and senior managers of Citizens Property Insurance CorporationGovernors and senior managers of Florida Workers Compensation JointUnderwriting Association board members of the Northeast Fla RegionalTransportation Commission board members of Triumph Gulf Coast Incboard members of Florida Is For Veterans Inc and members of the Technology Advisory Council within the Agency for State Technology3) The Commissioner of Education members of the State Board

of Education the Board of Governors the local Boards of Trustees and Presidents of state universities and the Florida Prepaid College Board 4) Persons elected to office in any political subdivision (such as

municipalities counties and special districts) and any person appointedto fill a vacancy in such office unless required to file Form 65) Appointed members of the following boards councils

commissions authorities or other bodies of county municipality schooldistrict independent special district or other political subdivision thegoverning body of the subdivision community college or junior collegedistrict boards of trustees boards having the power to enforce local codeprovisions boards of adjustment community redevelopment agenciesplanning or zoning boards having the power to recommend create ormodify land planning or zoning within a political subdivision except forcitizen advisory committees technical coordinating committees andsimilar groups who only have the power to make recommendationsto planning or zoning boards and except for representatives of a military installation acting on behalf of all military installations within thatjurisdiction pension or retirement boards empowered to invest pensionor retirement funds or determine entitlement to or amount of pensions orother retirement benefits and the Pinellas County Construction LicensingBoard 6) Any appointed member of a local government board who

is required to file a statement of financial interests by the appointingauthority or the enabling legislation ordinance or resolution creating theboard 7) Persons holding any of these positions in local government

mayor county or city manager chief administrative employee or finance

director of a county municipality or other political subdivision county or municipal attorney chief county or municipal building inspectorcounty or municipal water resources coordinator county or municipalpollution control director county or municipal environmental control director county or municipal administrator with power to grant or denya land development permit chief of police fire chief municipal clerkappointed district school superintendent community college presidentdistrict medical examiner purchasing agent (regardless of title) havingthe authority to make any purchase exceeding $35000 for the localgovernmental unit8) Officers and employees of entities serving as chief administrative

officer of a political subdivision9) Members of governing boards of charter schools operated by a

city or other public entity10) Employees in the office of the Governor or of a Cabinet member

who are exempt from the Career Service System excluding secretarialclerical and similar positions11) The following positions in each state department commission

board or council Secretary Assistant or Deputy Secretary ExecutiveDirector Assistant or Deputy Executive Director and anyone having thepower normally conferred upon such persons regardless of title12) The following positions in each state department or division

Director Assistant or Deputy Director Bureau Chief and any personhaving the power normally conferred upon such persons regardless oftitle 13) Assistant State Attorneys Assistant Public Defenders criminal

conflict and civil regional counsel and assistant criminal conflict and civilregional counsel Public Counsel full-time state employees serving ascounsel or assistant counsel to a state agency administrative law judgesand hearing officers14) The Superintendent or Director of a state mental health institute

established for training and research in the mental health field or anymajor state institution or facility established for corrections trainingtreatment or rehabilitation 15) State agency Business Managers Finance and Accounting

Directors Personnel Officers Grant Coordinators and purchasingagents (regardless of title) with power to make a purchase exceeding$35000 16) The following positions in legislative branch agencies each

employee (other than those employed in maintenance clerical secretarial or similar positions and legislative assistants exempted by the presiding officer of their house) and each employee of theCommission on Ethics

INSTRUCTIONS FOR COMPLETING FORM 1 INTRODUCTORY INFORMATION (Top of Form) If your name mailing address public agency and position are already printed on the form you do not need to provide this information unless it should be changed To change any of this information write the correct information on the form and contact your agencys financial disclosure coordinator You can find your coordinator on the Commission on Ethics website wwwethics stateflus NAME OF AGENCY The name of the governmental unit which you serve or served by which you are or were employed or for which you are a candidate DISCLOSURE PERIOD The ldquodisclosure periodrdquo for your report is the calendar year ending December 31 2019

OFFICE OR POSITION HELD OR SOUGHT The title of the office or position you hold are seeking or held during the disclosure period even if you have since left that position If you are a candidate for office or are a new employee or appointee check the appropriate box PUBLIC RECORD The disclosure form and everythingattached to it is a public record Your Social Security Number is not required and you should redact it from any documents you file If you are an active or former officer or employee listed in Section 119071 FS whose home address is exempt from disclosure the Commission will maintain that confidentiality if you submit a written request

CE FORM 1 - Effective January 1 2020 Incorporated by reference in Rule 34-8202 FAC PAGE 3

PART E mdash LIABILITIES[Required by s 1123145(3)(b)4 FS]List the name and address of each creditor to whom you owed more

than $10000 at any time during the disclosure period The amount of theliability of a vehicle lease is the sum of any past-due payments and allunpaid prospective lease payments You are not required to list the amountof any debt You do not have to disclose credit card and retail installmentaccounts taxes owed (unless reduced to a judgment) indebtedness ona life insurance policy owed to the company of issuance or contingentliabilities A ldquocontingent liabilityrdquo is one that will become an actual liabilityonly when one or more future events occur or fail to occur such as whereyou are liable only as a guarantor surety or endorser on a promissorynote If you are a ldquoco-makerrdquo and are jointly liable or jointly and severallyliable then it is not a contingent liability

PART F mdash INTERESTS IN SPECIFIED BUSINESSES[Required by s 1123145(6) FS]The types of businesses covered in this disclosure include state and

federally chartered banks state and federal savings and loan associationscemetery companies insurance companies mortgage companies creditunions small loan companies alcoholic beverage licensees pari-mutuelwagering companies utility companies entities controlled by the PublicService Commission and entities granted a franchise to operate by either acity or a county government

Disclose in this part the fact that you owned during the disclosure period aninterest in or held any of certain positions with the types of businesses listedabove You must make this disclosure if you own or owned (either directly orindirectly in the form of an equitable or beneficial interest) at any time duringthe disclosure period more than 5 of the total assets or capital stock ofone of the types of business entities listed above You also must completethis part of the form for each of these types of businesses for which youare or were at any time during the disclosure period an officer directorpartner proprietor or agent (other than a resident agent solely for service ofprocess)

If you have or held such a position or ownership interest in one ofthese types of businesses list the name of the business its address andprincipal business activity and the position held with the business (if any) Ifyou own(ed) more than a 5 interest in the business indicate that fact anddescribe the nature of your interest

PART G mdash TRAINING CERTIFICATION[Required by s 1123142 FS]If you are a Constitutional or elected municipal officer whose

service began before March 31 of the year for which you are filingyou are required to complete four hours of ethics training which addresses Article II Section 8 of the Florida Constitution the Codeof Ethics for Public Officers and Employees and the public recordsand open meetings laws of the state You are required to certify onthis form that you have taken such training

(End of Dollar Value Thresholds Instructions)

PART A mdash PRIMARY SOURCES OF INCOME[Required by s 1123145(3)(a)1 FS]Part A is intended to require the disclosure of your principal

sources of income during the disclosure period You do not haveto disclose any public salary or public position(s) but income from these public sources should be included when calculating your gross income for the disclosure period The income of your spouse need not be disclosed however if there is joint income to you and your spouse from property you own jointly (such as interest or dividends from a bank account or stocks) you should include all of that income when calculating your gross income and disclose the source of that income if it exceeded the threshold

Please list in this part of the form the name address and principal business activity of each source of your income whichexceeded 5 of the gross income received by you in your own name or by any other person for your benefit or use during the disclosure period

Gross income means the same as it does for income tax purposes even if the income is not actually taxable such as interest on tax-free bonds Examples include compensation for servicesincome from business gains from property dealings interest rents dividends pensions IRA distributions social security distributive share of partnership gross income and alimony but not child support

Examplesmdash If you were employed by a company that manufactures computers and received more than 5 of your gross income from the company list the name of the company its address and its principal business activity (computer manufacturing)mdash If you were a partner in a law firm and your distributive share of partnership gross income exceeded 5 of your gross income then list the name of the firm its address and its principal business activity (practice of law)mdash If you were the sole proprietor of a retail gift business andyour gross income from the business exceeded 5 of your total gross income list the name of the business its addressand its principal business activity (retail gift sales)mdash If you received income from investments in stocks and bonds list each individual company from which you derived

more than 5 of your gross income Do not aggregate all of your investment incomemdash If more than 5 of your gross income was gain from the sale of property (not just the selling price) list as a source of income the purchaserrsquos name address and principal business activityIf the purchasers identity is unknown such as where securities listed on an exchange are sold through a brokerage firm the source of income should be listed as sale of (name of company)stock for examplemdash If more than 5 of your gross income was in the form of interest from one particular financial institution (aggregatinginterest from all CDrsquos accounts etc at that institution) list the name of the institution its address and its principal business activity

PART B mdash SECONDARY SOURCES OF INCOME[Required by s 1123145(3)(a)2 FS]This part is intended to require the disclosure of major customers

clients and other sources of income to businesses in which you ownan interest It is not for reporting income from second jobs That kindof income should be reported in Part A Primary Sources of Incomeif it meets the reporting threshold You will not have anything to reportunless during the disclosure period

(1) You owned (either directly or indirectly in the form of anequitable or beneficial interest) more than 5 of the total assetsor capital stock of a business entity (a corporation partnershipLLC limited partnership proprietorship joint venture trust firmetc doing business in Florida) and(2) You received more than 10 of your gross income from thatbusiness entity and(3) You received more than $1500 in gross income from thatbusiness entity

If your interests and gross income exceeded these thresholds thenfor that business entity you must list every source of income to thebusiness entity which exceeded 10 of the business entityrsquos grossincome (computed on the basis of the business entityrsquos most recentlycompleted fiscal year) the sourcersquos address and the sourcersquosprincipal business activity

IF YOU HAVE CHOSEN COMPARATIVE (PERCENTAGE) THRESHOLDSTHE FOLLOWING INSTRUCTIONS APPLY

CE FORM 1 - Effective January 1 2020 Incorporated by reference in Rule 34-8202 FAC PAGE 5

MANNER OF CALCULATING REPORTABLE INTEREST Filers have the option of reporting based on either thresholds that are comparative (usually based on percentage values) or thresholds that are based on absolute dollar values The instructions on the following pages specifically describe the different thresholds Check the box that reflects the choice you have made You must use the type of threshold you have chosen for each part of the form In other words if you choose to report based on absolute dollar value thresholds you cannot use a percentage threshold on any part of the form

IF YOU HAVE CHOSEN DOLLAR VALUE THRESHOLDS THE FOLLOWING INSTRUCTIONS APPLY

PART A mdash PRIMARY SOURCES OF INCOME [Required by s 1123145(3)(b)1 FS] Part A is intended to require the disclosure of your principal

sources of income during the disclosure period You do not have todisclose any public salary or public position(s) The income of yourspouse need not be disclosed however if there is joint income toyou and your spouse from property you own jointly (such as interestor dividends from a bank account or stocks) you should disclose thesource of that income if it exceeded the threshold

Please list in this part of the form the name address andprincipal business activity of each source of your income whichexceeded $2500 of gross income received by you in your own name or by any other person for your use or benefit

Gross income means the same as it does for income tax purposes even if the income is not actually taxable such as interest on tax-free bonds Examples include compensation for servicesincome from business gains from property dealings interest rentsdividends pensions IRA distributions social security distributive share of partnership gross income and alimony but not child support

Examples mdash If you were employed by a company that manufacturescomputers and received more than $2500 list the name of thecompany its address and its principal business activity (computermanufacturing) mdash If you were a partner in a law firm and your distributive shareof partnership gross income exceeded $2500 list the name ofthe firm its address and its principal business activity (practice oflaw) mdash If you were the sole proprietor of a retail gift business and yourgross income from the business exceeded $2500 list the nameof the business its address and its principal business activity(retail gift sales) mdash If you received income from investments in stocks and bondslist each individual company from which you derived more than$2500 Do not aggregate all of your investment income mdash If more than $2500 of your gross income was gain from thesale of property (not just the selling price) list as a source ofincome the purchaserrsquos name address and principal businessactivity If the purchaserrsquos identity is unknown such as wheresecurities listed on an exchange are sold through a brokeragefirm the source of income should be listed as sale of (name of company) stock for example mdash If more than $2500 of your gross income was in the formof interest from one particular financial institution (aggregatinginterest from all CDrsquos accounts etc at that institution) list the name of the institution its address and its principal business activity

PART B mdash SECONDARY SOURCES OF INCOME [Required by s 1123145(3)(b)2 FS] This part is intended to require the disclosure of major customers

clients and other sources of income to businesses in which you own aninterest It is not for reporting income from second jobs That kind of incomeshould be reported in Part A Primary Sources of Income if it meets thereporting threshold You will not have anything to report unless during thedisclosure period

(1) You owned (either directly or indirectly in the form of an equitableor beneficial interest) more than 5 of the total assets or capitalstock of a business entity (a corporation partnership LLC limitedpartnership proprietorship joint venture trust firm etc doing business in Florida) and (2) You received more than $5000 of your gross income during thedisclosure period from that business entity

If your interests and gross income exceeded these thresholds then for thatbusiness entity you must list every source of income to the business entitywhich exceeded 10 of the business entityrsquos gross income (computed onthe basis of the business entitys most recently completed fiscal year) thesourcersquos address and the sources principal business activity

Examples mdash You are the sole proprietor of a dry cleaning business from whichyou received more than $5000 If only one customer a uniform rentalcompany provided more than 10 of your dry cleaning business youmust list the name of the uniform rental company its address and itsprincipal business activity (uniform rentals) mdash You are a 20 partner in a partnership that owns a shopping malland your partnership income exceeded the above thresholds List eachtenant of the mall that provided more than 10 of the partnershipsgross income and the tenants address and principal business activity

PART C mdash REAL PROPERTY [Required by s 1123145(3)(b)3 FS] In this part list the location or description of all real property in Florida

in which you owned directly or indirectly at any time during the disclosureperiod in excess of 5 of the propertyrsquos value You are not required to listyour residences You should list any vacation homes if you derive incomefrom them

Indirect ownership includes situations where you are a beneficiary of atrust that owns the property as well as situations where you own more than5 of a partnership or corporation that owns the property The value of theproperty may be determined by the most recently assessed value for taxpurposes in the absence of a more current appraisal

The location or description of the property should be sufficient toenable anyone who looks at the form to identify the property A streetaddress should be used if one exists

PART D mdash INTANGIBLE PERSONAL PROPERTY [Required by s 1123145(3)(b)3 FS] Describe any intangible personal property that at any time during the

disclosure period was worth more than $10000 and state the businessentity to which the property related Intangible personal property includesthings such as cash on hand stocks bonds certificates of deposit vehicleleases interests in businesses beneficial interests in trusts money owedyou Deferred Retirement Option Program (DROP) accounts the FloridaPrepaid College Plan and bank accounts Intangible personal propertyalso includes investment products held in IRAs brokerage accounts andthe Florida College Investment Plan Note that the product contained in a brokerage account IRA or the Florida College Investment Plan is yourassetmdashnot the account or plan itself Things like automobiles and housesyou own jewelry and paintings are not intangible property Intangiblesrelating to the same business entity may be aggregated for example CDsand savings accounts with the same bank Property owned as tenants bythe entirety or as joint tenants with right of survivorship should be valued at100 The value of a leased vehicle is the vehiclersquos present value minusthe lease residual (a number found on the lease document)

CE FORM 1 - Effective January 1 2020 Incorporated by reference in Rule 34-8202 FAC PAGE 4

PART A mdash PRIMARY SOURCES OF INCOME[Required by s 1123145(3)(b)1 FS]Part A is intended to require the disclosure of your principal

sources of income during the disclosure period You do not have todisclose any public salary or public position(s) The income of yourspouse need not be disclosed however if there is joint income t oyou and your spouse from property you own jointly (such as interestor dividends from a bank account or stocks) you should disclose thesource of that income if it exceeded the threshold

Please list in this part of the form the name address andprincipal business activity of each source of your income whichexceeded $2500 of gross income received by you in your own name or by any other person for your use or benefit

Gross income means the same as it does for income taxpurposes even if the income is not actually taxable such as intereston tax-free bonds Examples include compensation for servicesincome from business gains from property dealings interest rentsdividends pensions IRA distributions social security distributiveshare of partnership gross income and alimony but not child support

Examplesmdash If you were employed by a company that manufacturescomputers and received more than $2500 list the name of thecompany its address and its principal business activity (computermanufacturing)mdash If you were a partner in a law firm and your distributive shareof partnership gross income exceeded $2500 list the name ofthe firm its address and its principal business activity (practice oflaw)mdash If you were the sole proprietor of a retail gift business and yourgross income from the business exceeded $2500 list the nameof the business its address and its principal business activity(retail gift sales)mdash If you received income from investments in stocks and bondslist each individual company from which you derived more than$2500 Do not aggregate all of your investment incomemdash If more than $2500 of your gross income was gain from thesale of property (not just the selling price) list as a source o fincome the purchaserrsquos name address and principal businessactivity If the purchaserrsquos identity is unknown such as wheresecurities listed on an exchange are sold through a brokeragefirm the source of income should be listed as sale of (name of company) stock for examplemdash If more than $2500 of your gross income was in the formof interest from one particular financial institution (aggregatinginterest from all CDrsquos accounts etc at that institution) list thename of the institution its address and its principal business activity

PART B mdash SECONDARY SOURCES OF INCOME[Required by s 1123145(3)(b)2 FS]This part is intended to require the disclosure of major customers

clients and other sources of income to businesses in which you own aninterest It is not for reporting income from second jobs That kind of incomeshould be reported in Part A Primary Sources of Income if it meets thereporting threshold You will not have anything to report unless during thedisclosure period

(1) You owned (either directly or indirectly in the form of an equitableor beneficial interest) more than 5 of the total assets or capitalstock of a business entity (a corporation partnership LLC limitedpartnership proprietorship joint venture trust firm etc doing business in Florida) and(2) You received more than $5000 of your gross income during thedisclosure period from that business entity

If your interests and gross income exceeded these thresholds then for thatbusiness entity you must list every source of income to the business entitywhich exceeded 10 of the business entityrsquos gross income (computed onthe basis of the business entitys most recently completed fiscal year) thesourcersquos address and the sources principal business activity

Examplesmdash You are the sole proprietor of a dry cleaning business from whichyou received more than $5000 If only one customer a uniform rentalcompany provided more than 10 of your dry cleaning business youmust list the name of the uniform rental company its address and itsprincipal business activity (uniform rentals)mdash You are a 20 partner in a partnership that owns a shopping malland your partnership income exceeded the above thresholds List eachtenant of the mall that provided more than 10 of the partnershipsgross income and the tenants address and principal business activity

PART C mdash REAL PROPERTY[Required by s 1123145(3)(b)3 FS]In this part list the location or description of all real property in Florida

in which you owned directly or indirectly at any time during the disclosureperiod in excess of 5 of the propertyrsquos value You are not required to listyour residences You should list any vacation homes if you derive incomefrom them

Indirect ownership includes situations where you are a beneficiary of atrust that owns the property as well as situations where you own more than5 of a partnership or corporation that owns the property The value of theproperty may be determined by the most recently assessed value for taxpurposes in the absence of a more current appraisal

The location or description of the property should be sufficient toenable anyone who looks at the form to identify the property A streetaddress should be used if one exists

PART D mdash INTANGIBLE PERSONAL PROPERTY[Required by s 1123145(3)(b)3 FS]Describe any intangible personal property that at any time during the

disclosure period was worth more than $10000 and state the businessentity to which the property related Intangible personal property includesthings such as cash on hand stocks bonds certificates of deposit vehicleleases interests in businesses beneficial interests in trusts money owedyou Deferred Retirement Option Program (DROP) accounts the FloridaPrepaid College Plan and bank accounts Intangible personal propertyalso includes investment products held in IRAs brokerage accounts andthe Florida College Investment Plan Note that the product contained ina brokerage account IRA or the Florida College Investment Plan is yourassetmdashnot the account or plan itself Things like automobiles and housesyou own jewelry and paintings are not intangible property Intangiblesrelating to the same business entity may be aggregated for example CDsand savings accounts with the same bank Property owned as tenants bythe entirety or as joint tenants with right of survivorship should be valued at100 The value of a leased vehicle is the vehiclersquos present value minusthe lease residual (a number found on the lease document)

Filers have the option of reporting based on either thresholds that are comparative (usually based on percentage values) orthresholds that are based on absolute dollar values The instructions on the following pages specifically describe the differentthresholds Check the box that reflects the choice you have made You must use the type of threshold you have chosen for eachpart of the form In other words if you choose to report based on absolute dollar value thresholds you cannot use a percentagethreshold on any part of the form

MANNER OF CALCULATING REPORTABLE INTEREST

IF YOU HAVE CHOSEN DOLLAR VALUE THRESHOLDSTHE FOLLOWING INSTRUCTIONS APPLY

CE FORM 1 - Effective January 1 2020 Incorporated by reference in Rule 34-8202 FAC PAGE 4

PART E mdash LIABILITIES [Required by s 1123145(3)(b)4 FS] List the name and address of each creditor to whom you owed more

than $10000 at any time during the disclosure period The amount of theliability of a vehicle lease is the sum of any past-due payments and allunpaid prospective lease payments You are not required to list the amountof any debt You do not have to disclose credit card and retail installmentaccounts taxes owed (unless reduced to a judgment) indebtedness ona life insurance policy owed to the company of issuance or contingentliabilities A ldquocontingent liabilityrdquo is one that will become an actual liabilityonly when one or more future events occur or fail to occur such as whereyou are liable only as a guarantor surety or endorser on a promissorynote If you are a ldquoco-makerrdquo and are jointly liable or jointly and severallyliable then it is not a contingent liability

PART F mdash INTERESTS IN SPECIFIED BUSINESSES [Required by s 1123145(6) FS] The types of businesses covered in this disclosure include state and

federally chartered banks state and federal savings and loan associationscemetery companies insurance companies mortgage companies creditunions small loan companies alcoholic beverage licensees pari-mutuelwagering companies utility companies entities controlled by the PublicService Commission and entities granted a franchise to operate by either acity or a county government

Disclose in this part the fact that you owned during the disclosure period aninterest in or held any of certain positions with the types of businesses listedabove You must make this disclosure if you own or owned (either directly orindirectly in the form of an equitable or beneficial interest) at any time duringthe disclosure period more than 5 of the total assets or capital stock ofone of the types of business entities listed above You also must completethis part of the form for each of these types of businesses for which youare or were at any time during the disclosure period an officer directorpartner proprietor or agent (other than a resident agent solely for service ofprocess)

If you have or held such a position or ownership interest in one ofthese types of businesses list the name of the business its address andprincipal business activity and the position held with the business (if any) Ifyou own(ed) more than a 5 interest in the business indicate that fact anddescribe the nature of your interest

PART G mdash TRAINING CERTIFICATION [Required by s 1123142 FS] If you are a Constitutional or elected municipal officer whose

service began before March 31 of the year for which you are filingyou are required to complete four hours of ethics training which addresses Article II Section 8 of the Florida Constitution the Code of Ethics for Public Officers and Employees and the public recordsand open meetings laws of the state You are required to certify onthis form that you have taken such training

(End of Dollar Value Thresholds Instructions)

IF YOU HAVE CHOSEN COMPARATIVE (PERCENTAGE) THRESHOLDS THE FOLLOWING INSTRUCTIONS APPLY

PART A mdash PRIMARY SOURCES OF INCOME [Required by s 1123145(3)(a)1 FS] Part A is intended to require the disclosure of your principal

sources of income during the disclosure period You do not haveto disclose any public salary or public position(s) but income from these public sources should be included when calculating your gross income for the disclosure period The income of your spouse need not be disclosed however if there is joint income to you and your spouse from property you own jointly (such as interest or dividends from a bank account or stocks) you should include all of that income when calculating your gross income and disclose the source of that income if it exceeded the threshold

Please list in this part of the form the name address and principal business activity of each source of your income whichexceeded 5 of the gross income received by you in your own name or by any other person for your benefit or use during the disclosure period

Gross income means the same as it does for income tax purposes even if the income is not actually taxable such as interest on tax-free bonds Examples include compensation for servicesincome from business gains from property dealings interest rents dividends pensions IRA distributions social security distributive share of partnership gross income and alimony but not child support

Examples mdash If you were employed by a company that manufactures computers and received more than 5 of your gross income from the company list the name of the company its address and its principal business activity (computer manufacturing) mdash If you were a partner in a law firm and your distributive share of partnership gross income exceeded 5 of your gross income then list the name of the firm its address and its principal business activity (practice of law) mdash If you were the sole proprietor of a retail gift business andyour gross income from the business exceeded 5 of your total gross income list the name of the business its addressand its principal business activity (retail gift sales) mdash If you received income from investments in stocks and bonds list each individual company from which you derived

more than 5 of your gross income Do not aggregate all of your investment income mdash If more than 5 of your gross income was gain from the sale of property (not just the selling price) list as a source of income the purchaserrsquos name address and principal business activityIf the purchasers identity is unknown such as where securities listed on an exchange are sold through a brokerage firm the source of income should be listed as sale of (name of company)stock for example mdash If more than 5 of your gross income was in the form of interest from one particular financial institution (aggregatinginterest from all CDrsquos accounts etc at that institution) list the name of the institution its address and its principal business activity

PART B mdash SECONDARY SOURCES OF INCOME [Required by s 1123145(3)(a)2 FS] This part is intended to require the disclosure of major customers

clients and other sources of income to businesses in which you ownan interest It is not for reporting income from second jobs That kindof income should be reported in Part A Primary Sources of Incomeif it meets the reporting threshold You will not have anything to report unless during the disclosure period

(1) You owned (either directly or indirectly in the form of anequitable or beneficial interest) more than 5 of the total assetsor capital stock of a business entity (a corporation partnershipLLC limited partnership proprietorship joint venture trust firmetc doing business in Florida) and (2) You received more than 10 of your gross income from thatbusiness entity and (3) You received more than $1500 in gross income from thatbusiness entity

If your interests and gross income exceeded these thresholds thenfor that business entity you must list every source of income to thebusiness entity which exceeded 10 of the business entityrsquos grossincome (computed on the basis of the business entityrsquos most recentlycompleted fiscal year) the sourcersquos address and the sourcersquos principal business activity

CE FORM 1 - Effective January 1 2020 Incorporated by reference in Rule 34-8202 FAC PAGE 5

NOTICE Annual Statements of Financial Interests are due July 1 If the annual form is not filed or postmarked by September 1 an automatic fine of $25 for each day late will be imposed up to a maximum penalty of $1500 Failure to file also can result in removal from public office or employment [s 1123145 FS]

In addition failure to make any required disclosure constitutes grounds for and may be punished by one or more of the following disqualification from being on the ballot impeachment removal or suspension from office or employment demotion reduction in salary reprimand or a civil penalty not exceeding $10000 [s 112317 FS]

1) Elected public officials not serving in a political subdivision of thestate and any person appointed to fill a vacancy in such office unlessrequired to file full disclosure on Form 62) Appointed members of each board commission authority

or council having statewide jurisdiction excluding members of solelyadvisory bodies but including judicial nominating commission membersDirectors of Enterprise Florida Scripps Florida Funding Corporationand Career Source Florida and members of the Council on the SocialStatus of Black Men and Boys the Executive Director Governors and senior managers of Citizens Property Insurance CorporationGovernors and senior managers of Florida Workers Compensation JointUnderwriting Association board members of the Northeast Fla RegionalTransportation Commission board members of Triumph Gulf Coast Incboard members of Florida Is For Veterans Inc and members of theTechnology Advisory Council within the Agency for State Technology3) The Commissioner of Education members of the State Board

of Education the Board of Governors the local Boards of Trustees andPresidents of state universities and the Florida Prepaid College Board4) Persons elected to office in any political subdivision (such a s

municipalities counties and special districts) and any person appointedto fill a vacancy in such office unless required to file Form 65) Appointed members of the following boards councils

commissions authorities or other bodies of county municipality schooldistrict independent special district or other political subdivision thegoverning body of the subdivision community college or junior collegedistrict boards of trustees boards having the power to enforce local codeprovisions boards of adjustment community redevelopment agenciesplanning or zoning boards having the power to recommend create ormodify land planning or zoning within a political subdivision except forcitizen advisory committees technical coordinating committees andsimilar groups who only have the power to make recommendationsto planning or zoning boards and except for representatives of amilitary installation acting on behalf of all military installations within thatjurisdiction pension or retirement boards empowered to invest pensionor retirement funds or determine entitlement to or amount of pensions orother retirement benefits and the Pinellas County Construction LicensingBoard6) Any appointed member of a local government board who

is required to file a statement of financial interests by the appointingauthority or the enabling legislation ordinance or resolution creating theboard7) Persons holding any of these positions in local government

mayor county or city manager chief administrative employee or finance

director of a county municipality or other political subdivision countyor municipal attorney chief county or municipal building inspectorcounty or municipal water resources coordinator county or municipalpollution control director county or municipal environmental controldirector county or municipal administrator with power to grant or denya land development permit chief of police fire chief municipal clerkappointed district school superintendent community college presidentdistrict medical examiner purchasing agent (regardless of title) havingthe authority to make any purchase exceeding $35000 for the localgovernmental unit8) Officers and employees of entities serving as chief administrative

officer of a political subdivision9) Members of governing boards of charter schools operated by a

city or other public entity10) Employees in the office of the Governor or of a Cabinet member

who are exempt from the Career Service System excluding secretarialclerical and similar positions11) The following positions in each state department commission

board or council Secretary Assistant or Deputy Secretary ExecutiveDirector Assistant or Deputy Executive Director and anyone having thepower normally conferred upon such persons regardless of title12) The following positions in each state department or division

Director Assistant or Deputy Director Bureau Chief and any personhaving the power normally conferred upon such persons regardless oftitle13) Assistant State Attorneys Assistant Public Defenders criminal

conflict and civil regional counsel and assistant criminal conflict and civilregional counsel Public Counsel full-time state employees serving ascounsel or assistant counsel to a state agency administrative law judgesand hearing officers14) The Superintendent or Director of a state mental health institute

established for training and research in the mental health field or anymajor state institution or facility established for corrections trainingtreatment or rehabilitation15) State agency Business Managers Finance and Accounting

Directors Personnel Officers Grant Coordinators and purchasingagents (regardless of title) with power to make a purchase exceeding$3500016) The following positions in legislative branch agencies each

employee (other than those employed in maintenance clerical secretarial or similar positions and legislative assistants exemptedby the presiding officer of their house) and each employee of theCommission on Ethics

INSTRUCTIONS FOR COMPLETING FORM 1INTRODUCTORY INFORMATION (Top of Form) If your name mailing address public agency and position are already printed on the form you do not need to provide this information unless it should be changed To change any of this information write the correct information on the form and contact your agencys financial disclosure coordinator You can find your coordinator on the Commission on Ethics website wwwethicsstateflus NAME OF AGENCY The name of the governmental unit which you serve or served by which you are or were employed or for which you are a candidate DISCLOSURE PERIOD The ldquodisclosure periodrdquo for your report is the calendar year ending December 31 2019

OFFICE OR POSITION HELD OR SOUGHT The title of the office or position you hold are seeking or held during the disclosure period even if you have since left that position If you are a candidate for office or are a new employee or appointee check the appropriate boxPUBLIC RECORD The disclosure form and everythingattached to it is a public record Your Social Security Number is not required and you should redact it from any documents you file If you are an active or former officer or employee listed in Section 119071 FS whose home address is exempt from disclosure the Commission will maintain that confidentiality if you submit a written request

WHO MUST FILE FORM 1

CE FORM 1 - Effective January 1 2020 Incorporated by reference in Rule 34-8202 FAC PAGE 3

Examples PART E mdash LIABILITIES mdash You are the sole proprietor of a dry cleaning business from [Required by s 1123145(3)(b)4 FS]which you received more than 10 of your gross incomemdashan List the name and address of each creditor to whom you owed amount that was more than $1500 If only one customer a any amount that at any time during the disclosure period exceeded uniform rental company provided more than 10 of your dry your net worth You are not required to list the amount of any debt cleaning business you must list the name of the uniform rental or your net worth You do not have to disclose credit card and retail company its address and its principal business activity (uniform installment accounts taxes owed (unless reduced to a judgment) rentals) indebtedness on a life insurance policy owed to the company of mdash You are a 20 partner in a partnership that owns a shopping issuance or contingent liabilities A ldquocontingent liabilityrdquo is one mall and your partnership income exceeded the thresholds that will become an actual liability only when one or more future listed above You should list each tenant of the mall that events occur or fail to occur such as where you are liable only as provided more than 10 of the partnershiprsquos gross income and a guarantor surety or endorser on a promissory note If you are a the tenantrsquos address and principal business activity ldquoco-makerrdquo and are jointly liable or jointly and severally liable it is not

a contingent liability PART C mdash REAL PROPERTY Calculations To determine whether the debt exceeds your

[Required by s 1123145(3)(a)3 FS] net worth total all of your liabilities (including promissory notes mortgages credit card debts judgments against you etc) TheIn this part list the location or description of all real property in amount of the liability of a vehicle lease is the sum of any past-due Florida in which you owned directly or indirectly at any time during payments and all unpaid prospective lease payments Subtract the disclosure period in excess of 5 of the propertyrsquos value You the sum total of your liabilities from the value of all your assets are not required to list your residences You should list any vacation as calculated above for Part D This is your ldquonet worthrdquo List each homes if you derive income from them creditor to whom your debt exceeded this amount unless it is one of

Indirect ownership includes situations where you are a the types of indebtedness listed in the paragraph above (credit card beneficiary of a trust that owns the property as well as situations and retail installment accounts etc) Joint liabilities with others for where you own more than 5 of a partnership or corporation that which you are ldquojointly and severally liablerdquo meaning that you may owns the property The value of the property may be determined by be liable for either your part or the whole of the obligation should be the most recently assessed value for tax purposes in the absence included in your calculations at 100 of the amount owed of a more current appraisal

Example You owe $15000 to a bank for student loans $5000 The location or description of the property should be sufficient for credit card debts and $60000 (with spouse) to a savings to enable anyone who looks at the form to identify the property A and loan for a home mortgage Your home (owned by you and street address should be used if one exists your spouse) is worth $80000 and your other property is worth PART D mdash INTANGIBLE PERSONAL PROPERTY $20000 Since your net worth is $20000 ($100000 minus

$80000) you must report only the name and address of the [Required by s 1123145(3)(a)3 FS] savings and loan Describe any intangible personal property that at any time

during the disclosure period was worth more than 10 of your PART F mdash INTERESTS IN SPECIFIED BUSINESSES total assets and state the business entity to which the property [Required by s 1123145 FS] related Intangible personal property includes things such as cash on hand stocks bonds certificates of deposit vehicle leases The types of businesses covered in this disclosure include interests in businesses beneficial interests in trusts money owed state and federally chartered banks state and federal savings and you Deferred Retirement Option Program (DROP) accounts loan associations cemetery companies insurance companies the Florida Prepaid College Plan and bank accounts Intangible mortgage companies credit unions small loan companies alcoholic personal property also includes investment products held in IRAs beverage licensees pari-mutuel wagering companies utilitybrokerage accounts and the Florida College Investment Plan companies entities controlled by the Public Service Commission Note that the product contained in a brokerage account IRA or the and entities granted a franchise to operate by either a city or a Florida College Investment Plan is your assetmdashnot the account or county governmentplan itself Things like automobiles and houses you own jewelry Disclose in this part the fact that you owned during the and paintings are not intangible property Intangibles relating to the disclosure period an interest in or held any of certain positions same business entity may be aggregated for example CDrsquos and with the types of businesses listed above You are requiredsavings accounts with the same bank to make this disclosure if you own or owned (either directly or

Calculations To determine whether the intangible property indirectly in the form of an equitable or beneficial interest) at any exceeds 10 of your total assets total the fair market value of time during the disclosure period more than 5 of the total assets all of your assets (including real property intangible property and or capital stock of one of the types of business entities listed above tangible personal property such as jewelry furniture etc) When You also must complete this part of the form for each of these types making this calculation do not subtract any liabilities (debts) that of businesses for which you are or were at any time during themay relate to the property Multiply the total figure by 10 to arrive disclosure period an officer director partner proprietor or agent at the disclosure threshold List only the intangibles that exceed (other than a resident agent solely for service of process) this threshold amount The value of a leased vehicle is the vehiclersquos If you have or held such a position or ownership interest in present value minus the lease residual (a number which can be one of these types of businesses list the name of the business its found on the lease document) Property that is only jointly owned address and principal business activity and the position held with property should be valued according to the percentage of your the business (if any) If you own(ed) more than a 5 interest in the joint ownership Property owned as tenants by the entirety or as business indicate that fact and describe the nature of your interest joint tenants with right of survivorship should be valued at 100 None of your calculations or the value of the property have to be PART G mdash TRAINING CERTIFICATIONdisclosed on the form

[Required by s 1123142 FS] Example You own 50 of the stock of a small corporation that is worth $100000 the estimated fair market value of If you are a Constitutional or elected municipal officer whoseyour home and other property (bank accounts automobile service began before March 31 of the year for which you are filing furniture etc) is $200000 As your total assets are worth you are required to complete four hours of ethics training which $250000 you must disclose intangibles worth over $25000 addresses Article II Section 8 of the Florida Constitution the Code Since the value of the stock exceeds this threshold you of Ethics for Public Officers and Employees and the public records should list ldquostockrdquo and the name of the corporation If your and open meetings laws of the state You are required to certify on accounts with a particular bank exceed $25000 you should this form that you have taken such training list ldquobank accountsrdquo and bankrsquos name

(

End of Percentage Thresholds Instructions) CE FORM 1 - Effective January 1 2020 Incorporated by reference in Rule 34-8202 FAC PAGE 6

  • 0 HP Cover Page v2
  • 1 Hawks Point Meeting Invite Draft v2
  • 2 Agenda Draft v3
  • 3 EXHIBIT 1
  • 7 HP 05-19-2020 Meeting Minutes Approved
  • 6 EXHIBIT 2
  • 9 HP May FY20 Fin
  • 8 EXHIBIT 3
  • 4 Vacant Position Qualification Requirements for Hawks Point CDD
    • Vacant Position on the Board of Supervisors of the Hawkrsquos Point Community Development District
      • Qualification Requirements
      • Instructions for Interested Candidates
      • Additional Notes
          • 5 Shami Choon Vacant Position - updated 11-5-11 resume
            • 1803 Oak Pond Street Ruskin Fl 33570 E-mailchoons27gmailcom
              • PROFESSIONAL HISTORY
                • Operations Manager Florida Distribution 2002 ndash 2005
                • Operations Manager for Florida Branch Distribution 1999 ndash 2002
                • Warehouse Manager of Miami Distribution Center 1998 ndash 1999
                • Branch Manager of West Palm Beach 1994 ndash 1998
                • Assistant Branch Manager 1991 ndash 1994
                • Customer Service Agent 1990 ndash 1991
                  • 10 EXHIBIT 4
                  • 11 New Business - Hawks Point CDD - MI proposal
                  • 12 EXHIBIT 5
                  • 13 CertaPro Proposal to Paint Exterior Wall 18th to 24th Avenue
                  • 14 Shazam Construction Proposal to Paint Exterior Wall 18th to 24th Street
                    • QUOTE
                      • TO
                          • 15 Photo to accompany Shazam Proposal
                          • 16 EXHIBIT 6
                          • 17 CertaPro Proposal for Pressure Washing Exterior Wall 18th St to 24th Street
                          • 18 Shazam Construction Proposal for Pressure Washing Exterion Wall 18th Street to 24th Street
                            • QUOTE
                              • TO
                                  • 19 EXHIBIT 7
                                  • 20 Form 1_2019i
                                      1. LAST NAME
                                      2. FIRST NAME
                                      3. MIDDLE NAME
                                      4. MAILING ADDRESS ROW 1
                                      5. MAILING ADDRESS ROW 2
                                      6. CITY
                                      7. ZIP
                                      8. COUNTY
                                      9. NAME OF AGENCY
                                      10. NAME OF OFFICE OR POSITION HELD OR SOUGHT
                                      11. CANDIDATE Off
                                      12. NEW EMPLOYEE OR APPOINTEE Off
                                      13. COMPARATIVE (PERCENTAGE) THRESHOLDS Off
                                      14. DOLLAR VALUE THRESHOLDS Off
                                      15. NAME OF SOURCE INCOME ROW 1
                                      16. ADDRESS ROW 1
                                      17. DESCRIPTION OF THE SOURCES PRINCIPAL BUSINESS ACTIVITY ROW 1
                                      18. NAME OF SOURCE INCOME ROW 2
                                      19. ADDRESS ROW 2
                                      20. DESCRIPTION OF THE SOURCES PRINCIPAL BUSINESS ACTIVITY ROW 2
                                      21. NAME OF SOURCE INCOME ROW 3
                                      22. ADDRESS ROW 3
                                      23. DESCRIPTION OF THE SOURCES PRINCIPAL BUSINESS ACTIVITY ROW 3
                                      24. NAME OF SOURCE INCOME ROW 4
                                      25. ADDRESS ROW 4
                                      26. DESCRIPTION OF THE SOURCES PRINCIPAL BUSINESS ACTIVITY ROW 4
                                      27. NAME OF BUSINESS ENTITY ROW 1
                                      28. NAME OF MAJOR SOURCES OF BUSINESS INCOME ROW 1
                                      29. ADDRESS OF SOURCE ROW 1
                                      30. PRINCIPAL BUSINESS ACTIVITY OF SOURCE ROW 1
                                      31. NAME OF BUSINESS ENTITY ROW 2
                                      32. NAME OF MAJOR SOURCES OF BUSINESS INCOME ROW 2
                                      33. ADDRESS OF SOURCE ROW 2
                                      34. PRINCIPAL BUSINESS ACTIVITY OF SOURCE ROW 2
                                      35. NAME OF BUSINESS ENTITY ROW 3
                                      36. NAME OF MAJOR SOURCES OF BUSINESS INCOME ROW 3
                                      37. ADDRESS OF SOURCE ROW 3
                                      38. PRINCIPAL BUSINESS ACTIVITY OF SOURCE ROW 3
                                      39. REAL PROPERTY ROW 1
                                      40. REAL PROPERTY ROW 2
                                      41. REAL PROPERTY ROW 3
                                      42. REAL PROPERTY ROW 4
                                      43. TYPE OF INTANGIBLE ROW 1
                                      44. BUSINESS ENTITY TO WHICH THE PROPERTY RELATES ROW 1
                                      45. TYPE OF INTANGIBLE ROW 2
                                      46. BUSINESS ENTITY TO WHICH THE PROPERTY RELATES ROW 2
                                      47. NAME OF CREDITOR ROW 1
                                      48. ADDRESS OF CREDITOR ROW 1
                                      49. NAME OF CREDITOR ROW 2
                                      50. ADDRESS OF CREDITOR ROW 2
                                      51. ADDRESS OF BUSINESS ENTITY 1
                                      52. PRINCIPAL BUSINESS ACTIVITY 1
                                      53. POSITION HELD WITH ENTITY 1
                                      54. I OWN MORE THAN A 5 INTEREST IN THE BUSINESS 1
                                      55. NATURE OF MY OWNERSHIP INTEREST 1
                                      56. ADDRESS OF BUSINESS ENTITY 2
                                      57. PRINCIPAL BUSINESS ACTIVITY 2
                                      58. POSITION HELD WITH ENTITY 2
                                      59. I OWN MORE THAN A 5 INTEREST IN THE BUSINESS 2
                                      60. NATURE OF MY OWNERSHIP INTEREST 2
                                      61. FOR ELECTED MUNICIPAL OFFICERS REQUIRED TO COMPLETE ANNUAL ETHICS TRAINING PURSUANT TO SECTION 112
                                        1. 3142 F
                                          1. S Off
                                              1. IF ANY OF PARTS A THROUGH G ARE CONTINUED ON A SEPARATE SHEET PLEASE CHECK HERE Off
                                              2. SIGNATURE
                                              3. Date Signed
Page 2: HAWKS POINT COMMUNITY DEVELOPMENT …...2020/06/16  · Hawks Point Community Development District Board of Supervisors Meeting Tuesday, June 16th at 6:30 PM via Zoom All: We welcome

Hawks Point Community Development District

Board Members Hawks Point Community Development District Dear Board Members The Regular Meeting of the Board of Supervisors of the Hawks Point Community Development District was scheduled for Tuesday June 16 2020 at 630 pm at the Hawks Point Clubhouse 1223 Oak Pond Street Ruskin FL 33570 Due to current issues related to COVID-19 the Florida Governor released Executive Order 20-69 which allows governmental public meetings and required quorums to be completed via telephone conference In respect of current social distancing recommendations this meeting will be conducted via telephone in order to protect the health and safety of the public Both members of the board and the public may join this meeting via Zoom as follows Link to Join Zoom Meeting httpsus02webzoomusj84458893991pwd=NEdQT3V2ZWN3WDF3WEwrVXVzODJWUT09 Zoom Meeting ID 844 5889 3991 Password 665082 The advanced copy of the agenda for the meeting is attached along with associated documentation for your review and consideration Any additional support material will be distributed at the meeting The balance of the agenda is routine in nature Staff will present their reports at the meeting If you have any questions please contact me I look forward to seeing you there Sincerely Ray Lotito District Manager Cc Attorney

Engineer District Records

Hawks Point Community Development District

Board of Supervisors Meeting

Tuesday June 16th at 630 PM

via Zoom

All

We welcome you to join us for the Board of Supervisors Meeting to be held on Tuesday June 16th at 630 PM This meeting will be held via Zoom an online platform that allows us to hold necessary Board meetings without having to leave the safety of your home With Zoom you have two options for joining the meeting telephone or computer and it will all be audio based meaning no video recording Please follow the instructions below for either telephone or computer attendance If you have any questions in regard to the agenda please email them to raymondlotitodpfgcom before the meeting so that they can be answered accordingly We request that all participants mute their microphones Thank you for your patience in these trying times and we look forward to hearing from you

Join Zoom Meeting by Computer

httpsus02webzoomusj84458893991pwd=NEdQT3V2ZWN3WDF3WEwrVXVzODJWUT09

Meeting ID 844 5889 3991

Password 665082

Join Zoom Meeting by Phone

Dial by your location ndash Follow the Prompts ndash Meeting ID ndash 844 5889 3991 ndash Hit when it requests a participant ID

+1 253 215 8782 US +1 301 715 8592 US +1 346 248 7799 US (Houston) +1 929 205 6099 US (New York) +1 312 626 6799 US (Chicago) +1 669 900 6833 US (San Jose)

Page 1 of 3

District HAWKS POINT COMMUNITY DEVELOPMENT DISTRICT

Date of Meeting Tuesday June 16 2020 Time 630 PM Location Via Electronic Teleconference

Zoom Link httpsus02webzoomusj84458893991pwd=NEdQT3V2ZWN3WDF3WEwrVXVzODJWUT09

Meeting ID 844 5889 3991 Password 665082

Agenda

I Roll Call

II Audience Comments On Agenda Items ndash (limited to 3 minutes per individual)

III Landscape amp Pond Maintenance Reports

A LMP Landscape amp Irrigation Monthly Report To be Distributed

B Pond Maintenance Report-Stantec To be Distributed

IV Consent Agenda

A Consideration and Approval of Minutes of the May 19 2020 Regular Meeting

Exhibit 1

B Acceptance of the Unaudited May 2020 Financial Statements Exhibit 2

Page 2 of 3

V Administrative Matters

A Consideration of Resume from Shami Choon and Vacant Seat Qualification Requirements

Exhibit 3

VI Business Matters A New Business

1 Consideration of LMP Irrigation Controller 4 Repairs Proposal ndash Estimate No 66077 - $6230

Exhibit 4

2 Consideration of Exterior Wall Painting Proposals Exhibit 5

CertaPro Painters Proposal TBE8F30154 - $1132900

Shazam Construction Proposal - $1270000

3 Consideration of Exterior Wall Pressure Washing Proposals Exhibit 6

CertaPro Painters Proposal TB443B00157 - $195000

Shazam Construction Proposal - $160000

B Old Business

Page 3 of 3

VII Staff Reports

A District Manager Form 1 Statement of Financial Interests Reminder Exhibit 7

B District Counsel

District Counsel Update on Property Ownership

C District Engineer

VIII Supervisors Requests

IX Audience Comments ndash New Business ndash (limited to 3 minutes per individual for non-agenda items)

X Adjournment

EXHIBIT 1

MINUTES OF MEETING 1

HAWKS POINT 2

COMMUNITY DEVELOPMENT DISTRICT 3

The Regular Meeting of the Board of Supervisors of the Hawks Point Community Development 4 District was held on Tuesday May 19 2020 at 630 pm via electronic teleconference 5

FIRST ORDER OF BUSINESS ndash Roll Call 6

Mr Lotito called the meeting to order and conducted roll call 7

Present and constituting a quorum were 8

Chantal Copeland Board Supervisor Chairwoman 9 Sherri Keene Board Supervisor Vice Chairwoman 10 William Hathaway Board Supervisor Assistant Secretary 11 Caryn Williams Board Supervisor Assistant Secretary 12

Also present were 13

Ray Lotito District Manager DPFG Management amp Consulting LLC 14 Vivek Babbar District Counsel Straley Robin Vericker 15 Paul Gomez Landscape Maintenance Professionals Inc 16 David Manfrin Landscape Maintenance Professionals Inc 17 Mitchell Moore Stantec Engineering 18 Adam Markle Stantec Engineering 19 Joe Hamilton Steadfast Environmental 20 Cary Brown Hawks Point Resident 21

The following is a summary of the discussions and actions taken at the May 19 2020 Hawks Point CDD 22 Board of Supervisors Regular Meeting 23

SECOND ORDER OF BUSINESS ndash Audience Comments 24

Ms Brown indicated that she had sent in a list of questions for the Board regarding items on the 25 agenda Mr Lotito clarified in response that the electric meters were for irrigation pumps advised 26 that the Board was required to hire a District management firm with a number of responsibilities 27 dictated under Florida Statute 190 and addressed concerns regarding contract renewals 28

THIRD ORDER OF BUSINESS ndash Landscape amp Pond Maintenance Reports 29

A LMP Landscape amp Irrigation Monthly Report 30

Ms Brown asked about treatments used and Mr Gomez clarified that they were not Roundup 31

B Pond Maintenance Report ndash Stantec 32

FOURTH ORDER OF BUSINESS ndash Administrative Matters ndash Consent Agenda 33

A Exhibit 1 Consideration and Approval of Minutes of the April 21 2020 Meeting 34

B Exhibit 2 Acceptance of the Unaudited April 2020 Financial Statements 35

On a MOTION by Ms Copeland SECONDED by Ms Keene WITH ALL IN FAVOR the Board 36 approved Items A ndash B of the Consent Agenda for the Hawks Point Community Development District 37

FIFTH ORDER OF BUSINESS ndash Business Matters 38

A New Business 39

1 Exhibit 3 Presentation and Discussion of the FY 2021 Budget 40

Hawks Point CDD May 19 2020

Regular Meeting Page 2 of 3

2 Exhibit 4 Consideration and Adoption of Resolution 2020-02 Approving Proposed 41

Budget and Setting Public Hearing for Final Budget 42

On a MOTION by Mr Hathaway SECONDED by Ms Copeland WITH ALL IN FAVOR the Board 43 adopted Resolution 2020-02 Approving Proposed Budget and Setting Public Hearing for Final Budget 44 for the Hawks Point Community Development District 45

3 Exhibit 5 Hillsborough County Number of Registered Voters for Hawks Point ndash 1554 46

4 Exhibit 6 Consideration of Steadfast Environmental Proposal for Pond Plantings ndash No 47 98 - $450000 48

Mr Lotito indicated that this item was to improve quality of storm water discharge and to 49 proactively prevent erosion and noted that the plantings had been budgeted for multiple 50 years but never implemented Mr Hamilton gave an overview of areas for planting and 51 types of plants noting that budget restrictions may lead to the Board needing to prioritize 52 areas Discussion ensued 53

On a MOTION by Mr Hathaway SECONDED by Ms Williams WITH ALL IN FAVOR the Board 54 approved the Steadfast Environmental Proposal for Pond Plantings in the amount of $450000 for the 55 Hawks Point Community Development District 56

5 Exhibit 7 Consideration of LMP Proposal for Palm Trimming ndash No 65827 - $81900 57

This item was tabled to the next meeting pending determination of property ownership 58 by District Counsel 59

B Old Business 60

1 Exhibit 8 Consideration of the Stantec Proposal for Landscape Design for Improvement 61 of Monuments and Common Areas - $1275000 62

Mr Markle gave an overview of the proposal in terms of the scope of landscape design 63 and contractor oversight A resident indicated that she felt the cost of the proposal for 64 design was excessive Discussion ensued 65

On a MOTION by Ms Copeland SECONDED by Ms Williams WITH ALL IN FAVOR the Board 66 approved the Stantec Proposal for Landscape Design for Improvement of Monuments and Common 67 Areas in the amount of $1275000 for the Hawks Point Community Development District 68

2 Exhibit 9 Consideration of LMP Proposals 69

Replace Faulty Hunter 1 Station Decoder ndash Estimate No 64891 - $21050 70

Repair Controller 1 ndash Estimate No 64935 - $19100 71

Repair Controller 3 ndash Estimate No 64936 - $10600 72

Repair Controller 5 ndash Estimate No 64937 - $2900 73

On a MOTION by Mr Hathaway SECONDED by Ms Keene WITH ALL IN FAVOR the Board 74 approved all LMP repair and replacement proposals for the Hawks Point Community Development 75 District 76

Hawks Point CDD May 19 2020

Regular Meeting Page 3 of 3

SIXTH ORDER OF BUSINESS ndash Staff Reports 77

A District Manager 78

There being none the next item followed 79

B District Counsel 80

Mr Babbar noted that District Engineering had recommended an irrigation specialist and that a 81 proposal from the specialist would be forthcoming 82

C District Engineer 83

There being none the next item followed 84

SEVENTH ORDER OF BUSINESS ndash Supervisors Requests 85

There being none the next item followed 86

EIGHTH ORDER OF BUSINESS ndash Audience Comments ndash New Business 87

A resident asked about the ownership of a conservation area at 18th and Hawks Island and Mr 88 Hathaway indicated that this was CDD property The resident noted that the conservation area 89 had been overgrown onto the sidewalk 90

NINTH ORDER OF BUSINESS ndash Adjournment 91

Mr Lotito asked for final questions comments or corrections before requesting a motion to 92 adjourn the meeting There being none Mr Hathaway made a motion to adjourn the meeting 93

On a MOTION by Mr Hathaway SECONDED by Ms Williams WITH ALL IN FAVOR the Board 94 adjourned the meeting for the Hawks Point Community Development District 95

Each person who decides to appeal any decision made by the Board with respect to any matter 96 considered at the meeting is advised that person may need to ensure that a verbatim record of the 97 proceedings is made including the testimony and evidence upon which such appeal is to be based 98

Meeting minutes were approved at a meeting by vote of the Board of Supervisors at a publicly noticed 99 meeting held on ________________________ 100

101

Signature Signature

102

Printed Name Printed Name

Title Secretary Assistant Secretary Title Chairman Vice Chairman 103

EXHIBIT 2

Hawks Point

Community Development District

Financial Statements

(Unaudited)

Period Ending

May 31 2020

DEBT

GENERAL SERVICE CONSOLIDATED

FUND SERIES 2017 TOTAL

1 ASSETS

2

3 CASH 66142$ -$ 66142$

4 MMK 456665 - 456665

5 INVESTMENTS

6 REVENUE FUND - 203538 203538

7 INTEREST FUNDS - 195 195

8 PRINCIPAL FUNDS - - -

9 SINKING FUNDS - 1 1

11 RESERVE - 266003 266003

12 ACCOUNTS RECEIVABLE 2588 - 2588

13 ASSESMENTS RECEIVABLE 2781 3237 6018

14 DUE FROM GF - 172 172

15 PREPAID ITEMS - - -

16 DEPOSITS 451 - 451

17 TOTAL ASSETS 528627$ 473145$ 1001772$

18

19 LIABILITIES

20

21 ACCOUNTS PAYABLE 537$ -$ 537$

22 DUE TO DEBT SERVICE SERIES 2017 172 - 172

23 ACCRUED INTEREST PAYABLE DS 2017 - - -

24 DEFERRED REVENUE 2781 3237 6018

26

27 FUND EQUITY

28

29 RESTRICTED FOR

30 DEBT SERVICE - 469908 469908

32 ASSIGNED 1 QTR OPER 71304 - 71304

33 ASSIGNED FY 2018 INC IN RESERVES 15650 - 15650

34 ASSIGNED FY 2019 INC IN RESERVES 22500 - 22500

35 UNASSIGNED 415683 - 415683 36

37 TOTAL LIABILITIES amp FUND EQUITY 528627$ 473145$ 1001772$

Hawks Point CDDBalance Sheet

May 31 2020

Note GASB 34 government wide financial statements are available in the annual independent audit of the District The audit is

available on the website and upon request

Page 2

FY2020 VARIANCE

ADOPTED BUDGET ACTUAL FAVORABLE

BUDGET YEAR-TO-DATE YEAR-TO-DATE (UNFAVORABLE)

1 REVENUE

2

3 ASSESSMENT ON ROLL (NET) 453615$ 453615$ 450924$ (2691)$

4 ASSESSMENT ON ROLL EXCESS FEES - - - -

5 INTEREST REVENUE - - 1594 1594

6 MISCELLANEOUS REVENUE - - - -

7 ELECTRICITY COST SHARE WITH THE HOA 1600 1067 2633 1566

8 TOTAL REVENUE 455215 454682 455152 470

9

10 EXPENDITURES

11

12 ADMINISTRATIVE

13 BOARD OF SUPERVISORS 12000 8000 5539 2461

14 PAYROLL TAXES 918 612 503 109

15 PAYROLL SERVICE FEE 625 417 392 25

16 MANAGEMENT CONSULTING SERVICES 40000 26667 26667 -

17 GENERAL ADMINISTRATIVE 4800 3200 3200 -

18 MISCELLANEOUS 500 333 - 333

19 AUDITING 3200 3200 - 3200

20 REGULATORY AND PERMIT FEES 175 175 175 -

21 LEGAL ADVERTISEMENTS 1500 1000 1386 (386)

22 ENGINEERING SERVICES 5000 3333 1896 1437

23 LEGAL SERVICES - GENERAL 7500 5000 2895 2105

24 WEBSITE ADMINISTRATION 2265 2165 1749 416

25 TOTAL ADMINISTRATIVE 78483 54102 44401 9701

26

27 INSURANCE

28 INSURANCE (Liability Property amp Casualty) 6050 6050 5638 412

29 TOTAL INSURANCE 6050 6050 5638 412

30

31 DEBT SERVICE ADMINISTRATION

32 DISSEMINATION AGENT 1000 1000 1000 -

33 TRUSTEE FEES 10500 - - -

34 TRUST FUND ACCOUNTING 1500 1000 1000 -

35 ARBITRAGE 650 - - -

36 ASSESSMENT ADMINISTRATION 5000 5000 5000 -

37 TOTAL DEBT SERVICE ADMINISTRATION 18650 7000 7000 -

38

39 UTILITIES

40 ELECTRICITY-IRRIGATION 2928 1952 1191 761

41 TOTAL UTILITIES 2928 1952 1191 761

42

43 FIELD OPERATIONS

44 IRRIGATION MAINTENANCE amp REPAIRS 10000 6667 3960 2706

45 POND MONITORING amp MAINTENANCE 17700 10325 10325 -

46 POND PLANTINGS 5000 5000 - 5000

47 WETLAND MONITORING 7120 5340 1780 3560

48 LANDSCAPE MAINTENANCE 129000 86000 88400 (2400)

49 LANDSCAPE REPLENISHMENT 119898 79932 6520 73412

50 TREE TRIMMING 16800 11200 - 11200

51 STREETLIGHTS 2000 1333 - 1333

52 MISCELLANEOUS FIELD EXPENSES 18586 12391 8886 3504

53 CAPITAL PROJECTS - WELL DRILLING amp PUMP INSTALL - - 18165 (18165)

54 RESERVE - PAINT PERIMITER WALL - - 6350 (6350)

55 TOTAL FIELD OPERATIONS 326104 218188 144386 73802

Hawks Point

General Fund

Statement of Revenues Expenditures and Changes in Fund Balance

For the period from October 1 2019 through April 30 2020

Preliminary

Page 3

FY2020 VARIANCE

ADOPTED BUDGET ACTUAL FAVORABLE

BUDGET YEAR-TO-DATE YEAR-TO-DATE (UNFAVORABLE)

Hawks Point

General Fund

Statement of Revenues Expenditures and Changes in Fund Balance

For the period from October 1 2019 through April 30 2020

Preliminary

56

57 TOTAL EXPENDITURES BEFORE RESERVES 432215 287292 202616 84675

58

59 INCREASE FOR RESERVES 23000 - - -

60 INCREASE IN FUND BALANCE - - - -

61

62

63 TOTAL EXPENDITURES AFTER RESERVE 455215 287292 202616 84675

64

65 EXCESS OF REVENUE OVER (UNDER) EXPENDITURES - 167390 252535 85145

66

67 FUND BALANCE - BEGINNING 269666 269666 272602 272602

68 DECREASE IN FUND BALANCE - - - -

69 INCREASE IN RESERVE 23000 - - -

70 FUND BALANCE - ENDING 292666$ 437056$ 525137$ 357747$

71

72

73 FY 2018FY 2019 - Irrigation System Grounding Phased 15544$

74 FY 2018 - Perimieter Wall Paint Applications 5815

75 FY 2019 - Reserve Study Update 1100

77 FY 2020 - Irrigation System-Clocks 6442

Total Replacement Expenses for Reserves 28901$

Reserve Expenditure Components

Page 4

FY 2020 VARIANCE

ADOPTED BUDGET ACTUAL FAVORABLE

BUDGET YEAR-TO-DATE YEAR-TO-DATE (UNFAVORABLE)

1 REVENUE

2 ASSESSMENTS - ON-ROLL (Gross) 561051$ 527388$ 524922$ (2466)$

3 ASSESSMENTS - ON-ROLL EXCESS FEES - - - -

4 FUND BALANCE FORWARD - - - -

5 INTEREST - INVESTMENT - - 3703 3703

6 DISCOUNT (22442) - - -

7 TOTAL REVENUE 538609 527388 528624 1236

8

9

10 EXPENDITURES

11

12 PRINCIPAL

13 512020 235000 - 235000 (235000)

14 INTEREST EXPENSE

15 1112019 - - 144238 (144238)

16 512020 144238 - 144238 (144238)

17 1112020 140075 - - -

18 COUNTY COLLECTION CHARGES 11221 - - -

19 TOTAL EXPENDITURES 530534 - 523475 (523475)

20

21 EXCESS OF REVENUE OVER (UNDER) EXPENDITURES 8075 527388 5149 (522239)

22

23 OTHER FINANCING SOURCES (USES)

24 TRANSFER IN - - - -

25 TRANSFER OUT (USES) - - - -

26 TOTAL OTHER FINANCING SOURCES (USES) - - - -

27

28 NET CHANGE IN FUND BALANCE 8075 527388 5149 (522239)

29

30 FUND BALANCE - BEGINNING - - 464759 464759

31 FUND BALANCE APPROPRIATED - - - -

32

33 FUND BALANCE - ENDING 8075$ 527388$ 469908$ (57480)$

Hawks Point CDD

Debt Service - Series 2017

Statement of Revenues Expenditures and Changes in Fund Balance

For the period from October 1 2019 through April 30 2020

Page 5

Bank United

Balance Per Bank Statement 7549415$

Plus Deposits in Transit -

Less Outstanding Checks (935250)

Adjusted Bank Balance 6614165$

Beginning Bank Balance Per Books 4251943$

Cash Receipts 5000350

Cash Disbursements (2638128)

Balance Per Books 6614165$

Hawks Point CDD

Bank Reconciliation (GF)

May 31 2020

Page 6

Date Num Name Memo Receipts Disbursements Balance

Bank United EOY Balance 9460943

10012019 9035 DPFG MANAGEMENT amp CONSULTING LLC CDD Mgmt - October 385833 9075110

10022019 Hawks Point West HOA 2019-245- HPW 18866 9093976

10082019 646 Hawks Point HOA 2019245 - HPA 21225 9115201

10082019 Hawks Point West HOA 201956 - HPW 208516 9323717

10082019 1115 Egis Insurance amp Risk Advisors Ins - FY 2020 563800 8759917

10112019 9036 JAYMAN ENTERPRISES LLC Replace Bulbs at Entrances Rcvd 10119 23000 8736917

10112019 9037 Landscape Maintenance Professionals Inc Landscape Maint - October 1105000 7631917

10162019 1116 FLORIDA DEPT OF ECONOMIC OPPORTUNIT Annual Filing FY 2020 17500 7614417

10182019 9041 TAMPA BAY TIMES Legal Ad - Meeting Schedule 55200 7559217

10212019 9038 DPFG MANAGEMENT amp CONSULTING LLC Special Assessment - FY 2020 Continuing Disclosure ADA Compliance 650000 6909217

10212019 9039 JAYMAN ENTERPRISES LLC Replace Bulbs 7000 6902217

10212019 9040 STANTEC CONSULTING SERVICES INC Lake amp Pond Maint - Sept 10500 6891717

10242019 ACH102419 TAMPA ELECTRIC 830-930 - 1416 Little Hawk Dr 7637 6884080

10242019 ACH1024192 TAMPA ELECTRIC 830-930 - 2160 Golden Falcon Dr 7083 6876997

10242019 000652 Hawks Point HOA 20197-HPA 4921 6881918

10252019 694003DD ANDREW HERON Bos Mtg - 101519 18470 6863448

10252019 ACH102519 Innovative Employer Soltuions Bos Mtg - 101519 17140 6846308

10252019 694005DD KAREN OBRIEN Bos Mtg - 101519 18470 6827838

10252019 694004DD SHERRI KEENE Bos Mtg - 101519 18470 6809368

10252019 694002DD WILLIAM J HATHAWAY Bos Mtg - 101519 18470 6790898

10312019 Bank United Interest 691 6791589

Bank United EOM Balance 254219 2923573 6791589

11012019 9042 DPFG MANAGEMENT amp CONSULTING LLC CDD Mgmt - November 385833 6405756

11012019 9043 STANTEC CONSULTING SERVICES INC Lake amp Pond Maint - Pond 201-19 amp 21 - Sept 274000 6131756

11012019 9044 STRALEY ROBIN VERICKER Legal Svcs thru 101519 65999 6065757

11122019 1117 HAWKS POINT CDD DS 2017 Tax Collection Share co Wells Fargo 762290 5303467

11152019 9045 Landscape Maintenance Professionals Inc Landscape Maint - November amp Irrigation Repairs 1229369 4074098

11152019 9046 STANTEC CONSULTING SERVICES INC Lake amp Pond Maint - Oct 333600 3740498

11202019 9048 TAMPA BAY TIMES Legal Ad - Audit Meeting 42050 3698448

11222019 9047 STANTEC CONSULTING SERVICES INC Lake amp Pond Maint - Pond 20 - Oct 10500 3687948

11252019 ACH1125191 TAMPA ELECTRIC 101-1030 - 1416 Little Hawk Dr 7431 3680517

11252019 ACH1125192 TAMPA ELECTRIC 101-1030 - 2160 Golden Falcon Dr 8753 3671764

11292019 703783DD ANDREW HERON Bos Mtg - 111919 18470 3653294

11292019 ACH112919 Innovative Employer Soltuions Bos Mtg - 111919 20200 3633094

11292019 703785DD KAREN OBRIEN Bos Mtg - 111919 18470 3614624

11292019 703781DD MARIE CHANTAL COPELAND Bos Mtg - 111919 18470 3596154

11292019 703784DD SHERRI KEENE Bos Mtg - 111919 18470 3577684

11292019 703782DD WILLIAM J HATHAWAY Bos Mtg - 111919 18470 3559214

11302019 Bank United Interest 450 3559664

Bank United EOM Balance 450 3232375 3559664

12022019 9049 DPFG MANAGEMENT amp CONSULTING LLC CDD Mgmt - December 385833 3173831

12042019 694 Hawks Point HOA 20198-HPA 5105 3178936

12042019 503 Hawks Point West HOA 20197-HPW amp 20198-HPW 7388 3186324

12042019 1118 Site Masters of Florida LLC Investigation of pipe discharge Townhome Yard Drain Blockage 150000 3036324

12112019 9050 Illuminations Holiday Lighting Electrical Fix Holiday Lights - Deposit 261250 2775074

12132019 Bank United Funds Transfer - MMK to Opt Acct 4500000 7275074

12132019 Bank United Funds Transfer - MMK to Opt Acct 50834407 58109481

12162019 9055 TAMPA BAY TIMES Legal Ad - RFP Auditing Svc 36100 58073381

12182019 9051 Flatwoods Environmental Cut amp Dispose Brazilian Pepper 396500 57676881

12182019 9052 Landscape Maintenance Professionals Inc Landscape Maint - December 1105000 56571881

12182019 9053 STANTEC CONSULTING SERVICES INC Misc Environmental Services 137000 56434881

12182019 9054 STRALEY ROBIN VERICKER Legal Svcs thru 111519 57500 56377381

12182019 1119 HAWKS POINT CDD DS 2017 Tax Collection Share co Wells Fargo 49544765 6832616

12182019 1120 Innersync ADA Compliant website 124942 6707674

12262019 ACH1226191 TAMPA ELECTRIC 1031-122 - 2160 Golden Falcon Dr 8771 6698903

12262019 ACH1226192 TAMPA ELECTRIC 1031-1202 - 1416 Little Hawk Dr 9315 6689588

12272019 711993DD ANDREW HERON Bos Mtg - 121719 18470 6671118

12272019 ACH122719 Innovative Employer Soltuions Bos Mtg - 121719 20200 6650918

12272019 711995DD KAREN OBRIEN Bos Mtg - 121719 18470 6632448

12272019 711991DD MARIE CHANTAL COPELAND Bos Mtg - 121719 18470 6613978

12272019 711994DD SHERRI KEENE Bos Mtg - 121719 18470 6595508

12272019 711992DD WILLIAM J HATHAWAY Bos Mtg - 121719 18470 6577038

12312019 Bank United Interest 3091 6580129

Bank United EOM Balance 55349991 52329526 6580129

01022020 9056 DPFG MANAGEMENT amp CONSULTING LLC CDD Mgmt - January 385833 6194296

01082020 9057 Landscape Maintenance Professionals Inc Station decoders 82908 6111388

01082020 9058 STRALEY ROBIN VERICKER Legal Svcs thru 121519 10000 6101388

01102020 9159 Landscape Maintenance Professionals Inc Landscape Maint - January 1105000 4996388

01102020 9160 Mike White LLC Entry Monument repair 54119 4942269

01132020 1121 HAWKS POINT CDD DS 2017 Tax Collection Share co Wells Fargo 868256 4074013

01172020 9161 Illuminations Holiday Lighting Holiday Lights - Balance Due 231250 3842763

01172020 000534 Hawks Point West HOA 20201-HPW 4493 3847256

01272020 1122 STANTEC CONSULTING SERVICES INC Pond Maint - December Engineering Svcs thru 122719 353400 3493856

01272020 ACH012720 TAMPA ELECTRIC 123-1231 - 2160 Golden Falcon Dr 8116 3485740

01272020 ACH0127202 TAMPA ELECTRIC 1203-1231 - 1416 Little Hawk Dr 6682 3479058

01312020 072704 Innovative Employer Soltuions Bos Mtg - 12120 17140 3461918

01312020 721948DD KAREN OBRIEN Bos Mtg - 12120 18470 3443448

01312020 721945DD MARIE CHANTAL COPELAND Bos Mtg - 12120 18470 3424978

01312020 721947DD SHERRI KEENE Bos Mtg - 12120 18470 3406508

01312020 721946DD WILLIAM J HATHAWAY Bos Mtg - 12120 18470 3388038

01312020 Bank United Interest 1406 3389444

Bank United EOM Balance 5899 3196584 3389444

02052020 1124 DPFG MANAGEMENT amp CONSULTING LLC CDD Mgmt - February 385833 3003611

02052020 1125 Landscape Maintenance Professionals Inc Landscape Maint - February 1105000 1898611

02052020 1126 TAMPA ELECTRIC 101-1030 - 1416 Little Hawk Dr 308 1898303

02252020 1127 Landscape Maintenance Professionals Inc Landscape Maint - March 1105000 793303

02252020 02252020ACH TAMPA ELECTRIC 11-130 - 1416 Little Hawk Dr 7840 785463

02252020 02252020ACH TAMPA ELECTRIC 11-130 - 2160 Golden Falcon Dr 9092 776371

02282020 02182020ACH Innovative Employer Soltuions Bos Mtg - 21820 14080 762291

02282020 730271DD MARIE CHANTAL COPELAND Bos Mtg - 21820 18470 743821

02282020 730273DD SHERRI KEENE Bos Mtg - 21820 18470 725351

02282020 7302272DD WILLIAM J HATHAWAY Bos Mtg - 21820 18470 706881

02292020 Bank United Interest 203 707084

HAWKS POINT CDDCASH REGISTER

FY 2020

Page 7

Date Num Name Memo Receipts Disbursements Balance

HAWKS POINT CDDCASH REGISTER

FY 2020

Bank United EOM Balance 203 2682563 707084

03042020 1128 DPFG MANAGEMENT amp CONSULTING LLC CDD Mgmt - March 385833 321251

03122020 1129 STANTEC CONSULTING SERVICES INC Engineering Svcs thru 012420 73950 247301

03122020 ACH032520 TAMPA ELECTRIC 13120 - 22820 - 2160 Golden Falcon Dr 8527 238774

03122020 ACH0325202 TAMPA ELECTRIC 013120 - 22820 - 1416 Little Hawk Dr 6592 232182

03192020 BankUnited Funds Transfer 5000000 5232182

03192020 1130 HAWKS POINT CDD DS 2017 Tax Collection Share co Wells Fargo thru 030420 1437199 3794983

03242020 1131 Landscape Maintenance Professionals Inc Pencil Pruning of Crape Myrtles Landscape Maint -042020 1360500 2434483

03242020 1132 STANTEC CONSULTING SERVICES INC Pond Maint - January Feb 295000 2139483

03242020 1133 STRALEY ROBIN VERICKER Legal Svcs thru 021520 23250 2116233

03272020 1134 DPFG MANAGEMENT amp CONSULTING LLC CDD Mgmt - April 2020 385833 1730400

03272020 1135 Landscape Maintenance Professionals Inc Irrigation Inspection repairs 74858 1655542

03312020 BankUnited Interest 200 1655742

Bank United EOM Balance 5000200 4051542 1655742

04082020 1136 Accurate Drilling Solutions Service call - 032520 - Replacement for Controller on pump 4 60234 1595508

04082020 1137 STANTEC CONSULTING SERVICES INC Engineering Svcs thru 032020 61250 1534258

04082020 1138 STRALEY ROBIN VERICKER Legal Svcs thru 031520 93270 1440988

04082020 1139 TAMPA ELECTRIC 229-330 - Electricity 16915 1424073

04162020 1140 HAWKS POINT CDD DS 2017 Tax Collection Share co Wells Fargo thru 041320 298431 1125642

04232020 BankUnited Funds Transfer 5000000 6125642

04232020 1141 Accurate Drilling Solutions Well Drilling and new pump system installation 1816480 4309162

04282020 1142 STRALEY ROBIN VERICKER Legal Svcs thru 041520 57460 4251702

04302020 BankUnited Interest 241 4251943

Bank United EOM Balance 5000241 2404040 4251943

05012020 1143 DPFG MANAGEMENT amp CONSULTING LLC CDD Mgmt - May 2020 385833 3866110

05012020 ACH050120 Innovative Employer Soltuions Bos Mtg - 42120 14080 3852030

05012020 747666DD MARIE CHANTAL COPELAND Bos Mtg - 42120 18470 3833560

05012020 747667DD WILLIAM J HATHAWAY Bos Mtg - 42120 18470 3815090

05012020 747668DD SHERRI KEENE Bos Mtg - 42120 18470 3796620

05082020 ACH050820 Innovative Employer Soltuions Bos Mtg - 42120 8620 3788000

05082020 1 Caryn Williams BOS 04212020 18470 3769530

05112020 1144 Landscape Maintenance Professionals Inc Landscape Maint -052020 1105000 2664530

05112020 1145 STANTEC CONSULTING SERVICES INC Engineering Svcs thru 042420 25400 2639130

05112020 1146 TAMPA ELECTRIC 330-429 - Electricity 19915 2619215

05212020 1147 BUSINESS OBSERVER Legal Ad - Notice of Qualifying Period 51520 5250 2613965

05212020 1148 CertaPro Painters Paint exterior wall 24th to 30th Street 635000 1978965

05212020 1149 STANTEC CONSULTING SERVICES INC Pond Maint - March-April 295000 1683965

05292020 BankUnited Funds Transfer 5000000 6683965

05292020 755486DD Caryn Williams Bos Mtg - 51920 18470 6665495

05292020 ACH052920 Innovative Employer Soltuions Bos Mtg - 51920 14740 6650755

05292020 755485DD SHERRI KEENE Bos Mtg - 51920 18470 6632285

05292020 755484DD WILLIAM J HATHAWAY Bos Mtg - 51920 18470 6613815

05312020 BankUnited Interest 350 6614165

Bank United EOM Balance 5000350 2638128 6614165

Page 8

EXHIBIT 3

Vacant Position on the Board of Supervisors of the Hawkrsquos Point Community Development District The Hawkrsquos Point Community Development District (CDD) is soliciting interested candidates to fill a vacant position on the Board of Supervisors of the CDD (Board) The CDD is a local unit of special-purpose government which is created pursuant to Chapter 190 Florida Statutes The Board is comprised of 5 members who are public officials who are normally elected on the November General Elections who serve in staggered terms The vacancy is a result of a resignation of a board member due to a relocation The remaining term of the vacant supervisorrsquos seat is through November 2022

Qualification Requirements

1 Resident of the CDD

2 At least 18 years of age

3 Citizen of the United States

4 Legal resident of Florida and of the CDD

5 Registered to vote with the Hillsborough County Supervisor of Elections

Instructions for Interested Candidates

Interested candidates must submit a letter of interest and resume to Raymondlotitodpfgcom by 4 pm on Friday June 5 2020 The subject line in the email should read ldquoVacant Position on the Board of Supervisors of the Hawkrsquos Point CDDrdquo

The Letter of Interest must contain

1 A statement stating why you believe you are well suited for the position

2 Your vision for the CDD and what you would like to see the Community evolve into Please be specific

The Resume must contain

1 Your academic background and professional experience

2 Previous and current experience with governmental agencies and governing boards

Interested candidates should attend the Board meeting on Tuesday June 16 2020 at 630 pm and present a brief presentation about themselves and be prepared for a brief question and answer period with the current Board members

Additional Notes

The current Board members will discuss the candidates and may make an appointment at the June meeting If the Board cannot come to a consensus on one candidate or if they determine to not appoint any candidate to the vacant seat they may revisit the vacancy at a future meeting or leave the seat vacant until the November 2022 General Election

Please note that the person appointed to serve in the vacant seat will be required to submit a financial disclosure statement to the State and will be subject to Floridarsquos Government in the Sunshine Laws Public Records laws and Ethics laws

1

Sookdeo (Shami) Choon Phone number (813) 731-5564 1803 Oak Pond Street Ruskin Fl 33570 E-mailchoons27gmailcom

PROFESSIONAL HISTORY Firkins GroupGarber Nissan December 2013 to Present Commercial Vehicle Sales ManagerFinance Manager Auto Nation From January 2006 to December 2013 Sales 2006- 2007 Finance Manager 2007- 2008 Sales Manager Training Manager 2008-2009 Sales Finance 2009- 2011 Commercial Sales Manager Finance Manager 2011- 2020 Parts Depot Inc From 1990 to 2005 ___________________________________________________________________________________________ Operations Manager Florida Distribution 2002 ndash 2005 bull Responsible for total inventory control of all Florida warehouses frac12 of the corporationrsquos revenue bull Directed top management to complete acquisition consolidations which resulted in the corporationrsquos

expansion bull Managed all Florida branch warehouse managers and employees totaling 200 employees bull Increased productivity and shipping efficiency in all departments developed new delivery logistics

improved product availability to all customers as well a hired and efficiently trained employees bull Reviewed all customer service statistics daily and contacted customer directly on all issues bull Reviewed PampLrsquos for all units monthly bull Presented weekly productivity and financial reports to senior management bull Directed DOT monthly guidelines maintained driver files in accordance with DOT regulations and

implemented loss prevention programs Operations Manager for Florida Branch Distribution 1999 ndash 2002 bull Improved customer service by increasing product availability to customers by implementing new

delivery logistics bull Developed employee training implemented safety awareness and monthly safety programs Warehouse Manager of Miami Distribution Center 1998 ndash 1999 bull Developed and implemented productivity guidelines implemented delivery cost saving programs

and improved product availability to the corporationrsquos customers Branch Manager of West Palm Beach 1994 ndash 1998 bull Responsible for the opening of this new branch set the building layout as well as the delivery and

logistics systems

2

bull Increased sales by 80 over budget and kept operating cost as of sales Implemented new customer service department Hired and trained all employees

Assistant Branch Manager 1991 ndash 1994 bull Increased productivity by 20 and improved delivery service Customer Service Agent 1990 ndash 1991 bull Created and implemented customer service guidelines Wingate Automotive Group 1987ndash 1990 Trinidad amp Tobago Government National Security 1984- 1987 Field Operation

EXHIBIT 4

PO Box 267 Seffner FL 33583 O 813-757-6500 F 813-757-6501 Estimate

Submitted To Hawks Point CDD 250 International Parkway Suite 280 Lake Mary FL 32746

CDD - controller 4 - zones 1 and 2

Date 5232020

Estimate 66077

LMP REPRESENTATIVE

DG-TI

PO

W ork Order

DESCRIPTION QTY COST TOTAL

Controller 4 34 inch poly pipe 34 inch poly pipe clamps Labor 2 men $ 8500 per hour

Irrigation inspection repairs needed Repair 6 - 34 inch poly pipe line leaks

6 12 05

072 129

8500

432 1548 4250

TERMS AND CONDITIONS TOTAL $6230

LMP reserves the right to withdraw this proposal if not accepted within 30 days of the date listed above Any alteration or deviation to scope of work involving additional costs must be agreed upon in writing as a separate proposal or change order to this proposal Periodic invoices may be submitted if job is substantial in nature with final invoice being submitted at completion of project Any work performed requiring more than 5 days to complete is subject to progressive payments as portions of the work are completed No finance charge will be imposed if the total of said work is paid in full within 30 days of invoice date If not paid in full within 30 days then customer is subject to finance charges on the balance of the work from the invoice date at a rate of 15 per month until paid LMP shall have the right to stop work under this contract until all outstanding amounts including finance charges are paid in full Payments will be applied to the oldest invoices

ACCEPTANCE OF PROPOSAL The above prices scope of work and terms and conditions are hereby satisfactorily agreed upon LMP Inc has been authorized to perform the work as outlined and payment will be made as outlined above The above pricing does not include any unforeseen modifications to the said irrigation system that could not be reasonably accounted for prior to job start All plant material carries a one (1) year warranty provided LMP Inc is performing landscape maintenance services to the area installed or enhanced at the time of installation If not then there is no warranty on the plant material

OWNER AGENT

DATE

EXHIBIT 5

Independent Franchise Owner Job TBE8F300154 Terry Beamer 9266 Lazy Ln

Date 06012020

EXTERIOR PROPOSALEXTERIOR PROPOSALEXTERIOR PROPOSALEXTERIOR PROPOSAL Tampa FL 33614 813-936-9242

Fax 813 936-9172

1-800-462-3782

License PA2508

Full Workers Compensation Coverage$2000000 General Liability Insurance

DPFG Management amp Consulting LLC (Hawks Point) Raymond Lotito (SB) Hawks Point CDD Ruskin FL 33570 Phone 813-418-7473 Cell 813-220-6089 Email raymondlotitodpfgcom

Special Notes CERTAPRO PAINTERS WILL PAINT WALL FACING 19ST FROM 18TH-24TH

SPECIAL ATTENTION ADDRESSING STUCCO CRACKS USING CONCRETE AND MASONRY PATCH

SPECIAL ATTENTION PRESSURE WASHING LOOSE PEELING PAINT PRIOR TO PAINTING

CERTAPRO PAINTERS WILL ONLY PAINT STREET FACING SIDE- HOMEOWNERS SIDE EXCLUDED FROM PROPOSAL

CUSTOMER RESPONSIBILITIES Please cut back all shrubs bushes and palms away from wall

GENERAL DESCRIPTION Painting to Exterior Wall 18th-24th Facing 19th Ave

PREPARATION Washing To remove dirt mildew and loose paint so the new finish coat will adhere properly

Caulking To fill all cracks and gaps around windows and doorswood work to seal out moisture and drafts Stair step

cracks

Scraping Scrape all loose and peeling paint to ensure a firm base for the new paint

Masonry Repair to all cracks gaps and holes with elastemeric caulking or masonry patch as required

Sanding To degloss where necessary to promote adhesion of the top coat

Surface TypeArea Primer PurposePRIMING

Masonry Loxon sealerprimer Latex For propor top coat adhesion

Conditioner Loxon sealerprimer to all Latex For proper top coat adhesion

masonry surfaces

FINISH COATS

Surface Area

Exterior

ManufacturePaint Type

Sherwin Williams Resilience Ext Satin

Coats

1 primer-sealer 1 spray 1 backroll stucco

Color

Same As Existing

Clean Up Daily and upon completion

$1132900 All Labor Paint Materials

$1132900 TOTAL

Signature of Authorized Franchise Representative Date

Payment is due In Full upon Job Completion

(IWE HAVE READ THE TERMS STATED HEREIN THEY HAVE (IWE) HAVE EXAMINED THE JOB STATED HEREIN THEY EXPLAINED TO (MEUS) AND (IWE) FIND THEM TO BE HAVE SHOWN TO (MEUS) AND (IWE) FIND THE JOB TO SATISFACTORY AND HEREBY ACCEPT THEM BE SATISFACTORY AND HEREBY ACCEPT THE JOB AS

COMPLETE

SIGNATURE Date SIGNATURE Date

QUOTE

Shazam Construction LLC DATE MAY 13 2020

Shazam Hera 6773 Waterton Drive Riverview FL 33578 813-385-4591 ShazamConstructionLLCgmailcom Hawks Point CDD

TO Bill to Development Planning and Financing Group 15310 Amberly Drive Suite 175 Tampa FL 33647

QUANITY DESCRIPTION UNIT PRICE LINE TOTAL

Pressure wash the wall that parallels 19th avenue from 18th street to 24th street in Hawks Point CDD in Ruskin

$1270000

Repair any cracks with caulk or elastomeric as neededPrep for paint

Paint the wall that parallels 19th avenue from 18th street to 24th street in Hawks Point CDD in Ruskin

Paint using body trim and caps of exterior wall facing 19th avenue

Paint while matching existing colors

Paint using Sherwin Williams

All paint materials and labor is included

SUBTOTAL

SALES TAX

TOTAL $1270000

Make all checks payable to Shazam Construction LLC

THANK YOU FOR YOUR BUSINESS

EXHIBIT 6

Independent Franchise Owner Job TB443B00157 Terry Beamer 9266 Lazy Ln

Date 06052020

EXTERIOR PROPOSALEXTERIOR PROPOSALEXTERIOR PROPOSALEXTERIOR PROPOSAL Tampa FL 33614 813-936-9242

Fax 813 936-9172

1-800-462-3782

License PA2508

Full Workers Compensation Coverage$2000000 General Liability Insurance

DPFG Management amp Consulting LLC (Hawks Point) Raymond Lotito (SB) Hawks Point CDD Ruskin FL 33570 Phone 813-418-7473 Cell 813-220-6089 Email raymondlotitodpfgcom

Special Notes CERTAPRO PAINTERS PRESSURE WASHING PROPOSAL 18TH-24TH

CERTAPRO PAINTERS WILL PRESSURE WASH WALL FACING 19TH ST ONLY

GENERAL DESCRIPTION Painting to

PREPARATION Washing To remove dirt mildew and loose paint so the new finish coat will adhere properly

PRIMING Surface TypeArea Primer Purpose

Clean Up Daily and upon completion

All Labor Paint Materials

TOTAL

$195000

$195000

Signature of Authorized Franchise Representative Date

Payment is due In Full upon Job Completion

(IWE HAVE READ THE TERMS STATED HEREIN THEY HAVE (IWE) HAVE EXAMINED THE JOB STATED HEREIN THEY EXPLAINED TO (MEUS) AND (IWE) FIND THEM TO BE HAVE SHOWN TO (MEUS) AND (IWE) FIND THE JOB TO SATISFACTORY AND HEREBY ACCEPT THEM BE SATISFACTORY AND HEREBY ACCEPT THE JOB AS

COMPLETE

SIGNATURE Date SIGNATURE Date

QUOTE

Shazam Construction LLC DATE JUNE 5 2020

Shazam Hera 6773 Waterton Drive Riverview FL 33578 813-385-4591 ShazamConstructionLLCgmailcom Hawks Point CDD

TO Bill to Development Planning and Financing Group 15310 Amberly Drive Suite 175 Tampa FL 33647

QUANITY DESCRIPTION UNIT PRICE LINE TOTAL

Pressure wash the wall that parallels 19th avenue from 18th street to 24th street in Hawks Point CDD in Ruskin

$160000

All materials and labor is included

SUBTOTAL

SALES TAX

TOTAL $160000

Make all checks payable to Shazam Construction LLC

THANK YOU FOR YOUR BUSINESS

EXHIBIT 7

2019FORM 1 STATEMENT OF

Please print or type your name mailing FOR OFFICE USE ONLY FINANCIAL INTERESTS address agency name and position below

LAST NAME -- FIRST NAME -- MIDDLE NAME

MAILING ADDRESS

CITY ZIP COUNTY

NAME OF AGENCY

NAME OF OFFICE OR POSITION HELD OR SOUGHT

CHECK ONLY IF CANDIDATE OR NEW EMPLOYEE OR APPOINTEE

THIS SECTION MUST BE COMPLETED DISCLOSURE PERIOD THIS STATEMENT REFLECTS YOUR FINANCIAL INTERESTS FOR CALENDAR YEAR ENDING DECEMBER 31 2019

MANNER OF CALCULATING REPORTABLE INTERESTS FILERS HAVE THE OPTION OF USING REPORTING THRESHOLDS THAT ARE ABSOLUTE DOLLAR VALUES WHICH REQUIRES FEWER CALCULATIONS OR USING COMPARATIVE THRESHOLDS WHICH ARE USUALLY BASED ON PERCENTAGE VALUES (see instructions for further details) CHECK THE ONE YOU ARE USING (must check one)

COMPARATIVE (PERCENTAGE) THRESHOLDS OR DOLLAR VALUE THRESHOLDS

PART A -- PRIMARY SOURCES OF INCOME [Major sources of income to the reporting person - See instructions] (If you have nothing to report write none or na)

NAME OF SOURCE SOURCES DESCRIPTION OF THE SOURCES OF INCOME ADDRESS PRINCIPAL BUSINESS ACTIVITY

PART B -- SECONDARY SOURCES OF INCOME [Major customers clients and other sources of income to businesses owned by the reporting person - See instructions] (If you have nothing to report write none or na)

NAME OF NAME OF MAJOR SOURCES ADDRESS PRINCIPAL BUSINESS BUSINESS ENTITY OF BUSINESS INCOME OF SOURCE ACTIVITY OF SOURCE

PART C -- REAL PROPERTY [Land buildings owned by the reporting person - See instructions] You are not limited to the space on the (If you have nothing to report write none or na) lines on this form Attach additional

sheets if necessary

FILING INSTRUCTIONS for when and where to file this form are located at the bottom of page 2

INSTRUCTIONS on who must file this form and how to fill it out begin on page 3

CE FORM 1 - Effective January 1 2020 (Continued on reverse side) PAGE 1 Incorporated by reference in Rule 34-8202(1) FAC

FILING INSTRUCTIONS

IF ANY OF PARTS A THROUGH G ARE CONTINUED ON A SEPARATE SHEET PLEASE CHECK HERE

PART D mdash INTANGIBLE PERSONAL PROPERTY [Stocks bonds certificates of deposit etc - See instructions] (If you have nothing to report write none or na) TYPE OF INTANGIBLE BUSINESS ENTITY TO WHICH THE PROPERTY RELATES

PART E mdash LIABILITIES [Major debts - See instructions] (If you have nothing to report write none or na)

NAME OF CREDITOR ADDRESS OF CREDITOR

PART F mdash INTERESTS IN SPECIFIED BUSINESSES [Ownership or positions in certain types of businesses - See instructions] (If you have nothing to report write none or na)

BUSINESS ENTITY 1 BUSINESS ENTITY 2

NAME OF BUSINESS ENTITY

ADDRESS OF BUSINESS ENTITY

PRINCIPAL BUSINESS ACTIVITY

POSITION HELD WITH ENTITY

I OWN MORE THAN A 5 INTEREST IN THE BUSINESS

NATURE OF MY OWNERSHIP INTEREST

If you were mailed the form by the Commission on Ethics or a County Supervisor of Elections for your annual disclosure filing return the form to that location To determine what category your position falls under see page 3 of instructions Local officersemployees file with the Supervisor of Elections of the county in which they permanently reside (If you do not permanently reside in Florida file with the Supervisor of the county where your agency has its headquarters) Form 1 filers who file with the Supervisor of Elections may file by mail or email Contact your Supervisor of Elections for the mailing address or email address to use Do not email your form to the Commission on Ethics it will be returned State officers or specified state employees who file with the Commission on Ethics may file by mail or email To file by mail send the completed form to PO Drawer 15709 Tallahassee FL32317-5709 physical address 325 John Knox Rd Bldg E Ste 200 Tallahassee FL 32303 To file with the Commission by email scan your completed form and any attachments as a pdf (do not use any other format) send it to CEForm1legstateflus and retain a copy for your records Do not file by both mail and email Choose only one filing method Form 6s will not be accepted via email

Candidates file this form together with their filing papers MULTIPLE FILING UNNECESSARY A candidate who files a Form 1 with a qualifying officer is not required to file with the Commission or Supervisor of Elections WHEN TO FILE Initially each local officeremployee state officer and specified state employee must file within 30 days of the date of his or her appointment or of the beginning of employment Appointees who must be confirmed by the Senate must file prior to confirmation even if that is less than 30 days from the date of their appointment Candidates must file at the same time they file their qualifying papers Thereafter file by July 1 following each calendar year in which they hold their positions Finally file a final disclosure form (Form 1F) within 60 days of leaving office or employment Filing a CE Form 1F (Final Statement of Financial Interests) does not relieve the filer of filing a CE Form 1 if the filer was in his or her position on December 31 2019

SIGNATURE OF FILER Signature

____________________________________________

Date Signed

____________________________________________

CPA or ATTORNEY SIGNATURE ONLY If a certified public accountant licensed under Chapter 473 or attorney in good standing with the Florida Bar prepared this form for you he or she must complete the following statement

I _______________________________________ prepared the CE Form 1 in accordance with Section 1123145 Florida Statutes and the instructions to the form Upon my reasonable knowledge and belief the disclosure herein is true and correct

CPAAttorney Signature ______________________________

Date Signed _______________________________________

PART G mdash TRAINING For elected municipal officers required to complete annual ethics training pursuant to section 1123142 FS

I CERTIFY THAT I HAVE COMPLETED THE REQUIRED TRAINING

CE FORM 1 - Effective January 1 2020 PAGE 2 Incorporated by reference in Rule 34-8202(1) FAC

Examplesmdash You are the sole proprietor of a dry cleaning business fromwhich you received more than 10 of your gross incomemdashanamount that was more than $1500 If only one customer auniform rental company provided more than 10 of your drycleaning business you must list the name of the uniform rentalcompany its address and its principal business activity (uniform rentals) mdash You are a 20 partner in a partnership that owns a shopping mall and your partnership income exceeded the thresholds listed above You should list each tenant of the mall that provided more than 10 of the partnershiprsquos gross income and the tenantrsquos address and principal business activity

PART C mdash REAL PROPERTY[Required by s 1123145(3)(a)3 FS]In this part list the location or description of all real property in

Florida in which you owned directly or indirectly at any time during the disclosure period in excess of 5 of the propertyrsquos value You are not required to list your residences You should list any vacation homes if you derive income from them

Indirect ownership includes situations where you are abeneficiary of a trust that owns the property as well as situations where you own more than 5 of a partnership or corporation thatowns the property The value of the property may be determined by the most recently assessed value for tax purposes in the absence of a more current appraisal

The location or description of the property should be sufficient to enable anyone who looks at the form to identify the property Astreet address should be used if one exists PART D mdash INTANGIBLE PERSONAL PROPERTY

[Required by s 1123145(3)(a)3 FS]Describe any intangible personal property that at any time

during the disclosure period was worth more than 10 of your total assets and state the business entity to which the property related Intangible personal property includes things such as cash on hand stocks bonds certificates of deposit vehicle leases interests in businesses beneficial interests in trusts money owed you Deferred Retirement Option Program (DROP) accounts the Florida Prepaid College Plan and bank accounts Intangiblepersonal property also includes investment products held in IRAs brokerage accounts and the Florida College Investment Plan Note that the product contained in a brokerage account IRA or the Florida College Investment Plan is your assetmdashnot the account or plan itself Things like automobiles and houses you own jewelryand paintings are not intangible property Intangibles relating to the same business entity may be aggregated for example CDrsquos and savings accounts with the same bank

Calculations To determine whether the intangible property exceeds 10 of your total assets total the fair market value of all of your assets (including real property intangible property and tangible personal property such as jewelry furniture etc) When making this calculation do not subtract any liabilities (debts) that may relate to the property Multiply the total figure by 10 to arrive at the disclosure threshold List only the intangibles that exceed this threshold amount The value of a leased vehicle is the vehiclersquos present value minus the lease residual (a number which can be found on the lease document) Property that is only jointly owned property should be valued according to the percentage of your joint ownership Property owned as tenants by the entirety or as joint tenants with right of survivorship should be valued at 100 None of your calculations or the value of the property have to be disclosed on the form

Example You own 50 of the stock of a small corporation that is worth $100000 the estimated fair market value of your home and other property (bank accounts automobile furniture etc) is $200000 As your total assets are worth $250000 you must disclose intangibles worth over $25000 Since the value of the stock exceeds this threshold you should list ldquostockrdquo and the name of the corporation If your accounts with a particular bank exceed $25000 you should list ldquobank accountsrdquo and bankrsquos name

PART E mdash LIABILITIES[Required by s 1123145(3)(b)4 FS]List the name and address of each creditor to whom you owed

any amount that at any time during the disclosure period exceeded your net worth You are not required to list the amount of any debt or your net worth You do not have to disclose credit card and retail installment accounts taxes owed (unless reduced to a judgment) indebtedness on a life insurance policy owed to the company of issuance or contingent liabilities A ldquocontingent liabilityrdquo is one that will become an actual liability only when one or more future events occur or fail to occur such as where you are liable only as a guarantor surety or endorser on a promissory note If you are a ldquoco-makerrdquo and are jointly liable or jointly and severally liable it is not a contingent liability

Calculations To determine whether the debt exceeds your net worth total all of your liabilities (including promissory notes mortgages credit card debts judgments against you etc) Theamount of the liability of a vehicle lease is the sum of any past-due payments and all unpaid prospective lease payments Subtract the sum total of your liabilities from the value of all your assets as calculated above for Part D This is your ldquonet worthrdquo List each creditor to whom your debt exceeded this amount unless it is one of the types of indebtedness listed in the paragraph above (credit card and retail installment accounts etc) Joint liabilities with others for which you are ldquojointly and severally liablerdquo meaning that you may be liable for either your part or the whole of the obligation should be included in your calculations at 100 of the amount owed

Example You owe $15000 to a bank for student loans $5000 for credit card debts and $60000 (with spouse) to a savings and loan for a home mortgage Your home (owned by you and your spouse) is worth $80000 and your other property is worth $20000 Since your net worth is $20000 ($100000 minus $80000) you must report only the name and address of the savings and loan

PART F mdash INTERESTS IN SPECIFIED BUSINESSES[Required by s 1123145 FS]The types of businesses covered in this disclosure include

state and federally chartered banks state and federal savings and loan associations cemetery companies insurance companies mortgage companies credit unions small loan companies alcoholic beverage licensees pari-mutuel wagering companies utilitycompanies entities controlled by the Public Service Commission and entities granted a franchise to operate by either a city or acounty government

Disclose in this part the fact that you owned during the disclosure period an interest in or held any of certain positions with the types of businesses listed above You are required to make this disclosure if you own or owned (either directly orindirectly in the form of an equitable or beneficial interest) at any time during the disclosure period more than 5 of the total assets or capital stock of one of the types of business entities listed above You also must complete this part of the form for each of these types of businesses for which you are or were at any time during thedisclosure period an officer director partner proprietor or agent (other than a resident agent solely for service of process)

If you have or held such a position or ownership interest in one of these types of businesses list the name of the business its address and principal business activity and the position held with the business (if any) If you own(ed) more than a 5 interest in the business indicate that fact and describe the nature of your interest

PART G mdash TRAINING CERTIFICATION[Required by s 1123142 FS]If you are a Constitutional or elected municipal officer whose

service began before March 31 of the year for which you are filing you are required to complete four hours of ethics training which addresses Article II Section 8 of the Florida Constitution the Code of Ethics for Public Officers and Employees and the public records and open meetings laws of the state You are required to certify on this form that you have taken such training (End of Percentage Thresholds Instructions)

CE FORM 1 - Effective January 1 2020 Incorporated by reference in Rule 34-8202 FAC PAGE 6

NOTICE Annual Statements of Financial Interests are due July 1 If the annual form is not filed or postmarked by September 1 an automatic fine of $25 for each day late will be imposed up to a maximum penalty of $1500 Failure to file also can result in removal from public office or employment [s 1123145 FS]

In addition failure to make any required disclosure constitutes grounds for and may be punished by one or more of the following disqualification from being on the ballot impeachment removal or suspension from office or employment demotion reduction in salary reprimand or a civil penalty not exceeding $10000 [s 112317 FS]

WHO MUST FILE FORM 1 1) Elected public officials not serving in a political subdivision of the

state and any person appointed to fill a vacancy in such office unlessrequired to file full disclosure on Form 62) Appointed members of each board commission authority

or council having statewide jurisdiction excluding members of solelyadvisory bodies but including judicial nominating commission membersDirectors of Enterprise Florida Scripps Florida Funding Corporationand Career Source Florida and members of the Council on the Social Status of Black Men and Boys the Executive Director Governors and senior managers of Citizens Property Insurance CorporationGovernors and senior managers of Florida Workers Compensation JointUnderwriting Association board members of the Northeast Fla RegionalTransportation Commission board members of Triumph Gulf Coast Incboard members of Florida Is For Veterans Inc and members of the Technology Advisory Council within the Agency for State Technology3) The Commissioner of Education members of the State Board

of Education the Board of Governors the local Boards of Trustees and Presidents of state universities and the Florida Prepaid College Board 4) Persons elected to office in any political subdivision (such as

municipalities counties and special districts) and any person appointedto fill a vacancy in such office unless required to file Form 65) Appointed members of the following boards councils

commissions authorities or other bodies of county municipality schooldistrict independent special district or other political subdivision thegoverning body of the subdivision community college or junior collegedistrict boards of trustees boards having the power to enforce local codeprovisions boards of adjustment community redevelopment agenciesplanning or zoning boards having the power to recommend create ormodify land planning or zoning within a political subdivision except forcitizen advisory committees technical coordinating committees andsimilar groups who only have the power to make recommendationsto planning or zoning boards and except for representatives of a military installation acting on behalf of all military installations within thatjurisdiction pension or retirement boards empowered to invest pensionor retirement funds or determine entitlement to or amount of pensions orother retirement benefits and the Pinellas County Construction LicensingBoard 6) Any appointed member of a local government board who

is required to file a statement of financial interests by the appointingauthority or the enabling legislation ordinance or resolution creating theboard 7) Persons holding any of these positions in local government

mayor county or city manager chief administrative employee or finance

director of a county municipality or other political subdivision county or municipal attorney chief county or municipal building inspectorcounty or municipal water resources coordinator county or municipalpollution control director county or municipal environmental control director county or municipal administrator with power to grant or denya land development permit chief of police fire chief municipal clerkappointed district school superintendent community college presidentdistrict medical examiner purchasing agent (regardless of title) havingthe authority to make any purchase exceeding $35000 for the localgovernmental unit8) Officers and employees of entities serving as chief administrative

officer of a political subdivision9) Members of governing boards of charter schools operated by a

city or other public entity10) Employees in the office of the Governor or of a Cabinet member

who are exempt from the Career Service System excluding secretarialclerical and similar positions11) The following positions in each state department commission

board or council Secretary Assistant or Deputy Secretary ExecutiveDirector Assistant or Deputy Executive Director and anyone having thepower normally conferred upon such persons regardless of title12) The following positions in each state department or division

Director Assistant or Deputy Director Bureau Chief and any personhaving the power normally conferred upon such persons regardless oftitle 13) Assistant State Attorneys Assistant Public Defenders criminal

conflict and civil regional counsel and assistant criminal conflict and civilregional counsel Public Counsel full-time state employees serving ascounsel or assistant counsel to a state agency administrative law judgesand hearing officers14) The Superintendent or Director of a state mental health institute

established for training and research in the mental health field or anymajor state institution or facility established for corrections trainingtreatment or rehabilitation 15) State agency Business Managers Finance and Accounting

Directors Personnel Officers Grant Coordinators and purchasingagents (regardless of title) with power to make a purchase exceeding$35000 16) The following positions in legislative branch agencies each

employee (other than those employed in maintenance clerical secretarial or similar positions and legislative assistants exempted by the presiding officer of their house) and each employee of theCommission on Ethics

INSTRUCTIONS FOR COMPLETING FORM 1 INTRODUCTORY INFORMATION (Top of Form) If your name mailing address public agency and position are already printed on the form you do not need to provide this information unless it should be changed To change any of this information write the correct information on the form and contact your agencys financial disclosure coordinator You can find your coordinator on the Commission on Ethics website wwwethics stateflus NAME OF AGENCY The name of the governmental unit which you serve or served by which you are or were employed or for which you are a candidate DISCLOSURE PERIOD The ldquodisclosure periodrdquo for your report is the calendar year ending December 31 2019

OFFICE OR POSITION HELD OR SOUGHT The title of the office or position you hold are seeking or held during the disclosure period even if you have since left that position If you are a candidate for office or are a new employee or appointee check the appropriate box PUBLIC RECORD The disclosure form and everythingattached to it is a public record Your Social Security Number is not required and you should redact it from any documents you file If you are an active or former officer or employee listed in Section 119071 FS whose home address is exempt from disclosure the Commission will maintain that confidentiality if you submit a written request

CE FORM 1 - Effective January 1 2020 Incorporated by reference in Rule 34-8202 FAC PAGE 3

PART E mdash LIABILITIES[Required by s 1123145(3)(b)4 FS]List the name and address of each creditor to whom you owed more

than $10000 at any time during the disclosure period The amount of theliability of a vehicle lease is the sum of any past-due payments and allunpaid prospective lease payments You are not required to list the amountof any debt You do not have to disclose credit card and retail installmentaccounts taxes owed (unless reduced to a judgment) indebtedness ona life insurance policy owed to the company of issuance or contingentliabilities A ldquocontingent liabilityrdquo is one that will become an actual liabilityonly when one or more future events occur or fail to occur such as whereyou are liable only as a guarantor surety or endorser on a promissorynote If you are a ldquoco-makerrdquo and are jointly liable or jointly and severallyliable then it is not a contingent liability

PART F mdash INTERESTS IN SPECIFIED BUSINESSES[Required by s 1123145(6) FS]The types of businesses covered in this disclosure include state and

federally chartered banks state and federal savings and loan associationscemetery companies insurance companies mortgage companies creditunions small loan companies alcoholic beverage licensees pari-mutuelwagering companies utility companies entities controlled by the PublicService Commission and entities granted a franchise to operate by either acity or a county government

Disclose in this part the fact that you owned during the disclosure period aninterest in or held any of certain positions with the types of businesses listedabove You must make this disclosure if you own or owned (either directly orindirectly in the form of an equitable or beneficial interest) at any time duringthe disclosure period more than 5 of the total assets or capital stock ofone of the types of business entities listed above You also must completethis part of the form for each of these types of businesses for which youare or were at any time during the disclosure period an officer directorpartner proprietor or agent (other than a resident agent solely for service ofprocess)

If you have or held such a position or ownership interest in one ofthese types of businesses list the name of the business its address andprincipal business activity and the position held with the business (if any) Ifyou own(ed) more than a 5 interest in the business indicate that fact anddescribe the nature of your interest

PART G mdash TRAINING CERTIFICATION[Required by s 1123142 FS]If you are a Constitutional or elected municipal officer whose

service began before March 31 of the year for which you are filingyou are required to complete four hours of ethics training which addresses Article II Section 8 of the Florida Constitution the Codeof Ethics for Public Officers and Employees and the public recordsand open meetings laws of the state You are required to certify onthis form that you have taken such training

(End of Dollar Value Thresholds Instructions)

PART A mdash PRIMARY SOURCES OF INCOME[Required by s 1123145(3)(a)1 FS]Part A is intended to require the disclosure of your principal

sources of income during the disclosure period You do not haveto disclose any public salary or public position(s) but income from these public sources should be included when calculating your gross income for the disclosure period The income of your spouse need not be disclosed however if there is joint income to you and your spouse from property you own jointly (such as interest or dividends from a bank account or stocks) you should include all of that income when calculating your gross income and disclose the source of that income if it exceeded the threshold

Please list in this part of the form the name address and principal business activity of each source of your income whichexceeded 5 of the gross income received by you in your own name or by any other person for your benefit or use during the disclosure period

Gross income means the same as it does for income tax purposes even if the income is not actually taxable such as interest on tax-free bonds Examples include compensation for servicesincome from business gains from property dealings interest rents dividends pensions IRA distributions social security distributive share of partnership gross income and alimony but not child support

Examplesmdash If you were employed by a company that manufactures computers and received more than 5 of your gross income from the company list the name of the company its address and its principal business activity (computer manufacturing)mdash If you were a partner in a law firm and your distributive share of partnership gross income exceeded 5 of your gross income then list the name of the firm its address and its principal business activity (practice of law)mdash If you were the sole proprietor of a retail gift business andyour gross income from the business exceeded 5 of your total gross income list the name of the business its addressand its principal business activity (retail gift sales)mdash If you received income from investments in stocks and bonds list each individual company from which you derived

more than 5 of your gross income Do not aggregate all of your investment incomemdash If more than 5 of your gross income was gain from the sale of property (not just the selling price) list as a source of income the purchaserrsquos name address and principal business activityIf the purchasers identity is unknown such as where securities listed on an exchange are sold through a brokerage firm the source of income should be listed as sale of (name of company)stock for examplemdash If more than 5 of your gross income was in the form of interest from one particular financial institution (aggregatinginterest from all CDrsquos accounts etc at that institution) list the name of the institution its address and its principal business activity

PART B mdash SECONDARY SOURCES OF INCOME[Required by s 1123145(3)(a)2 FS]This part is intended to require the disclosure of major customers

clients and other sources of income to businesses in which you ownan interest It is not for reporting income from second jobs That kindof income should be reported in Part A Primary Sources of Incomeif it meets the reporting threshold You will not have anything to reportunless during the disclosure period

(1) You owned (either directly or indirectly in the form of anequitable or beneficial interest) more than 5 of the total assetsor capital stock of a business entity (a corporation partnershipLLC limited partnership proprietorship joint venture trust firmetc doing business in Florida) and(2) You received more than 10 of your gross income from thatbusiness entity and(3) You received more than $1500 in gross income from thatbusiness entity

If your interests and gross income exceeded these thresholds thenfor that business entity you must list every source of income to thebusiness entity which exceeded 10 of the business entityrsquos grossincome (computed on the basis of the business entityrsquos most recentlycompleted fiscal year) the sourcersquos address and the sourcersquosprincipal business activity

IF YOU HAVE CHOSEN COMPARATIVE (PERCENTAGE) THRESHOLDSTHE FOLLOWING INSTRUCTIONS APPLY

CE FORM 1 - Effective January 1 2020 Incorporated by reference in Rule 34-8202 FAC PAGE 5

MANNER OF CALCULATING REPORTABLE INTEREST Filers have the option of reporting based on either thresholds that are comparative (usually based on percentage values) or thresholds that are based on absolute dollar values The instructions on the following pages specifically describe the different thresholds Check the box that reflects the choice you have made You must use the type of threshold you have chosen for each part of the form In other words if you choose to report based on absolute dollar value thresholds you cannot use a percentage threshold on any part of the form

IF YOU HAVE CHOSEN DOLLAR VALUE THRESHOLDS THE FOLLOWING INSTRUCTIONS APPLY

PART A mdash PRIMARY SOURCES OF INCOME [Required by s 1123145(3)(b)1 FS] Part A is intended to require the disclosure of your principal

sources of income during the disclosure period You do not have todisclose any public salary or public position(s) The income of yourspouse need not be disclosed however if there is joint income toyou and your spouse from property you own jointly (such as interestor dividends from a bank account or stocks) you should disclose thesource of that income if it exceeded the threshold

Please list in this part of the form the name address andprincipal business activity of each source of your income whichexceeded $2500 of gross income received by you in your own name or by any other person for your use or benefit

Gross income means the same as it does for income tax purposes even if the income is not actually taxable such as interest on tax-free bonds Examples include compensation for servicesincome from business gains from property dealings interest rentsdividends pensions IRA distributions social security distributive share of partnership gross income and alimony but not child support

Examples mdash If you were employed by a company that manufacturescomputers and received more than $2500 list the name of thecompany its address and its principal business activity (computermanufacturing) mdash If you were a partner in a law firm and your distributive shareof partnership gross income exceeded $2500 list the name ofthe firm its address and its principal business activity (practice oflaw) mdash If you were the sole proprietor of a retail gift business and yourgross income from the business exceeded $2500 list the nameof the business its address and its principal business activity(retail gift sales) mdash If you received income from investments in stocks and bondslist each individual company from which you derived more than$2500 Do not aggregate all of your investment income mdash If more than $2500 of your gross income was gain from thesale of property (not just the selling price) list as a source ofincome the purchaserrsquos name address and principal businessactivity If the purchaserrsquos identity is unknown such as wheresecurities listed on an exchange are sold through a brokeragefirm the source of income should be listed as sale of (name of company) stock for example mdash If more than $2500 of your gross income was in the formof interest from one particular financial institution (aggregatinginterest from all CDrsquos accounts etc at that institution) list the name of the institution its address and its principal business activity

PART B mdash SECONDARY SOURCES OF INCOME [Required by s 1123145(3)(b)2 FS] This part is intended to require the disclosure of major customers

clients and other sources of income to businesses in which you own aninterest It is not for reporting income from second jobs That kind of incomeshould be reported in Part A Primary Sources of Income if it meets thereporting threshold You will not have anything to report unless during thedisclosure period

(1) You owned (either directly or indirectly in the form of an equitableor beneficial interest) more than 5 of the total assets or capitalstock of a business entity (a corporation partnership LLC limitedpartnership proprietorship joint venture trust firm etc doing business in Florida) and (2) You received more than $5000 of your gross income during thedisclosure period from that business entity

If your interests and gross income exceeded these thresholds then for thatbusiness entity you must list every source of income to the business entitywhich exceeded 10 of the business entityrsquos gross income (computed onthe basis of the business entitys most recently completed fiscal year) thesourcersquos address and the sources principal business activity

Examples mdash You are the sole proprietor of a dry cleaning business from whichyou received more than $5000 If only one customer a uniform rentalcompany provided more than 10 of your dry cleaning business youmust list the name of the uniform rental company its address and itsprincipal business activity (uniform rentals) mdash You are a 20 partner in a partnership that owns a shopping malland your partnership income exceeded the above thresholds List eachtenant of the mall that provided more than 10 of the partnershipsgross income and the tenants address and principal business activity

PART C mdash REAL PROPERTY [Required by s 1123145(3)(b)3 FS] In this part list the location or description of all real property in Florida

in which you owned directly or indirectly at any time during the disclosureperiod in excess of 5 of the propertyrsquos value You are not required to listyour residences You should list any vacation homes if you derive incomefrom them

Indirect ownership includes situations where you are a beneficiary of atrust that owns the property as well as situations where you own more than5 of a partnership or corporation that owns the property The value of theproperty may be determined by the most recently assessed value for taxpurposes in the absence of a more current appraisal

The location or description of the property should be sufficient toenable anyone who looks at the form to identify the property A streetaddress should be used if one exists

PART D mdash INTANGIBLE PERSONAL PROPERTY [Required by s 1123145(3)(b)3 FS] Describe any intangible personal property that at any time during the

disclosure period was worth more than $10000 and state the businessentity to which the property related Intangible personal property includesthings such as cash on hand stocks bonds certificates of deposit vehicleleases interests in businesses beneficial interests in trusts money owedyou Deferred Retirement Option Program (DROP) accounts the FloridaPrepaid College Plan and bank accounts Intangible personal propertyalso includes investment products held in IRAs brokerage accounts andthe Florida College Investment Plan Note that the product contained in a brokerage account IRA or the Florida College Investment Plan is yourassetmdashnot the account or plan itself Things like automobiles and housesyou own jewelry and paintings are not intangible property Intangiblesrelating to the same business entity may be aggregated for example CDsand savings accounts with the same bank Property owned as tenants bythe entirety or as joint tenants with right of survivorship should be valued at100 The value of a leased vehicle is the vehiclersquos present value minusthe lease residual (a number found on the lease document)

CE FORM 1 - Effective January 1 2020 Incorporated by reference in Rule 34-8202 FAC PAGE 4

PART A mdash PRIMARY SOURCES OF INCOME[Required by s 1123145(3)(b)1 FS]Part A is intended to require the disclosure of your principal

sources of income during the disclosure period You do not have todisclose any public salary or public position(s) The income of yourspouse need not be disclosed however if there is joint income t oyou and your spouse from property you own jointly (such as interestor dividends from a bank account or stocks) you should disclose thesource of that income if it exceeded the threshold

Please list in this part of the form the name address andprincipal business activity of each source of your income whichexceeded $2500 of gross income received by you in your own name or by any other person for your use or benefit

Gross income means the same as it does for income taxpurposes even if the income is not actually taxable such as intereston tax-free bonds Examples include compensation for servicesincome from business gains from property dealings interest rentsdividends pensions IRA distributions social security distributiveshare of partnership gross income and alimony but not child support

Examplesmdash If you were employed by a company that manufacturescomputers and received more than $2500 list the name of thecompany its address and its principal business activity (computermanufacturing)mdash If you were a partner in a law firm and your distributive shareof partnership gross income exceeded $2500 list the name ofthe firm its address and its principal business activity (practice oflaw)mdash If you were the sole proprietor of a retail gift business and yourgross income from the business exceeded $2500 list the nameof the business its address and its principal business activity(retail gift sales)mdash If you received income from investments in stocks and bondslist each individual company from which you derived more than$2500 Do not aggregate all of your investment incomemdash If more than $2500 of your gross income was gain from thesale of property (not just the selling price) list as a source o fincome the purchaserrsquos name address and principal businessactivity If the purchaserrsquos identity is unknown such as wheresecurities listed on an exchange are sold through a brokeragefirm the source of income should be listed as sale of (name of company) stock for examplemdash If more than $2500 of your gross income was in the formof interest from one particular financial institution (aggregatinginterest from all CDrsquos accounts etc at that institution) list thename of the institution its address and its principal business activity

PART B mdash SECONDARY SOURCES OF INCOME[Required by s 1123145(3)(b)2 FS]This part is intended to require the disclosure of major customers

clients and other sources of income to businesses in which you own aninterest It is not for reporting income from second jobs That kind of incomeshould be reported in Part A Primary Sources of Income if it meets thereporting threshold You will not have anything to report unless during thedisclosure period

(1) You owned (either directly or indirectly in the form of an equitableor beneficial interest) more than 5 of the total assets or capitalstock of a business entity (a corporation partnership LLC limitedpartnership proprietorship joint venture trust firm etc doing business in Florida) and(2) You received more than $5000 of your gross income during thedisclosure period from that business entity

If your interests and gross income exceeded these thresholds then for thatbusiness entity you must list every source of income to the business entitywhich exceeded 10 of the business entityrsquos gross income (computed onthe basis of the business entitys most recently completed fiscal year) thesourcersquos address and the sources principal business activity

Examplesmdash You are the sole proprietor of a dry cleaning business from whichyou received more than $5000 If only one customer a uniform rentalcompany provided more than 10 of your dry cleaning business youmust list the name of the uniform rental company its address and itsprincipal business activity (uniform rentals)mdash You are a 20 partner in a partnership that owns a shopping malland your partnership income exceeded the above thresholds List eachtenant of the mall that provided more than 10 of the partnershipsgross income and the tenants address and principal business activity

PART C mdash REAL PROPERTY[Required by s 1123145(3)(b)3 FS]In this part list the location or description of all real property in Florida

in which you owned directly or indirectly at any time during the disclosureperiod in excess of 5 of the propertyrsquos value You are not required to listyour residences You should list any vacation homes if you derive incomefrom them

Indirect ownership includes situations where you are a beneficiary of atrust that owns the property as well as situations where you own more than5 of a partnership or corporation that owns the property The value of theproperty may be determined by the most recently assessed value for taxpurposes in the absence of a more current appraisal

The location or description of the property should be sufficient toenable anyone who looks at the form to identify the property A streetaddress should be used if one exists

PART D mdash INTANGIBLE PERSONAL PROPERTY[Required by s 1123145(3)(b)3 FS]Describe any intangible personal property that at any time during the

disclosure period was worth more than $10000 and state the businessentity to which the property related Intangible personal property includesthings such as cash on hand stocks bonds certificates of deposit vehicleleases interests in businesses beneficial interests in trusts money owedyou Deferred Retirement Option Program (DROP) accounts the FloridaPrepaid College Plan and bank accounts Intangible personal propertyalso includes investment products held in IRAs brokerage accounts andthe Florida College Investment Plan Note that the product contained ina brokerage account IRA or the Florida College Investment Plan is yourassetmdashnot the account or plan itself Things like automobiles and housesyou own jewelry and paintings are not intangible property Intangiblesrelating to the same business entity may be aggregated for example CDsand savings accounts with the same bank Property owned as tenants bythe entirety or as joint tenants with right of survivorship should be valued at100 The value of a leased vehicle is the vehiclersquos present value minusthe lease residual (a number found on the lease document)

Filers have the option of reporting based on either thresholds that are comparative (usually based on percentage values) orthresholds that are based on absolute dollar values The instructions on the following pages specifically describe the differentthresholds Check the box that reflects the choice you have made You must use the type of threshold you have chosen for eachpart of the form In other words if you choose to report based on absolute dollar value thresholds you cannot use a percentagethreshold on any part of the form

MANNER OF CALCULATING REPORTABLE INTEREST

IF YOU HAVE CHOSEN DOLLAR VALUE THRESHOLDSTHE FOLLOWING INSTRUCTIONS APPLY

CE FORM 1 - Effective January 1 2020 Incorporated by reference in Rule 34-8202 FAC PAGE 4

PART E mdash LIABILITIES [Required by s 1123145(3)(b)4 FS] List the name and address of each creditor to whom you owed more

than $10000 at any time during the disclosure period The amount of theliability of a vehicle lease is the sum of any past-due payments and allunpaid prospective lease payments You are not required to list the amountof any debt You do not have to disclose credit card and retail installmentaccounts taxes owed (unless reduced to a judgment) indebtedness ona life insurance policy owed to the company of issuance or contingentliabilities A ldquocontingent liabilityrdquo is one that will become an actual liabilityonly when one or more future events occur or fail to occur such as whereyou are liable only as a guarantor surety or endorser on a promissorynote If you are a ldquoco-makerrdquo and are jointly liable or jointly and severallyliable then it is not a contingent liability

PART F mdash INTERESTS IN SPECIFIED BUSINESSES [Required by s 1123145(6) FS] The types of businesses covered in this disclosure include state and

federally chartered banks state and federal savings and loan associationscemetery companies insurance companies mortgage companies creditunions small loan companies alcoholic beverage licensees pari-mutuelwagering companies utility companies entities controlled by the PublicService Commission and entities granted a franchise to operate by either acity or a county government

Disclose in this part the fact that you owned during the disclosure period aninterest in or held any of certain positions with the types of businesses listedabove You must make this disclosure if you own or owned (either directly orindirectly in the form of an equitable or beneficial interest) at any time duringthe disclosure period more than 5 of the total assets or capital stock ofone of the types of business entities listed above You also must completethis part of the form for each of these types of businesses for which youare or were at any time during the disclosure period an officer directorpartner proprietor or agent (other than a resident agent solely for service ofprocess)

If you have or held such a position or ownership interest in one ofthese types of businesses list the name of the business its address andprincipal business activity and the position held with the business (if any) Ifyou own(ed) more than a 5 interest in the business indicate that fact anddescribe the nature of your interest

PART G mdash TRAINING CERTIFICATION [Required by s 1123142 FS] If you are a Constitutional or elected municipal officer whose

service began before March 31 of the year for which you are filingyou are required to complete four hours of ethics training which addresses Article II Section 8 of the Florida Constitution the Code of Ethics for Public Officers and Employees and the public recordsand open meetings laws of the state You are required to certify onthis form that you have taken such training

(End of Dollar Value Thresholds Instructions)

IF YOU HAVE CHOSEN COMPARATIVE (PERCENTAGE) THRESHOLDS THE FOLLOWING INSTRUCTIONS APPLY

PART A mdash PRIMARY SOURCES OF INCOME [Required by s 1123145(3)(a)1 FS] Part A is intended to require the disclosure of your principal

sources of income during the disclosure period You do not haveto disclose any public salary or public position(s) but income from these public sources should be included when calculating your gross income for the disclosure period The income of your spouse need not be disclosed however if there is joint income to you and your spouse from property you own jointly (such as interest or dividends from a bank account or stocks) you should include all of that income when calculating your gross income and disclose the source of that income if it exceeded the threshold

Please list in this part of the form the name address and principal business activity of each source of your income whichexceeded 5 of the gross income received by you in your own name or by any other person for your benefit or use during the disclosure period

Gross income means the same as it does for income tax purposes even if the income is not actually taxable such as interest on tax-free bonds Examples include compensation for servicesincome from business gains from property dealings interest rents dividends pensions IRA distributions social security distributive share of partnership gross income and alimony but not child support

Examples mdash If you were employed by a company that manufactures computers and received more than 5 of your gross income from the company list the name of the company its address and its principal business activity (computer manufacturing) mdash If you were a partner in a law firm and your distributive share of partnership gross income exceeded 5 of your gross income then list the name of the firm its address and its principal business activity (practice of law) mdash If you were the sole proprietor of a retail gift business andyour gross income from the business exceeded 5 of your total gross income list the name of the business its addressand its principal business activity (retail gift sales) mdash If you received income from investments in stocks and bonds list each individual company from which you derived

more than 5 of your gross income Do not aggregate all of your investment income mdash If more than 5 of your gross income was gain from the sale of property (not just the selling price) list as a source of income the purchaserrsquos name address and principal business activityIf the purchasers identity is unknown such as where securities listed on an exchange are sold through a brokerage firm the source of income should be listed as sale of (name of company)stock for example mdash If more than 5 of your gross income was in the form of interest from one particular financial institution (aggregatinginterest from all CDrsquos accounts etc at that institution) list the name of the institution its address and its principal business activity

PART B mdash SECONDARY SOURCES OF INCOME [Required by s 1123145(3)(a)2 FS] This part is intended to require the disclosure of major customers

clients and other sources of income to businesses in which you ownan interest It is not for reporting income from second jobs That kindof income should be reported in Part A Primary Sources of Incomeif it meets the reporting threshold You will not have anything to report unless during the disclosure period

(1) You owned (either directly or indirectly in the form of anequitable or beneficial interest) more than 5 of the total assetsor capital stock of a business entity (a corporation partnershipLLC limited partnership proprietorship joint venture trust firmetc doing business in Florida) and (2) You received more than 10 of your gross income from thatbusiness entity and (3) You received more than $1500 in gross income from thatbusiness entity

If your interests and gross income exceeded these thresholds thenfor that business entity you must list every source of income to thebusiness entity which exceeded 10 of the business entityrsquos grossincome (computed on the basis of the business entityrsquos most recentlycompleted fiscal year) the sourcersquos address and the sourcersquos principal business activity

CE FORM 1 - Effective January 1 2020 Incorporated by reference in Rule 34-8202 FAC PAGE 5

NOTICE Annual Statements of Financial Interests are due July 1 If the annual form is not filed or postmarked by September 1 an automatic fine of $25 for each day late will be imposed up to a maximum penalty of $1500 Failure to file also can result in removal from public office or employment [s 1123145 FS]

In addition failure to make any required disclosure constitutes grounds for and may be punished by one or more of the following disqualification from being on the ballot impeachment removal or suspension from office or employment demotion reduction in salary reprimand or a civil penalty not exceeding $10000 [s 112317 FS]

1) Elected public officials not serving in a political subdivision of thestate and any person appointed to fill a vacancy in such office unlessrequired to file full disclosure on Form 62) Appointed members of each board commission authority

or council having statewide jurisdiction excluding members of solelyadvisory bodies but including judicial nominating commission membersDirectors of Enterprise Florida Scripps Florida Funding Corporationand Career Source Florida and members of the Council on the SocialStatus of Black Men and Boys the Executive Director Governors and senior managers of Citizens Property Insurance CorporationGovernors and senior managers of Florida Workers Compensation JointUnderwriting Association board members of the Northeast Fla RegionalTransportation Commission board members of Triumph Gulf Coast Incboard members of Florida Is For Veterans Inc and members of theTechnology Advisory Council within the Agency for State Technology3) The Commissioner of Education members of the State Board

of Education the Board of Governors the local Boards of Trustees andPresidents of state universities and the Florida Prepaid College Board4) Persons elected to office in any political subdivision (such a s

municipalities counties and special districts) and any person appointedto fill a vacancy in such office unless required to file Form 65) Appointed members of the following boards councils

commissions authorities or other bodies of county municipality schooldistrict independent special district or other political subdivision thegoverning body of the subdivision community college or junior collegedistrict boards of trustees boards having the power to enforce local codeprovisions boards of adjustment community redevelopment agenciesplanning or zoning boards having the power to recommend create ormodify land planning or zoning within a political subdivision except forcitizen advisory committees technical coordinating committees andsimilar groups who only have the power to make recommendationsto planning or zoning boards and except for representatives of amilitary installation acting on behalf of all military installations within thatjurisdiction pension or retirement boards empowered to invest pensionor retirement funds or determine entitlement to or amount of pensions orother retirement benefits and the Pinellas County Construction LicensingBoard6) Any appointed member of a local government board who

is required to file a statement of financial interests by the appointingauthority or the enabling legislation ordinance or resolution creating theboard7) Persons holding any of these positions in local government

mayor county or city manager chief administrative employee or finance

director of a county municipality or other political subdivision countyor municipal attorney chief county or municipal building inspectorcounty or municipal water resources coordinator county or municipalpollution control director county or municipal environmental controldirector county or municipal administrator with power to grant or denya land development permit chief of police fire chief municipal clerkappointed district school superintendent community college presidentdistrict medical examiner purchasing agent (regardless of title) havingthe authority to make any purchase exceeding $35000 for the localgovernmental unit8) Officers and employees of entities serving as chief administrative

officer of a political subdivision9) Members of governing boards of charter schools operated by a

city or other public entity10) Employees in the office of the Governor or of a Cabinet member

who are exempt from the Career Service System excluding secretarialclerical and similar positions11) The following positions in each state department commission

board or council Secretary Assistant or Deputy Secretary ExecutiveDirector Assistant or Deputy Executive Director and anyone having thepower normally conferred upon such persons regardless of title12) The following positions in each state department or division

Director Assistant or Deputy Director Bureau Chief and any personhaving the power normally conferred upon such persons regardless oftitle13) Assistant State Attorneys Assistant Public Defenders criminal

conflict and civil regional counsel and assistant criminal conflict and civilregional counsel Public Counsel full-time state employees serving ascounsel or assistant counsel to a state agency administrative law judgesand hearing officers14) The Superintendent or Director of a state mental health institute

established for training and research in the mental health field or anymajor state institution or facility established for corrections trainingtreatment or rehabilitation15) State agency Business Managers Finance and Accounting

Directors Personnel Officers Grant Coordinators and purchasingagents (regardless of title) with power to make a purchase exceeding$3500016) The following positions in legislative branch agencies each

employee (other than those employed in maintenance clerical secretarial or similar positions and legislative assistants exemptedby the presiding officer of their house) and each employee of theCommission on Ethics

INSTRUCTIONS FOR COMPLETING FORM 1INTRODUCTORY INFORMATION (Top of Form) If your name mailing address public agency and position are already printed on the form you do not need to provide this information unless it should be changed To change any of this information write the correct information on the form and contact your agencys financial disclosure coordinator You can find your coordinator on the Commission on Ethics website wwwethicsstateflus NAME OF AGENCY The name of the governmental unit which you serve or served by which you are or were employed or for which you are a candidate DISCLOSURE PERIOD The ldquodisclosure periodrdquo for your report is the calendar year ending December 31 2019

OFFICE OR POSITION HELD OR SOUGHT The title of the office or position you hold are seeking or held during the disclosure period even if you have since left that position If you are a candidate for office or are a new employee or appointee check the appropriate boxPUBLIC RECORD The disclosure form and everythingattached to it is a public record Your Social Security Number is not required and you should redact it from any documents you file If you are an active or former officer or employee listed in Section 119071 FS whose home address is exempt from disclosure the Commission will maintain that confidentiality if you submit a written request

WHO MUST FILE FORM 1

CE FORM 1 - Effective January 1 2020 Incorporated by reference in Rule 34-8202 FAC PAGE 3

Examples PART E mdash LIABILITIES mdash You are the sole proprietor of a dry cleaning business from [Required by s 1123145(3)(b)4 FS]which you received more than 10 of your gross incomemdashan List the name and address of each creditor to whom you owed amount that was more than $1500 If only one customer a any amount that at any time during the disclosure period exceeded uniform rental company provided more than 10 of your dry your net worth You are not required to list the amount of any debt cleaning business you must list the name of the uniform rental or your net worth You do not have to disclose credit card and retail company its address and its principal business activity (uniform installment accounts taxes owed (unless reduced to a judgment) rentals) indebtedness on a life insurance policy owed to the company of mdash You are a 20 partner in a partnership that owns a shopping issuance or contingent liabilities A ldquocontingent liabilityrdquo is one mall and your partnership income exceeded the thresholds that will become an actual liability only when one or more future listed above You should list each tenant of the mall that events occur or fail to occur such as where you are liable only as provided more than 10 of the partnershiprsquos gross income and a guarantor surety or endorser on a promissory note If you are a the tenantrsquos address and principal business activity ldquoco-makerrdquo and are jointly liable or jointly and severally liable it is not

a contingent liability PART C mdash REAL PROPERTY Calculations To determine whether the debt exceeds your

[Required by s 1123145(3)(a)3 FS] net worth total all of your liabilities (including promissory notes mortgages credit card debts judgments against you etc) TheIn this part list the location or description of all real property in amount of the liability of a vehicle lease is the sum of any past-due Florida in which you owned directly or indirectly at any time during payments and all unpaid prospective lease payments Subtract the disclosure period in excess of 5 of the propertyrsquos value You the sum total of your liabilities from the value of all your assets are not required to list your residences You should list any vacation as calculated above for Part D This is your ldquonet worthrdquo List each homes if you derive income from them creditor to whom your debt exceeded this amount unless it is one of

Indirect ownership includes situations where you are a the types of indebtedness listed in the paragraph above (credit card beneficiary of a trust that owns the property as well as situations and retail installment accounts etc) Joint liabilities with others for where you own more than 5 of a partnership or corporation that which you are ldquojointly and severally liablerdquo meaning that you may owns the property The value of the property may be determined by be liable for either your part or the whole of the obligation should be the most recently assessed value for tax purposes in the absence included in your calculations at 100 of the amount owed of a more current appraisal

Example You owe $15000 to a bank for student loans $5000 The location or description of the property should be sufficient for credit card debts and $60000 (with spouse) to a savings to enable anyone who looks at the form to identify the property A and loan for a home mortgage Your home (owned by you and street address should be used if one exists your spouse) is worth $80000 and your other property is worth PART D mdash INTANGIBLE PERSONAL PROPERTY $20000 Since your net worth is $20000 ($100000 minus

$80000) you must report only the name and address of the [Required by s 1123145(3)(a)3 FS] savings and loan Describe any intangible personal property that at any time

during the disclosure period was worth more than 10 of your PART F mdash INTERESTS IN SPECIFIED BUSINESSES total assets and state the business entity to which the property [Required by s 1123145 FS] related Intangible personal property includes things such as cash on hand stocks bonds certificates of deposit vehicle leases The types of businesses covered in this disclosure include interests in businesses beneficial interests in trusts money owed state and federally chartered banks state and federal savings and you Deferred Retirement Option Program (DROP) accounts loan associations cemetery companies insurance companies the Florida Prepaid College Plan and bank accounts Intangible mortgage companies credit unions small loan companies alcoholic personal property also includes investment products held in IRAs beverage licensees pari-mutuel wagering companies utilitybrokerage accounts and the Florida College Investment Plan companies entities controlled by the Public Service Commission Note that the product contained in a brokerage account IRA or the and entities granted a franchise to operate by either a city or a Florida College Investment Plan is your assetmdashnot the account or county governmentplan itself Things like automobiles and houses you own jewelry Disclose in this part the fact that you owned during the and paintings are not intangible property Intangibles relating to the disclosure period an interest in or held any of certain positions same business entity may be aggregated for example CDrsquos and with the types of businesses listed above You are requiredsavings accounts with the same bank to make this disclosure if you own or owned (either directly or

Calculations To determine whether the intangible property indirectly in the form of an equitable or beneficial interest) at any exceeds 10 of your total assets total the fair market value of time during the disclosure period more than 5 of the total assets all of your assets (including real property intangible property and or capital stock of one of the types of business entities listed above tangible personal property such as jewelry furniture etc) When You also must complete this part of the form for each of these types making this calculation do not subtract any liabilities (debts) that of businesses for which you are or were at any time during themay relate to the property Multiply the total figure by 10 to arrive disclosure period an officer director partner proprietor or agent at the disclosure threshold List only the intangibles that exceed (other than a resident agent solely for service of process) this threshold amount The value of a leased vehicle is the vehiclersquos If you have or held such a position or ownership interest in present value minus the lease residual (a number which can be one of these types of businesses list the name of the business its found on the lease document) Property that is only jointly owned address and principal business activity and the position held with property should be valued according to the percentage of your the business (if any) If you own(ed) more than a 5 interest in the joint ownership Property owned as tenants by the entirety or as business indicate that fact and describe the nature of your interest joint tenants with right of survivorship should be valued at 100 None of your calculations or the value of the property have to be PART G mdash TRAINING CERTIFICATIONdisclosed on the form

[Required by s 1123142 FS] Example You own 50 of the stock of a small corporation that is worth $100000 the estimated fair market value of If you are a Constitutional or elected municipal officer whoseyour home and other property (bank accounts automobile service began before March 31 of the year for which you are filing furniture etc) is $200000 As your total assets are worth you are required to complete four hours of ethics training which $250000 you must disclose intangibles worth over $25000 addresses Article II Section 8 of the Florida Constitution the Code Since the value of the stock exceeds this threshold you of Ethics for Public Officers and Employees and the public records should list ldquostockrdquo and the name of the corporation If your and open meetings laws of the state You are required to certify on accounts with a particular bank exceed $25000 you should this form that you have taken such training list ldquobank accountsrdquo and bankrsquos name

(

End of Percentage Thresholds Instructions) CE FORM 1 - Effective January 1 2020 Incorporated by reference in Rule 34-8202 FAC PAGE 6

  • 0 HP Cover Page v2
  • 1 Hawks Point Meeting Invite Draft v2
  • 2 Agenda Draft v3
  • 3 EXHIBIT 1
  • 7 HP 05-19-2020 Meeting Minutes Approved
  • 6 EXHIBIT 2
  • 9 HP May FY20 Fin
  • 8 EXHIBIT 3
  • 4 Vacant Position Qualification Requirements for Hawks Point CDD
    • Vacant Position on the Board of Supervisors of the Hawkrsquos Point Community Development District
      • Qualification Requirements
      • Instructions for Interested Candidates
      • Additional Notes
          • 5 Shami Choon Vacant Position - updated 11-5-11 resume
            • 1803 Oak Pond Street Ruskin Fl 33570 E-mailchoons27gmailcom
              • PROFESSIONAL HISTORY
                • Operations Manager Florida Distribution 2002 ndash 2005
                • Operations Manager for Florida Branch Distribution 1999 ndash 2002
                • Warehouse Manager of Miami Distribution Center 1998 ndash 1999
                • Branch Manager of West Palm Beach 1994 ndash 1998
                • Assistant Branch Manager 1991 ndash 1994
                • Customer Service Agent 1990 ndash 1991
                  • 10 EXHIBIT 4
                  • 11 New Business - Hawks Point CDD - MI proposal
                  • 12 EXHIBIT 5
                  • 13 CertaPro Proposal to Paint Exterior Wall 18th to 24th Avenue
                  • 14 Shazam Construction Proposal to Paint Exterior Wall 18th to 24th Street
                    • QUOTE
                      • TO
                          • 15 Photo to accompany Shazam Proposal
                          • 16 EXHIBIT 6
                          • 17 CertaPro Proposal for Pressure Washing Exterior Wall 18th St to 24th Street
                          • 18 Shazam Construction Proposal for Pressure Washing Exterion Wall 18th Street to 24th Street
                            • QUOTE
                              • TO
                                  • 19 EXHIBIT 7
                                  • 20 Form 1_2019i
                                      1. LAST NAME
                                      2. FIRST NAME
                                      3. MIDDLE NAME
                                      4. MAILING ADDRESS ROW 1
                                      5. MAILING ADDRESS ROW 2
                                      6. CITY
                                      7. ZIP
                                      8. COUNTY
                                      9. NAME OF AGENCY
                                      10. NAME OF OFFICE OR POSITION HELD OR SOUGHT
                                      11. CANDIDATE Off
                                      12. NEW EMPLOYEE OR APPOINTEE Off
                                      13. COMPARATIVE (PERCENTAGE) THRESHOLDS Off
                                      14. DOLLAR VALUE THRESHOLDS Off
                                      15. NAME OF SOURCE INCOME ROW 1
                                      16. ADDRESS ROW 1
                                      17. DESCRIPTION OF THE SOURCES PRINCIPAL BUSINESS ACTIVITY ROW 1
                                      18. NAME OF SOURCE INCOME ROW 2
                                      19. ADDRESS ROW 2
                                      20. DESCRIPTION OF THE SOURCES PRINCIPAL BUSINESS ACTIVITY ROW 2
                                      21. NAME OF SOURCE INCOME ROW 3
                                      22. ADDRESS ROW 3
                                      23. DESCRIPTION OF THE SOURCES PRINCIPAL BUSINESS ACTIVITY ROW 3
                                      24. NAME OF SOURCE INCOME ROW 4
                                      25. ADDRESS ROW 4
                                      26. DESCRIPTION OF THE SOURCES PRINCIPAL BUSINESS ACTIVITY ROW 4
                                      27. NAME OF BUSINESS ENTITY ROW 1
                                      28. NAME OF MAJOR SOURCES OF BUSINESS INCOME ROW 1
                                      29. ADDRESS OF SOURCE ROW 1
                                      30. PRINCIPAL BUSINESS ACTIVITY OF SOURCE ROW 1
                                      31. NAME OF BUSINESS ENTITY ROW 2
                                      32. NAME OF MAJOR SOURCES OF BUSINESS INCOME ROW 2
                                      33. ADDRESS OF SOURCE ROW 2
                                      34. PRINCIPAL BUSINESS ACTIVITY OF SOURCE ROW 2
                                      35. NAME OF BUSINESS ENTITY ROW 3
                                      36. NAME OF MAJOR SOURCES OF BUSINESS INCOME ROW 3
                                      37. ADDRESS OF SOURCE ROW 3
                                      38. PRINCIPAL BUSINESS ACTIVITY OF SOURCE ROW 3
                                      39. REAL PROPERTY ROW 1
                                      40. REAL PROPERTY ROW 2
                                      41. REAL PROPERTY ROW 3
                                      42. REAL PROPERTY ROW 4
                                      43. TYPE OF INTANGIBLE ROW 1
                                      44. BUSINESS ENTITY TO WHICH THE PROPERTY RELATES ROW 1
                                      45. TYPE OF INTANGIBLE ROW 2
                                      46. BUSINESS ENTITY TO WHICH THE PROPERTY RELATES ROW 2
                                      47. NAME OF CREDITOR ROW 1
                                      48. ADDRESS OF CREDITOR ROW 1
                                      49. NAME OF CREDITOR ROW 2
                                      50. ADDRESS OF CREDITOR ROW 2
                                      51. ADDRESS OF BUSINESS ENTITY 1
                                      52. PRINCIPAL BUSINESS ACTIVITY 1
                                      53. POSITION HELD WITH ENTITY 1
                                      54. I OWN MORE THAN A 5 INTEREST IN THE BUSINESS 1
                                      55. NATURE OF MY OWNERSHIP INTEREST 1
                                      56. ADDRESS OF BUSINESS ENTITY 2
                                      57. PRINCIPAL BUSINESS ACTIVITY 2
                                      58. POSITION HELD WITH ENTITY 2
                                      59. I OWN MORE THAN A 5 INTEREST IN THE BUSINESS 2
                                      60. NATURE OF MY OWNERSHIP INTEREST 2
                                      61. FOR ELECTED MUNICIPAL OFFICERS REQUIRED TO COMPLETE ANNUAL ETHICS TRAINING PURSUANT TO SECTION 112
                                        1. 3142 F
                                          1. S Off
                                              1. IF ANY OF PARTS A THROUGH G ARE CONTINUED ON A SEPARATE SHEET PLEASE CHECK HERE Off
                                              2. SIGNATURE
                                              3. Date Signed
Page 3: HAWKS POINT COMMUNITY DEVELOPMENT …...2020/06/16  · Hawks Point Community Development District Board of Supervisors Meeting Tuesday, June 16th at 6:30 PM via Zoom All: We welcome

Hawks Point Community Development District

Board of Supervisors Meeting

Tuesday June 16th at 630 PM

via Zoom

All

We welcome you to join us for the Board of Supervisors Meeting to be held on Tuesday June 16th at 630 PM This meeting will be held via Zoom an online platform that allows us to hold necessary Board meetings without having to leave the safety of your home With Zoom you have two options for joining the meeting telephone or computer and it will all be audio based meaning no video recording Please follow the instructions below for either telephone or computer attendance If you have any questions in regard to the agenda please email them to raymondlotitodpfgcom before the meeting so that they can be answered accordingly We request that all participants mute their microphones Thank you for your patience in these trying times and we look forward to hearing from you

Join Zoom Meeting by Computer

httpsus02webzoomusj84458893991pwd=NEdQT3V2ZWN3WDF3WEwrVXVzODJWUT09

Meeting ID 844 5889 3991

Password 665082

Join Zoom Meeting by Phone

Dial by your location ndash Follow the Prompts ndash Meeting ID ndash 844 5889 3991 ndash Hit when it requests a participant ID

+1 253 215 8782 US +1 301 715 8592 US +1 346 248 7799 US (Houston) +1 929 205 6099 US (New York) +1 312 626 6799 US (Chicago) +1 669 900 6833 US (San Jose)

Page 1 of 3

District HAWKS POINT COMMUNITY DEVELOPMENT DISTRICT

Date of Meeting Tuesday June 16 2020 Time 630 PM Location Via Electronic Teleconference

Zoom Link httpsus02webzoomusj84458893991pwd=NEdQT3V2ZWN3WDF3WEwrVXVzODJWUT09

Meeting ID 844 5889 3991 Password 665082

Agenda

I Roll Call

II Audience Comments On Agenda Items ndash (limited to 3 minutes per individual)

III Landscape amp Pond Maintenance Reports

A LMP Landscape amp Irrigation Monthly Report To be Distributed

B Pond Maintenance Report-Stantec To be Distributed

IV Consent Agenda

A Consideration and Approval of Minutes of the May 19 2020 Regular Meeting

Exhibit 1

B Acceptance of the Unaudited May 2020 Financial Statements Exhibit 2

Page 2 of 3

V Administrative Matters

A Consideration of Resume from Shami Choon and Vacant Seat Qualification Requirements

Exhibit 3

VI Business Matters A New Business

1 Consideration of LMP Irrigation Controller 4 Repairs Proposal ndash Estimate No 66077 - $6230

Exhibit 4

2 Consideration of Exterior Wall Painting Proposals Exhibit 5

CertaPro Painters Proposal TBE8F30154 - $1132900

Shazam Construction Proposal - $1270000

3 Consideration of Exterior Wall Pressure Washing Proposals Exhibit 6

CertaPro Painters Proposal TB443B00157 - $195000

Shazam Construction Proposal - $160000

B Old Business

Page 3 of 3

VII Staff Reports

A District Manager Form 1 Statement of Financial Interests Reminder Exhibit 7

B District Counsel

District Counsel Update on Property Ownership

C District Engineer

VIII Supervisors Requests

IX Audience Comments ndash New Business ndash (limited to 3 minutes per individual for non-agenda items)

X Adjournment

EXHIBIT 1

MINUTES OF MEETING 1

HAWKS POINT 2

COMMUNITY DEVELOPMENT DISTRICT 3

The Regular Meeting of the Board of Supervisors of the Hawks Point Community Development 4 District was held on Tuesday May 19 2020 at 630 pm via electronic teleconference 5

FIRST ORDER OF BUSINESS ndash Roll Call 6

Mr Lotito called the meeting to order and conducted roll call 7

Present and constituting a quorum were 8

Chantal Copeland Board Supervisor Chairwoman 9 Sherri Keene Board Supervisor Vice Chairwoman 10 William Hathaway Board Supervisor Assistant Secretary 11 Caryn Williams Board Supervisor Assistant Secretary 12

Also present were 13

Ray Lotito District Manager DPFG Management amp Consulting LLC 14 Vivek Babbar District Counsel Straley Robin Vericker 15 Paul Gomez Landscape Maintenance Professionals Inc 16 David Manfrin Landscape Maintenance Professionals Inc 17 Mitchell Moore Stantec Engineering 18 Adam Markle Stantec Engineering 19 Joe Hamilton Steadfast Environmental 20 Cary Brown Hawks Point Resident 21

The following is a summary of the discussions and actions taken at the May 19 2020 Hawks Point CDD 22 Board of Supervisors Regular Meeting 23

SECOND ORDER OF BUSINESS ndash Audience Comments 24

Ms Brown indicated that she had sent in a list of questions for the Board regarding items on the 25 agenda Mr Lotito clarified in response that the electric meters were for irrigation pumps advised 26 that the Board was required to hire a District management firm with a number of responsibilities 27 dictated under Florida Statute 190 and addressed concerns regarding contract renewals 28

THIRD ORDER OF BUSINESS ndash Landscape amp Pond Maintenance Reports 29

A LMP Landscape amp Irrigation Monthly Report 30

Ms Brown asked about treatments used and Mr Gomez clarified that they were not Roundup 31

B Pond Maintenance Report ndash Stantec 32

FOURTH ORDER OF BUSINESS ndash Administrative Matters ndash Consent Agenda 33

A Exhibit 1 Consideration and Approval of Minutes of the April 21 2020 Meeting 34

B Exhibit 2 Acceptance of the Unaudited April 2020 Financial Statements 35

On a MOTION by Ms Copeland SECONDED by Ms Keene WITH ALL IN FAVOR the Board 36 approved Items A ndash B of the Consent Agenda for the Hawks Point Community Development District 37

FIFTH ORDER OF BUSINESS ndash Business Matters 38

A New Business 39

1 Exhibit 3 Presentation and Discussion of the FY 2021 Budget 40

Hawks Point CDD May 19 2020

Regular Meeting Page 2 of 3

2 Exhibit 4 Consideration and Adoption of Resolution 2020-02 Approving Proposed 41

Budget and Setting Public Hearing for Final Budget 42

On a MOTION by Mr Hathaway SECONDED by Ms Copeland WITH ALL IN FAVOR the Board 43 adopted Resolution 2020-02 Approving Proposed Budget and Setting Public Hearing for Final Budget 44 for the Hawks Point Community Development District 45

3 Exhibit 5 Hillsborough County Number of Registered Voters for Hawks Point ndash 1554 46

4 Exhibit 6 Consideration of Steadfast Environmental Proposal for Pond Plantings ndash No 47 98 - $450000 48

Mr Lotito indicated that this item was to improve quality of storm water discharge and to 49 proactively prevent erosion and noted that the plantings had been budgeted for multiple 50 years but never implemented Mr Hamilton gave an overview of areas for planting and 51 types of plants noting that budget restrictions may lead to the Board needing to prioritize 52 areas Discussion ensued 53

On a MOTION by Mr Hathaway SECONDED by Ms Williams WITH ALL IN FAVOR the Board 54 approved the Steadfast Environmental Proposal for Pond Plantings in the amount of $450000 for the 55 Hawks Point Community Development District 56

5 Exhibit 7 Consideration of LMP Proposal for Palm Trimming ndash No 65827 - $81900 57

This item was tabled to the next meeting pending determination of property ownership 58 by District Counsel 59

B Old Business 60

1 Exhibit 8 Consideration of the Stantec Proposal for Landscape Design for Improvement 61 of Monuments and Common Areas - $1275000 62

Mr Markle gave an overview of the proposal in terms of the scope of landscape design 63 and contractor oversight A resident indicated that she felt the cost of the proposal for 64 design was excessive Discussion ensued 65

On a MOTION by Ms Copeland SECONDED by Ms Williams WITH ALL IN FAVOR the Board 66 approved the Stantec Proposal for Landscape Design for Improvement of Monuments and Common 67 Areas in the amount of $1275000 for the Hawks Point Community Development District 68

2 Exhibit 9 Consideration of LMP Proposals 69

Replace Faulty Hunter 1 Station Decoder ndash Estimate No 64891 - $21050 70

Repair Controller 1 ndash Estimate No 64935 - $19100 71

Repair Controller 3 ndash Estimate No 64936 - $10600 72

Repair Controller 5 ndash Estimate No 64937 - $2900 73

On a MOTION by Mr Hathaway SECONDED by Ms Keene WITH ALL IN FAVOR the Board 74 approved all LMP repair and replacement proposals for the Hawks Point Community Development 75 District 76

Hawks Point CDD May 19 2020

Regular Meeting Page 3 of 3

SIXTH ORDER OF BUSINESS ndash Staff Reports 77

A District Manager 78

There being none the next item followed 79

B District Counsel 80

Mr Babbar noted that District Engineering had recommended an irrigation specialist and that a 81 proposal from the specialist would be forthcoming 82

C District Engineer 83

There being none the next item followed 84

SEVENTH ORDER OF BUSINESS ndash Supervisors Requests 85

There being none the next item followed 86

EIGHTH ORDER OF BUSINESS ndash Audience Comments ndash New Business 87

A resident asked about the ownership of a conservation area at 18th and Hawks Island and Mr 88 Hathaway indicated that this was CDD property The resident noted that the conservation area 89 had been overgrown onto the sidewalk 90

NINTH ORDER OF BUSINESS ndash Adjournment 91

Mr Lotito asked for final questions comments or corrections before requesting a motion to 92 adjourn the meeting There being none Mr Hathaway made a motion to adjourn the meeting 93

On a MOTION by Mr Hathaway SECONDED by Ms Williams WITH ALL IN FAVOR the Board 94 adjourned the meeting for the Hawks Point Community Development District 95

Each person who decides to appeal any decision made by the Board with respect to any matter 96 considered at the meeting is advised that person may need to ensure that a verbatim record of the 97 proceedings is made including the testimony and evidence upon which such appeal is to be based 98

Meeting minutes were approved at a meeting by vote of the Board of Supervisors at a publicly noticed 99 meeting held on ________________________ 100

101

Signature Signature

102

Printed Name Printed Name

Title Secretary Assistant Secretary Title Chairman Vice Chairman 103

EXHIBIT 2

Hawks Point

Community Development District

Financial Statements

(Unaudited)

Period Ending

May 31 2020

DEBT

GENERAL SERVICE CONSOLIDATED

FUND SERIES 2017 TOTAL

1 ASSETS

2

3 CASH 66142$ -$ 66142$

4 MMK 456665 - 456665

5 INVESTMENTS

6 REVENUE FUND - 203538 203538

7 INTEREST FUNDS - 195 195

8 PRINCIPAL FUNDS - - -

9 SINKING FUNDS - 1 1

11 RESERVE - 266003 266003

12 ACCOUNTS RECEIVABLE 2588 - 2588

13 ASSESMENTS RECEIVABLE 2781 3237 6018

14 DUE FROM GF - 172 172

15 PREPAID ITEMS - - -

16 DEPOSITS 451 - 451

17 TOTAL ASSETS 528627$ 473145$ 1001772$

18

19 LIABILITIES

20

21 ACCOUNTS PAYABLE 537$ -$ 537$

22 DUE TO DEBT SERVICE SERIES 2017 172 - 172

23 ACCRUED INTEREST PAYABLE DS 2017 - - -

24 DEFERRED REVENUE 2781 3237 6018

26

27 FUND EQUITY

28

29 RESTRICTED FOR

30 DEBT SERVICE - 469908 469908

32 ASSIGNED 1 QTR OPER 71304 - 71304

33 ASSIGNED FY 2018 INC IN RESERVES 15650 - 15650

34 ASSIGNED FY 2019 INC IN RESERVES 22500 - 22500

35 UNASSIGNED 415683 - 415683 36

37 TOTAL LIABILITIES amp FUND EQUITY 528627$ 473145$ 1001772$

Hawks Point CDDBalance Sheet

May 31 2020

Note GASB 34 government wide financial statements are available in the annual independent audit of the District The audit is

available on the website and upon request

Page 2

FY2020 VARIANCE

ADOPTED BUDGET ACTUAL FAVORABLE

BUDGET YEAR-TO-DATE YEAR-TO-DATE (UNFAVORABLE)

1 REVENUE

2

3 ASSESSMENT ON ROLL (NET) 453615$ 453615$ 450924$ (2691)$

4 ASSESSMENT ON ROLL EXCESS FEES - - - -

5 INTEREST REVENUE - - 1594 1594

6 MISCELLANEOUS REVENUE - - - -

7 ELECTRICITY COST SHARE WITH THE HOA 1600 1067 2633 1566

8 TOTAL REVENUE 455215 454682 455152 470

9

10 EXPENDITURES

11

12 ADMINISTRATIVE

13 BOARD OF SUPERVISORS 12000 8000 5539 2461

14 PAYROLL TAXES 918 612 503 109

15 PAYROLL SERVICE FEE 625 417 392 25

16 MANAGEMENT CONSULTING SERVICES 40000 26667 26667 -

17 GENERAL ADMINISTRATIVE 4800 3200 3200 -

18 MISCELLANEOUS 500 333 - 333

19 AUDITING 3200 3200 - 3200

20 REGULATORY AND PERMIT FEES 175 175 175 -

21 LEGAL ADVERTISEMENTS 1500 1000 1386 (386)

22 ENGINEERING SERVICES 5000 3333 1896 1437

23 LEGAL SERVICES - GENERAL 7500 5000 2895 2105

24 WEBSITE ADMINISTRATION 2265 2165 1749 416

25 TOTAL ADMINISTRATIVE 78483 54102 44401 9701

26

27 INSURANCE

28 INSURANCE (Liability Property amp Casualty) 6050 6050 5638 412

29 TOTAL INSURANCE 6050 6050 5638 412

30

31 DEBT SERVICE ADMINISTRATION

32 DISSEMINATION AGENT 1000 1000 1000 -

33 TRUSTEE FEES 10500 - - -

34 TRUST FUND ACCOUNTING 1500 1000 1000 -

35 ARBITRAGE 650 - - -

36 ASSESSMENT ADMINISTRATION 5000 5000 5000 -

37 TOTAL DEBT SERVICE ADMINISTRATION 18650 7000 7000 -

38

39 UTILITIES

40 ELECTRICITY-IRRIGATION 2928 1952 1191 761

41 TOTAL UTILITIES 2928 1952 1191 761

42

43 FIELD OPERATIONS

44 IRRIGATION MAINTENANCE amp REPAIRS 10000 6667 3960 2706

45 POND MONITORING amp MAINTENANCE 17700 10325 10325 -

46 POND PLANTINGS 5000 5000 - 5000

47 WETLAND MONITORING 7120 5340 1780 3560

48 LANDSCAPE MAINTENANCE 129000 86000 88400 (2400)

49 LANDSCAPE REPLENISHMENT 119898 79932 6520 73412

50 TREE TRIMMING 16800 11200 - 11200

51 STREETLIGHTS 2000 1333 - 1333

52 MISCELLANEOUS FIELD EXPENSES 18586 12391 8886 3504

53 CAPITAL PROJECTS - WELL DRILLING amp PUMP INSTALL - - 18165 (18165)

54 RESERVE - PAINT PERIMITER WALL - - 6350 (6350)

55 TOTAL FIELD OPERATIONS 326104 218188 144386 73802

Hawks Point

General Fund

Statement of Revenues Expenditures and Changes in Fund Balance

For the period from October 1 2019 through April 30 2020

Preliminary

Page 3

FY2020 VARIANCE

ADOPTED BUDGET ACTUAL FAVORABLE

BUDGET YEAR-TO-DATE YEAR-TO-DATE (UNFAVORABLE)

Hawks Point

General Fund

Statement of Revenues Expenditures and Changes in Fund Balance

For the period from October 1 2019 through April 30 2020

Preliminary

56

57 TOTAL EXPENDITURES BEFORE RESERVES 432215 287292 202616 84675

58

59 INCREASE FOR RESERVES 23000 - - -

60 INCREASE IN FUND BALANCE - - - -

61

62

63 TOTAL EXPENDITURES AFTER RESERVE 455215 287292 202616 84675

64

65 EXCESS OF REVENUE OVER (UNDER) EXPENDITURES - 167390 252535 85145

66

67 FUND BALANCE - BEGINNING 269666 269666 272602 272602

68 DECREASE IN FUND BALANCE - - - -

69 INCREASE IN RESERVE 23000 - - -

70 FUND BALANCE - ENDING 292666$ 437056$ 525137$ 357747$

71

72

73 FY 2018FY 2019 - Irrigation System Grounding Phased 15544$

74 FY 2018 - Perimieter Wall Paint Applications 5815

75 FY 2019 - Reserve Study Update 1100

77 FY 2020 - Irrigation System-Clocks 6442

Total Replacement Expenses for Reserves 28901$

Reserve Expenditure Components

Page 4

FY 2020 VARIANCE

ADOPTED BUDGET ACTUAL FAVORABLE

BUDGET YEAR-TO-DATE YEAR-TO-DATE (UNFAVORABLE)

1 REVENUE

2 ASSESSMENTS - ON-ROLL (Gross) 561051$ 527388$ 524922$ (2466)$

3 ASSESSMENTS - ON-ROLL EXCESS FEES - - - -

4 FUND BALANCE FORWARD - - - -

5 INTEREST - INVESTMENT - - 3703 3703

6 DISCOUNT (22442) - - -

7 TOTAL REVENUE 538609 527388 528624 1236

8

9

10 EXPENDITURES

11

12 PRINCIPAL

13 512020 235000 - 235000 (235000)

14 INTEREST EXPENSE

15 1112019 - - 144238 (144238)

16 512020 144238 - 144238 (144238)

17 1112020 140075 - - -

18 COUNTY COLLECTION CHARGES 11221 - - -

19 TOTAL EXPENDITURES 530534 - 523475 (523475)

20

21 EXCESS OF REVENUE OVER (UNDER) EXPENDITURES 8075 527388 5149 (522239)

22

23 OTHER FINANCING SOURCES (USES)

24 TRANSFER IN - - - -

25 TRANSFER OUT (USES) - - - -

26 TOTAL OTHER FINANCING SOURCES (USES) - - - -

27

28 NET CHANGE IN FUND BALANCE 8075 527388 5149 (522239)

29

30 FUND BALANCE - BEGINNING - - 464759 464759

31 FUND BALANCE APPROPRIATED - - - -

32

33 FUND BALANCE - ENDING 8075$ 527388$ 469908$ (57480)$

Hawks Point CDD

Debt Service - Series 2017

Statement of Revenues Expenditures and Changes in Fund Balance

For the period from October 1 2019 through April 30 2020

Page 5

Bank United

Balance Per Bank Statement 7549415$

Plus Deposits in Transit -

Less Outstanding Checks (935250)

Adjusted Bank Balance 6614165$

Beginning Bank Balance Per Books 4251943$

Cash Receipts 5000350

Cash Disbursements (2638128)

Balance Per Books 6614165$

Hawks Point CDD

Bank Reconciliation (GF)

May 31 2020

Page 6

Date Num Name Memo Receipts Disbursements Balance

Bank United EOY Balance 9460943

10012019 9035 DPFG MANAGEMENT amp CONSULTING LLC CDD Mgmt - October 385833 9075110

10022019 Hawks Point West HOA 2019-245- HPW 18866 9093976

10082019 646 Hawks Point HOA 2019245 - HPA 21225 9115201

10082019 Hawks Point West HOA 201956 - HPW 208516 9323717

10082019 1115 Egis Insurance amp Risk Advisors Ins - FY 2020 563800 8759917

10112019 9036 JAYMAN ENTERPRISES LLC Replace Bulbs at Entrances Rcvd 10119 23000 8736917

10112019 9037 Landscape Maintenance Professionals Inc Landscape Maint - October 1105000 7631917

10162019 1116 FLORIDA DEPT OF ECONOMIC OPPORTUNIT Annual Filing FY 2020 17500 7614417

10182019 9041 TAMPA BAY TIMES Legal Ad - Meeting Schedule 55200 7559217

10212019 9038 DPFG MANAGEMENT amp CONSULTING LLC Special Assessment - FY 2020 Continuing Disclosure ADA Compliance 650000 6909217

10212019 9039 JAYMAN ENTERPRISES LLC Replace Bulbs 7000 6902217

10212019 9040 STANTEC CONSULTING SERVICES INC Lake amp Pond Maint - Sept 10500 6891717

10242019 ACH102419 TAMPA ELECTRIC 830-930 - 1416 Little Hawk Dr 7637 6884080

10242019 ACH1024192 TAMPA ELECTRIC 830-930 - 2160 Golden Falcon Dr 7083 6876997

10242019 000652 Hawks Point HOA 20197-HPA 4921 6881918

10252019 694003DD ANDREW HERON Bos Mtg - 101519 18470 6863448

10252019 ACH102519 Innovative Employer Soltuions Bos Mtg - 101519 17140 6846308

10252019 694005DD KAREN OBRIEN Bos Mtg - 101519 18470 6827838

10252019 694004DD SHERRI KEENE Bos Mtg - 101519 18470 6809368

10252019 694002DD WILLIAM J HATHAWAY Bos Mtg - 101519 18470 6790898

10312019 Bank United Interest 691 6791589

Bank United EOM Balance 254219 2923573 6791589

11012019 9042 DPFG MANAGEMENT amp CONSULTING LLC CDD Mgmt - November 385833 6405756

11012019 9043 STANTEC CONSULTING SERVICES INC Lake amp Pond Maint - Pond 201-19 amp 21 - Sept 274000 6131756

11012019 9044 STRALEY ROBIN VERICKER Legal Svcs thru 101519 65999 6065757

11122019 1117 HAWKS POINT CDD DS 2017 Tax Collection Share co Wells Fargo 762290 5303467

11152019 9045 Landscape Maintenance Professionals Inc Landscape Maint - November amp Irrigation Repairs 1229369 4074098

11152019 9046 STANTEC CONSULTING SERVICES INC Lake amp Pond Maint - Oct 333600 3740498

11202019 9048 TAMPA BAY TIMES Legal Ad - Audit Meeting 42050 3698448

11222019 9047 STANTEC CONSULTING SERVICES INC Lake amp Pond Maint - Pond 20 - Oct 10500 3687948

11252019 ACH1125191 TAMPA ELECTRIC 101-1030 - 1416 Little Hawk Dr 7431 3680517

11252019 ACH1125192 TAMPA ELECTRIC 101-1030 - 2160 Golden Falcon Dr 8753 3671764

11292019 703783DD ANDREW HERON Bos Mtg - 111919 18470 3653294

11292019 ACH112919 Innovative Employer Soltuions Bos Mtg - 111919 20200 3633094

11292019 703785DD KAREN OBRIEN Bos Mtg - 111919 18470 3614624

11292019 703781DD MARIE CHANTAL COPELAND Bos Mtg - 111919 18470 3596154

11292019 703784DD SHERRI KEENE Bos Mtg - 111919 18470 3577684

11292019 703782DD WILLIAM J HATHAWAY Bos Mtg - 111919 18470 3559214

11302019 Bank United Interest 450 3559664

Bank United EOM Balance 450 3232375 3559664

12022019 9049 DPFG MANAGEMENT amp CONSULTING LLC CDD Mgmt - December 385833 3173831

12042019 694 Hawks Point HOA 20198-HPA 5105 3178936

12042019 503 Hawks Point West HOA 20197-HPW amp 20198-HPW 7388 3186324

12042019 1118 Site Masters of Florida LLC Investigation of pipe discharge Townhome Yard Drain Blockage 150000 3036324

12112019 9050 Illuminations Holiday Lighting Electrical Fix Holiday Lights - Deposit 261250 2775074

12132019 Bank United Funds Transfer - MMK to Opt Acct 4500000 7275074

12132019 Bank United Funds Transfer - MMK to Opt Acct 50834407 58109481

12162019 9055 TAMPA BAY TIMES Legal Ad - RFP Auditing Svc 36100 58073381

12182019 9051 Flatwoods Environmental Cut amp Dispose Brazilian Pepper 396500 57676881

12182019 9052 Landscape Maintenance Professionals Inc Landscape Maint - December 1105000 56571881

12182019 9053 STANTEC CONSULTING SERVICES INC Misc Environmental Services 137000 56434881

12182019 9054 STRALEY ROBIN VERICKER Legal Svcs thru 111519 57500 56377381

12182019 1119 HAWKS POINT CDD DS 2017 Tax Collection Share co Wells Fargo 49544765 6832616

12182019 1120 Innersync ADA Compliant website 124942 6707674

12262019 ACH1226191 TAMPA ELECTRIC 1031-122 - 2160 Golden Falcon Dr 8771 6698903

12262019 ACH1226192 TAMPA ELECTRIC 1031-1202 - 1416 Little Hawk Dr 9315 6689588

12272019 711993DD ANDREW HERON Bos Mtg - 121719 18470 6671118

12272019 ACH122719 Innovative Employer Soltuions Bos Mtg - 121719 20200 6650918

12272019 711995DD KAREN OBRIEN Bos Mtg - 121719 18470 6632448

12272019 711991DD MARIE CHANTAL COPELAND Bos Mtg - 121719 18470 6613978

12272019 711994DD SHERRI KEENE Bos Mtg - 121719 18470 6595508

12272019 711992DD WILLIAM J HATHAWAY Bos Mtg - 121719 18470 6577038

12312019 Bank United Interest 3091 6580129

Bank United EOM Balance 55349991 52329526 6580129

01022020 9056 DPFG MANAGEMENT amp CONSULTING LLC CDD Mgmt - January 385833 6194296

01082020 9057 Landscape Maintenance Professionals Inc Station decoders 82908 6111388

01082020 9058 STRALEY ROBIN VERICKER Legal Svcs thru 121519 10000 6101388

01102020 9159 Landscape Maintenance Professionals Inc Landscape Maint - January 1105000 4996388

01102020 9160 Mike White LLC Entry Monument repair 54119 4942269

01132020 1121 HAWKS POINT CDD DS 2017 Tax Collection Share co Wells Fargo 868256 4074013

01172020 9161 Illuminations Holiday Lighting Holiday Lights - Balance Due 231250 3842763

01172020 000534 Hawks Point West HOA 20201-HPW 4493 3847256

01272020 1122 STANTEC CONSULTING SERVICES INC Pond Maint - December Engineering Svcs thru 122719 353400 3493856

01272020 ACH012720 TAMPA ELECTRIC 123-1231 - 2160 Golden Falcon Dr 8116 3485740

01272020 ACH0127202 TAMPA ELECTRIC 1203-1231 - 1416 Little Hawk Dr 6682 3479058

01312020 072704 Innovative Employer Soltuions Bos Mtg - 12120 17140 3461918

01312020 721948DD KAREN OBRIEN Bos Mtg - 12120 18470 3443448

01312020 721945DD MARIE CHANTAL COPELAND Bos Mtg - 12120 18470 3424978

01312020 721947DD SHERRI KEENE Bos Mtg - 12120 18470 3406508

01312020 721946DD WILLIAM J HATHAWAY Bos Mtg - 12120 18470 3388038

01312020 Bank United Interest 1406 3389444

Bank United EOM Balance 5899 3196584 3389444

02052020 1124 DPFG MANAGEMENT amp CONSULTING LLC CDD Mgmt - February 385833 3003611

02052020 1125 Landscape Maintenance Professionals Inc Landscape Maint - February 1105000 1898611

02052020 1126 TAMPA ELECTRIC 101-1030 - 1416 Little Hawk Dr 308 1898303

02252020 1127 Landscape Maintenance Professionals Inc Landscape Maint - March 1105000 793303

02252020 02252020ACH TAMPA ELECTRIC 11-130 - 1416 Little Hawk Dr 7840 785463

02252020 02252020ACH TAMPA ELECTRIC 11-130 - 2160 Golden Falcon Dr 9092 776371

02282020 02182020ACH Innovative Employer Soltuions Bos Mtg - 21820 14080 762291

02282020 730271DD MARIE CHANTAL COPELAND Bos Mtg - 21820 18470 743821

02282020 730273DD SHERRI KEENE Bos Mtg - 21820 18470 725351

02282020 7302272DD WILLIAM J HATHAWAY Bos Mtg - 21820 18470 706881

02292020 Bank United Interest 203 707084

HAWKS POINT CDDCASH REGISTER

FY 2020

Page 7

Date Num Name Memo Receipts Disbursements Balance

HAWKS POINT CDDCASH REGISTER

FY 2020

Bank United EOM Balance 203 2682563 707084

03042020 1128 DPFG MANAGEMENT amp CONSULTING LLC CDD Mgmt - March 385833 321251

03122020 1129 STANTEC CONSULTING SERVICES INC Engineering Svcs thru 012420 73950 247301

03122020 ACH032520 TAMPA ELECTRIC 13120 - 22820 - 2160 Golden Falcon Dr 8527 238774

03122020 ACH0325202 TAMPA ELECTRIC 013120 - 22820 - 1416 Little Hawk Dr 6592 232182

03192020 BankUnited Funds Transfer 5000000 5232182

03192020 1130 HAWKS POINT CDD DS 2017 Tax Collection Share co Wells Fargo thru 030420 1437199 3794983

03242020 1131 Landscape Maintenance Professionals Inc Pencil Pruning of Crape Myrtles Landscape Maint -042020 1360500 2434483

03242020 1132 STANTEC CONSULTING SERVICES INC Pond Maint - January Feb 295000 2139483

03242020 1133 STRALEY ROBIN VERICKER Legal Svcs thru 021520 23250 2116233

03272020 1134 DPFG MANAGEMENT amp CONSULTING LLC CDD Mgmt - April 2020 385833 1730400

03272020 1135 Landscape Maintenance Professionals Inc Irrigation Inspection repairs 74858 1655542

03312020 BankUnited Interest 200 1655742

Bank United EOM Balance 5000200 4051542 1655742

04082020 1136 Accurate Drilling Solutions Service call - 032520 - Replacement for Controller on pump 4 60234 1595508

04082020 1137 STANTEC CONSULTING SERVICES INC Engineering Svcs thru 032020 61250 1534258

04082020 1138 STRALEY ROBIN VERICKER Legal Svcs thru 031520 93270 1440988

04082020 1139 TAMPA ELECTRIC 229-330 - Electricity 16915 1424073

04162020 1140 HAWKS POINT CDD DS 2017 Tax Collection Share co Wells Fargo thru 041320 298431 1125642

04232020 BankUnited Funds Transfer 5000000 6125642

04232020 1141 Accurate Drilling Solutions Well Drilling and new pump system installation 1816480 4309162

04282020 1142 STRALEY ROBIN VERICKER Legal Svcs thru 041520 57460 4251702

04302020 BankUnited Interest 241 4251943

Bank United EOM Balance 5000241 2404040 4251943

05012020 1143 DPFG MANAGEMENT amp CONSULTING LLC CDD Mgmt - May 2020 385833 3866110

05012020 ACH050120 Innovative Employer Soltuions Bos Mtg - 42120 14080 3852030

05012020 747666DD MARIE CHANTAL COPELAND Bos Mtg - 42120 18470 3833560

05012020 747667DD WILLIAM J HATHAWAY Bos Mtg - 42120 18470 3815090

05012020 747668DD SHERRI KEENE Bos Mtg - 42120 18470 3796620

05082020 ACH050820 Innovative Employer Soltuions Bos Mtg - 42120 8620 3788000

05082020 1 Caryn Williams BOS 04212020 18470 3769530

05112020 1144 Landscape Maintenance Professionals Inc Landscape Maint -052020 1105000 2664530

05112020 1145 STANTEC CONSULTING SERVICES INC Engineering Svcs thru 042420 25400 2639130

05112020 1146 TAMPA ELECTRIC 330-429 - Electricity 19915 2619215

05212020 1147 BUSINESS OBSERVER Legal Ad - Notice of Qualifying Period 51520 5250 2613965

05212020 1148 CertaPro Painters Paint exterior wall 24th to 30th Street 635000 1978965

05212020 1149 STANTEC CONSULTING SERVICES INC Pond Maint - March-April 295000 1683965

05292020 BankUnited Funds Transfer 5000000 6683965

05292020 755486DD Caryn Williams Bos Mtg - 51920 18470 6665495

05292020 ACH052920 Innovative Employer Soltuions Bos Mtg - 51920 14740 6650755

05292020 755485DD SHERRI KEENE Bos Mtg - 51920 18470 6632285

05292020 755484DD WILLIAM J HATHAWAY Bos Mtg - 51920 18470 6613815

05312020 BankUnited Interest 350 6614165

Bank United EOM Balance 5000350 2638128 6614165

Page 8

EXHIBIT 3

Vacant Position on the Board of Supervisors of the Hawkrsquos Point Community Development District The Hawkrsquos Point Community Development District (CDD) is soliciting interested candidates to fill a vacant position on the Board of Supervisors of the CDD (Board) The CDD is a local unit of special-purpose government which is created pursuant to Chapter 190 Florida Statutes The Board is comprised of 5 members who are public officials who are normally elected on the November General Elections who serve in staggered terms The vacancy is a result of a resignation of a board member due to a relocation The remaining term of the vacant supervisorrsquos seat is through November 2022

Qualification Requirements

1 Resident of the CDD

2 At least 18 years of age

3 Citizen of the United States

4 Legal resident of Florida and of the CDD

5 Registered to vote with the Hillsborough County Supervisor of Elections

Instructions for Interested Candidates

Interested candidates must submit a letter of interest and resume to Raymondlotitodpfgcom by 4 pm on Friday June 5 2020 The subject line in the email should read ldquoVacant Position on the Board of Supervisors of the Hawkrsquos Point CDDrdquo

The Letter of Interest must contain

1 A statement stating why you believe you are well suited for the position

2 Your vision for the CDD and what you would like to see the Community evolve into Please be specific

The Resume must contain

1 Your academic background and professional experience

2 Previous and current experience with governmental agencies and governing boards

Interested candidates should attend the Board meeting on Tuesday June 16 2020 at 630 pm and present a brief presentation about themselves and be prepared for a brief question and answer period with the current Board members

Additional Notes

The current Board members will discuss the candidates and may make an appointment at the June meeting If the Board cannot come to a consensus on one candidate or if they determine to not appoint any candidate to the vacant seat they may revisit the vacancy at a future meeting or leave the seat vacant until the November 2022 General Election

Please note that the person appointed to serve in the vacant seat will be required to submit a financial disclosure statement to the State and will be subject to Floridarsquos Government in the Sunshine Laws Public Records laws and Ethics laws

1

Sookdeo (Shami) Choon Phone number (813) 731-5564 1803 Oak Pond Street Ruskin Fl 33570 E-mailchoons27gmailcom

PROFESSIONAL HISTORY Firkins GroupGarber Nissan December 2013 to Present Commercial Vehicle Sales ManagerFinance Manager Auto Nation From January 2006 to December 2013 Sales 2006- 2007 Finance Manager 2007- 2008 Sales Manager Training Manager 2008-2009 Sales Finance 2009- 2011 Commercial Sales Manager Finance Manager 2011- 2020 Parts Depot Inc From 1990 to 2005 ___________________________________________________________________________________________ Operations Manager Florida Distribution 2002 ndash 2005 bull Responsible for total inventory control of all Florida warehouses frac12 of the corporationrsquos revenue bull Directed top management to complete acquisition consolidations which resulted in the corporationrsquos

expansion bull Managed all Florida branch warehouse managers and employees totaling 200 employees bull Increased productivity and shipping efficiency in all departments developed new delivery logistics

improved product availability to all customers as well a hired and efficiently trained employees bull Reviewed all customer service statistics daily and contacted customer directly on all issues bull Reviewed PampLrsquos for all units monthly bull Presented weekly productivity and financial reports to senior management bull Directed DOT monthly guidelines maintained driver files in accordance with DOT regulations and

implemented loss prevention programs Operations Manager for Florida Branch Distribution 1999 ndash 2002 bull Improved customer service by increasing product availability to customers by implementing new

delivery logistics bull Developed employee training implemented safety awareness and monthly safety programs Warehouse Manager of Miami Distribution Center 1998 ndash 1999 bull Developed and implemented productivity guidelines implemented delivery cost saving programs

and improved product availability to the corporationrsquos customers Branch Manager of West Palm Beach 1994 ndash 1998 bull Responsible for the opening of this new branch set the building layout as well as the delivery and

logistics systems

2

bull Increased sales by 80 over budget and kept operating cost as of sales Implemented new customer service department Hired and trained all employees

Assistant Branch Manager 1991 ndash 1994 bull Increased productivity by 20 and improved delivery service Customer Service Agent 1990 ndash 1991 bull Created and implemented customer service guidelines Wingate Automotive Group 1987ndash 1990 Trinidad amp Tobago Government National Security 1984- 1987 Field Operation

EXHIBIT 4

PO Box 267 Seffner FL 33583 O 813-757-6500 F 813-757-6501 Estimate

Submitted To Hawks Point CDD 250 International Parkway Suite 280 Lake Mary FL 32746

CDD - controller 4 - zones 1 and 2

Date 5232020

Estimate 66077

LMP REPRESENTATIVE

DG-TI

PO

W ork Order

DESCRIPTION QTY COST TOTAL

Controller 4 34 inch poly pipe 34 inch poly pipe clamps Labor 2 men $ 8500 per hour

Irrigation inspection repairs needed Repair 6 - 34 inch poly pipe line leaks

6 12 05

072 129

8500

432 1548 4250

TERMS AND CONDITIONS TOTAL $6230

LMP reserves the right to withdraw this proposal if not accepted within 30 days of the date listed above Any alteration or deviation to scope of work involving additional costs must be agreed upon in writing as a separate proposal or change order to this proposal Periodic invoices may be submitted if job is substantial in nature with final invoice being submitted at completion of project Any work performed requiring more than 5 days to complete is subject to progressive payments as portions of the work are completed No finance charge will be imposed if the total of said work is paid in full within 30 days of invoice date If not paid in full within 30 days then customer is subject to finance charges on the balance of the work from the invoice date at a rate of 15 per month until paid LMP shall have the right to stop work under this contract until all outstanding amounts including finance charges are paid in full Payments will be applied to the oldest invoices

ACCEPTANCE OF PROPOSAL The above prices scope of work and terms and conditions are hereby satisfactorily agreed upon LMP Inc has been authorized to perform the work as outlined and payment will be made as outlined above The above pricing does not include any unforeseen modifications to the said irrigation system that could not be reasonably accounted for prior to job start All plant material carries a one (1) year warranty provided LMP Inc is performing landscape maintenance services to the area installed or enhanced at the time of installation If not then there is no warranty on the plant material

OWNER AGENT

DATE

EXHIBIT 5

Independent Franchise Owner Job TBE8F300154 Terry Beamer 9266 Lazy Ln

Date 06012020

EXTERIOR PROPOSALEXTERIOR PROPOSALEXTERIOR PROPOSALEXTERIOR PROPOSAL Tampa FL 33614 813-936-9242

Fax 813 936-9172

1-800-462-3782

License PA2508

Full Workers Compensation Coverage$2000000 General Liability Insurance

DPFG Management amp Consulting LLC (Hawks Point) Raymond Lotito (SB) Hawks Point CDD Ruskin FL 33570 Phone 813-418-7473 Cell 813-220-6089 Email raymondlotitodpfgcom

Special Notes CERTAPRO PAINTERS WILL PAINT WALL FACING 19ST FROM 18TH-24TH

SPECIAL ATTENTION ADDRESSING STUCCO CRACKS USING CONCRETE AND MASONRY PATCH

SPECIAL ATTENTION PRESSURE WASHING LOOSE PEELING PAINT PRIOR TO PAINTING

CERTAPRO PAINTERS WILL ONLY PAINT STREET FACING SIDE- HOMEOWNERS SIDE EXCLUDED FROM PROPOSAL

CUSTOMER RESPONSIBILITIES Please cut back all shrubs bushes and palms away from wall

GENERAL DESCRIPTION Painting to Exterior Wall 18th-24th Facing 19th Ave

PREPARATION Washing To remove dirt mildew and loose paint so the new finish coat will adhere properly

Caulking To fill all cracks and gaps around windows and doorswood work to seal out moisture and drafts Stair step

cracks

Scraping Scrape all loose and peeling paint to ensure a firm base for the new paint

Masonry Repair to all cracks gaps and holes with elastemeric caulking or masonry patch as required

Sanding To degloss where necessary to promote adhesion of the top coat

Surface TypeArea Primer PurposePRIMING

Masonry Loxon sealerprimer Latex For propor top coat adhesion

Conditioner Loxon sealerprimer to all Latex For proper top coat adhesion

masonry surfaces

FINISH COATS

Surface Area

Exterior

ManufacturePaint Type

Sherwin Williams Resilience Ext Satin

Coats

1 primer-sealer 1 spray 1 backroll stucco

Color

Same As Existing

Clean Up Daily and upon completion

$1132900 All Labor Paint Materials

$1132900 TOTAL

Signature of Authorized Franchise Representative Date

Payment is due In Full upon Job Completion

(IWE HAVE READ THE TERMS STATED HEREIN THEY HAVE (IWE) HAVE EXAMINED THE JOB STATED HEREIN THEY EXPLAINED TO (MEUS) AND (IWE) FIND THEM TO BE HAVE SHOWN TO (MEUS) AND (IWE) FIND THE JOB TO SATISFACTORY AND HEREBY ACCEPT THEM BE SATISFACTORY AND HEREBY ACCEPT THE JOB AS

COMPLETE

SIGNATURE Date SIGNATURE Date

QUOTE

Shazam Construction LLC DATE MAY 13 2020

Shazam Hera 6773 Waterton Drive Riverview FL 33578 813-385-4591 ShazamConstructionLLCgmailcom Hawks Point CDD

TO Bill to Development Planning and Financing Group 15310 Amberly Drive Suite 175 Tampa FL 33647

QUANITY DESCRIPTION UNIT PRICE LINE TOTAL

Pressure wash the wall that parallels 19th avenue from 18th street to 24th street in Hawks Point CDD in Ruskin

$1270000

Repair any cracks with caulk or elastomeric as neededPrep for paint

Paint the wall that parallels 19th avenue from 18th street to 24th street in Hawks Point CDD in Ruskin

Paint using body trim and caps of exterior wall facing 19th avenue

Paint while matching existing colors

Paint using Sherwin Williams

All paint materials and labor is included

SUBTOTAL

SALES TAX

TOTAL $1270000

Make all checks payable to Shazam Construction LLC

THANK YOU FOR YOUR BUSINESS

EXHIBIT 6

Independent Franchise Owner Job TB443B00157 Terry Beamer 9266 Lazy Ln

Date 06052020

EXTERIOR PROPOSALEXTERIOR PROPOSALEXTERIOR PROPOSALEXTERIOR PROPOSAL Tampa FL 33614 813-936-9242

Fax 813 936-9172

1-800-462-3782

License PA2508

Full Workers Compensation Coverage$2000000 General Liability Insurance

DPFG Management amp Consulting LLC (Hawks Point) Raymond Lotito (SB) Hawks Point CDD Ruskin FL 33570 Phone 813-418-7473 Cell 813-220-6089 Email raymondlotitodpfgcom

Special Notes CERTAPRO PAINTERS PRESSURE WASHING PROPOSAL 18TH-24TH

CERTAPRO PAINTERS WILL PRESSURE WASH WALL FACING 19TH ST ONLY

GENERAL DESCRIPTION Painting to

PREPARATION Washing To remove dirt mildew and loose paint so the new finish coat will adhere properly

PRIMING Surface TypeArea Primer Purpose

Clean Up Daily and upon completion

All Labor Paint Materials

TOTAL

$195000

$195000

Signature of Authorized Franchise Representative Date

Payment is due In Full upon Job Completion

(IWE HAVE READ THE TERMS STATED HEREIN THEY HAVE (IWE) HAVE EXAMINED THE JOB STATED HEREIN THEY EXPLAINED TO (MEUS) AND (IWE) FIND THEM TO BE HAVE SHOWN TO (MEUS) AND (IWE) FIND THE JOB TO SATISFACTORY AND HEREBY ACCEPT THEM BE SATISFACTORY AND HEREBY ACCEPT THE JOB AS

COMPLETE

SIGNATURE Date SIGNATURE Date

QUOTE

Shazam Construction LLC DATE JUNE 5 2020

Shazam Hera 6773 Waterton Drive Riverview FL 33578 813-385-4591 ShazamConstructionLLCgmailcom Hawks Point CDD

TO Bill to Development Planning and Financing Group 15310 Amberly Drive Suite 175 Tampa FL 33647

QUANITY DESCRIPTION UNIT PRICE LINE TOTAL

Pressure wash the wall that parallels 19th avenue from 18th street to 24th street in Hawks Point CDD in Ruskin

$160000

All materials and labor is included

SUBTOTAL

SALES TAX

TOTAL $160000

Make all checks payable to Shazam Construction LLC

THANK YOU FOR YOUR BUSINESS

EXHIBIT 7

2019FORM 1 STATEMENT OF

Please print or type your name mailing FOR OFFICE USE ONLY FINANCIAL INTERESTS address agency name and position below

LAST NAME -- FIRST NAME -- MIDDLE NAME

MAILING ADDRESS

CITY ZIP COUNTY

NAME OF AGENCY

NAME OF OFFICE OR POSITION HELD OR SOUGHT

CHECK ONLY IF CANDIDATE OR NEW EMPLOYEE OR APPOINTEE

THIS SECTION MUST BE COMPLETED DISCLOSURE PERIOD THIS STATEMENT REFLECTS YOUR FINANCIAL INTERESTS FOR CALENDAR YEAR ENDING DECEMBER 31 2019

MANNER OF CALCULATING REPORTABLE INTERESTS FILERS HAVE THE OPTION OF USING REPORTING THRESHOLDS THAT ARE ABSOLUTE DOLLAR VALUES WHICH REQUIRES FEWER CALCULATIONS OR USING COMPARATIVE THRESHOLDS WHICH ARE USUALLY BASED ON PERCENTAGE VALUES (see instructions for further details) CHECK THE ONE YOU ARE USING (must check one)

COMPARATIVE (PERCENTAGE) THRESHOLDS OR DOLLAR VALUE THRESHOLDS

PART A -- PRIMARY SOURCES OF INCOME [Major sources of income to the reporting person - See instructions] (If you have nothing to report write none or na)

NAME OF SOURCE SOURCES DESCRIPTION OF THE SOURCES OF INCOME ADDRESS PRINCIPAL BUSINESS ACTIVITY

PART B -- SECONDARY SOURCES OF INCOME [Major customers clients and other sources of income to businesses owned by the reporting person - See instructions] (If you have nothing to report write none or na)

NAME OF NAME OF MAJOR SOURCES ADDRESS PRINCIPAL BUSINESS BUSINESS ENTITY OF BUSINESS INCOME OF SOURCE ACTIVITY OF SOURCE

PART C -- REAL PROPERTY [Land buildings owned by the reporting person - See instructions] You are not limited to the space on the (If you have nothing to report write none or na) lines on this form Attach additional

sheets if necessary

FILING INSTRUCTIONS for when and where to file this form are located at the bottom of page 2

INSTRUCTIONS on who must file this form and how to fill it out begin on page 3

CE FORM 1 - Effective January 1 2020 (Continued on reverse side) PAGE 1 Incorporated by reference in Rule 34-8202(1) FAC

FILING INSTRUCTIONS

IF ANY OF PARTS A THROUGH G ARE CONTINUED ON A SEPARATE SHEET PLEASE CHECK HERE

PART D mdash INTANGIBLE PERSONAL PROPERTY [Stocks bonds certificates of deposit etc - See instructions] (If you have nothing to report write none or na) TYPE OF INTANGIBLE BUSINESS ENTITY TO WHICH THE PROPERTY RELATES

PART E mdash LIABILITIES [Major debts - See instructions] (If you have nothing to report write none or na)

NAME OF CREDITOR ADDRESS OF CREDITOR

PART F mdash INTERESTS IN SPECIFIED BUSINESSES [Ownership or positions in certain types of businesses - See instructions] (If you have nothing to report write none or na)

BUSINESS ENTITY 1 BUSINESS ENTITY 2

NAME OF BUSINESS ENTITY

ADDRESS OF BUSINESS ENTITY

PRINCIPAL BUSINESS ACTIVITY

POSITION HELD WITH ENTITY

I OWN MORE THAN A 5 INTEREST IN THE BUSINESS

NATURE OF MY OWNERSHIP INTEREST

If you were mailed the form by the Commission on Ethics or a County Supervisor of Elections for your annual disclosure filing return the form to that location To determine what category your position falls under see page 3 of instructions Local officersemployees file with the Supervisor of Elections of the county in which they permanently reside (If you do not permanently reside in Florida file with the Supervisor of the county where your agency has its headquarters) Form 1 filers who file with the Supervisor of Elections may file by mail or email Contact your Supervisor of Elections for the mailing address or email address to use Do not email your form to the Commission on Ethics it will be returned State officers or specified state employees who file with the Commission on Ethics may file by mail or email To file by mail send the completed form to PO Drawer 15709 Tallahassee FL32317-5709 physical address 325 John Knox Rd Bldg E Ste 200 Tallahassee FL 32303 To file with the Commission by email scan your completed form and any attachments as a pdf (do not use any other format) send it to CEForm1legstateflus and retain a copy for your records Do not file by both mail and email Choose only one filing method Form 6s will not be accepted via email

Candidates file this form together with their filing papers MULTIPLE FILING UNNECESSARY A candidate who files a Form 1 with a qualifying officer is not required to file with the Commission or Supervisor of Elections WHEN TO FILE Initially each local officeremployee state officer and specified state employee must file within 30 days of the date of his or her appointment or of the beginning of employment Appointees who must be confirmed by the Senate must file prior to confirmation even if that is less than 30 days from the date of their appointment Candidates must file at the same time they file their qualifying papers Thereafter file by July 1 following each calendar year in which they hold their positions Finally file a final disclosure form (Form 1F) within 60 days of leaving office or employment Filing a CE Form 1F (Final Statement of Financial Interests) does not relieve the filer of filing a CE Form 1 if the filer was in his or her position on December 31 2019

SIGNATURE OF FILER Signature

____________________________________________

Date Signed

____________________________________________

CPA or ATTORNEY SIGNATURE ONLY If a certified public accountant licensed under Chapter 473 or attorney in good standing with the Florida Bar prepared this form for you he or she must complete the following statement

I _______________________________________ prepared the CE Form 1 in accordance with Section 1123145 Florida Statutes and the instructions to the form Upon my reasonable knowledge and belief the disclosure herein is true and correct

CPAAttorney Signature ______________________________

Date Signed _______________________________________

PART G mdash TRAINING For elected municipal officers required to complete annual ethics training pursuant to section 1123142 FS

I CERTIFY THAT I HAVE COMPLETED THE REQUIRED TRAINING

CE FORM 1 - Effective January 1 2020 PAGE 2 Incorporated by reference in Rule 34-8202(1) FAC

Examplesmdash You are the sole proprietor of a dry cleaning business fromwhich you received more than 10 of your gross incomemdashanamount that was more than $1500 If only one customer auniform rental company provided more than 10 of your drycleaning business you must list the name of the uniform rentalcompany its address and its principal business activity (uniform rentals) mdash You are a 20 partner in a partnership that owns a shopping mall and your partnership income exceeded the thresholds listed above You should list each tenant of the mall that provided more than 10 of the partnershiprsquos gross income and the tenantrsquos address and principal business activity

PART C mdash REAL PROPERTY[Required by s 1123145(3)(a)3 FS]In this part list the location or description of all real property in

Florida in which you owned directly or indirectly at any time during the disclosure period in excess of 5 of the propertyrsquos value You are not required to list your residences You should list any vacation homes if you derive income from them

Indirect ownership includes situations where you are abeneficiary of a trust that owns the property as well as situations where you own more than 5 of a partnership or corporation thatowns the property The value of the property may be determined by the most recently assessed value for tax purposes in the absence of a more current appraisal

The location or description of the property should be sufficient to enable anyone who looks at the form to identify the property Astreet address should be used if one exists PART D mdash INTANGIBLE PERSONAL PROPERTY

[Required by s 1123145(3)(a)3 FS]Describe any intangible personal property that at any time

during the disclosure period was worth more than 10 of your total assets and state the business entity to which the property related Intangible personal property includes things such as cash on hand stocks bonds certificates of deposit vehicle leases interests in businesses beneficial interests in trusts money owed you Deferred Retirement Option Program (DROP) accounts the Florida Prepaid College Plan and bank accounts Intangiblepersonal property also includes investment products held in IRAs brokerage accounts and the Florida College Investment Plan Note that the product contained in a brokerage account IRA or the Florida College Investment Plan is your assetmdashnot the account or plan itself Things like automobiles and houses you own jewelryand paintings are not intangible property Intangibles relating to the same business entity may be aggregated for example CDrsquos and savings accounts with the same bank

Calculations To determine whether the intangible property exceeds 10 of your total assets total the fair market value of all of your assets (including real property intangible property and tangible personal property such as jewelry furniture etc) When making this calculation do not subtract any liabilities (debts) that may relate to the property Multiply the total figure by 10 to arrive at the disclosure threshold List only the intangibles that exceed this threshold amount The value of a leased vehicle is the vehiclersquos present value minus the lease residual (a number which can be found on the lease document) Property that is only jointly owned property should be valued according to the percentage of your joint ownership Property owned as tenants by the entirety or as joint tenants with right of survivorship should be valued at 100 None of your calculations or the value of the property have to be disclosed on the form

Example You own 50 of the stock of a small corporation that is worth $100000 the estimated fair market value of your home and other property (bank accounts automobile furniture etc) is $200000 As your total assets are worth $250000 you must disclose intangibles worth over $25000 Since the value of the stock exceeds this threshold you should list ldquostockrdquo and the name of the corporation If your accounts with a particular bank exceed $25000 you should list ldquobank accountsrdquo and bankrsquos name

PART E mdash LIABILITIES[Required by s 1123145(3)(b)4 FS]List the name and address of each creditor to whom you owed

any amount that at any time during the disclosure period exceeded your net worth You are not required to list the amount of any debt or your net worth You do not have to disclose credit card and retail installment accounts taxes owed (unless reduced to a judgment) indebtedness on a life insurance policy owed to the company of issuance or contingent liabilities A ldquocontingent liabilityrdquo is one that will become an actual liability only when one or more future events occur or fail to occur such as where you are liable only as a guarantor surety or endorser on a promissory note If you are a ldquoco-makerrdquo and are jointly liable or jointly and severally liable it is not a contingent liability

Calculations To determine whether the debt exceeds your net worth total all of your liabilities (including promissory notes mortgages credit card debts judgments against you etc) Theamount of the liability of a vehicle lease is the sum of any past-due payments and all unpaid prospective lease payments Subtract the sum total of your liabilities from the value of all your assets as calculated above for Part D This is your ldquonet worthrdquo List each creditor to whom your debt exceeded this amount unless it is one of the types of indebtedness listed in the paragraph above (credit card and retail installment accounts etc) Joint liabilities with others for which you are ldquojointly and severally liablerdquo meaning that you may be liable for either your part or the whole of the obligation should be included in your calculations at 100 of the amount owed

Example You owe $15000 to a bank for student loans $5000 for credit card debts and $60000 (with spouse) to a savings and loan for a home mortgage Your home (owned by you and your spouse) is worth $80000 and your other property is worth $20000 Since your net worth is $20000 ($100000 minus $80000) you must report only the name and address of the savings and loan

PART F mdash INTERESTS IN SPECIFIED BUSINESSES[Required by s 1123145 FS]The types of businesses covered in this disclosure include

state and federally chartered banks state and federal savings and loan associations cemetery companies insurance companies mortgage companies credit unions small loan companies alcoholic beverage licensees pari-mutuel wagering companies utilitycompanies entities controlled by the Public Service Commission and entities granted a franchise to operate by either a city or acounty government

Disclose in this part the fact that you owned during the disclosure period an interest in or held any of certain positions with the types of businesses listed above You are required to make this disclosure if you own or owned (either directly orindirectly in the form of an equitable or beneficial interest) at any time during the disclosure period more than 5 of the total assets or capital stock of one of the types of business entities listed above You also must complete this part of the form for each of these types of businesses for which you are or were at any time during thedisclosure period an officer director partner proprietor or agent (other than a resident agent solely for service of process)

If you have or held such a position or ownership interest in one of these types of businesses list the name of the business its address and principal business activity and the position held with the business (if any) If you own(ed) more than a 5 interest in the business indicate that fact and describe the nature of your interest

PART G mdash TRAINING CERTIFICATION[Required by s 1123142 FS]If you are a Constitutional or elected municipal officer whose

service began before March 31 of the year for which you are filing you are required to complete four hours of ethics training which addresses Article II Section 8 of the Florida Constitution the Code of Ethics for Public Officers and Employees and the public records and open meetings laws of the state You are required to certify on this form that you have taken such training (End of Percentage Thresholds Instructions)

CE FORM 1 - Effective January 1 2020 Incorporated by reference in Rule 34-8202 FAC PAGE 6

NOTICE Annual Statements of Financial Interests are due July 1 If the annual form is not filed or postmarked by September 1 an automatic fine of $25 for each day late will be imposed up to a maximum penalty of $1500 Failure to file also can result in removal from public office or employment [s 1123145 FS]

In addition failure to make any required disclosure constitutes grounds for and may be punished by one or more of the following disqualification from being on the ballot impeachment removal or suspension from office or employment demotion reduction in salary reprimand or a civil penalty not exceeding $10000 [s 112317 FS]

WHO MUST FILE FORM 1 1) Elected public officials not serving in a political subdivision of the

state and any person appointed to fill a vacancy in such office unlessrequired to file full disclosure on Form 62) Appointed members of each board commission authority

or council having statewide jurisdiction excluding members of solelyadvisory bodies but including judicial nominating commission membersDirectors of Enterprise Florida Scripps Florida Funding Corporationand Career Source Florida and members of the Council on the Social Status of Black Men and Boys the Executive Director Governors and senior managers of Citizens Property Insurance CorporationGovernors and senior managers of Florida Workers Compensation JointUnderwriting Association board members of the Northeast Fla RegionalTransportation Commission board members of Triumph Gulf Coast Incboard members of Florida Is For Veterans Inc and members of the Technology Advisory Council within the Agency for State Technology3) The Commissioner of Education members of the State Board

of Education the Board of Governors the local Boards of Trustees and Presidents of state universities and the Florida Prepaid College Board 4) Persons elected to office in any political subdivision (such as

municipalities counties and special districts) and any person appointedto fill a vacancy in such office unless required to file Form 65) Appointed members of the following boards councils

commissions authorities or other bodies of county municipality schooldistrict independent special district or other political subdivision thegoverning body of the subdivision community college or junior collegedistrict boards of trustees boards having the power to enforce local codeprovisions boards of adjustment community redevelopment agenciesplanning or zoning boards having the power to recommend create ormodify land planning or zoning within a political subdivision except forcitizen advisory committees technical coordinating committees andsimilar groups who only have the power to make recommendationsto planning or zoning boards and except for representatives of a military installation acting on behalf of all military installations within thatjurisdiction pension or retirement boards empowered to invest pensionor retirement funds or determine entitlement to or amount of pensions orother retirement benefits and the Pinellas County Construction LicensingBoard 6) Any appointed member of a local government board who

is required to file a statement of financial interests by the appointingauthority or the enabling legislation ordinance or resolution creating theboard 7) Persons holding any of these positions in local government

mayor county or city manager chief administrative employee or finance

director of a county municipality or other political subdivision county or municipal attorney chief county or municipal building inspectorcounty or municipal water resources coordinator county or municipalpollution control director county or municipal environmental control director county or municipal administrator with power to grant or denya land development permit chief of police fire chief municipal clerkappointed district school superintendent community college presidentdistrict medical examiner purchasing agent (regardless of title) havingthe authority to make any purchase exceeding $35000 for the localgovernmental unit8) Officers and employees of entities serving as chief administrative

officer of a political subdivision9) Members of governing boards of charter schools operated by a

city or other public entity10) Employees in the office of the Governor or of a Cabinet member

who are exempt from the Career Service System excluding secretarialclerical and similar positions11) The following positions in each state department commission

board or council Secretary Assistant or Deputy Secretary ExecutiveDirector Assistant or Deputy Executive Director and anyone having thepower normally conferred upon such persons regardless of title12) The following positions in each state department or division

Director Assistant or Deputy Director Bureau Chief and any personhaving the power normally conferred upon such persons regardless oftitle 13) Assistant State Attorneys Assistant Public Defenders criminal

conflict and civil regional counsel and assistant criminal conflict and civilregional counsel Public Counsel full-time state employees serving ascounsel or assistant counsel to a state agency administrative law judgesand hearing officers14) The Superintendent or Director of a state mental health institute

established for training and research in the mental health field or anymajor state institution or facility established for corrections trainingtreatment or rehabilitation 15) State agency Business Managers Finance and Accounting

Directors Personnel Officers Grant Coordinators and purchasingagents (regardless of title) with power to make a purchase exceeding$35000 16) The following positions in legislative branch agencies each

employee (other than those employed in maintenance clerical secretarial or similar positions and legislative assistants exempted by the presiding officer of their house) and each employee of theCommission on Ethics

INSTRUCTIONS FOR COMPLETING FORM 1 INTRODUCTORY INFORMATION (Top of Form) If your name mailing address public agency and position are already printed on the form you do not need to provide this information unless it should be changed To change any of this information write the correct information on the form and contact your agencys financial disclosure coordinator You can find your coordinator on the Commission on Ethics website wwwethics stateflus NAME OF AGENCY The name of the governmental unit which you serve or served by which you are or were employed or for which you are a candidate DISCLOSURE PERIOD The ldquodisclosure periodrdquo for your report is the calendar year ending December 31 2019

OFFICE OR POSITION HELD OR SOUGHT The title of the office or position you hold are seeking or held during the disclosure period even if you have since left that position If you are a candidate for office or are a new employee or appointee check the appropriate box PUBLIC RECORD The disclosure form and everythingattached to it is a public record Your Social Security Number is not required and you should redact it from any documents you file If you are an active or former officer or employee listed in Section 119071 FS whose home address is exempt from disclosure the Commission will maintain that confidentiality if you submit a written request

CE FORM 1 - Effective January 1 2020 Incorporated by reference in Rule 34-8202 FAC PAGE 3

PART E mdash LIABILITIES[Required by s 1123145(3)(b)4 FS]List the name and address of each creditor to whom you owed more

than $10000 at any time during the disclosure period The amount of theliability of a vehicle lease is the sum of any past-due payments and allunpaid prospective lease payments You are not required to list the amountof any debt You do not have to disclose credit card and retail installmentaccounts taxes owed (unless reduced to a judgment) indebtedness ona life insurance policy owed to the company of issuance or contingentliabilities A ldquocontingent liabilityrdquo is one that will become an actual liabilityonly when one or more future events occur or fail to occur such as whereyou are liable only as a guarantor surety or endorser on a promissorynote If you are a ldquoco-makerrdquo and are jointly liable or jointly and severallyliable then it is not a contingent liability

PART F mdash INTERESTS IN SPECIFIED BUSINESSES[Required by s 1123145(6) FS]The types of businesses covered in this disclosure include state and

federally chartered banks state and federal savings and loan associationscemetery companies insurance companies mortgage companies creditunions small loan companies alcoholic beverage licensees pari-mutuelwagering companies utility companies entities controlled by the PublicService Commission and entities granted a franchise to operate by either acity or a county government

Disclose in this part the fact that you owned during the disclosure period aninterest in or held any of certain positions with the types of businesses listedabove You must make this disclosure if you own or owned (either directly orindirectly in the form of an equitable or beneficial interest) at any time duringthe disclosure period more than 5 of the total assets or capital stock ofone of the types of business entities listed above You also must completethis part of the form for each of these types of businesses for which youare or were at any time during the disclosure period an officer directorpartner proprietor or agent (other than a resident agent solely for service ofprocess)

If you have or held such a position or ownership interest in one ofthese types of businesses list the name of the business its address andprincipal business activity and the position held with the business (if any) Ifyou own(ed) more than a 5 interest in the business indicate that fact anddescribe the nature of your interest

PART G mdash TRAINING CERTIFICATION[Required by s 1123142 FS]If you are a Constitutional or elected municipal officer whose

service began before March 31 of the year for which you are filingyou are required to complete four hours of ethics training which addresses Article II Section 8 of the Florida Constitution the Codeof Ethics for Public Officers and Employees and the public recordsand open meetings laws of the state You are required to certify onthis form that you have taken such training

(End of Dollar Value Thresholds Instructions)

PART A mdash PRIMARY SOURCES OF INCOME[Required by s 1123145(3)(a)1 FS]Part A is intended to require the disclosure of your principal

sources of income during the disclosure period You do not haveto disclose any public salary or public position(s) but income from these public sources should be included when calculating your gross income for the disclosure period The income of your spouse need not be disclosed however if there is joint income to you and your spouse from property you own jointly (such as interest or dividends from a bank account or stocks) you should include all of that income when calculating your gross income and disclose the source of that income if it exceeded the threshold

Please list in this part of the form the name address and principal business activity of each source of your income whichexceeded 5 of the gross income received by you in your own name or by any other person for your benefit or use during the disclosure period

Gross income means the same as it does for income tax purposes even if the income is not actually taxable such as interest on tax-free bonds Examples include compensation for servicesincome from business gains from property dealings interest rents dividends pensions IRA distributions social security distributive share of partnership gross income and alimony but not child support

Examplesmdash If you were employed by a company that manufactures computers and received more than 5 of your gross income from the company list the name of the company its address and its principal business activity (computer manufacturing)mdash If you were a partner in a law firm and your distributive share of partnership gross income exceeded 5 of your gross income then list the name of the firm its address and its principal business activity (practice of law)mdash If you were the sole proprietor of a retail gift business andyour gross income from the business exceeded 5 of your total gross income list the name of the business its addressand its principal business activity (retail gift sales)mdash If you received income from investments in stocks and bonds list each individual company from which you derived

more than 5 of your gross income Do not aggregate all of your investment incomemdash If more than 5 of your gross income was gain from the sale of property (not just the selling price) list as a source of income the purchaserrsquos name address and principal business activityIf the purchasers identity is unknown such as where securities listed on an exchange are sold through a brokerage firm the source of income should be listed as sale of (name of company)stock for examplemdash If more than 5 of your gross income was in the form of interest from one particular financial institution (aggregatinginterest from all CDrsquos accounts etc at that institution) list the name of the institution its address and its principal business activity

PART B mdash SECONDARY SOURCES OF INCOME[Required by s 1123145(3)(a)2 FS]This part is intended to require the disclosure of major customers

clients and other sources of income to businesses in which you ownan interest It is not for reporting income from second jobs That kindof income should be reported in Part A Primary Sources of Incomeif it meets the reporting threshold You will not have anything to reportunless during the disclosure period

(1) You owned (either directly or indirectly in the form of anequitable or beneficial interest) more than 5 of the total assetsor capital stock of a business entity (a corporation partnershipLLC limited partnership proprietorship joint venture trust firmetc doing business in Florida) and(2) You received more than 10 of your gross income from thatbusiness entity and(3) You received more than $1500 in gross income from thatbusiness entity

If your interests and gross income exceeded these thresholds thenfor that business entity you must list every source of income to thebusiness entity which exceeded 10 of the business entityrsquos grossincome (computed on the basis of the business entityrsquos most recentlycompleted fiscal year) the sourcersquos address and the sourcersquosprincipal business activity

IF YOU HAVE CHOSEN COMPARATIVE (PERCENTAGE) THRESHOLDSTHE FOLLOWING INSTRUCTIONS APPLY

CE FORM 1 - Effective January 1 2020 Incorporated by reference in Rule 34-8202 FAC PAGE 5

MANNER OF CALCULATING REPORTABLE INTEREST Filers have the option of reporting based on either thresholds that are comparative (usually based on percentage values) or thresholds that are based on absolute dollar values The instructions on the following pages specifically describe the different thresholds Check the box that reflects the choice you have made You must use the type of threshold you have chosen for each part of the form In other words if you choose to report based on absolute dollar value thresholds you cannot use a percentage threshold on any part of the form

IF YOU HAVE CHOSEN DOLLAR VALUE THRESHOLDS THE FOLLOWING INSTRUCTIONS APPLY

PART A mdash PRIMARY SOURCES OF INCOME [Required by s 1123145(3)(b)1 FS] Part A is intended to require the disclosure of your principal

sources of income during the disclosure period You do not have todisclose any public salary or public position(s) The income of yourspouse need not be disclosed however if there is joint income toyou and your spouse from property you own jointly (such as interestor dividends from a bank account or stocks) you should disclose thesource of that income if it exceeded the threshold

Please list in this part of the form the name address andprincipal business activity of each source of your income whichexceeded $2500 of gross income received by you in your own name or by any other person for your use or benefit

Gross income means the same as it does for income tax purposes even if the income is not actually taxable such as interest on tax-free bonds Examples include compensation for servicesincome from business gains from property dealings interest rentsdividends pensions IRA distributions social security distributive share of partnership gross income and alimony but not child support

Examples mdash If you were employed by a company that manufacturescomputers and received more than $2500 list the name of thecompany its address and its principal business activity (computermanufacturing) mdash If you were a partner in a law firm and your distributive shareof partnership gross income exceeded $2500 list the name ofthe firm its address and its principal business activity (practice oflaw) mdash If you were the sole proprietor of a retail gift business and yourgross income from the business exceeded $2500 list the nameof the business its address and its principal business activity(retail gift sales) mdash If you received income from investments in stocks and bondslist each individual company from which you derived more than$2500 Do not aggregate all of your investment income mdash If more than $2500 of your gross income was gain from thesale of property (not just the selling price) list as a source ofincome the purchaserrsquos name address and principal businessactivity If the purchaserrsquos identity is unknown such as wheresecurities listed on an exchange are sold through a brokeragefirm the source of income should be listed as sale of (name of company) stock for example mdash If more than $2500 of your gross income was in the formof interest from one particular financial institution (aggregatinginterest from all CDrsquos accounts etc at that institution) list the name of the institution its address and its principal business activity

PART B mdash SECONDARY SOURCES OF INCOME [Required by s 1123145(3)(b)2 FS] This part is intended to require the disclosure of major customers

clients and other sources of income to businesses in which you own aninterest It is not for reporting income from second jobs That kind of incomeshould be reported in Part A Primary Sources of Income if it meets thereporting threshold You will not have anything to report unless during thedisclosure period

(1) You owned (either directly or indirectly in the form of an equitableor beneficial interest) more than 5 of the total assets or capitalstock of a business entity (a corporation partnership LLC limitedpartnership proprietorship joint venture trust firm etc doing business in Florida) and (2) You received more than $5000 of your gross income during thedisclosure period from that business entity

If your interests and gross income exceeded these thresholds then for thatbusiness entity you must list every source of income to the business entitywhich exceeded 10 of the business entityrsquos gross income (computed onthe basis of the business entitys most recently completed fiscal year) thesourcersquos address and the sources principal business activity

Examples mdash You are the sole proprietor of a dry cleaning business from whichyou received more than $5000 If only one customer a uniform rentalcompany provided more than 10 of your dry cleaning business youmust list the name of the uniform rental company its address and itsprincipal business activity (uniform rentals) mdash You are a 20 partner in a partnership that owns a shopping malland your partnership income exceeded the above thresholds List eachtenant of the mall that provided more than 10 of the partnershipsgross income and the tenants address and principal business activity

PART C mdash REAL PROPERTY [Required by s 1123145(3)(b)3 FS] In this part list the location or description of all real property in Florida

in which you owned directly or indirectly at any time during the disclosureperiod in excess of 5 of the propertyrsquos value You are not required to listyour residences You should list any vacation homes if you derive incomefrom them

Indirect ownership includes situations where you are a beneficiary of atrust that owns the property as well as situations where you own more than5 of a partnership or corporation that owns the property The value of theproperty may be determined by the most recently assessed value for taxpurposes in the absence of a more current appraisal

The location or description of the property should be sufficient toenable anyone who looks at the form to identify the property A streetaddress should be used if one exists

PART D mdash INTANGIBLE PERSONAL PROPERTY [Required by s 1123145(3)(b)3 FS] Describe any intangible personal property that at any time during the

disclosure period was worth more than $10000 and state the businessentity to which the property related Intangible personal property includesthings such as cash on hand stocks bonds certificates of deposit vehicleleases interests in businesses beneficial interests in trusts money owedyou Deferred Retirement Option Program (DROP) accounts the FloridaPrepaid College Plan and bank accounts Intangible personal propertyalso includes investment products held in IRAs brokerage accounts andthe Florida College Investment Plan Note that the product contained in a brokerage account IRA or the Florida College Investment Plan is yourassetmdashnot the account or plan itself Things like automobiles and housesyou own jewelry and paintings are not intangible property Intangiblesrelating to the same business entity may be aggregated for example CDsand savings accounts with the same bank Property owned as tenants bythe entirety or as joint tenants with right of survivorship should be valued at100 The value of a leased vehicle is the vehiclersquos present value minusthe lease residual (a number found on the lease document)

CE FORM 1 - Effective January 1 2020 Incorporated by reference in Rule 34-8202 FAC PAGE 4

PART A mdash PRIMARY SOURCES OF INCOME[Required by s 1123145(3)(b)1 FS]Part A is intended to require the disclosure of your principal

sources of income during the disclosure period You do not have todisclose any public salary or public position(s) The income of yourspouse need not be disclosed however if there is joint income t oyou and your spouse from property you own jointly (such as interestor dividends from a bank account or stocks) you should disclose thesource of that income if it exceeded the threshold

Please list in this part of the form the name address andprincipal business activity of each source of your income whichexceeded $2500 of gross income received by you in your own name or by any other person for your use or benefit

Gross income means the same as it does for income taxpurposes even if the income is not actually taxable such as intereston tax-free bonds Examples include compensation for servicesincome from business gains from property dealings interest rentsdividends pensions IRA distributions social security distributiveshare of partnership gross income and alimony but not child support

Examplesmdash If you were employed by a company that manufacturescomputers and received more than $2500 list the name of thecompany its address and its principal business activity (computermanufacturing)mdash If you were a partner in a law firm and your distributive shareof partnership gross income exceeded $2500 list the name ofthe firm its address and its principal business activity (practice oflaw)mdash If you were the sole proprietor of a retail gift business and yourgross income from the business exceeded $2500 list the nameof the business its address and its principal business activity(retail gift sales)mdash If you received income from investments in stocks and bondslist each individual company from which you derived more than$2500 Do not aggregate all of your investment incomemdash If more than $2500 of your gross income was gain from thesale of property (not just the selling price) list as a source o fincome the purchaserrsquos name address and principal businessactivity If the purchaserrsquos identity is unknown such as wheresecurities listed on an exchange are sold through a brokeragefirm the source of income should be listed as sale of (name of company) stock for examplemdash If more than $2500 of your gross income was in the formof interest from one particular financial institution (aggregatinginterest from all CDrsquos accounts etc at that institution) list thename of the institution its address and its principal business activity

PART B mdash SECONDARY SOURCES OF INCOME[Required by s 1123145(3)(b)2 FS]This part is intended to require the disclosure of major customers

clients and other sources of income to businesses in which you own aninterest It is not for reporting income from second jobs That kind of incomeshould be reported in Part A Primary Sources of Income if it meets thereporting threshold You will not have anything to report unless during thedisclosure period

(1) You owned (either directly or indirectly in the form of an equitableor beneficial interest) more than 5 of the total assets or capitalstock of a business entity (a corporation partnership LLC limitedpartnership proprietorship joint venture trust firm etc doing business in Florida) and(2) You received more than $5000 of your gross income during thedisclosure period from that business entity

If your interests and gross income exceeded these thresholds then for thatbusiness entity you must list every source of income to the business entitywhich exceeded 10 of the business entityrsquos gross income (computed onthe basis of the business entitys most recently completed fiscal year) thesourcersquos address and the sources principal business activity

Examplesmdash You are the sole proprietor of a dry cleaning business from whichyou received more than $5000 If only one customer a uniform rentalcompany provided more than 10 of your dry cleaning business youmust list the name of the uniform rental company its address and itsprincipal business activity (uniform rentals)mdash You are a 20 partner in a partnership that owns a shopping malland your partnership income exceeded the above thresholds List eachtenant of the mall that provided more than 10 of the partnershipsgross income and the tenants address and principal business activity

PART C mdash REAL PROPERTY[Required by s 1123145(3)(b)3 FS]In this part list the location or description of all real property in Florida

in which you owned directly or indirectly at any time during the disclosureperiod in excess of 5 of the propertyrsquos value You are not required to listyour residences You should list any vacation homes if you derive incomefrom them

Indirect ownership includes situations where you are a beneficiary of atrust that owns the property as well as situations where you own more than5 of a partnership or corporation that owns the property The value of theproperty may be determined by the most recently assessed value for taxpurposes in the absence of a more current appraisal

The location or description of the property should be sufficient toenable anyone who looks at the form to identify the property A streetaddress should be used if one exists

PART D mdash INTANGIBLE PERSONAL PROPERTY[Required by s 1123145(3)(b)3 FS]Describe any intangible personal property that at any time during the

disclosure period was worth more than $10000 and state the businessentity to which the property related Intangible personal property includesthings such as cash on hand stocks bonds certificates of deposit vehicleleases interests in businesses beneficial interests in trusts money owedyou Deferred Retirement Option Program (DROP) accounts the FloridaPrepaid College Plan and bank accounts Intangible personal propertyalso includes investment products held in IRAs brokerage accounts andthe Florida College Investment Plan Note that the product contained ina brokerage account IRA or the Florida College Investment Plan is yourassetmdashnot the account or plan itself Things like automobiles and housesyou own jewelry and paintings are not intangible property Intangiblesrelating to the same business entity may be aggregated for example CDsand savings accounts with the same bank Property owned as tenants bythe entirety or as joint tenants with right of survivorship should be valued at100 The value of a leased vehicle is the vehiclersquos present value minusthe lease residual (a number found on the lease document)

Filers have the option of reporting based on either thresholds that are comparative (usually based on percentage values) orthresholds that are based on absolute dollar values The instructions on the following pages specifically describe the differentthresholds Check the box that reflects the choice you have made You must use the type of threshold you have chosen for eachpart of the form In other words if you choose to report based on absolute dollar value thresholds you cannot use a percentagethreshold on any part of the form

MANNER OF CALCULATING REPORTABLE INTEREST

IF YOU HAVE CHOSEN DOLLAR VALUE THRESHOLDSTHE FOLLOWING INSTRUCTIONS APPLY

CE FORM 1 - Effective January 1 2020 Incorporated by reference in Rule 34-8202 FAC PAGE 4

PART E mdash LIABILITIES [Required by s 1123145(3)(b)4 FS] List the name and address of each creditor to whom you owed more

than $10000 at any time during the disclosure period The amount of theliability of a vehicle lease is the sum of any past-due payments and allunpaid prospective lease payments You are not required to list the amountof any debt You do not have to disclose credit card and retail installmentaccounts taxes owed (unless reduced to a judgment) indebtedness ona life insurance policy owed to the company of issuance or contingentliabilities A ldquocontingent liabilityrdquo is one that will become an actual liabilityonly when one or more future events occur or fail to occur such as whereyou are liable only as a guarantor surety or endorser on a promissorynote If you are a ldquoco-makerrdquo and are jointly liable or jointly and severallyliable then it is not a contingent liability

PART F mdash INTERESTS IN SPECIFIED BUSINESSES [Required by s 1123145(6) FS] The types of businesses covered in this disclosure include state and

federally chartered banks state and federal savings and loan associationscemetery companies insurance companies mortgage companies creditunions small loan companies alcoholic beverage licensees pari-mutuelwagering companies utility companies entities controlled by the PublicService Commission and entities granted a franchise to operate by either acity or a county government

Disclose in this part the fact that you owned during the disclosure period aninterest in or held any of certain positions with the types of businesses listedabove You must make this disclosure if you own or owned (either directly orindirectly in the form of an equitable or beneficial interest) at any time duringthe disclosure period more than 5 of the total assets or capital stock ofone of the types of business entities listed above You also must completethis part of the form for each of these types of businesses for which youare or were at any time during the disclosure period an officer directorpartner proprietor or agent (other than a resident agent solely for service ofprocess)

If you have or held such a position or ownership interest in one ofthese types of businesses list the name of the business its address andprincipal business activity and the position held with the business (if any) Ifyou own(ed) more than a 5 interest in the business indicate that fact anddescribe the nature of your interest

PART G mdash TRAINING CERTIFICATION [Required by s 1123142 FS] If you are a Constitutional or elected municipal officer whose

service began before March 31 of the year for which you are filingyou are required to complete four hours of ethics training which addresses Article II Section 8 of the Florida Constitution the Code of Ethics for Public Officers and Employees and the public recordsand open meetings laws of the state You are required to certify onthis form that you have taken such training

(End of Dollar Value Thresholds Instructions)

IF YOU HAVE CHOSEN COMPARATIVE (PERCENTAGE) THRESHOLDS THE FOLLOWING INSTRUCTIONS APPLY

PART A mdash PRIMARY SOURCES OF INCOME [Required by s 1123145(3)(a)1 FS] Part A is intended to require the disclosure of your principal

sources of income during the disclosure period You do not haveto disclose any public salary or public position(s) but income from these public sources should be included when calculating your gross income for the disclosure period The income of your spouse need not be disclosed however if there is joint income to you and your spouse from property you own jointly (such as interest or dividends from a bank account or stocks) you should include all of that income when calculating your gross income and disclose the source of that income if it exceeded the threshold

Please list in this part of the form the name address and principal business activity of each source of your income whichexceeded 5 of the gross income received by you in your own name or by any other person for your benefit or use during the disclosure period

Gross income means the same as it does for income tax purposes even if the income is not actually taxable such as interest on tax-free bonds Examples include compensation for servicesincome from business gains from property dealings interest rents dividends pensions IRA distributions social security distributive share of partnership gross income and alimony but not child support

Examples mdash If you were employed by a company that manufactures computers and received more than 5 of your gross income from the company list the name of the company its address and its principal business activity (computer manufacturing) mdash If you were a partner in a law firm and your distributive share of partnership gross income exceeded 5 of your gross income then list the name of the firm its address and its principal business activity (practice of law) mdash If you were the sole proprietor of a retail gift business andyour gross income from the business exceeded 5 of your total gross income list the name of the business its addressand its principal business activity (retail gift sales) mdash If you received income from investments in stocks and bonds list each individual company from which you derived

more than 5 of your gross income Do not aggregate all of your investment income mdash If more than 5 of your gross income was gain from the sale of property (not just the selling price) list as a source of income the purchaserrsquos name address and principal business activityIf the purchasers identity is unknown such as where securities listed on an exchange are sold through a brokerage firm the source of income should be listed as sale of (name of company)stock for example mdash If more than 5 of your gross income was in the form of interest from one particular financial institution (aggregatinginterest from all CDrsquos accounts etc at that institution) list the name of the institution its address and its principal business activity

PART B mdash SECONDARY SOURCES OF INCOME [Required by s 1123145(3)(a)2 FS] This part is intended to require the disclosure of major customers

clients and other sources of income to businesses in which you ownan interest It is not for reporting income from second jobs That kindof income should be reported in Part A Primary Sources of Incomeif it meets the reporting threshold You will not have anything to report unless during the disclosure period

(1) You owned (either directly or indirectly in the form of anequitable or beneficial interest) more than 5 of the total assetsor capital stock of a business entity (a corporation partnershipLLC limited partnership proprietorship joint venture trust firmetc doing business in Florida) and (2) You received more than 10 of your gross income from thatbusiness entity and (3) You received more than $1500 in gross income from thatbusiness entity

If your interests and gross income exceeded these thresholds thenfor that business entity you must list every source of income to thebusiness entity which exceeded 10 of the business entityrsquos grossincome (computed on the basis of the business entityrsquos most recentlycompleted fiscal year) the sourcersquos address and the sourcersquos principal business activity

CE FORM 1 - Effective January 1 2020 Incorporated by reference in Rule 34-8202 FAC PAGE 5

NOTICE Annual Statements of Financial Interests are due July 1 If the annual form is not filed or postmarked by September 1 an automatic fine of $25 for each day late will be imposed up to a maximum penalty of $1500 Failure to file also can result in removal from public office or employment [s 1123145 FS]

In addition failure to make any required disclosure constitutes grounds for and may be punished by one or more of the following disqualification from being on the ballot impeachment removal or suspension from office or employment demotion reduction in salary reprimand or a civil penalty not exceeding $10000 [s 112317 FS]

1) Elected public officials not serving in a political subdivision of thestate and any person appointed to fill a vacancy in such office unlessrequired to file full disclosure on Form 62) Appointed members of each board commission authority

or council having statewide jurisdiction excluding members of solelyadvisory bodies but including judicial nominating commission membersDirectors of Enterprise Florida Scripps Florida Funding Corporationand Career Source Florida and members of the Council on the SocialStatus of Black Men and Boys the Executive Director Governors and senior managers of Citizens Property Insurance CorporationGovernors and senior managers of Florida Workers Compensation JointUnderwriting Association board members of the Northeast Fla RegionalTransportation Commission board members of Triumph Gulf Coast Incboard members of Florida Is For Veterans Inc and members of theTechnology Advisory Council within the Agency for State Technology3) The Commissioner of Education members of the State Board

of Education the Board of Governors the local Boards of Trustees andPresidents of state universities and the Florida Prepaid College Board4) Persons elected to office in any political subdivision (such a s

municipalities counties and special districts) and any person appointedto fill a vacancy in such office unless required to file Form 65) Appointed members of the following boards councils

commissions authorities or other bodies of county municipality schooldistrict independent special district or other political subdivision thegoverning body of the subdivision community college or junior collegedistrict boards of trustees boards having the power to enforce local codeprovisions boards of adjustment community redevelopment agenciesplanning or zoning boards having the power to recommend create ormodify land planning or zoning within a political subdivision except forcitizen advisory committees technical coordinating committees andsimilar groups who only have the power to make recommendationsto planning or zoning boards and except for representatives of amilitary installation acting on behalf of all military installations within thatjurisdiction pension or retirement boards empowered to invest pensionor retirement funds or determine entitlement to or amount of pensions orother retirement benefits and the Pinellas County Construction LicensingBoard6) Any appointed member of a local government board who

is required to file a statement of financial interests by the appointingauthority or the enabling legislation ordinance or resolution creating theboard7) Persons holding any of these positions in local government

mayor county or city manager chief administrative employee or finance

director of a county municipality or other political subdivision countyor municipal attorney chief county or municipal building inspectorcounty or municipal water resources coordinator county or municipalpollution control director county or municipal environmental controldirector county or municipal administrator with power to grant or denya land development permit chief of police fire chief municipal clerkappointed district school superintendent community college presidentdistrict medical examiner purchasing agent (regardless of title) havingthe authority to make any purchase exceeding $35000 for the localgovernmental unit8) Officers and employees of entities serving as chief administrative

officer of a political subdivision9) Members of governing boards of charter schools operated by a

city or other public entity10) Employees in the office of the Governor or of a Cabinet member

who are exempt from the Career Service System excluding secretarialclerical and similar positions11) The following positions in each state department commission

board or council Secretary Assistant or Deputy Secretary ExecutiveDirector Assistant or Deputy Executive Director and anyone having thepower normally conferred upon such persons regardless of title12) The following positions in each state department or division

Director Assistant or Deputy Director Bureau Chief and any personhaving the power normally conferred upon such persons regardless oftitle13) Assistant State Attorneys Assistant Public Defenders criminal

conflict and civil regional counsel and assistant criminal conflict and civilregional counsel Public Counsel full-time state employees serving ascounsel or assistant counsel to a state agency administrative law judgesand hearing officers14) The Superintendent or Director of a state mental health institute

established for training and research in the mental health field or anymajor state institution or facility established for corrections trainingtreatment or rehabilitation15) State agency Business Managers Finance and Accounting

Directors Personnel Officers Grant Coordinators and purchasingagents (regardless of title) with power to make a purchase exceeding$3500016) The following positions in legislative branch agencies each

employee (other than those employed in maintenance clerical secretarial or similar positions and legislative assistants exemptedby the presiding officer of their house) and each employee of theCommission on Ethics

INSTRUCTIONS FOR COMPLETING FORM 1INTRODUCTORY INFORMATION (Top of Form) If your name mailing address public agency and position are already printed on the form you do not need to provide this information unless it should be changed To change any of this information write the correct information on the form and contact your agencys financial disclosure coordinator You can find your coordinator on the Commission on Ethics website wwwethicsstateflus NAME OF AGENCY The name of the governmental unit which you serve or served by which you are or were employed or for which you are a candidate DISCLOSURE PERIOD The ldquodisclosure periodrdquo for your report is the calendar year ending December 31 2019

OFFICE OR POSITION HELD OR SOUGHT The title of the office or position you hold are seeking or held during the disclosure period even if you have since left that position If you are a candidate for office or are a new employee or appointee check the appropriate boxPUBLIC RECORD The disclosure form and everythingattached to it is a public record Your Social Security Number is not required and you should redact it from any documents you file If you are an active or former officer or employee listed in Section 119071 FS whose home address is exempt from disclosure the Commission will maintain that confidentiality if you submit a written request

WHO MUST FILE FORM 1

CE FORM 1 - Effective January 1 2020 Incorporated by reference in Rule 34-8202 FAC PAGE 3

Examples PART E mdash LIABILITIES mdash You are the sole proprietor of a dry cleaning business from [Required by s 1123145(3)(b)4 FS]which you received more than 10 of your gross incomemdashan List the name and address of each creditor to whom you owed amount that was more than $1500 If only one customer a any amount that at any time during the disclosure period exceeded uniform rental company provided more than 10 of your dry your net worth You are not required to list the amount of any debt cleaning business you must list the name of the uniform rental or your net worth You do not have to disclose credit card and retail company its address and its principal business activity (uniform installment accounts taxes owed (unless reduced to a judgment) rentals) indebtedness on a life insurance policy owed to the company of mdash You are a 20 partner in a partnership that owns a shopping issuance or contingent liabilities A ldquocontingent liabilityrdquo is one mall and your partnership income exceeded the thresholds that will become an actual liability only when one or more future listed above You should list each tenant of the mall that events occur or fail to occur such as where you are liable only as provided more than 10 of the partnershiprsquos gross income and a guarantor surety or endorser on a promissory note If you are a the tenantrsquos address and principal business activity ldquoco-makerrdquo and are jointly liable or jointly and severally liable it is not

a contingent liability PART C mdash REAL PROPERTY Calculations To determine whether the debt exceeds your

[Required by s 1123145(3)(a)3 FS] net worth total all of your liabilities (including promissory notes mortgages credit card debts judgments against you etc) TheIn this part list the location or description of all real property in amount of the liability of a vehicle lease is the sum of any past-due Florida in which you owned directly or indirectly at any time during payments and all unpaid prospective lease payments Subtract the disclosure period in excess of 5 of the propertyrsquos value You the sum total of your liabilities from the value of all your assets are not required to list your residences You should list any vacation as calculated above for Part D This is your ldquonet worthrdquo List each homes if you derive income from them creditor to whom your debt exceeded this amount unless it is one of

Indirect ownership includes situations where you are a the types of indebtedness listed in the paragraph above (credit card beneficiary of a trust that owns the property as well as situations and retail installment accounts etc) Joint liabilities with others for where you own more than 5 of a partnership or corporation that which you are ldquojointly and severally liablerdquo meaning that you may owns the property The value of the property may be determined by be liable for either your part or the whole of the obligation should be the most recently assessed value for tax purposes in the absence included in your calculations at 100 of the amount owed of a more current appraisal

Example You owe $15000 to a bank for student loans $5000 The location or description of the property should be sufficient for credit card debts and $60000 (with spouse) to a savings to enable anyone who looks at the form to identify the property A and loan for a home mortgage Your home (owned by you and street address should be used if one exists your spouse) is worth $80000 and your other property is worth PART D mdash INTANGIBLE PERSONAL PROPERTY $20000 Since your net worth is $20000 ($100000 minus

$80000) you must report only the name and address of the [Required by s 1123145(3)(a)3 FS] savings and loan Describe any intangible personal property that at any time

during the disclosure period was worth more than 10 of your PART F mdash INTERESTS IN SPECIFIED BUSINESSES total assets and state the business entity to which the property [Required by s 1123145 FS] related Intangible personal property includes things such as cash on hand stocks bonds certificates of deposit vehicle leases The types of businesses covered in this disclosure include interests in businesses beneficial interests in trusts money owed state and federally chartered banks state and federal savings and you Deferred Retirement Option Program (DROP) accounts loan associations cemetery companies insurance companies the Florida Prepaid College Plan and bank accounts Intangible mortgage companies credit unions small loan companies alcoholic personal property also includes investment products held in IRAs beverage licensees pari-mutuel wagering companies utilitybrokerage accounts and the Florida College Investment Plan companies entities controlled by the Public Service Commission Note that the product contained in a brokerage account IRA or the and entities granted a franchise to operate by either a city or a Florida College Investment Plan is your assetmdashnot the account or county governmentplan itself Things like automobiles and houses you own jewelry Disclose in this part the fact that you owned during the and paintings are not intangible property Intangibles relating to the disclosure period an interest in or held any of certain positions same business entity may be aggregated for example CDrsquos and with the types of businesses listed above You are requiredsavings accounts with the same bank to make this disclosure if you own or owned (either directly or

Calculations To determine whether the intangible property indirectly in the form of an equitable or beneficial interest) at any exceeds 10 of your total assets total the fair market value of time during the disclosure period more than 5 of the total assets all of your assets (including real property intangible property and or capital stock of one of the types of business entities listed above tangible personal property such as jewelry furniture etc) When You also must complete this part of the form for each of these types making this calculation do not subtract any liabilities (debts) that of businesses for which you are or were at any time during themay relate to the property Multiply the total figure by 10 to arrive disclosure period an officer director partner proprietor or agent at the disclosure threshold List only the intangibles that exceed (other than a resident agent solely for service of process) this threshold amount The value of a leased vehicle is the vehiclersquos If you have or held such a position or ownership interest in present value minus the lease residual (a number which can be one of these types of businesses list the name of the business its found on the lease document) Property that is only jointly owned address and principal business activity and the position held with property should be valued according to the percentage of your the business (if any) If you own(ed) more than a 5 interest in the joint ownership Property owned as tenants by the entirety or as business indicate that fact and describe the nature of your interest joint tenants with right of survivorship should be valued at 100 None of your calculations or the value of the property have to be PART G mdash TRAINING CERTIFICATIONdisclosed on the form

[Required by s 1123142 FS] Example You own 50 of the stock of a small corporation that is worth $100000 the estimated fair market value of If you are a Constitutional or elected municipal officer whoseyour home and other property (bank accounts automobile service began before March 31 of the year for which you are filing furniture etc) is $200000 As your total assets are worth you are required to complete four hours of ethics training which $250000 you must disclose intangibles worth over $25000 addresses Article II Section 8 of the Florida Constitution the Code Since the value of the stock exceeds this threshold you of Ethics for Public Officers and Employees and the public records should list ldquostockrdquo and the name of the corporation If your and open meetings laws of the state You are required to certify on accounts with a particular bank exceed $25000 you should this form that you have taken such training list ldquobank accountsrdquo and bankrsquos name

(

End of Percentage Thresholds Instructions) CE FORM 1 - Effective January 1 2020 Incorporated by reference in Rule 34-8202 FAC PAGE 6

  • 0 HP Cover Page v2
  • 1 Hawks Point Meeting Invite Draft v2
  • 2 Agenda Draft v3
  • 3 EXHIBIT 1
  • 7 HP 05-19-2020 Meeting Minutes Approved
  • 6 EXHIBIT 2
  • 9 HP May FY20 Fin
  • 8 EXHIBIT 3
  • 4 Vacant Position Qualification Requirements for Hawks Point CDD
    • Vacant Position on the Board of Supervisors of the Hawkrsquos Point Community Development District
      • Qualification Requirements
      • Instructions for Interested Candidates
      • Additional Notes
          • 5 Shami Choon Vacant Position - updated 11-5-11 resume
            • 1803 Oak Pond Street Ruskin Fl 33570 E-mailchoons27gmailcom
              • PROFESSIONAL HISTORY
                • Operations Manager Florida Distribution 2002 ndash 2005
                • Operations Manager for Florida Branch Distribution 1999 ndash 2002
                • Warehouse Manager of Miami Distribution Center 1998 ndash 1999
                • Branch Manager of West Palm Beach 1994 ndash 1998
                • Assistant Branch Manager 1991 ndash 1994
                • Customer Service Agent 1990 ndash 1991
                  • 10 EXHIBIT 4
                  • 11 New Business - Hawks Point CDD - MI proposal
                  • 12 EXHIBIT 5
                  • 13 CertaPro Proposal to Paint Exterior Wall 18th to 24th Avenue
                  • 14 Shazam Construction Proposal to Paint Exterior Wall 18th to 24th Street
                    • QUOTE
                      • TO
                          • 15 Photo to accompany Shazam Proposal
                          • 16 EXHIBIT 6
                          • 17 CertaPro Proposal for Pressure Washing Exterior Wall 18th St to 24th Street
                          • 18 Shazam Construction Proposal for Pressure Washing Exterion Wall 18th Street to 24th Street
                            • QUOTE
                              • TO
                                  • 19 EXHIBIT 7
                                  • 20 Form 1_2019i
                                      1. LAST NAME
                                      2. FIRST NAME
                                      3. MIDDLE NAME
                                      4. MAILING ADDRESS ROW 1
                                      5. MAILING ADDRESS ROW 2
                                      6. CITY
                                      7. ZIP
                                      8. COUNTY
                                      9. NAME OF AGENCY
                                      10. NAME OF OFFICE OR POSITION HELD OR SOUGHT
                                      11. CANDIDATE Off
                                      12. NEW EMPLOYEE OR APPOINTEE Off
                                      13. COMPARATIVE (PERCENTAGE) THRESHOLDS Off
                                      14. DOLLAR VALUE THRESHOLDS Off
                                      15. NAME OF SOURCE INCOME ROW 1
                                      16. ADDRESS ROW 1
                                      17. DESCRIPTION OF THE SOURCES PRINCIPAL BUSINESS ACTIVITY ROW 1
                                      18. NAME OF SOURCE INCOME ROW 2
                                      19. ADDRESS ROW 2
                                      20. DESCRIPTION OF THE SOURCES PRINCIPAL BUSINESS ACTIVITY ROW 2
                                      21. NAME OF SOURCE INCOME ROW 3
                                      22. ADDRESS ROW 3
                                      23. DESCRIPTION OF THE SOURCES PRINCIPAL BUSINESS ACTIVITY ROW 3
                                      24. NAME OF SOURCE INCOME ROW 4
                                      25. ADDRESS ROW 4
                                      26. DESCRIPTION OF THE SOURCES PRINCIPAL BUSINESS ACTIVITY ROW 4
                                      27. NAME OF BUSINESS ENTITY ROW 1
                                      28. NAME OF MAJOR SOURCES OF BUSINESS INCOME ROW 1
                                      29. ADDRESS OF SOURCE ROW 1
                                      30. PRINCIPAL BUSINESS ACTIVITY OF SOURCE ROW 1
                                      31. NAME OF BUSINESS ENTITY ROW 2
                                      32. NAME OF MAJOR SOURCES OF BUSINESS INCOME ROW 2
                                      33. ADDRESS OF SOURCE ROW 2
                                      34. PRINCIPAL BUSINESS ACTIVITY OF SOURCE ROW 2
                                      35. NAME OF BUSINESS ENTITY ROW 3
                                      36. NAME OF MAJOR SOURCES OF BUSINESS INCOME ROW 3
                                      37. ADDRESS OF SOURCE ROW 3
                                      38. PRINCIPAL BUSINESS ACTIVITY OF SOURCE ROW 3
                                      39. REAL PROPERTY ROW 1
                                      40. REAL PROPERTY ROW 2
                                      41. REAL PROPERTY ROW 3
                                      42. REAL PROPERTY ROW 4
                                      43. TYPE OF INTANGIBLE ROW 1
                                      44. BUSINESS ENTITY TO WHICH THE PROPERTY RELATES ROW 1
                                      45. TYPE OF INTANGIBLE ROW 2
                                      46. BUSINESS ENTITY TO WHICH THE PROPERTY RELATES ROW 2
                                      47. NAME OF CREDITOR ROW 1
                                      48. ADDRESS OF CREDITOR ROW 1
                                      49. NAME OF CREDITOR ROW 2
                                      50. ADDRESS OF CREDITOR ROW 2
                                      51. ADDRESS OF BUSINESS ENTITY 1
                                      52. PRINCIPAL BUSINESS ACTIVITY 1
                                      53. POSITION HELD WITH ENTITY 1
                                      54. I OWN MORE THAN A 5 INTEREST IN THE BUSINESS 1
                                      55. NATURE OF MY OWNERSHIP INTEREST 1
                                      56. ADDRESS OF BUSINESS ENTITY 2
                                      57. PRINCIPAL BUSINESS ACTIVITY 2
                                      58. POSITION HELD WITH ENTITY 2
                                      59. I OWN MORE THAN A 5 INTEREST IN THE BUSINESS 2
                                      60. NATURE OF MY OWNERSHIP INTEREST 2
                                      61. FOR ELECTED MUNICIPAL OFFICERS REQUIRED TO COMPLETE ANNUAL ETHICS TRAINING PURSUANT TO SECTION 112
                                        1. 3142 F
                                          1. S Off
                                              1. IF ANY OF PARTS A THROUGH G ARE CONTINUED ON A SEPARATE SHEET PLEASE CHECK HERE Off
                                              2. SIGNATURE
                                              3. Date Signed
Page 4: HAWKS POINT COMMUNITY DEVELOPMENT …...2020/06/16  · Hawks Point Community Development District Board of Supervisors Meeting Tuesday, June 16th at 6:30 PM via Zoom All: We welcome

Page 1 of 3

District HAWKS POINT COMMUNITY DEVELOPMENT DISTRICT

Date of Meeting Tuesday June 16 2020 Time 630 PM Location Via Electronic Teleconference

Zoom Link httpsus02webzoomusj84458893991pwd=NEdQT3V2ZWN3WDF3WEwrVXVzODJWUT09

Meeting ID 844 5889 3991 Password 665082

Agenda

I Roll Call

II Audience Comments On Agenda Items ndash (limited to 3 minutes per individual)

III Landscape amp Pond Maintenance Reports

A LMP Landscape amp Irrigation Monthly Report To be Distributed

B Pond Maintenance Report-Stantec To be Distributed

IV Consent Agenda

A Consideration and Approval of Minutes of the May 19 2020 Regular Meeting

Exhibit 1

B Acceptance of the Unaudited May 2020 Financial Statements Exhibit 2

Page 2 of 3

V Administrative Matters

A Consideration of Resume from Shami Choon and Vacant Seat Qualification Requirements

Exhibit 3

VI Business Matters A New Business

1 Consideration of LMP Irrigation Controller 4 Repairs Proposal ndash Estimate No 66077 - $6230

Exhibit 4

2 Consideration of Exterior Wall Painting Proposals Exhibit 5

CertaPro Painters Proposal TBE8F30154 - $1132900

Shazam Construction Proposal - $1270000

3 Consideration of Exterior Wall Pressure Washing Proposals Exhibit 6

CertaPro Painters Proposal TB443B00157 - $195000

Shazam Construction Proposal - $160000

B Old Business

Page 3 of 3

VII Staff Reports

A District Manager Form 1 Statement of Financial Interests Reminder Exhibit 7

B District Counsel

District Counsel Update on Property Ownership

C District Engineer

VIII Supervisors Requests

IX Audience Comments ndash New Business ndash (limited to 3 minutes per individual for non-agenda items)

X Adjournment

EXHIBIT 1

MINUTES OF MEETING 1

HAWKS POINT 2

COMMUNITY DEVELOPMENT DISTRICT 3

The Regular Meeting of the Board of Supervisors of the Hawks Point Community Development 4 District was held on Tuesday May 19 2020 at 630 pm via electronic teleconference 5

FIRST ORDER OF BUSINESS ndash Roll Call 6

Mr Lotito called the meeting to order and conducted roll call 7

Present and constituting a quorum were 8

Chantal Copeland Board Supervisor Chairwoman 9 Sherri Keene Board Supervisor Vice Chairwoman 10 William Hathaway Board Supervisor Assistant Secretary 11 Caryn Williams Board Supervisor Assistant Secretary 12

Also present were 13

Ray Lotito District Manager DPFG Management amp Consulting LLC 14 Vivek Babbar District Counsel Straley Robin Vericker 15 Paul Gomez Landscape Maintenance Professionals Inc 16 David Manfrin Landscape Maintenance Professionals Inc 17 Mitchell Moore Stantec Engineering 18 Adam Markle Stantec Engineering 19 Joe Hamilton Steadfast Environmental 20 Cary Brown Hawks Point Resident 21

The following is a summary of the discussions and actions taken at the May 19 2020 Hawks Point CDD 22 Board of Supervisors Regular Meeting 23

SECOND ORDER OF BUSINESS ndash Audience Comments 24

Ms Brown indicated that she had sent in a list of questions for the Board regarding items on the 25 agenda Mr Lotito clarified in response that the electric meters were for irrigation pumps advised 26 that the Board was required to hire a District management firm with a number of responsibilities 27 dictated under Florida Statute 190 and addressed concerns regarding contract renewals 28

THIRD ORDER OF BUSINESS ndash Landscape amp Pond Maintenance Reports 29

A LMP Landscape amp Irrigation Monthly Report 30

Ms Brown asked about treatments used and Mr Gomez clarified that they were not Roundup 31

B Pond Maintenance Report ndash Stantec 32

FOURTH ORDER OF BUSINESS ndash Administrative Matters ndash Consent Agenda 33

A Exhibit 1 Consideration and Approval of Minutes of the April 21 2020 Meeting 34

B Exhibit 2 Acceptance of the Unaudited April 2020 Financial Statements 35

On a MOTION by Ms Copeland SECONDED by Ms Keene WITH ALL IN FAVOR the Board 36 approved Items A ndash B of the Consent Agenda for the Hawks Point Community Development District 37

FIFTH ORDER OF BUSINESS ndash Business Matters 38

A New Business 39

1 Exhibit 3 Presentation and Discussion of the FY 2021 Budget 40

Hawks Point CDD May 19 2020

Regular Meeting Page 2 of 3

2 Exhibit 4 Consideration and Adoption of Resolution 2020-02 Approving Proposed 41

Budget and Setting Public Hearing for Final Budget 42

On a MOTION by Mr Hathaway SECONDED by Ms Copeland WITH ALL IN FAVOR the Board 43 adopted Resolution 2020-02 Approving Proposed Budget and Setting Public Hearing for Final Budget 44 for the Hawks Point Community Development District 45

3 Exhibit 5 Hillsborough County Number of Registered Voters for Hawks Point ndash 1554 46

4 Exhibit 6 Consideration of Steadfast Environmental Proposal for Pond Plantings ndash No 47 98 - $450000 48

Mr Lotito indicated that this item was to improve quality of storm water discharge and to 49 proactively prevent erosion and noted that the plantings had been budgeted for multiple 50 years but never implemented Mr Hamilton gave an overview of areas for planting and 51 types of plants noting that budget restrictions may lead to the Board needing to prioritize 52 areas Discussion ensued 53

On a MOTION by Mr Hathaway SECONDED by Ms Williams WITH ALL IN FAVOR the Board 54 approved the Steadfast Environmental Proposal for Pond Plantings in the amount of $450000 for the 55 Hawks Point Community Development District 56

5 Exhibit 7 Consideration of LMP Proposal for Palm Trimming ndash No 65827 - $81900 57

This item was tabled to the next meeting pending determination of property ownership 58 by District Counsel 59

B Old Business 60

1 Exhibit 8 Consideration of the Stantec Proposal for Landscape Design for Improvement 61 of Monuments and Common Areas - $1275000 62

Mr Markle gave an overview of the proposal in terms of the scope of landscape design 63 and contractor oversight A resident indicated that she felt the cost of the proposal for 64 design was excessive Discussion ensued 65

On a MOTION by Ms Copeland SECONDED by Ms Williams WITH ALL IN FAVOR the Board 66 approved the Stantec Proposal for Landscape Design for Improvement of Monuments and Common 67 Areas in the amount of $1275000 for the Hawks Point Community Development District 68

2 Exhibit 9 Consideration of LMP Proposals 69

Replace Faulty Hunter 1 Station Decoder ndash Estimate No 64891 - $21050 70

Repair Controller 1 ndash Estimate No 64935 - $19100 71

Repair Controller 3 ndash Estimate No 64936 - $10600 72

Repair Controller 5 ndash Estimate No 64937 - $2900 73

On a MOTION by Mr Hathaway SECONDED by Ms Keene WITH ALL IN FAVOR the Board 74 approved all LMP repair and replacement proposals for the Hawks Point Community Development 75 District 76

Hawks Point CDD May 19 2020

Regular Meeting Page 3 of 3

SIXTH ORDER OF BUSINESS ndash Staff Reports 77

A District Manager 78

There being none the next item followed 79

B District Counsel 80

Mr Babbar noted that District Engineering had recommended an irrigation specialist and that a 81 proposal from the specialist would be forthcoming 82

C District Engineer 83

There being none the next item followed 84

SEVENTH ORDER OF BUSINESS ndash Supervisors Requests 85

There being none the next item followed 86

EIGHTH ORDER OF BUSINESS ndash Audience Comments ndash New Business 87

A resident asked about the ownership of a conservation area at 18th and Hawks Island and Mr 88 Hathaway indicated that this was CDD property The resident noted that the conservation area 89 had been overgrown onto the sidewalk 90

NINTH ORDER OF BUSINESS ndash Adjournment 91

Mr Lotito asked for final questions comments or corrections before requesting a motion to 92 adjourn the meeting There being none Mr Hathaway made a motion to adjourn the meeting 93

On a MOTION by Mr Hathaway SECONDED by Ms Williams WITH ALL IN FAVOR the Board 94 adjourned the meeting for the Hawks Point Community Development District 95

Each person who decides to appeal any decision made by the Board with respect to any matter 96 considered at the meeting is advised that person may need to ensure that a verbatim record of the 97 proceedings is made including the testimony and evidence upon which such appeal is to be based 98

Meeting minutes were approved at a meeting by vote of the Board of Supervisors at a publicly noticed 99 meeting held on ________________________ 100

101

Signature Signature

102

Printed Name Printed Name

Title Secretary Assistant Secretary Title Chairman Vice Chairman 103

EXHIBIT 2

Hawks Point

Community Development District

Financial Statements

(Unaudited)

Period Ending

May 31 2020

DEBT

GENERAL SERVICE CONSOLIDATED

FUND SERIES 2017 TOTAL

1 ASSETS

2

3 CASH 66142$ -$ 66142$

4 MMK 456665 - 456665

5 INVESTMENTS

6 REVENUE FUND - 203538 203538

7 INTEREST FUNDS - 195 195

8 PRINCIPAL FUNDS - - -

9 SINKING FUNDS - 1 1

11 RESERVE - 266003 266003

12 ACCOUNTS RECEIVABLE 2588 - 2588

13 ASSESMENTS RECEIVABLE 2781 3237 6018

14 DUE FROM GF - 172 172

15 PREPAID ITEMS - - -

16 DEPOSITS 451 - 451

17 TOTAL ASSETS 528627$ 473145$ 1001772$

18

19 LIABILITIES

20

21 ACCOUNTS PAYABLE 537$ -$ 537$

22 DUE TO DEBT SERVICE SERIES 2017 172 - 172

23 ACCRUED INTEREST PAYABLE DS 2017 - - -

24 DEFERRED REVENUE 2781 3237 6018

26

27 FUND EQUITY

28

29 RESTRICTED FOR

30 DEBT SERVICE - 469908 469908

32 ASSIGNED 1 QTR OPER 71304 - 71304

33 ASSIGNED FY 2018 INC IN RESERVES 15650 - 15650

34 ASSIGNED FY 2019 INC IN RESERVES 22500 - 22500

35 UNASSIGNED 415683 - 415683 36

37 TOTAL LIABILITIES amp FUND EQUITY 528627$ 473145$ 1001772$

Hawks Point CDDBalance Sheet

May 31 2020

Note GASB 34 government wide financial statements are available in the annual independent audit of the District The audit is

available on the website and upon request

Page 2

FY2020 VARIANCE

ADOPTED BUDGET ACTUAL FAVORABLE

BUDGET YEAR-TO-DATE YEAR-TO-DATE (UNFAVORABLE)

1 REVENUE

2

3 ASSESSMENT ON ROLL (NET) 453615$ 453615$ 450924$ (2691)$

4 ASSESSMENT ON ROLL EXCESS FEES - - - -

5 INTEREST REVENUE - - 1594 1594

6 MISCELLANEOUS REVENUE - - - -

7 ELECTRICITY COST SHARE WITH THE HOA 1600 1067 2633 1566

8 TOTAL REVENUE 455215 454682 455152 470

9

10 EXPENDITURES

11

12 ADMINISTRATIVE

13 BOARD OF SUPERVISORS 12000 8000 5539 2461

14 PAYROLL TAXES 918 612 503 109

15 PAYROLL SERVICE FEE 625 417 392 25

16 MANAGEMENT CONSULTING SERVICES 40000 26667 26667 -

17 GENERAL ADMINISTRATIVE 4800 3200 3200 -

18 MISCELLANEOUS 500 333 - 333

19 AUDITING 3200 3200 - 3200

20 REGULATORY AND PERMIT FEES 175 175 175 -

21 LEGAL ADVERTISEMENTS 1500 1000 1386 (386)

22 ENGINEERING SERVICES 5000 3333 1896 1437

23 LEGAL SERVICES - GENERAL 7500 5000 2895 2105

24 WEBSITE ADMINISTRATION 2265 2165 1749 416

25 TOTAL ADMINISTRATIVE 78483 54102 44401 9701

26

27 INSURANCE

28 INSURANCE (Liability Property amp Casualty) 6050 6050 5638 412

29 TOTAL INSURANCE 6050 6050 5638 412

30

31 DEBT SERVICE ADMINISTRATION

32 DISSEMINATION AGENT 1000 1000 1000 -

33 TRUSTEE FEES 10500 - - -

34 TRUST FUND ACCOUNTING 1500 1000 1000 -

35 ARBITRAGE 650 - - -

36 ASSESSMENT ADMINISTRATION 5000 5000 5000 -

37 TOTAL DEBT SERVICE ADMINISTRATION 18650 7000 7000 -

38

39 UTILITIES

40 ELECTRICITY-IRRIGATION 2928 1952 1191 761

41 TOTAL UTILITIES 2928 1952 1191 761

42

43 FIELD OPERATIONS

44 IRRIGATION MAINTENANCE amp REPAIRS 10000 6667 3960 2706

45 POND MONITORING amp MAINTENANCE 17700 10325 10325 -

46 POND PLANTINGS 5000 5000 - 5000

47 WETLAND MONITORING 7120 5340 1780 3560

48 LANDSCAPE MAINTENANCE 129000 86000 88400 (2400)

49 LANDSCAPE REPLENISHMENT 119898 79932 6520 73412

50 TREE TRIMMING 16800 11200 - 11200

51 STREETLIGHTS 2000 1333 - 1333

52 MISCELLANEOUS FIELD EXPENSES 18586 12391 8886 3504

53 CAPITAL PROJECTS - WELL DRILLING amp PUMP INSTALL - - 18165 (18165)

54 RESERVE - PAINT PERIMITER WALL - - 6350 (6350)

55 TOTAL FIELD OPERATIONS 326104 218188 144386 73802

Hawks Point

General Fund

Statement of Revenues Expenditures and Changes in Fund Balance

For the period from October 1 2019 through April 30 2020

Preliminary

Page 3

FY2020 VARIANCE

ADOPTED BUDGET ACTUAL FAVORABLE

BUDGET YEAR-TO-DATE YEAR-TO-DATE (UNFAVORABLE)

Hawks Point

General Fund

Statement of Revenues Expenditures and Changes in Fund Balance

For the period from October 1 2019 through April 30 2020

Preliminary

56

57 TOTAL EXPENDITURES BEFORE RESERVES 432215 287292 202616 84675

58

59 INCREASE FOR RESERVES 23000 - - -

60 INCREASE IN FUND BALANCE - - - -

61

62

63 TOTAL EXPENDITURES AFTER RESERVE 455215 287292 202616 84675

64

65 EXCESS OF REVENUE OVER (UNDER) EXPENDITURES - 167390 252535 85145

66

67 FUND BALANCE - BEGINNING 269666 269666 272602 272602

68 DECREASE IN FUND BALANCE - - - -

69 INCREASE IN RESERVE 23000 - - -

70 FUND BALANCE - ENDING 292666$ 437056$ 525137$ 357747$

71

72

73 FY 2018FY 2019 - Irrigation System Grounding Phased 15544$

74 FY 2018 - Perimieter Wall Paint Applications 5815

75 FY 2019 - Reserve Study Update 1100

77 FY 2020 - Irrigation System-Clocks 6442

Total Replacement Expenses for Reserves 28901$

Reserve Expenditure Components

Page 4

FY 2020 VARIANCE

ADOPTED BUDGET ACTUAL FAVORABLE

BUDGET YEAR-TO-DATE YEAR-TO-DATE (UNFAVORABLE)

1 REVENUE

2 ASSESSMENTS - ON-ROLL (Gross) 561051$ 527388$ 524922$ (2466)$

3 ASSESSMENTS - ON-ROLL EXCESS FEES - - - -

4 FUND BALANCE FORWARD - - - -

5 INTEREST - INVESTMENT - - 3703 3703

6 DISCOUNT (22442) - - -

7 TOTAL REVENUE 538609 527388 528624 1236

8

9

10 EXPENDITURES

11

12 PRINCIPAL

13 512020 235000 - 235000 (235000)

14 INTEREST EXPENSE

15 1112019 - - 144238 (144238)

16 512020 144238 - 144238 (144238)

17 1112020 140075 - - -

18 COUNTY COLLECTION CHARGES 11221 - - -

19 TOTAL EXPENDITURES 530534 - 523475 (523475)

20

21 EXCESS OF REVENUE OVER (UNDER) EXPENDITURES 8075 527388 5149 (522239)

22

23 OTHER FINANCING SOURCES (USES)

24 TRANSFER IN - - - -

25 TRANSFER OUT (USES) - - - -

26 TOTAL OTHER FINANCING SOURCES (USES) - - - -

27

28 NET CHANGE IN FUND BALANCE 8075 527388 5149 (522239)

29

30 FUND BALANCE - BEGINNING - - 464759 464759

31 FUND BALANCE APPROPRIATED - - - -

32

33 FUND BALANCE - ENDING 8075$ 527388$ 469908$ (57480)$

Hawks Point CDD

Debt Service - Series 2017

Statement of Revenues Expenditures and Changes in Fund Balance

For the period from October 1 2019 through April 30 2020

Page 5

Bank United

Balance Per Bank Statement 7549415$

Plus Deposits in Transit -

Less Outstanding Checks (935250)

Adjusted Bank Balance 6614165$

Beginning Bank Balance Per Books 4251943$

Cash Receipts 5000350

Cash Disbursements (2638128)

Balance Per Books 6614165$

Hawks Point CDD

Bank Reconciliation (GF)

May 31 2020

Page 6

Date Num Name Memo Receipts Disbursements Balance

Bank United EOY Balance 9460943

10012019 9035 DPFG MANAGEMENT amp CONSULTING LLC CDD Mgmt - October 385833 9075110

10022019 Hawks Point West HOA 2019-245- HPW 18866 9093976

10082019 646 Hawks Point HOA 2019245 - HPA 21225 9115201

10082019 Hawks Point West HOA 201956 - HPW 208516 9323717

10082019 1115 Egis Insurance amp Risk Advisors Ins - FY 2020 563800 8759917

10112019 9036 JAYMAN ENTERPRISES LLC Replace Bulbs at Entrances Rcvd 10119 23000 8736917

10112019 9037 Landscape Maintenance Professionals Inc Landscape Maint - October 1105000 7631917

10162019 1116 FLORIDA DEPT OF ECONOMIC OPPORTUNIT Annual Filing FY 2020 17500 7614417

10182019 9041 TAMPA BAY TIMES Legal Ad - Meeting Schedule 55200 7559217

10212019 9038 DPFG MANAGEMENT amp CONSULTING LLC Special Assessment - FY 2020 Continuing Disclosure ADA Compliance 650000 6909217

10212019 9039 JAYMAN ENTERPRISES LLC Replace Bulbs 7000 6902217

10212019 9040 STANTEC CONSULTING SERVICES INC Lake amp Pond Maint - Sept 10500 6891717

10242019 ACH102419 TAMPA ELECTRIC 830-930 - 1416 Little Hawk Dr 7637 6884080

10242019 ACH1024192 TAMPA ELECTRIC 830-930 - 2160 Golden Falcon Dr 7083 6876997

10242019 000652 Hawks Point HOA 20197-HPA 4921 6881918

10252019 694003DD ANDREW HERON Bos Mtg - 101519 18470 6863448

10252019 ACH102519 Innovative Employer Soltuions Bos Mtg - 101519 17140 6846308

10252019 694005DD KAREN OBRIEN Bos Mtg - 101519 18470 6827838

10252019 694004DD SHERRI KEENE Bos Mtg - 101519 18470 6809368

10252019 694002DD WILLIAM J HATHAWAY Bos Mtg - 101519 18470 6790898

10312019 Bank United Interest 691 6791589

Bank United EOM Balance 254219 2923573 6791589

11012019 9042 DPFG MANAGEMENT amp CONSULTING LLC CDD Mgmt - November 385833 6405756

11012019 9043 STANTEC CONSULTING SERVICES INC Lake amp Pond Maint - Pond 201-19 amp 21 - Sept 274000 6131756

11012019 9044 STRALEY ROBIN VERICKER Legal Svcs thru 101519 65999 6065757

11122019 1117 HAWKS POINT CDD DS 2017 Tax Collection Share co Wells Fargo 762290 5303467

11152019 9045 Landscape Maintenance Professionals Inc Landscape Maint - November amp Irrigation Repairs 1229369 4074098

11152019 9046 STANTEC CONSULTING SERVICES INC Lake amp Pond Maint - Oct 333600 3740498

11202019 9048 TAMPA BAY TIMES Legal Ad - Audit Meeting 42050 3698448

11222019 9047 STANTEC CONSULTING SERVICES INC Lake amp Pond Maint - Pond 20 - Oct 10500 3687948

11252019 ACH1125191 TAMPA ELECTRIC 101-1030 - 1416 Little Hawk Dr 7431 3680517

11252019 ACH1125192 TAMPA ELECTRIC 101-1030 - 2160 Golden Falcon Dr 8753 3671764

11292019 703783DD ANDREW HERON Bos Mtg - 111919 18470 3653294

11292019 ACH112919 Innovative Employer Soltuions Bos Mtg - 111919 20200 3633094

11292019 703785DD KAREN OBRIEN Bos Mtg - 111919 18470 3614624

11292019 703781DD MARIE CHANTAL COPELAND Bos Mtg - 111919 18470 3596154

11292019 703784DD SHERRI KEENE Bos Mtg - 111919 18470 3577684

11292019 703782DD WILLIAM J HATHAWAY Bos Mtg - 111919 18470 3559214

11302019 Bank United Interest 450 3559664

Bank United EOM Balance 450 3232375 3559664

12022019 9049 DPFG MANAGEMENT amp CONSULTING LLC CDD Mgmt - December 385833 3173831

12042019 694 Hawks Point HOA 20198-HPA 5105 3178936

12042019 503 Hawks Point West HOA 20197-HPW amp 20198-HPW 7388 3186324

12042019 1118 Site Masters of Florida LLC Investigation of pipe discharge Townhome Yard Drain Blockage 150000 3036324

12112019 9050 Illuminations Holiday Lighting Electrical Fix Holiday Lights - Deposit 261250 2775074

12132019 Bank United Funds Transfer - MMK to Opt Acct 4500000 7275074

12132019 Bank United Funds Transfer - MMK to Opt Acct 50834407 58109481

12162019 9055 TAMPA BAY TIMES Legal Ad - RFP Auditing Svc 36100 58073381

12182019 9051 Flatwoods Environmental Cut amp Dispose Brazilian Pepper 396500 57676881

12182019 9052 Landscape Maintenance Professionals Inc Landscape Maint - December 1105000 56571881

12182019 9053 STANTEC CONSULTING SERVICES INC Misc Environmental Services 137000 56434881

12182019 9054 STRALEY ROBIN VERICKER Legal Svcs thru 111519 57500 56377381

12182019 1119 HAWKS POINT CDD DS 2017 Tax Collection Share co Wells Fargo 49544765 6832616

12182019 1120 Innersync ADA Compliant website 124942 6707674

12262019 ACH1226191 TAMPA ELECTRIC 1031-122 - 2160 Golden Falcon Dr 8771 6698903

12262019 ACH1226192 TAMPA ELECTRIC 1031-1202 - 1416 Little Hawk Dr 9315 6689588

12272019 711993DD ANDREW HERON Bos Mtg - 121719 18470 6671118

12272019 ACH122719 Innovative Employer Soltuions Bos Mtg - 121719 20200 6650918

12272019 711995DD KAREN OBRIEN Bos Mtg - 121719 18470 6632448

12272019 711991DD MARIE CHANTAL COPELAND Bos Mtg - 121719 18470 6613978

12272019 711994DD SHERRI KEENE Bos Mtg - 121719 18470 6595508

12272019 711992DD WILLIAM J HATHAWAY Bos Mtg - 121719 18470 6577038

12312019 Bank United Interest 3091 6580129

Bank United EOM Balance 55349991 52329526 6580129

01022020 9056 DPFG MANAGEMENT amp CONSULTING LLC CDD Mgmt - January 385833 6194296

01082020 9057 Landscape Maintenance Professionals Inc Station decoders 82908 6111388

01082020 9058 STRALEY ROBIN VERICKER Legal Svcs thru 121519 10000 6101388

01102020 9159 Landscape Maintenance Professionals Inc Landscape Maint - January 1105000 4996388

01102020 9160 Mike White LLC Entry Monument repair 54119 4942269

01132020 1121 HAWKS POINT CDD DS 2017 Tax Collection Share co Wells Fargo 868256 4074013

01172020 9161 Illuminations Holiday Lighting Holiday Lights - Balance Due 231250 3842763

01172020 000534 Hawks Point West HOA 20201-HPW 4493 3847256

01272020 1122 STANTEC CONSULTING SERVICES INC Pond Maint - December Engineering Svcs thru 122719 353400 3493856

01272020 ACH012720 TAMPA ELECTRIC 123-1231 - 2160 Golden Falcon Dr 8116 3485740

01272020 ACH0127202 TAMPA ELECTRIC 1203-1231 - 1416 Little Hawk Dr 6682 3479058

01312020 072704 Innovative Employer Soltuions Bos Mtg - 12120 17140 3461918

01312020 721948DD KAREN OBRIEN Bos Mtg - 12120 18470 3443448

01312020 721945DD MARIE CHANTAL COPELAND Bos Mtg - 12120 18470 3424978

01312020 721947DD SHERRI KEENE Bos Mtg - 12120 18470 3406508

01312020 721946DD WILLIAM J HATHAWAY Bos Mtg - 12120 18470 3388038

01312020 Bank United Interest 1406 3389444

Bank United EOM Balance 5899 3196584 3389444

02052020 1124 DPFG MANAGEMENT amp CONSULTING LLC CDD Mgmt - February 385833 3003611

02052020 1125 Landscape Maintenance Professionals Inc Landscape Maint - February 1105000 1898611

02052020 1126 TAMPA ELECTRIC 101-1030 - 1416 Little Hawk Dr 308 1898303

02252020 1127 Landscape Maintenance Professionals Inc Landscape Maint - March 1105000 793303

02252020 02252020ACH TAMPA ELECTRIC 11-130 - 1416 Little Hawk Dr 7840 785463

02252020 02252020ACH TAMPA ELECTRIC 11-130 - 2160 Golden Falcon Dr 9092 776371

02282020 02182020ACH Innovative Employer Soltuions Bos Mtg - 21820 14080 762291

02282020 730271DD MARIE CHANTAL COPELAND Bos Mtg - 21820 18470 743821

02282020 730273DD SHERRI KEENE Bos Mtg - 21820 18470 725351

02282020 7302272DD WILLIAM J HATHAWAY Bos Mtg - 21820 18470 706881

02292020 Bank United Interest 203 707084

HAWKS POINT CDDCASH REGISTER

FY 2020

Page 7

Date Num Name Memo Receipts Disbursements Balance

HAWKS POINT CDDCASH REGISTER

FY 2020

Bank United EOM Balance 203 2682563 707084

03042020 1128 DPFG MANAGEMENT amp CONSULTING LLC CDD Mgmt - March 385833 321251

03122020 1129 STANTEC CONSULTING SERVICES INC Engineering Svcs thru 012420 73950 247301

03122020 ACH032520 TAMPA ELECTRIC 13120 - 22820 - 2160 Golden Falcon Dr 8527 238774

03122020 ACH0325202 TAMPA ELECTRIC 013120 - 22820 - 1416 Little Hawk Dr 6592 232182

03192020 BankUnited Funds Transfer 5000000 5232182

03192020 1130 HAWKS POINT CDD DS 2017 Tax Collection Share co Wells Fargo thru 030420 1437199 3794983

03242020 1131 Landscape Maintenance Professionals Inc Pencil Pruning of Crape Myrtles Landscape Maint -042020 1360500 2434483

03242020 1132 STANTEC CONSULTING SERVICES INC Pond Maint - January Feb 295000 2139483

03242020 1133 STRALEY ROBIN VERICKER Legal Svcs thru 021520 23250 2116233

03272020 1134 DPFG MANAGEMENT amp CONSULTING LLC CDD Mgmt - April 2020 385833 1730400

03272020 1135 Landscape Maintenance Professionals Inc Irrigation Inspection repairs 74858 1655542

03312020 BankUnited Interest 200 1655742

Bank United EOM Balance 5000200 4051542 1655742

04082020 1136 Accurate Drilling Solutions Service call - 032520 - Replacement for Controller on pump 4 60234 1595508

04082020 1137 STANTEC CONSULTING SERVICES INC Engineering Svcs thru 032020 61250 1534258

04082020 1138 STRALEY ROBIN VERICKER Legal Svcs thru 031520 93270 1440988

04082020 1139 TAMPA ELECTRIC 229-330 - Electricity 16915 1424073

04162020 1140 HAWKS POINT CDD DS 2017 Tax Collection Share co Wells Fargo thru 041320 298431 1125642

04232020 BankUnited Funds Transfer 5000000 6125642

04232020 1141 Accurate Drilling Solutions Well Drilling and new pump system installation 1816480 4309162

04282020 1142 STRALEY ROBIN VERICKER Legal Svcs thru 041520 57460 4251702

04302020 BankUnited Interest 241 4251943

Bank United EOM Balance 5000241 2404040 4251943

05012020 1143 DPFG MANAGEMENT amp CONSULTING LLC CDD Mgmt - May 2020 385833 3866110

05012020 ACH050120 Innovative Employer Soltuions Bos Mtg - 42120 14080 3852030

05012020 747666DD MARIE CHANTAL COPELAND Bos Mtg - 42120 18470 3833560

05012020 747667DD WILLIAM J HATHAWAY Bos Mtg - 42120 18470 3815090

05012020 747668DD SHERRI KEENE Bos Mtg - 42120 18470 3796620

05082020 ACH050820 Innovative Employer Soltuions Bos Mtg - 42120 8620 3788000

05082020 1 Caryn Williams BOS 04212020 18470 3769530

05112020 1144 Landscape Maintenance Professionals Inc Landscape Maint -052020 1105000 2664530

05112020 1145 STANTEC CONSULTING SERVICES INC Engineering Svcs thru 042420 25400 2639130

05112020 1146 TAMPA ELECTRIC 330-429 - Electricity 19915 2619215

05212020 1147 BUSINESS OBSERVER Legal Ad - Notice of Qualifying Period 51520 5250 2613965

05212020 1148 CertaPro Painters Paint exterior wall 24th to 30th Street 635000 1978965

05212020 1149 STANTEC CONSULTING SERVICES INC Pond Maint - March-April 295000 1683965

05292020 BankUnited Funds Transfer 5000000 6683965

05292020 755486DD Caryn Williams Bos Mtg - 51920 18470 6665495

05292020 ACH052920 Innovative Employer Soltuions Bos Mtg - 51920 14740 6650755

05292020 755485DD SHERRI KEENE Bos Mtg - 51920 18470 6632285

05292020 755484DD WILLIAM J HATHAWAY Bos Mtg - 51920 18470 6613815

05312020 BankUnited Interest 350 6614165

Bank United EOM Balance 5000350 2638128 6614165

Page 8

EXHIBIT 3

Vacant Position on the Board of Supervisors of the Hawkrsquos Point Community Development District The Hawkrsquos Point Community Development District (CDD) is soliciting interested candidates to fill a vacant position on the Board of Supervisors of the CDD (Board) The CDD is a local unit of special-purpose government which is created pursuant to Chapter 190 Florida Statutes The Board is comprised of 5 members who are public officials who are normally elected on the November General Elections who serve in staggered terms The vacancy is a result of a resignation of a board member due to a relocation The remaining term of the vacant supervisorrsquos seat is through November 2022

Qualification Requirements

1 Resident of the CDD

2 At least 18 years of age

3 Citizen of the United States

4 Legal resident of Florida and of the CDD

5 Registered to vote with the Hillsborough County Supervisor of Elections

Instructions for Interested Candidates

Interested candidates must submit a letter of interest and resume to Raymondlotitodpfgcom by 4 pm on Friday June 5 2020 The subject line in the email should read ldquoVacant Position on the Board of Supervisors of the Hawkrsquos Point CDDrdquo

The Letter of Interest must contain

1 A statement stating why you believe you are well suited for the position

2 Your vision for the CDD and what you would like to see the Community evolve into Please be specific

The Resume must contain

1 Your academic background and professional experience

2 Previous and current experience with governmental agencies and governing boards

Interested candidates should attend the Board meeting on Tuesday June 16 2020 at 630 pm and present a brief presentation about themselves and be prepared for a brief question and answer period with the current Board members

Additional Notes

The current Board members will discuss the candidates and may make an appointment at the June meeting If the Board cannot come to a consensus on one candidate or if they determine to not appoint any candidate to the vacant seat they may revisit the vacancy at a future meeting or leave the seat vacant until the November 2022 General Election

Please note that the person appointed to serve in the vacant seat will be required to submit a financial disclosure statement to the State and will be subject to Floridarsquos Government in the Sunshine Laws Public Records laws and Ethics laws

1

Sookdeo (Shami) Choon Phone number (813) 731-5564 1803 Oak Pond Street Ruskin Fl 33570 E-mailchoons27gmailcom

PROFESSIONAL HISTORY Firkins GroupGarber Nissan December 2013 to Present Commercial Vehicle Sales ManagerFinance Manager Auto Nation From January 2006 to December 2013 Sales 2006- 2007 Finance Manager 2007- 2008 Sales Manager Training Manager 2008-2009 Sales Finance 2009- 2011 Commercial Sales Manager Finance Manager 2011- 2020 Parts Depot Inc From 1990 to 2005 ___________________________________________________________________________________________ Operations Manager Florida Distribution 2002 ndash 2005 bull Responsible for total inventory control of all Florida warehouses frac12 of the corporationrsquos revenue bull Directed top management to complete acquisition consolidations which resulted in the corporationrsquos

expansion bull Managed all Florida branch warehouse managers and employees totaling 200 employees bull Increased productivity and shipping efficiency in all departments developed new delivery logistics

improved product availability to all customers as well a hired and efficiently trained employees bull Reviewed all customer service statistics daily and contacted customer directly on all issues bull Reviewed PampLrsquos for all units monthly bull Presented weekly productivity and financial reports to senior management bull Directed DOT monthly guidelines maintained driver files in accordance with DOT regulations and

implemented loss prevention programs Operations Manager for Florida Branch Distribution 1999 ndash 2002 bull Improved customer service by increasing product availability to customers by implementing new

delivery logistics bull Developed employee training implemented safety awareness and monthly safety programs Warehouse Manager of Miami Distribution Center 1998 ndash 1999 bull Developed and implemented productivity guidelines implemented delivery cost saving programs

and improved product availability to the corporationrsquos customers Branch Manager of West Palm Beach 1994 ndash 1998 bull Responsible for the opening of this new branch set the building layout as well as the delivery and

logistics systems

2

bull Increased sales by 80 over budget and kept operating cost as of sales Implemented new customer service department Hired and trained all employees

Assistant Branch Manager 1991 ndash 1994 bull Increased productivity by 20 and improved delivery service Customer Service Agent 1990 ndash 1991 bull Created and implemented customer service guidelines Wingate Automotive Group 1987ndash 1990 Trinidad amp Tobago Government National Security 1984- 1987 Field Operation

EXHIBIT 4

PO Box 267 Seffner FL 33583 O 813-757-6500 F 813-757-6501 Estimate

Submitted To Hawks Point CDD 250 International Parkway Suite 280 Lake Mary FL 32746

CDD - controller 4 - zones 1 and 2

Date 5232020

Estimate 66077

LMP REPRESENTATIVE

DG-TI

PO

W ork Order

DESCRIPTION QTY COST TOTAL

Controller 4 34 inch poly pipe 34 inch poly pipe clamps Labor 2 men $ 8500 per hour

Irrigation inspection repairs needed Repair 6 - 34 inch poly pipe line leaks

6 12 05

072 129

8500

432 1548 4250

TERMS AND CONDITIONS TOTAL $6230

LMP reserves the right to withdraw this proposal if not accepted within 30 days of the date listed above Any alteration or deviation to scope of work involving additional costs must be agreed upon in writing as a separate proposal or change order to this proposal Periodic invoices may be submitted if job is substantial in nature with final invoice being submitted at completion of project Any work performed requiring more than 5 days to complete is subject to progressive payments as portions of the work are completed No finance charge will be imposed if the total of said work is paid in full within 30 days of invoice date If not paid in full within 30 days then customer is subject to finance charges on the balance of the work from the invoice date at a rate of 15 per month until paid LMP shall have the right to stop work under this contract until all outstanding amounts including finance charges are paid in full Payments will be applied to the oldest invoices

ACCEPTANCE OF PROPOSAL The above prices scope of work and terms and conditions are hereby satisfactorily agreed upon LMP Inc has been authorized to perform the work as outlined and payment will be made as outlined above The above pricing does not include any unforeseen modifications to the said irrigation system that could not be reasonably accounted for prior to job start All plant material carries a one (1) year warranty provided LMP Inc is performing landscape maintenance services to the area installed or enhanced at the time of installation If not then there is no warranty on the plant material

OWNER AGENT

DATE

EXHIBIT 5

Independent Franchise Owner Job TBE8F300154 Terry Beamer 9266 Lazy Ln

Date 06012020

EXTERIOR PROPOSALEXTERIOR PROPOSALEXTERIOR PROPOSALEXTERIOR PROPOSAL Tampa FL 33614 813-936-9242

Fax 813 936-9172

1-800-462-3782

License PA2508

Full Workers Compensation Coverage$2000000 General Liability Insurance

DPFG Management amp Consulting LLC (Hawks Point) Raymond Lotito (SB) Hawks Point CDD Ruskin FL 33570 Phone 813-418-7473 Cell 813-220-6089 Email raymondlotitodpfgcom

Special Notes CERTAPRO PAINTERS WILL PAINT WALL FACING 19ST FROM 18TH-24TH

SPECIAL ATTENTION ADDRESSING STUCCO CRACKS USING CONCRETE AND MASONRY PATCH

SPECIAL ATTENTION PRESSURE WASHING LOOSE PEELING PAINT PRIOR TO PAINTING

CERTAPRO PAINTERS WILL ONLY PAINT STREET FACING SIDE- HOMEOWNERS SIDE EXCLUDED FROM PROPOSAL

CUSTOMER RESPONSIBILITIES Please cut back all shrubs bushes and palms away from wall

GENERAL DESCRIPTION Painting to Exterior Wall 18th-24th Facing 19th Ave

PREPARATION Washing To remove dirt mildew and loose paint so the new finish coat will adhere properly

Caulking To fill all cracks and gaps around windows and doorswood work to seal out moisture and drafts Stair step

cracks

Scraping Scrape all loose and peeling paint to ensure a firm base for the new paint

Masonry Repair to all cracks gaps and holes with elastemeric caulking or masonry patch as required

Sanding To degloss where necessary to promote adhesion of the top coat

Surface TypeArea Primer PurposePRIMING

Masonry Loxon sealerprimer Latex For propor top coat adhesion

Conditioner Loxon sealerprimer to all Latex For proper top coat adhesion

masonry surfaces

FINISH COATS

Surface Area

Exterior

ManufacturePaint Type

Sherwin Williams Resilience Ext Satin

Coats

1 primer-sealer 1 spray 1 backroll stucco

Color

Same As Existing

Clean Up Daily and upon completion

$1132900 All Labor Paint Materials

$1132900 TOTAL

Signature of Authorized Franchise Representative Date

Payment is due In Full upon Job Completion

(IWE HAVE READ THE TERMS STATED HEREIN THEY HAVE (IWE) HAVE EXAMINED THE JOB STATED HEREIN THEY EXPLAINED TO (MEUS) AND (IWE) FIND THEM TO BE HAVE SHOWN TO (MEUS) AND (IWE) FIND THE JOB TO SATISFACTORY AND HEREBY ACCEPT THEM BE SATISFACTORY AND HEREBY ACCEPT THE JOB AS

COMPLETE

SIGNATURE Date SIGNATURE Date

QUOTE

Shazam Construction LLC DATE MAY 13 2020

Shazam Hera 6773 Waterton Drive Riverview FL 33578 813-385-4591 ShazamConstructionLLCgmailcom Hawks Point CDD

TO Bill to Development Planning and Financing Group 15310 Amberly Drive Suite 175 Tampa FL 33647

QUANITY DESCRIPTION UNIT PRICE LINE TOTAL

Pressure wash the wall that parallels 19th avenue from 18th street to 24th street in Hawks Point CDD in Ruskin

$1270000

Repair any cracks with caulk or elastomeric as neededPrep for paint

Paint the wall that parallels 19th avenue from 18th street to 24th street in Hawks Point CDD in Ruskin

Paint using body trim and caps of exterior wall facing 19th avenue

Paint while matching existing colors

Paint using Sherwin Williams

All paint materials and labor is included

SUBTOTAL

SALES TAX

TOTAL $1270000

Make all checks payable to Shazam Construction LLC

THANK YOU FOR YOUR BUSINESS

EXHIBIT 6

Independent Franchise Owner Job TB443B00157 Terry Beamer 9266 Lazy Ln

Date 06052020

EXTERIOR PROPOSALEXTERIOR PROPOSALEXTERIOR PROPOSALEXTERIOR PROPOSAL Tampa FL 33614 813-936-9242

Fax 813 936-9172

1-800-462-3782

License PA2508

Full Workers Compensation Coverage$2000000 General Liability Insurance

DPFG Management amp Consulting LLC (Hawks Point) Raymond Lotito (SB) Hawks Point CDD Ruskin FL 33570 Phone 813-418-7473 Cell 813-220-6089 Email raymondlotitodpfgcom

Special Notes CERTAPRO PAINTERS PRESSURE WASHING PROPOSAL 18TH-24TH

CERTAPRO PAINTERS WILL PRESSURE WASH WALL FACING 19TH ST ONLY

GENERAL DESCRIPTION Painting to

PREPARATION Washing To remove dirt mildew and loose paint so the new finish coat will adhere properly

PRIMING Surface TypeArea Primer Purpose

Clean Up Daily and upon completion

All Labor Paint Materials

TOTAL

$195000

$195000

Signature of Authorized Franchise Representative Date

Payment is due In Full upon Job Completion

(IWE HAVE READ THE TERMS STATED HEREIN THEY HAVE (IWE) HAVE EXAMINED THE JOB STATED HEREIN THEY EXPLAINED TO (MEUS) AND (IWE) FIND THEM TO BE HAVE SHOWN TO (MEUS) AND (IWE) FIND THE JOB TO SATISFACTORY AND HEREBY ACCEPT THEM BE SATISFACTORY AND HEREBY ACCEPT THE JOB AS

COMPLETE

SIGNATURE Date SIGNATURE Date

QUOTE

Shazam Construction LLC DATE JUNE 5 2020

Shazam Hera 6773 Waterton Drive Riverview FL 33578 813-385-4591 ShazamConstructionLLCgmailcom Hawks Point CDD

TO Bill to Development Planning and Financing Group 15310 Amberly Drive Suite 175 Tampa FL 33647

QUANITY DESCRIPTION UNIT PRICE LINE TOTAL

Pressure wash the wall that parallels 19th avenue from 18th street to 24th street in Hawks Point CDD in Ruskin

$160000

All materials and labor is included

SUBTOTAL

SALES TAX

TOTAL $160000

Make all checks payable to Shazam Construction LLC

THANK YOU FOR YOUR BUSINESS

EXHIBIT 7

2019FORM 1 STATEMENT OF

Please print or type your name mailing FOR OFFICE USE ONLY FINANCIAL INTERESTS address agency name and position below

LAST NAME -- FIRST NAME -- MIDDLE NAME

MAILING ADDRESS

CITY ZIP COUNTY

NAME OF AGENCY

NAME OF OFFICE OR POSITION HELD OR SOUGHT

CHECK ONLY IF CANDIDATE OR NEW EMPLOYEE OR APPOINTEE

THIS SECTION MUST BE COMPLETED DISCLOSURE PERIOD THIS STATEMENT REFLECTS YOUR FINANCIAL INTERESTS FOR CALENDAR YEAR ENDING DECEMBER 31 2019

MANNER OF CALCULATING REPORTABLE INTERESTS FILERS HAVE THE OPTION OF USING REPORTING THRESHOLDS THAT ARE ABSOLUTE DOLLAR VALUES WHICH REQUIRES FEWER CALCULATIONS OR USING COMPARATIVE THRESHOLDS WHICH ARE USUALLY BASED ON PERCENTAGE VALUES (see instructions for further details) CHECK THE ONE YOU ARE USING (must check one)

COMPARATIVE (PERCENTAGE) THRESHOLDS OR DOLLAR VALUE THRESHOLDS

PART A -- PRIMARY SOURCES OF INCOME [Major sources of income to the reporting person - See instructions] (If you have nothing to report write none or na)

NAME OF SOURCE SOURCES DESCRIPTION OF THE SOURCES OF INCOME ADDRESS PRINCIPAL BUSINESS ACTIVITY

PART B -- SECONDARY SOURCES OF INCOME [Major customers clients and other sources of income to businesses owned by the reporting person - See instructions] (If you have nothing to report write none or na)

NAME OF NAME OF MAJOR SOURCES ADDRESS PRINCIPAL BUSINESS BUSINESS ENTITY OF BUSINESS INCOME OF SOURCE ACTIVITY OF SOURCE

PART C -- REAL PROPERTY [Land buildings owned by the reporting person - See instructions] You are not limited to the space on the (If you have nothing to report write none or na) lines on this form Attach additional

sheets if necessary

FILING INSTRUCTIONS for when and where to file this form are located at the bottom of page 2

INSTRUCTIONS on who must file this form and how to fill it out begin on page 3

CE FORM 1 - Effective January 1 2020 (Continued on reverse side) PAGE 1 Incorporated by reference in Rule 34-8202(1) FAC

FILING INSTRUCTIONS

IF ANY OF PARTS A THROUGH G ARE CONTINUED ON A SEPARATE SHEET PLEASE CHECK HERE

PART D mdash INTANGIBLE PERSONAL PROPERTY [Stocks bonds certificates of deposit etc - See instructions] (If you have nothing to report write none or na) TYPE OF INTANGIBLE BUSINESS ENTITY TO WHICH THE PROPERTY RELATES

PART E mdash LIABILITIES [Major debts - See instructions] (If you have nothing to report write none or na)

NAME OF CREDITOR ADDRESS OF CREDITOR

PART F mdash INTERESTS IN SPECIFIED BUSINESSES [Ownership or positions in certain types of businesses - See instructions] (If you have nothing to report write none or na)

BUSINESS ENTITY 1 BUSINESS ENTITY 2

NAME OF BUSINESS ENTITY

ADDRESS OF BUSINESS ENTITY

PRINCIPAL BUSINESS ACTIVITY

POSITION HELD WITH ENTITY

I OWN MORE THAN A 5 INTEREST IN THE BUSINESS

NATURE OF MY OWNERSHIP INTEREST

If you were mailed the form by the Commission on Ethics or a County Supervisor of Elections for your annual disclosure filing return the form to that location To determine what category your position falls under see page 3 of instructions Local officersemployees file with the Supervisor of Elections of the county in which they permanently reside (If you do not permanently reside in Florida file with the Supervisor of the county where your agency has its headquarters) Form 1 filers who file with the Supervisor of Elections may file by mail or email Contact your Supervisor of Elections for the mailing address or email address to use Do not email your form to the Commission on Ethics it will be returned State officers or specified state employees who file with the Commission on Ethics may file by mail or email To file by mail send the completed form to PO Drawer 15709 Tallahassee FL32317-5709 physical address 325 John Knox Rd Bldg E Ste 200 Tallahassee FL 32303 To file with the Commission by email scan your completed form and any attachments as a pdf (do not use any other format) send it to CEForm1legstateflus and retain a copy for your records Do not file by both mail and email Choose only one filing method Form 6s will not be accepted via email

Candidates file this form together with their filing papers MULTIPLE FILING UNNECESSARY A candidate who files a Form 1 with a qualifying officer is not required to file with the Commission or Supervisor of Elections WHEN TO FILE Initially each local officeremployee state officer and specified state employee must file within 30 days of the date of his or her appointment or of the beginning of employment Appointees who must be confirmed by the Senate must file prior to confirmation even if that is less than 30 days from the date of their appointment Candidates must file at the same time they file their qualifying papers Thereafter file by July 1 following each calendar year in which they hold their positions Finally file a final disclosure form (Form 1F) within 60 days of leaving office or employment Filing a CE Form 1F (Final Statement of Financial Interests) does not relieve the filer of filing a CE Form 1 if the filer was in his or her position on December 31 2019

SIGNATURE OF FILER Signature

____________________________________________

Date Signed

____________________________________________

CPA or ATTORNEY SIGNATURE ONLY If a certified public accountant licensed under Chapter 473 or attorney in good standing with the Florida Bar prepared this form for you he or she must complete the following statement

I _______________________________________ prepared the CE Form 1 in accordance with Section 1123145 Florida Statutes and the instructions to the form Upon my reasonable knowledge and belief the disclosure herein is true and correct

CPAAttorney Signature ______________________________

Date Signed _______________________________________

PART G mdash TRAINING For elected municipal officers required to complete annual ethics training pursuant to section 1123142 FS

I CERTIFY THAT I HAVE COMPLETED THE REQUIRED TRAINING

CE FORM 1 - Effective January 1 2020 PAGE 2 Incorporated by reference in Rule 34-8202(1) FAC

Examplesmdash You are the sole proprietor of a dry cleaning business fromwhich you received more than 10 of your gross incomemdashanamount that was more than $1500 If only one customer auniform rental company provided more than 10 of your drycleaning business you must list the name of the uniform rentalcompany its address and its principal business activity (uniform rentals) mdash You are a 20 partner in a partnership that owns a shopping mall and your partnership income exceeded the thresholds listed above You should list each tenant of the mall that provided more than 10 of the partnershiprsquos gross income and the tenantrsquos address and principal business activity

PART C mdash REAL PROPERTY[Required by s 1123145(3)(a)3 FS]In this part list the location or description of all real property in

Florida in which you owned directly or indirectly at any time during the disclosure period in excess of 5 of the propertyrsquos value You are not required to list your residences You should list any vacation homes if you derive income from them

Indirect ownership includes situations where you are abeneficiary of a trust that owns the property as well as situations where you own more than 5 of a partnership or corporation thatowns the property The value of the property may be determined by the most recently assessed value for tax purposes in the absence of a more current appraisal

The location or description of the property should be sufficient to enable anyone who looks at the form to identify the property Astreet address should be used if one exists PART D mdash INTANGIBLE PERSONAL PROPERTY

[Required by s 1123145(3)(a)3 FS]Describe any intangible personal property that at any time

during the disclosure period was worth more than 10 of your total assets and state the business entity to which the property related Intangible personal property includes things such as cash on hand stocks bonds certificates of deposit vehicle leases interests in businesses beneficial interests in trusts money owed you Deferred Retirement Option Program (DROP) accounts the Florida Prepaid College Plan and bank accounts Intangiblepersonal property also includes investment products held in IRAs brokerage accounts and the Florida College Investment Plan Note that the product contained in a brokerage account IRA or the Florida College Investment Plan is your assetmdashnot the account or plan itself Things like automobiles and houses you own jewelryand paintings are not intangible property Intangibles relating to the same business entity may be aggregated for example CDrsquos and savings accounts with the same bank

Calculations To determine whether the intangible property exceeds 10 of your total assets total the fair market value of all of your assets (including real property intangible property and tangible personal property such as jewelry furniture etc) When making this calculation do not subtract any liabilities (debts) that may relate to the property Multiply the total figure by 10 to arrive at the disclosure threshold List only the intangibles that exceed this threshold amount The value of a leased vehicle is the vehiclersquos present value minus the lease residual (a number which can be found on the lease document) Property that is only jointly owned property should be valued according to the percentage of your joint ownership Property owned as tenants by the entirety or as joint tenants with right of survivorship should be valued at 100 None of your calculations or the value of the property have to be disclosed on the form

Example You own 50 of the stock of a small corporation that is worth $100000 the estimated fair market value of your home and other property (bank accounts automobile furniture etc) is $200000 As your total assets are worth $250000 you must disclose intangibles worth over $25000 Since the value of the stock exceeds this threshold you should list ldquostockrdquo and the name of the corporation If your accounts with a particular bank exceed $25000 you should list ldquobank accountsrdquo and bankrsquos name

PART E mdash LIABILITIES[Required by s 1123145(3)(b)4 FS]List the name and address of each creditor to whom you owed

any amount that at any time during the disclosure period exceeded your net worth You are not required to list the amount of any debt or your net worth You do not have to disclose credit card and retail installment accounts taxes owed (unless reduced to a judgment) indebtedness on a life insurance policy owed to the company of issuance or contingent liabilities A ldquocontingent liabilityrdquo is one that will become an actual liability only when one or more future events occur or fail to occur such as where you are liable only as a guarantor surety or endorser on a promissory note If you are a ldquoco-makerrdquo and are jointly liable or jointly and severally liable it is not a contingent liability

Calculations To determine whether the debt exceeds your net worth total all of your liabilities (including promissory notes mortgages credit card debts judgments against you etc) Theamount of the liability of a vehicle lease is the sum of any past-due payments and all unpaid prospective lease payments Subtract the sum total of your liabilities from the value of all your assets as calculated above for Part D This is your ldquonet worthrdquo List each creditor to whom your debt exceeded this amount unless it is one of the types of indebtedness listed in the paragraph above (credit card and retail installment accounts etc) Joint liabilities with others for which you are ldquojointly and severally liablerdquo meaning that you may be liable for either your part or the whole of the obligation should be included in your calculations at 100 of the amount owed

Example You owe $15000 to a bank for student loans $5000 for credit card debts and $60000 (with spouse) to a savings and loan for a home mortgage Your home (owned by you and your spouse) is worth $80000 and your other property is worth $20000 Since your net worth is $20000 ($100000 minus $80000) you must report only the name and address of the savings and loan

PART F mdash INTERESTS IN SPECIFIED BUSINESSES[Required by s 1123145 FS]The types of businesses covered in this disclosure include

state and federally chartered banks state and federal savings and loan associations cemetery companies insurance companies mortgage companies credit unions small loan companies alcoholic beverage licensees pari-mutuel wagering companies utilitycompanies entities controlled by the Public Service Commission and entities granted a franchise to operate by either a city or acounty government

Disclose in this part the fact that you owned during the disclosure period an interest in or held any of certain positions with the types of businesses listed above You are required to make this disclosure if you own or owned (either directly orindirectly in the form of an equitable or beneficial interest) at any time during the disclosure period more than 5 of the total assets or capital stock of one of the types of business entities listed above You also must complete this part of the form for each of these types of businesses for which you are or were at any time during thedisclosure period an officer director partner proprietor or agent (other than a resident agent solely for service of process)

If you have or held such a position or ownership interest in one of these types of businesses list the name of the business its address and principal business activity and the position held with the business (if any) If you own(ed) more than a 5 interest in the business indicate that fact and describe the nature of your interest

PART G mdash TRAINING CERTIFICATION[Required by s 1123142 FS]If you are a Constitutional or elected municipal officer whose

service began before March 31 of the year for which you are filing you are required to complete four hours of ethics training which addresses Article II Section 8 of the Florida Constitution the Code of Ethics for Public Officers and Employees and the public records and open meetings laws of the state You are required to certify on this form that you have taken such training (End of Percentage Thresholds Instructions)

CE FORM 1 - Effective January 1 2020 Incorporated by reference in Rule 34-8202 FAC PAGE 6

NOTICE Annual Statements of Financial Interests are due July 1 If the annual form is not filed or postmarked by September 1 an automatic fine of $25 for each day late will be imposed up to a maximum penalty of $1500 Failure to file also can result in removal from public office or employment [s 1123145 FS]

In addition failure to make any required disclosure constitutes grounds for and may be punished by one or more of the following disqualification from being on the ballot impeachment removal or suspension from office or employment demotion reduction in salary reprimand or a civil penalty not exceeding $10000 [s 112317 FS]

WHO MUST FILE FORM 1 1) Elected public officials not serving in a political subdivision of the

state and any person appointed to fill a vacancy in such office unlessrequired to file full disclosure on Form 62) Appointed members of each board commission authority

or council having statewide jurisdiction excluding members of solelyadvisory bodies but including judicial nominating commission membersDirectors of Enterprise Florida Scripps Florida Funding Corporationand Career Source Florida and members of the Council on the Social Status of Black Men and Boys the Executive Director Governors and senior managers of Citizens Property Insurance CorporationGovernors and senior managers of Florida Workers Compensation JointUnderwriting Association board members of the Northeast Fla RegionalTransportation Commission board members of Triumph Gulf Coast Incboard members of Florida Is For Veterans Inc and members of the Technology Advisory Council within the Agency for State Technology3) The Commissioner of Education members of the State Board

of Education the Board of Governors the local Boards of Trustees and Presidents of state universities and the Florida Prepaid College Board 4) Persons elected to office in any political subdivision (such as

municipalities counties and special districts) and any person appointedto fill a vacancy in such office unless required to file Form 65) Appointed members of the following boards councils

commissions authorities or other bodies of county municipality schooldistrict independent special district or other political subdivision thegoverning body of the subdivision community college or junior collegedistrict boards of trustees boards having the power to enforce local codeprovisions boards of adjustment community redevelopment agenciesplanning or zoning boards having the power to recommend create ormodify land planning or zoning within a political subdivision except forcitizen advisory committees technical coordinating committees andsimilar groups who only have the power to make recommendationsto planning or zoning boards and except for representatives of a military installation acting on behalf of all military installations within thatjurisdiction pension or retirement boards empowered to invest pensionor retirement funds or determine entitlement to or amount of pensions orother retirement benefits and the Pinellas County Construction LicensingBoard 6) Any appointed member of a local government board who

is required to file a statement of financial interests by the appointingauthority or the enabling legislation ordinance or resolution creating theboard 7) Persons holding any of these positions in local government

mayor county or city manager chief administrative employee or finance

director of a county municipality or other political subdivision county or municipal attorney chief county or municipal building inspectorcounty or municipal water resources coordinator county or municipalpollution control director county or municipal environmental control director county or municipal administrator with power to grant or denya land development permit chief of police fire chief municipal clerkappointed district school superintendent community college presidentdistrict medical examiner purchasing agent (regardless of title) havingthe authority to make any purchase exceeding $35000 for the localgovernmental unit8) Officers and employees of entities serving as chief administrative

officer of a political subdivision9) Members of governing boards of charter schools operated by a

city or other public entity10) Employees in the office of the Governor or of a Cabinet member

who are exempt from the Career Service System excluding secretarialclerical and similar positions11) The following positions in each state department commission

board or council Secretary Assistant or Deputy Secretary ExecutiveDirector Assistant or Deputy Executive Director and anyone having thepower normally conferred upon such persons regardless of title12) The following positions in each state department or division

Director Assistant or Deputy Director Bureau Chief and any personhaving the power normally conferred upon such persons regardless oftitle 13) Assistant State Attorneys Assistant Public Defenders criminal

conflict and civil regional counsel and assistant criminal conflict and civilregional counsel Public Counsel full-time state employees serving ascounsel or assistant counsel to a state agency administrative law judgesand hearing officers14) The Superintendent or Director of a state mental health institute

established for training and research in the mental health field or anymajor state institution or facility established for corrections trainingtreatment or rehabilitation 15) State agency Business Managers Finance and Accounting

Directors Personnel Officers Grant Coordinators and purchasingagents (regardless of title) with power to make a purchase exceeding$35000 16) The following positions in legislative branch agencies each

employee (other than those employed in maintenance clerical secretarial or similar positions and legislative assistants exempted by the presiding officer of their house) and each employee of theCommission on Ethics

INSTRUCTIONS FOR COMPLETING FORM 1 INTRODUCTORY INFORMATION (Top of Form) If your name mailing address public agency and position are already printed on the form you do not need to provide this information unless it should be changed To change any of this information write the correct information on the form and contact your agencys financial disclosure coordinator You can find your coordinator on the Commission on Ethics website wwwethics stateflus NAME OF AGENCY The name of the governmental unit which you serve or served by which you are or were employed or for which you are a candidate DISCLOSURE PERIOD The ldquodisclosure periodrdquo for your report is the calendar year ending December 31 2019

OFFICE OR POSITION HELD OR SOUGHT The title of the office or position you hold are seeking or held during the disclosure period even if you have since left that position If you are a candidate for office or are a new employee or appointee check the appropriate box PUBLIC RECORD The disclosure form and everythingattached to it is a public record Your Social Security Number is not required and you should redact it from any documents you file If you are an active or former officer or employee listed in Section 119071 FS whose home address is exempt from disclosure the Commission will maintain that confidentiality if you submit a written request

CE FORM 1 - Effective January 1 2020 Incorporated by reference in Rule 34-8202 FAC PAGE 3

PART E mdash LIABILITIES[Required by s 1123145(3)(b)4 FS]List the name and address of each creditor to whom you owed more

than $10000 at any time during the disclosure period The amount of theliability of a vehicle lease is the sum of any past-due payments and allunpaid prospective lease payments You are not required to list the amountof any debt You do not have to disclose credit card and retail installmentaccounts taxes owed (unless reduced to a judgment) indebtedness ona life insurance policy owed to the company of issuance or contingentliabilities A ldquocontingent liabilityrdquo is one that will become an actual liabilityonly when one or more future events occur or fail to occur such as whereyou are liable only as a guarantor surety or endorser on a promissorynote If you are a ldquoco-makerrdquo and are jointly liable or jointly and severallyliable then it is not a contingent liability

PART F mdash INTERESTS IN SPECIFIED BUSINESSES[Required by s 1123145(6) FS]The types of businesses covered in this disclosure include state and

federally chartered banks state and federal savings and loan associationscemetery companies insurance companies mortgage companies creditunions small loan companies alcoholic beverage licensees pari-mutuelwagering companies utility companies entities controlled by the PublicService Commission and entities granted a franchise to operate by either acity or a county government

Disclose in this part the fact that you owned during the disclosure period aninterest in or held any of certain positions with the types of businesses listedabove You must make this disclosure if you own or owned (either directly orindirectly in the form of an equitable or beneficial interest) at any time duringthe disclosure period more than 5 of the total assets or capital stock ofone of the types of business entities listed above You also must completethis part of the form for each of these types of businesses for which youare or were at any time during the disclosure period an officer directorpartner proprietor or agent (other than a resident agent solely for service ofprocess)

If you have or held such a position or ownership interest in one ofthese types of businesses list the name of the business its address andprincipal business activity and the position held with the business (if any) Ifyou own(ed) more than a 5 interest in the business indicate that fact anddescribe the nature of your interest

PART G mdash TRAINING CERTIFICATION[Required by s 1123142 FS]If you are a Constitutional or elected municipal officer whose

service began before March 31 of the year for which you are filingyou are required to complete four hours of ethics training which addresses Article II Section 8 of the Florida Constitution the Codeof Ethics for Public Officers and Employees and the public recordsand open meetings laws of the state You are required to certify onthis form that you have taken such training

(End of Dollar Value Thresholds Instructions)

PART A mdash PRIMARY SOURCES OF INCOME[Required by s 1123145(3)(a)1 FS]Part A is intended to require the disclosure of your principal

sources of income during the disclosure period You do not haveto disclose any public salary or public position(s) but income from these public sources should be included when calculating your gross income for the disclosure period The income of your spouse need not be disclosed however if there is joint income to you and your spouse from property you own jointly (such as interest or dividends from a bank account or stocks) you should include all of that income when calculating your gross income and disclose the source of that income if it exceeded the threshold

Please list in this part of the form the name address and principal business activity of each source of your income whichexceeded 5 of the gross income received by you in your own name or by any other person for your benefit or use during the disclosure period

Gross income means the same as it does for income tax purposes even if the income is not actually taxable such as interest on tax-free bonds Examples include compensation for servicesincome from business gains from property dealings interest rents dividends pensions IRA distributions social security distributive share of partnership gross income and alimony but not child support

Examplesmdash If you were employed by a company that manufactures computers and received more than 5 of your gross income from the company list the name of the company its address and its principal business activity (computer manufacturing)mdash If you were a partner in a law firm and your distributive share of partnership gross income exceeded 5 of your gross income then list the name of the firm its address and its principal business activity (practice of law)mdash If you were the sole proprietor of a retail gift business andyour gross income from the business exceeded 5 of your total gross income list the name of the business its addressand its principal business activity (retail gift sales)mdash If you received income from investments in stocks and bonds list each individual company from which you derived

more than 5 of your gross income Do not aggregate all of your investment incomemdash If more than 5 of your gross income was gain from the sale of property (not just the selling price) list as a source of income the purchaserrsquos name address and principal business activityIf the purchasers identity is unknown such as where securities listed on an exchange are sold through a brokerage firm the source of income should be listed as sale of (name of company)stock for examplemdash If more than 5 of your gross income was in the form of interest from one particular financial institution (aggregatinginterest from all CDrsquos accounts etc at that institution) list the name of the institution its address and its principal business activity

PART B mdash SECONDARY SOURCES OF INCOME[Required by s 1123145(3)(a)2 FS]This part is intended to require the disclosure of major customers

clients and other sources of income to businesses in which you ownan interest It is not for reporting income from second jobs That kindof income should be reported in Part A Primary Sources of Incomeif it meets the reporting threshold You will not have anything to reportunless during the disclosure period

(1) You owned (either directly or indirectly in the form of anequitable or beneficial interest) more than 5 of the total assetsor capital stock of a business entity (a corporation partnershipLLC limited partnership proprietorship joint venture trust firmetc doing business in Florida) and(2) You received more than 10 of your gross income from thatbusiness entity and(3) You received more than $1500 in gross income from thatbusiness entity

If your interests and gross income exceeded these thresholds thenfor that business entity you must list every source of income to thebusiness entity which exceeded 10 of the business entityrsquos grossincome (computed on the basis of the business entityrsquos most recentlycompleted fiscal year) the sourcersquos address and the sourcersquosprincipal business activity

IF YOU HAVE CHOSEN COMPARATIVE (PERCENTAGE) THRESHOLDSTHE FOLLOWING INSTRUCTIONS APPLY

CE FORM 1 - Effective January 1 2020 Incorporated by reference in Rule 34-8202 FAC PAGE 5

MANNER OF CALCULATING REPORTABLE INTEREST Filers have the option of reporting based on either thresholds that are comparative (usually based on percentage values) or thresholds that are based on absolute dollar values The instructions on the following pages specifically describe the different thresholds Check the box that reflects the choice you have made You must use the type of threshold you have chosen for each part of the form In other words if you choose to report based on absolute dollar value thresholds you cannot use a percentage threshold on any part of the form

IF YOU HAVE CHOSEN DOLLAR VALUE THRESHOLDS THE FOLLOWING INSTRUCTIONS APPLY

PART A mdash PRIMARY SOURCES OF INCOME [Required by s 1123145(3)(b)1 FS] Part A is intended to require the disclosure of your principal

sources of income during the disclosure period You do not have todisclose any public salary or public position(s) The income of yourspouse need not be disclosed however if there is joint income toyou and your spouse from property you own jointly (such as interestor dividends from a bank account or stocks) you should disclose thesource of that income if it exceeded the threshold

Please list in this part of the form the name address andprincipal business activity of each source of your income whichexceeded $2500 of gross income received by you in your own name or by any other person for your use or benefit

Gross income means the same as it does for income tax purposes even if the income is not actually taxable such as interest on tax-free bonds Examples include compensation for servicesincome from business gains from property dealings interest rentsdividends pensions IRA distributions social security distributive share of partnership gross income and alimony but not child support

Examples mdash If you were employed by a company that manufacturescomputers and received more than $2500 list the name of thecompany its address and its principal business activity (computermanufacturing) mdash If you were a partner in a law firm and your distributive shareof partnership gross income exceeded $2500 list the name ofthe firm its address and its principal business activity (practice oflaw) mdash If you were the sole proprietor of a retail gift business and yourgross income from the business exceeded $2500 list the nameof the business its address and its principal business activity(retail gift sales) mdash If you received income from investments in stocks and bondslist each individual company from which you derived more than$2500 Do not aggregate all of your investment income mdash If more than $2500 of your gross income was gain from thesale of property (not just the selling price) list as a source ofincome the purchaserrsquos name address and principal businessactivity If the purchaserrsquos identity is unknown such as wheresecurities listed on an exchange are sold through a brokeragefirm the source of income should be listed as sale of (name of company) stock for example mdash If more than $2500 of your gross income was in the formof interest from one particular financial institution (aggregatinginterest from all CDrsquos accounts etc at that institution) list the name of the institution its address and its principal business activity

PART B mdash SECONDARY SOURCES OF INCOME [Required by s 1123145(3)(b)2 FS] This part is intended to require the disclosure of major customers

clients and other sources of income to businesses in which you own aninterest It is not for reporting income from second jobs That kind of incomeshould be reported in Part A Primary Sources of Income if it meets thereporting threshold You will not have anything to report unless during thedisclosure period

(1) You owned (either directly or indirectly in the form of an equitableor beneficial interest) more than 5 of the total assets or capitalstock of a business entity (a corporation partnership LLC limitedpartnership proprietorship joint venture trust firm etc doing business in Florida) and (2) You received more than $5000 of your gross income during thedisclosure period from that business entity

If your interests and gross income exceeded these thresholds then for thatbusiness entity you must list every source of income to the business entitywhich exceeded 10 of the business entityrsquos gross income (computed onthe basis of the business entitys most recently completed fiscal year) thesourcersquos address and the sources principal business activity

Examples mdash You are the sole proprietor of a dry cleaning business from whichyou received more than $5000 If only one customer a uniform rentalcompany provided more than 10 of your dry cleaning business youmust list the name of the uniform rental company its address and itsprincipal business activity (uniform rentals) mdash You are a 20 partner in a partnership that owns a shopping malland your partnership income exceeded the above thresholds List eachtenant of the mall that provided more than 10 of the partnershipsgross income and the tenants address and principal business activity

PART C mdash REAL PROPERTY [Required by s 1123145(3)(b)3 FS] In this part list the location or description of all real property in Florida

in which you owned directly or indirectly at any time during the disclosureperiod in excess of 5 of the propertyrsquos value You are not required to listyour residences You should list any vacation homes if you derive incomefrom them

Indirect ownership includes situations where you are a beneficiary of atrust that owns the property as well as situations where you own more than5 of a partnership or corporation that owns the property The value of theproperty may be determined by the most recently assessed value for taxpurposes in the absence of a more current appraisal

The location or description of the property should be sufficient toenable anyone who looks at the form to identify the property A streetaddress should be used if one exists

PART D mdash INTANGIBLE PERSONAL PROPERTY [Required by s 1123145(3)(b)3 FS] Describe any intangible personal property that at any time during the

disclosure period was worth more than $10000 and state the businessentity to which the property related Intangible personal property includesthings such as cash on hand stocks bonds certificates of deposit vehicleleases interests in businesses beneficial interests in trusts money owedyou Deferred Retirement Option Program (DROP) accounts the FloridaPrepaid College Plan and bank accounts Intangible personal propertyalso includes investment products held in IRAs brokerage accounts andthe Florida College Investment Plan Note that the product contained in a brokerage account IRA or the Florida College Investment Plan is yourassetmdashnot the account or plan itself Things like automobiles and housesyou own jewelry and paintings are not intangible property Intangiblesrelating to the same business entity may be aggregated for example CDsand savings accounts with the same bank Property owned as tenants bythe entirety or as joint tenants with right of survivorship should be valued at100 The value of a leased vehicle is the vehiclersquos present value minusthe lease residual (a number found on the lease document)

CE FORM 1 - Effective January 1 2020 Incorporated by reference in Rule 34-8202 FAC PAGE 4

PART A mdash PRIMARY SOURCES OF INCOME[Required by s 1123145(3)(b)1 FS]Part A is intended to require the disclosure of your principal

sources of income during the disclosure period You do not have todisclose any public salary or public position(s) The income of yourspouse need not be disclosed however if there is joint income t oyou and your spouse from property you own jointly (such as interestor dividends from a bank account or stocks) you should disclose thesource of that income if it exceeded the threshold

Please list in this part of the form the name address andprincipal business activity of each source of your income whichexceeded $2500 of gross income received by you in your own name or by any other person for your use or benefit

Gross income means the same as it does for income taxpurposes even if the income is not actually taxable such as intereston tax-free bonds Examples include compensation for servicesincome from business gains from property dealings interest rentsdividends pensions IRA distributions social security distributiveshare of partnership gross income and alimony but not child support

Examplesmdash If you were employed by a company that manufacturescomputers and received more than $2500 list the name of thecompany its address and its principal business activity (computermanufacturing)mdash If you were a partner in a law firm and your distributive shareof partnership gross income exceeded $2500 list the name ofthe firm its address and its principal business activity (practice oflaw)mdash If you were the sole proprietor of a retail gift business and yourgross income from the business exceeded $2500 list the nameof the business its address and its principal business activity(retail gift sales)mdash If you received income from investments in stocks and bondslist each individual company from which you derived more than$2500 Do not aggregate all of your investment incomemdash If more than $2500 of your gross income was gain from thesale of property (not just the selling price) list as a source o fincome the purchaserrsquos name address and principal businessactivity If the purchaserrsquos identity is unknown such as wheresecurities listed on an exchange are sold through a brokeragefirm the source of income should be listed as sale of (name of company) stock for examplemdash If more than $2500 of your gross income was in the formof interest from one particular financial institution (aggregatinginterest from all CDrsquos accounts etc at that institution) list thename of the institution its address and its principal business activity

PART B mdash SECONDARY SOURCES OF INCOME[Required by s 1123145(3)(b)2 FS]This part is intended to require the disclosure of major customers

clients and other sources of income to businesses in which you own aninterest It is not for reporting income from second jobs That kind of incomeshould be reported in Part A Primary Sources of Income if it meets thereporting threshold You will not have anything to report unless during thedisclosure period

(1) You owned (either directly or indirectly in the form of an equitableor beneficial interest) more than 5 of the total assets or capitalstock of a business entity (a corporation partnership LLC limitedpartnership proprietorship joint venture trust firm etc doing business in Florida) and(2) You received more than $5000 of your gross income during thedisclosure period from that business entity

If your interests and gross income exceeded these thresholds then for thatbusiness entity you must list every source of income to the business entitywhich exceeded 10 of the business entityrsquos gross income (computed onthe basis of the business entitys most recently completed fiscal year) thesourcersquos address and the sources principal business activity

Examplesmdash You are the sole proprietor of a dry cleaning business from whichyou received more than $5000 If only one customer a uniform rentalcompany provided more than 10 of your dry cleaning business youmust list the name of the uniform rental company its address and itsprincipal business activity (uniform rentals)mdash You are a 20 partner in a partnership that owns a shopping malland your partnership income exceeded the above thresholds List eachtenant of the mall that provided more than 10 of the partnershipsgross income and the tenants address and principal business activity

PART C mdash REAL PROPERTY[Required by s 1123145(3)(b)3 FS]In this part list the location or description of all real property in Florida

in which you owned directly or indirectly at any time during the disclosureperiod in excess of 5 of the propertyrsquos value You are not required to listyour residences You should list any vacation homes if you derive incomefrom them

Indirect ownership includes situations where you are a beneficiary of atrust that owns the property as well as situations where you own more than5 of a partnership or corporation that owns the property The value of theproperty may be determined by the most recently assessed value for taxpurposes in the absence of a more current appraisal

The location or description of the property should be sufficient toenable anyone who looks at the form to identify the property A streetaddress should be used if one exists

PART D mdash INTANGIBLE PERSONAL PROPERTY[Required by s 1123145(3)(b)3 FS]Describe any intangible personal property that at any time during the

disclosure period was worth more than $10000 and state the businessentity to which the property related Intangible personal property includesthings such as cash on hand stocks bonds certificates of deposit vehicleleases interests in businesses beneficial interests in trusts money owedyou Deferred Retirement Option Program (DROP) accounts the FloridaPrepaid College Plan and bank accounts Intangible personal propertyalso includes investment products held in IRAs brokerage accounts andthe Florida College Investment Plan Note that the product contained ina brokerage account IRA or the Florida College Investment Plan is yourassetmdashnot the account or plan itself Things like automobiles and housesyou own jewelry and paintings are not intangible property Intangiblesrelating to the same business entity may be aggregated for example CDsand savings accounts with the same bank Property owned as tenants bythe entirety or as joint tenants with right of survivorship should be valued at100 The value of a leased vehicle is the vehiclersquos present value minusthe lease residual (a number found on the lease document)

Filers have the option of reporting based on either thresholds that are comparative (usually based on percentage values) orthresholds that are based on absolute dollar values The instructions on the following pages specifically describe the differentthresholds Check the box that reflects the choice you have made You must use the type of threshold you have chosen for eachpart of the form In other words if you choose to report based on absolute dollar value thresholds you cannot use a percentagethreshold on any part of the form

MANNER OF CALCULATING REPORTABLE INTEREST

IF YOU HAVE CHOSEN DOLLAR VALUE THRESHOLDSTHE FOLLOWING INSTRUCTIONS APPLY

CE FORM 1 - Effective January 1 2020 Incorporated by reference in Rule 34-8202 FAC PAGE 4

PART E mdash LIABILITIES [Required by s 1123145(3)(b)4 FS] List the name and address of each creditor to whom you owed more

than $10000 at any time during the disclosure period The amount of theliability of a vehicle lease is the sum of any past-due payments and allunpaid prospective lease payments You are not required to list the amountof any debt You do not have to disclose credit card and retail installmentaccounts taxes owed (unless reduced to a judgment) indebtedness ona life insurance policy owed to the company of issuance or contingentliabilities A ldquocontingent liabilityrdquo is one that will become an actual liabilityonly when one or more future events occur or fail to occur such as whereyou are liable only as a guarantor surety or endorser on a promissorynote If you are a ldquoco-makerrdquo and are jointly liable or jointly and severallyliable then it is not a contingent liability

PART F mdash INTERESTS IN SPECIFIED BUSINESSES [Required by s 1123145(6) FS] The types of businesses covered in this disclosure include state and

federally chartered banks state and federal savings and loan associationscemetery companies insurance companies mortgage companies creditunions small loan companies alcoholic beverage licensees pari-mutuelwagering companies utility companies entities controlled by the PublicService Commission and entities granted a franchise to operate by either acity or a county government

Disclose in this part the fact that you owned during the disclosure period aninterest in or held any of certain positions with the types of businesses listedabove You must make this disclosure if you own or owned (either directly orindirectly in the form of an equitable or beneficial interest) at any time duringthe disclosure period more than 5 of the total assets or capital stock ofone of the types of business entities listed above You also must completethis part of the form for each of these types of businesses for which youare or were at any time during the disclosure period an officer directorpartner proprietor or agent (other than a resident agent solely for service ofprocess)

If you have or held such a position or ownership interest in one ofthese types of businesses list the name of the business its address andprincipal business activity and the position held with the business (if any) Ifyou own(ed) more than a 5 interest in the business indicate that fact anddescribe the nature of your interest

PART G mdash TRAINING CERTIFICATION [Required by s 1123142 FS] If you are a Constitutional or elected municipal officer whose

service began before March 31 of the year for which you are filingyou are required to complete four hours of ethics training which addresses Article II Section 8 of the Florida Constitution the Code of Ethics for Public Officers and Employees and the public recordsand open meetings laws of the state You are required to certify onthis form that you have taken such training

(End of Dollar Value Thresholds Instructions)

IF YOU HAVE CHOSEN COMPARATIVE (PERCENTAGE) THRESHOLDS THE FOLLOWING INSTRUCTIONS APPLY

PART A mdash PRIMARY SOURCES OF INCOME [Required by s 1123145(3)(a)1 FS] Part A is intended to require the disclosure of your principal

sources of income during the disclosure period You do not haveto disclose any public salary or public position(s) but income from these public sources should be included when calculating your gross income for the disclosure period The income of your spouse need not be disclosed however if there is joint income to you and your spouse from property you own jointly (such as interest or dividends from a bank account or stocks) you should include all of that income when calculating your gross income and disclose the source of that income if it exceeded the threshold

Please list in this part of the form the name address and principal business activity of each source of your income whichexceeded 5 of the gross income received by you in your own name or by any other person for your benefit or use during the disclosure period

Gross income means the same as it does for income tax purposes even if the income is not actually taxable such as interest on tax-free bonds Examples include compensation for servicesincome from business gains from property dealings interest rents dividends pensions IRA distributions social security distributive share of partnership gross income and alimony but not child support

Examples mdash If you were employed by a company that manufactures computers and received more than 5 of your gross income from the company list the name of the company its address and its principal business activity (computer manufacturing) mdash If you were a partner in a law firm and your distributive share of partnership gross income exceeded 5 of your gross income then list the name of the firm its address and its principal business activity (practice of law) mdash If you were the sole proprietor of a retail gift business andyour gross income from the business exceeded 5 of your total gross income list the name of the business its addressand its principal business activity (retail gift sales) mdash If you received income from investments in stocks and bonds list each individual company from which you derived

more than 5 of your gross income Do not aggregate all of your investment income mdash If more than 5 of your gross income was gain from the sale of property (not just the selling price) list as a source of income the purchaserrsquos name address and principal business activityIf the purchasers identity is unknown such as where securities listed on an exchange are sold through a brokerage firm the source of income should be listed as sale of (name of company)stock for example mdash If more than 5 of your gross income was in the form of interest from one particular financial institution (aggregatinginterest from all CDrsquos accounts etc at that institution) list the name of the institution its address and its principal business activity

PART B mdash SECONDARY SOURCES OF INCOME [Required by s 1123145(3)(a)2 FS] This part is intended to require the disclosure of major customers

clients and other sources of income to businesses in which you ownan interest It is not for reporting income from second jobs That kindof income should be reported in Part A Primary Sources of Incomeif it meets the reporting threshold You will not have anything to report unless during the disclosure period

(1) You owned (either directly or indirectly in the form of anequitable or beneficial interest) more than 5 of the total assetsor capital stock of a business entity (a corporation partnershipLLC limited partnership proprietorship joint venture trust firmetc doing business in Florida) and (2) You received more than 10 of your gross income from thatbusiness entity and (3) You received more than $1500 in gross income from thatbusiness entity

If your interests and gross income exceeded these thresholds thenfor that business entity you must list every source of income to thebusiness entity which exceeded 10 of the business entityrsquos grossincome (computed on the basis of the business entityrsquos most recentlycompleted fiscal year) the sourcersquos address and the sourcersquos principal business activity

CE FORM 1 - Effective January 1 2020 Incorporated by reference in Rule 34-8202 FAC PAGE 5

NOTICE Annual Statements of Financial Interests are due July 1 If the annual form is not filed or postmarked by September 1 an automatic fine of $25 for each day late will be imposed up to a maximum penalty of $1500 Failure to file also can result in removal from public office or employment [s 1123145 FS]

In addition failure to make any required disclosure constitutes grounds for and may be punished by one or more of the following disqualification from being on the ballot impeachment removal or suspension from office or employment demotion reduction in salary reprimand or a civil penalty not exceeding $10000 [s 112317 FS]

1) Elected public officials not serving in a political subdivision of thestate and any person appointed to fill a vacancy in such office unlessrequired to file full disclosure on Form 62) Appointed members of each board commission authority

or council having statewide jurisdiction excluding members of solelyadvisory bodies but including judicial nominating commission membersDirectors of Enterprise Florida Scripps Florida Funding Corporationand Career Source Florida and members of the Council on the SocialStatus of Black Men and Boys the Executive Director Governors and senior managers of Citizens Property Insurance CorporationGovernors and senior managers of Florida Workers Compensation JointUnderwriting Association board members of the Northeast Fla RegionalTransportation Commission board members of Triumph Gulf Coast Incboard members of Florida Is For Veterans Inc and members of theTechnology Advisory Council within the Agency for State Technology3) The Commissioner of Education members of the State Board

of Education the Board of Governors the local Boards of Trustees andPresidents of state universities and the Florida Prepaid College Board4) Persons elected to office in any political subdivision (such a s

municipalities counties and special districts) and any person appointedto fill a vacancy in such office unless required to file Form 65) Appointed members of the following boards councils

commissions authorities or other bodies of county municipality schooldistrict independent special district or other political subdivision thegoverning body of the subdivision community college or junior collegedistrict boards of trustees boards having the power to enforce local codeprovisions boards of adjustment community redevelopment agenciesplanning or zoning boards having the power to recommend create ormodify land planning or zoning within a political subdivision except forcitizen advisory committees technical coordinating committees andsimilar groups who only have the power to make recommendationsto planning or zoning boards and except for representatives of amilitary installation acting on behalf of all military installations within thatjurisdiction pension or retirement boards empowered to invest pensionor retirement funds or determine entitlement to or amount of pensions orother retirement benefits and the Pinellas County Construction LicensingBoard6) Any appointed member of a local government board who

is required to file a statement of financial interests by the appointingauthority or the enabling legislation ordinance or resolution creating theboard7) Persons holding any of these positions in local government

mayor county or city manager chief administrative employee or finance

director of a county municipality or other political subdivision countyor municipal attorney chief county or municipal building inspectorcounty or municipal water resources coordinator county or municipalpollution control director county or municipal environmental controldirector county or municipal administrator with power to grant or denya land development permit chief of police fire chief municipal clerkappointed district school superintendent community college presidentdistrict medical examiner purchasing agent (regardless of title) havingthe authority to make any purchase exceeding $35000 for the localgovernmental unit8) Officers and employees of entities serving as chief administrative

officer of a political subdivision9) Members of governing boards of charter schools operated by a

city or other public entity10) Employees in the office of the Governor or of a Cabinet member

who are exempt from the Career Service System excluding secretarialclerical and similar positions11) The following positions in each state department commission

board or council Secretary Assistant or Deputy Secretary ExecutiveDirector Assistant or Deputy Executive Director and anyone having thepower normally conferred upon such persons regardless of title12) The following positions in each state department or division

Director Assistant or Deputy Director Bureau Chief and any personhaving the power normally conferred upon such persons regardless oftitle13) Assistant State Attorneys Assistant Public Defenders criminal

conflict and civil regional counsel and assistant criminal conflict and civilregional counsel Public Counsel full-time state employees serving ascounsel or assistant counsel to a state agency administrative law judgesand hearing officers14) The Superintendent or Director of a state mental health institute

established for training and research in the mental health field or anymajor state institution or facility established for corrections trainingtreatment or rehabilitation15) State agency Business Managers Finance and Accounting

Directors Personnel Officers Grant Coordinators and purchasingagents (regardless of title) with power to make a purchase exceeding$3500016) The following positions in legislative branch agencies each

employee (other than those employed in maintenance clerical secretarial or similar positions and legislative assistants exemptedby the presiding officer of their house) and each employee of theCommission on Ethics

INSTRUCTIONS FOR COMPLETING FORM 1INTRODUCTORY INFORMATION (Top of Form) If your name mailing address public agency and position are already printed on the form you do not need to provide this information unless it should be changed To change any of this information write the correct information on the form and contact your agencys financial disclosure coordinator You can find your coordinator on the Commission on Ethics website wwwethicsstateflus NAME OF AGENCY The name of the governmental unit which you serve or served by which you are or were employed or for which you are a candidate DISCLOSURE PERIOD The ldquodisclosure periodrdquo for your report is the calendar year ending December 31 2019

OFFICE OR POSITION HELD OR SOUGHT The title of the office or position you hold are seeking or held during the disclosure period even if you have since left that position If you are a candidate for office or are a new employee or appointee check the appropriate boxPUBLIC RECORD The disclosure form and everythingattached to it is a public record Your Social Security Number is not required and you should redact it from any documents you file If you are an active or former officer or employee listed in Section 119071 FS whose home address is exempt from disclosure the Commission will maintain that confidentiality if you submit a written request

WHO MUST FILE FORM 1

CE FORM 1 - Effective January 1 2020 Incorporated by reference in Rule 34-8202 FAC PAGE 3

Examples PART E mdash LIABILITIES mdash You are the sole proprietor of a dry cleaning business from [Required by s 1123145(3)(b)4 FS]which you received more than 10 of your gross incomemdashan List the name and address of each creditor to whom you owed amount that was more than $1500 If only one customer a any amount that at any time during the disclosure period exceeded uniform rental company provided more than 10 of your dry your net worth You are not required to list the amount of any debt cleaning business you must list the name of the uniform rental or your net worth You do not have to disclose credit card and retail company its address and its principal business activity (uniform installment accounts taxes owed (unless reduced to a judgment) rentals) indebtedness on a life insurance policy owed to the company of mdash You are a 20 partner in a partnership that owns a shopping issuance or contingent liabilities A ldquocontingent liabilityrdquo is one mall and your partnership income exceeded the thresholds that will become an actual liability only when one or more future listed above You should list each tenant of the mall that events occur or fail to occur such as where you are liable only as provided more than 10 of the partnershiprsquos gross income and a guarantor surety or endorser on a promissory note If you are a the tenantrsquos address and principal business activity ldquoco-makerrdquo and are jointly liable or jointly and severally liable it is not

a contingent liability PART C mdash REAL PROPERTY Calculations To determine whether the debt exceeds your

[Required by s 1123145(3)(a)3 FS] net worth total all of your liabilities (including promissory notes mortgages credit card debts judgments against you etc) TheIn this part list the location or description of all real property in amount of the liability of a vehicle lease is the sum of any past-due Florida in which you owned directly or indirectly at any time during payments and all unpaid prospective lease payments Subtract the disclosure period in excess of 5 of the propertyrsquos value You the sum total of your liabilities from the value of all your assets are not required to list your residences You should list any vacation as calculated above for Part D This is your ldquonet worthrdquo List each homes if you derive income from them creditor to whom your debt exceeded this amount unless it is one of

Indirect ownership includes situations where you are a the types of indebtedness listed in the paragraph above (credit card beneficiary of a trust that owns the property as well as situations and retail installment accounts etc) Joint liabilities with others for where you own more than 5 of a partnership or corporation that which you are ldquojointly and severally liablerdquo meaning that you may owns the property The value of the property may be determined by be liable for either your part or the whole of the obligation should be the most recently assessed value for tax purposes in the absence included in your calculations at 100 of the amount owed of a more current appraisal

Example You owe $15000 to a bank for student loans $5000 The location or description of the property should be sufficient for credit card debts and $60000 (with spouse) to a savings to enable anyone who looks at the form to identify the property A and loan for a home mortgage Your home (owned by you and street address should be used if one exists your spouse) is worth $80000 and your other property is worth PART D mdash INTANGIBLE PERSONAL PROPERTY $20000 Since your net worth is $20000 ($100000 minus

$80000) you must report only the name and address of the [Required by s 1123145(3)(a)3 FS] savings and loan Describe any intangible personal property that at any time

during the disclosure period was worth more than 10 of your PART F mdash INTERESTS IN SPECIFIED BUSINESSES total assets and state the business entity to which the property [Required by s 1123145 FS] related Intangible personal property includes things such as cash on hand stocks bonds certificates of deposit vehicle leases The types of businesses covered in this disclosure include interests in businesses beneficial interests in trusts money owed state and federally chartered banks state and federal savings and you Deferred Retirement Option Program (DROP) accounts loan associations cemetery companies insurance companies the Florida Prepaid College Plan and bank accounts Intangible mortgage companies credit unions small loan companies alcoholic personal property also includes investment products held in IRAs beverage licensees pari-mutuel wagering companies utilitybrokerage accounts and the Florida College Investment Plan companies entities controlled by the Public Service Commission Note that the product contained in a brokerage account IRA or the and entities granted a franchise to operate by either a city or a Florida College Investment Plan is your assetmdashnot the account or county governmentplan itself Things like automobiles and houses you own jewelry Disclose in this part the fact that you owned during the and paintings are not intangible property Intangibles relating to the disclosure period an interest in or held any of certain positions same business entity may be aggregated for example CDrsquos and with the types of businesses listed above You are requiredsavings accounts with the same bank to make this disclosure if you own or owned (either directly or

Calculations To determine whether the intangible property indirectly in the form of an equitable or beneficial interest) at any exceeds 10 of your total assets total the fair market value of time during the disclosure period more than 5 of the total assets all of your assets (including real property intangible property and or capital stock of one of the types of business entities listed above tangible personal property such as jewelry furniture etc) When You also must complete this part of the form for each of these types making this calculation do not subtract any liabilities (debts) that of businesses for which you are or were at any time during themay relate to the property Multiply the total figure by 10 to arrive disclosure period an officer director partner proprietor or agent at the disclosure threshold List only the intangibles that exceed (other than a resident agent solely for service of process) this threshold amount The value of a leased vehicle is the vehiclersquos If you have or held such a position or ownership interest in present value minus the lease residual (a number which can be one of these types of businesses list the name of the business its found on the lease document) Property that is only jointly owned address and principal business activity and the position held with property should be valued according to the percentage of your the business (if any) If you own(ed) more than a 5 interest in the joint ownership Property owned as tenants by the entirety or as business indicate that fact and describe the nature of your interest joint tenants with right of survivorship should be valued at 100 None of your calculations or the value of the property have to be PART G mdash TRAINING CERTIFICATIONdisclosed on the form

[Required by s 1123142 FS] Example You own 50 of the stock of a small corporation that is worth $100000 the estimated fair market value of If you are a Constitutional or elected municipal officer whoseyour home and other property (bank accounts automobile service began before March 31 of the year for which you are filing furniture etc) is $200000 As your total assets are worth you are required to complete four hours of ethics training which $250000 you must disclose intangibles worth over $25000 addresses Article II Section 8 of the Florida Constitution the Code Since the value of the stock exceeds this threshold you of Ethics for Public Officers and Employees and the public records should list ldquostockrdquo and the name of the corporation If your and open meetings laws of the state You are required to certify on accounts with a particular bank exceed $25000 you should this form that you have taken such training list ldquobank accountsrdquo and bankrsquos name

(

End of Percentage Thresholds Instructions) CE FORM 1 - Effective January 1 2020 Incorporated by reference in Rule 34-8202 FAC PAGE 6

  • 0 HP Cover Page v2
  • 1 Hawks Point Meeting Invite Draft v2
  • 2 Agenda Draft v3
  • 3 EXHIBIT 1
  • 7 HP 05-19-2020 Meeting Minutes Approved
  • 6 EXHIBIT 2
  • 9 HP May FY20 Fin
  • 8 EXHIBIT 3
  • 4 Vacant Position Qualification Requirements for Hawks Point CDD
    • Vacant Position on the Board of Supervisors of the Hawkrsquos Point Community Development District
      • Qualification Requirements
      • Instructions for Interested Candidates
      • Additional Notes
          • 5 Shami Choon Vacant Position - updated 11-5-11 resume
            • 1803 Oak Pond Street Ruskin Fl 33570 E-mailchoons27gmailcom
              • PROFESSIONAL HISTORY
                • Operations Manager Florida Distribution 2002 ndash 2005
                • Operations Manager for Florida Branch Distribution 1999 ndash 2002
                • Warehouse Manager of Miami Distribution Center 1998 ndash 1999
                • Branch Manager of West Palm Beach 1994 ndash 1998
                • Assistant Branch Manager 1991 ndash 1994
                • Customer Service Agent 1990 ndash 1991
                  • 10 EXHIBIT 4
                  • 11 New Business - Hawks Point CDD - MI proposal
                  • 12 EXHIBIT 5
                  • 13 CertaPro Proposal to Paint Exterior Wall 18th to 24th Avenue
                  • 14 Shazam Construction Proposal to Paint Exterior Wall 18th to 24th Street
                    • QUOTE
                      • TO
                          • 15 Photo to accompany Shazam Proposal
                          • 16 EXHIBIT 6
                          • 17 CertaPro Proposal for Pressure Washing Exterior Wall 18th St to 24th Street
                          • 18 Shazam Construction Proposal for Pressure Washing Exterion Wall 18th Street to 24th Street
                            • QUOTE
                              • TO
                                  • 19 EXHIBIT 7
                                  • 20 Form 1_2019i
                                      1. LAST NAME
                                      2. FIRST NAME
                                      3. MIDDLE NAME
                                      4. MAILING ADDRESS ROW 1
                                      5. MAILING ADDRESS ROW 2
                                      6. CITY
                                      7. ZIP
                                      8. COUNTY
                                      9. NAME OF AGENCY
                                      10. NAME OF OFFICE OR POSITION HELD OR SOUGHT
                                      11. CANDIDATE Off
                                      12. NEW EMPLOYEE OR APPOINTEE Off
                                      13. COMPARATIVE (PERCENTAGE) THRESHOLDS Off
                                      14. DOLLAR VALUE THRESHOLDS Off
                                      15. NAME OF SOURCE INCOME ROW 1
                                      16. ADDRESS ROW 1
                                      17. DESCRIPTION OF THE SOURCES PRINCIPAL BUSINESS ACTIVITY ROW 1
                                      18. NAME OF SOURCE INCOME ROW 2
                                      19. ADDRESS ROW 2
                                      20. DESCRIPTION OF THE SOURCES PRINCIPAL BUSINESS ACTIVITY ROW 2
                                      21. NAME OF SOURCE INCOME ROW 3
                                      22. ADDRESS ROW 3
                                      23. DESCRIPTION OF THE SOURCES PRINCIPAL BUSINESS ACTIVITY ROW 3
                                      24. NAME OF SOURCE INCOME ROW 4
                                      25. ADDRESS ROW 4
                                      26. DESCRIPTION OF THE SOURCES PRINCIPAL BUSINESS ACTIVITY ROW 4
                                      27. NAME OF BUSINESS ENTITY ROW 1
                                      28. NAME OF MAJOR SOURCES OF BUSINESS INCOME ROW 1
                                      29. ADDRESS OF SOURCE ROW 1
                                      30. PRINCIPAL BUSINESS ACTIVITY OF SOURCE ROW 1
                                      31. NAME OF BUSINESS ENTITY ROW 2
                                      32. NAME OF MAJOR SOURCES OF BUSINESS INCOME ROW 2
                                      33. ADDRESS OF SOURCE ROW 2
                                      34. PRINCIPAL BUSINESS ACTIVITY OF SOURCE ROW 2
                                      35. NAME OF BUSINESS ENTITY ROW 3
                                      36. NAME OF MAJOR SOURCES OF BUSINESS INCOME ROW 3
                                      37. ADDRESS OF SOURCE ROW 3
                                      38. PRINCIPAL BUSINESS ACTIVITY OF SOURCE ROW 3
                                      39. REAL PROPERTY ROW 1
                                      40. REAL PROPERTY ROW 2
                                      41. REAL PROPERTY ROW 3
                                      42. REAL PROPERTY ROW 4
                                      43. TYPE OF INTANGIBLE ROW 1
                                      44. BUSINESS ENTITY TO WHICH THE PROPERTY RELATES ROW 1
                                      45. TYPE OF INTANGIBLE ROW 2
                                      46. BUSINESS ENTITY TO WHICH THE PROPERTY RELATES ROW 2
                                      47. NAME OF CREDITOR ROW 1
                                      48. ADDRESS OF CREDITOR ROW 1
                                      49. NAME OF CREDITOR ROW 2
                                      50. ADDRESS OF CREDITOR ROW 2
                                      51. ADDRESS OF BUSINESS ENTITY 1
                                      52. PRINCIPAL BUSINESS ACTIVITY 1
                                      53. POSITION HELD WITH ENTITY 1
                                      54. I OWN MORE THAN A 5 INTEREST IN THE BUSINESS 1
                                      55. NATURE OF MY OWNERSHIP INTEREST 1
                                      56. ADDRESS OF BUSINESS ENTITY 2
                                      57. PRINCIPAL BUSINESS ACTIVITY 2
                                      58. POSITION HELD WITH ENTITY 2
                                      59. I OWN MORE THAN A 5 INTEREST IN THE BUSINESS 2
                                      60. NATURE OF MY OWNERSHIP INTEREST 2
                                      61. FOR ELECTED MUNICIPAL OFFICERS REQUIRED TO COMPLETE ANNUAL ETHICS TRAINING PURSUANT TO SECTION 112
                                        1. 3142 F
                                          1. S Off
                                              1. IF ANY OF PARTS A THROUGH G ARE CONTINUED ON A SEPARATE SHEET PLEASE CHECK HERE Off
                                              2. SIGNATURE
                                              3. Date Signed
Page 5: HAWKS POINT COMMUNITY DEVELOPMENT …...2020/06/16  · Hawks Point Community Development District Board of Supervisors Meeting Tuesday, June 16th at 6:30 PM via Zoom All: We welcome

Page 2 of 3

V Administrative Matters

A Consideration of Resume from Shami Choon and Vacant Seat Qualification Requirements

Exhibit 3

VI Business Matters A New Business

1 Consideration of LMP Irrigation Controller 4 Repairs Proposal ndash Estimate No 66077 - $6230

Exhibit 4

2 Consideration of Exterior Wall Painting Proposals Exhibit 5

CertaPro Painters Proposal TBE8F30154 - $1132900

Shazam Construction Proposal - $1270000

3 Consideration of Exterior Wall Pressure Washing Proposals Exhibit 6

CertaPro Painters Proposal TB443B00157 - $195000

Shazam Construction Proposal - $160000

B Old Business

Page 3 of 3

VII Staff Reports

A District Manager Form 1 Statement of Financial Interests Reminder Exhibit 7

B District Counsel

District Counsel Update on Property Ownership

C District Engineer

VIII Supervisors Requests

IX Audience Comments ndash New Business ndash (limited to 3 minutes per individual for non-agenda items)

X Adjournment

EXHIBIT 1

MINUTES OF MEETING 1

HAWKS POINT 2

COMMUNITY DEVELOPMENT DISTRICT 3

The Regular Meeting of the Board of Supervisors of the Hawks Point Community Development 4 District was held on Tuesday May 19 2020 at 630 pm via electronic teleconference 5

FIRST ORDER OF BUSINESS ndash Roll Call 6

Mr Lotito called the meeting to order and conducted roll call 7

Present and constituting a quorum were 8

Chantal Copeland Board Supervisor Chairwoman 9 Sherri Keene Board Supervisor Vice Chairwoman 10 William Hathaway Board Supervisor Assistant Secretary 11 Caryn Williams Board Supervisor Assistant Secretary 12

Also present were 13

Ray Lotito District Manager DPFG Management amp Consulting LLC 14 Vivek Babbar District Counsel Straley Robin Vericker 15 Paul Gomez Landscape Maintenance Professionals Inc 16 David Manfrin Landscape Maintenance Professionals Inc 17 Mitchell Moore Stantec Engineering 18 Adam Markle Stantec Engineering 19 Joe Hamilton Steadfast Environmental 20 Cary Brown Hawks Point Resident 21

The following is a summary of the discussions and actions taken at the May 19 2020 Hawks Point CDD 22 Board of Supervisors Regular Meeting 23

SECOND ORDER OF BUSINESS ndash Audience Comments 24

Ms Brown indicated that she had sent in a list of questions for the Board regarding items on the 25 agenda Mr Lotito clarified in response that the electric meters were for irrigation pumps advised 26 that the Board was required to hire a District management firm with a number of responsibilities 27 dictated under Florida Statute 190 and addressed concerns regarding contract renewals 28

THIRD ORDER OF BUSINESS ndash Landscape amp Pond Maintenance Reports 29

A LMP Landscape amp Irrigation Monthly Report 30

Ms Brown asked about treatments used and Mr Gomez clarified that they were not Roundup 31

B Pond Maintenance Report ndash Stantec 32

FOURTH ORDER OF BUSINESS ndash Administrative Matters ndash Consent Agenda 33

A Exhibit 1 Consideration and Approval of Minutes of the April 21 2020 Meeting 34

B Exhibit 2 Acceptance of the Unaudited April 2020 Financial Statements 35

On a MOTION by Ms Copeland SECONDED by Ms Keene WITH ALL IN FAVOR the Board 36 approved Items A ndash B of the Consent Agenda for the Hawks Point Community Development District 37

FIFTH ORDER OF BUSINESS ndash Business Matters 38

A New Business 39

1 Exhibit 3 Presentation and Discussion of the FY 2021 Budget 40

Hawks Point CDD May 19 2020

Regular Meeting Page 2 of 3

2 Exhibit 4 Consideration and Adoption of Resolution 2020-02 Approving Proposed 41

Budget and Setting Public Hearing for Final Budget 42

On a MOTION by Mr Hathaway SECONDED by Ms Copeland WITH ALL IN FAVOR the Board 43 adopted Resolution 2020-02 Approving Proposed Budget and Setting Public Hearing for Final Budget 44 for the Hawks Point Community Development District 45

3 Exhibit 5 Hillsborough County Number of Registered Voters for Hawks Point ndash 1554 46

4 Exhibit 6 Consideration of Steadfast Environmental Proposal for Pond Plantings ndash No 47 98 - $450000 48

Mr Lotito indicated that this item was to improve quality of storm water discharge and to 49 proactively prevent erosion and noted that the plantings had been budgeted for multiple 50 years but never implemented Mr Hamilton gave an overview of areas for planting and 51 types of plants noting that budget restrictions may lead to the Board needing to prioritize 52 areas Discussion ensued 53

On a MOTION by Mr Hathaway SECONDED by Ms Williams WITH ALL IN FAVOR the Board 54 approved the Steadfast Environmental Proposal for Pond Plantings in the amount of $450000 for the 55 Hawks Point Community Development District 56

5 Exhibit 7 Consideration of LMP Proposal for Palm Trimming ndash No 65827 - $81900 57

This item was tabled to the next meeting pending determination of property ownership 58 by District Counsel 59

B Old Business 60

1 Exhibit 8 Consideration of the Stantec Proposal for Landscape Design for Improvement 61 of Monuments and Common Areas - $1275000 62

Mr Markle gave an overview of the proposal in terms of the scope of landscape design 63 and contractor oversight A resident indicated that she felt the cost of the proposal for 64 design was excessive Discussion ensued 65

On a MOTION by Ms Copeland SECONDED by Ms Williams WITH ALL IN FAVOR the Board 66 approved the Stantec Proposal for Landscape Design for Improvement of Monuments and Common 67 Areas in the amount of $1275000 for the Hawks Point Community Development District 68

2 Exhibit 9 Consideration of LMP Proposals 69

Replace Faulty Hunter 1 Station Decoder ndash Estimate No 64891 - $21050 70

Repair Controller 1 ndash Estimate No 64935 - $19100 71

Repair Controller 3 ndash Estimate No 64936 - $10600 72

Repair Controller 5 ndash Estimate No 64937 - $2900 73

On a MOTION by Mr Hathaway SECONDED by Ms Keene WITH ALL IN FAVOR the Board 74 approved all LMP repair and replacement proposals for the Hawks Point Community Development 75 District 76

Hawks Point CDD May 19 2020

Regular Meeting Page 3 of 3

SIXTH ORDER OF BUSINESS ndash Staff Reports 77

A District Manager 78

There being none the next item followed 79

B District Counsel 80

Mr Babbar noted that District Engineering had recommended an irrigation specialist and that a 81 proposal from the specialist would be forthcoming 82

C District Engineer 83

There being none the next item followed 84

SEVENTH ORDER OF BUSINESS ndash Supervisors Requests 85

There being none the next item followed 86

EIGHTH ORDER OF BUSINESS ndash Audience Comments ndash New Business 87

A resident asked about the ownership of a conservation area at 18th and Hawks Island and Mr 88 Hathaway indicated that this was CDD property The resident noted that the conservation area 89 had been overgrown onto the sidewalk 90

NINTH ORDER OF BUSINESS ndash Adjournment 91

Mr Lotito asked for final questions comments or corrections before requesting a motion to 92 adjourn the meeting There being none Mr Hathaway made a motion to adjourn the meeting 93

On a MOTION by Mr Hathaway SECONDED by Ms Williams WITH ALL IN FAVOR the Board 94 adjourned the meeting for the Hawks Point Community Development District 95

Each person who decides to appeal any decision made by the Board with respect to any matter 96 considered at the meeting is advised that person may need to ensure that a verbatim record of the 97 proceedings is made including the testimony and evidence upon which such appeal is to be based 98

Meeting minutes were approved at a meeting by vote of the Board of Supervisors at a publicly noticed 99 meeting held on ________________________ 100

101

Signature Signature

102

Printed Name Printed Name

Title Secretary Assistant Secretary Title Chairman Vice Chairman 103

EXHIBIT 2

Hawks Point

Community Development District

Financial Statements

(Unaudited)

Period Ending

May 31 2020

DEBT

GENERAL SERVICE CONSOLIDATED

FUND SERIES 2017 TOTAL

1 ASSETS

2

3 CASH 66142$ -$ 66142$

4 MMK 456665 - 456665

5 INVESTMENTS

6 REVENUE FUND - 203538 203538

7 INTEREST FUNDS - 195 195

8 PRINCIPAL FUNDS - - -

9 SINKING FUNDS - 1 1

11 RESERVE - 266003 266003

12 ACCOUNTS RECEIVABLE 2588 - 2588

13 ASSESMENTS RECEIVABLE 2781 3237 6018

14 DUE FROM GF - 172 172

15 PREPAID ITEMS - - -

16 DEPOSITS 451 - 451

17 TOTAL ASSETS 528627$ 473145$ 1001772$

18

19 LIABILITIES

20

21 ACCOUNTS PAYABLE 537$ -$ 537$

22 DUE TO DEBT SERVICE SERIES 2017 172 - 172

23 ACCRUED INTEREST PAYABLE DS 2017 - - -

24 DEFERRED REVENUE 2781 3237 6018

26

27 FUND EQUITY

28

29 RESTRICTED FOR

30 DEBT SERVICE - 469908 469908

32 ASSIGNED 1 QTR OPER 71304 - 71304

33 ASSIGNED FY 2018 INC IN RESERVES 15650 - 15650

34 ASSIGNED FY 2019 INC IN RESERVES 22500 - 22500

35 UNASSIGNED 415683 - 415683 36

37 TOTAL LIABILITIES amp FUND EQUITY 528627$ 473145$ 1001772$

Hawks Point CDDBalance Sheet

May 31 2020

Note GASB 34 government wide financial statements are available in the annual independent audit of the District The audit is

available on the website and upon request

Page 2

FY2020 VARIANCE

ADOPTED BUDGET ACTUAL FAVORABLE

BUDGET YEAR-TO-DATE YEAR-TO-DATE (UNFAVORABLE)

1 REVENUE

2

3 ASSESSMENT ON ROLL (NET) 453615$ 453615$ 450924$ (2691)$

4 ASSESSMENT ON ROLL EXCESS FEES - - - -

5 INTEREST REVENUE - - 1594 1594

6 MISCELLANEOUS REVENUE - - - -

7 ELECTRICITY COST SHARE WITH THE HOA 1600 1067 2633 1566

8 TOTAL REVENUE 455215 454682 455152 470

9

10 EXPENDITURES

11

12 ADMINISTRATIVE

13 BOARD OF SUPERVISORS 12000 8000 5539 2461

14 PAYROLL TAXES 918 612 503 109

15 PAYROLL SERVICE FEE 625 417 392 25

16 MANAGEMENT CONSULTING SERVICES 40000 26667 26667 -

17 GENERAL ADMINISTRATIVE 4800 3200 3200 -

18 MISCELLANEOUS 500 333 - 333

19 AUDITING 3200 3200 - 3200

20 REGULATORY AND PERMIT FEES 175 175 175 -

21 LEGAL ADVERTISEMENTS 1500 1000 1386 (386)

22 ENGINEERING SERVICES 5000 3333 1896 1437

23 LEGAL SERVICES - GENERAL 7500 5000 2895 2105

24 WEBSITE ADMINISTRATION 2265 2165 1749 416

25 TOTAL ADMINISTRATIVE 78483 54102 44401 9701

26

27 INSURANCE

28 INSURANCE (Liability Property amp Casualty) 6050 6050 5638 412

29 TOTAL INSURANCE 6050 6050 5638 412

30

31 DEBT SERVICE ADMINISTRATION

32 DISSEMINATION AGENT 1000 1000 1000 -

33 TRUSTEE FEES 10500 - - -

34 TRUST FUND ACCOUNTING 1500 1000 1000 -

35 ARBITRAGE 650 - - -

36 ASSESSMENT ADMINISTRATION 5000 5000 5000 -

37 TOTAL DEBT SERVICE ADMINISTRATION 18650 7000 7000 -

38

39 UTILITIES

40 ELECTRICITY-IRRIGATION 2928 1952 1191 761

41 TOTAL UTILITIES 2928 1952 1191 761

42

43 FIELD OPERATIONS

44 IRRIGATION MAINTENANCE amp REPAIRS 10000 6667 3960 2706

45 POND MONITORING amp MAINTENANCE 17700 10325 10325 -

46 POND PLANTINGS 5000 5000 - 5000

47 WETLAND MONITORING 7120 5340 1780 3560

48 LANDSCAPE MAINTENANCE 129000 86000 88400 (2400)

49 LANDSCAPE REPLENISHMENT 119898 79932 6520 73412

50 TREE TRIMMING 16800 11200 - 11200

51 STREETLIGHTS 2000 1333 - 1333

52 MISCELLANEOUS FIELD EXPENSES 18586 12391 8886 3504

53 CAPITAL PROJECTS - WELL DRILLING amp PUMP INSTALL - - 18165 (18165)

54 RESERVE - PAINT PERIMITER WALL - - 6350 (6350)

55 TOTAL FIELD OPERATIONS 326104 218188 144386 73802

Hawks Point

General Fund

Statement of Revenues Expenditures and Changes in Fund Balance

For the period from October 1 2019 through April 30 2020

Preliminary

Page 3

FY2020 VARIANCE

ADOPTED BUDGET ACTUAL FAVORABLE

BUDGET YEAR-TO-DATE YEAR-TO-DATE (UNFAVORABLE)

Hawks Point

General Fund

Statement of Revenues Expenditures and Changes in Fund Balance

For the period from October 1 2019 through April 30 2020

Preliminary

56

57 TOTAL EXPENDITURES BEFORE RESERVES 432215 287292 202616 84675

58

59 INCREASE FOR RESERVES 23000 - - -

60 INCREASE IN FUND BALANCE - - - -

61

62

63 TOTAL EXPENDITURES AFTER RESERVE 455215 287292 202616 84675

64

65 EXCESS OF REVENUE OVER (UNDER) EXPENDITURES - 167390 252535 85145

66

67 FUND BALANCE - BEGINNING 269666 269666 272602 272602

68 DECREASE IN FUND BALANCE - - - -

69 INCREASE IN RESERVE 23000 - - -

70 FUND BALANCE - ENDING 292666$ 437056$ 525137$ 357747$

71

72

73 FY 2018FY 2019 - Irrigation System Grounding Phased 15544$

74 FY 2018 - Perimieter Wall Paint Applications 5815

75 FY 2019 - Reserve Study Update 1100

77 FY 2020 - Irrigation System-Clocks 6442

Total Replacement Expenses for Reserves 28901$

Reserve Expenditure Components

Page 4

FY 2020 VARIANCE

ADOPTED BUDGET ACTUAL FAVORABLE

BUDGET YEAR-TO-DATE YEAR-TO-DATE (UNFAVORABLE)

1 REVENUE

2 ASSESSMENTS - ON-ROLL (Gross) 561051$ 527388$ 524922$ (2466)$

3 ASSESSMENTS - ON-ROLL EXCESS FEES - - - -

4 FUND BALANCE FORWARD - - - -

5 INTEREST - INVESTMENT - - 3703 3703

6 DISCOUNT (22442) - - -

7 TOTAL REVENUE 538609 527388 528624 1236

8

9

10 EXPENDITURES

11

12 PRINCIPAL

13 512020 235000 - 235000 (235000)

14 INTEREST EXPENSE

15 1112019 - - 144238 (144238)

16 512020 144238 - 144238 (144238)

17 1112020 140075 - - -

18 COUNTY COLLECTION CHARGES 11221 - - -

19 TOTAL EXPENDITURES 530534 - 523475 (523475)

20

21 EXCESS OF REVENUE OVER (UNDER) EXPENDITURES 8075 527388 5149 (522239)

22

23 OTHER FINANCING SOURCES (USES)

24 TRANSFER IN - - - -

25 TRANSFER OUT (USES) - - - -

26 TOTAL OTHER FINANCING SOURCES (USES) - - - -

27

28 NET CHANGE IN FUND BALANCE 8075 527388 5149 (522239)

29

30 FUND BALANCE - BEGINNING - - 464759 464759

31 FUND BALANCE APPROPRIATED - - - -

32

33 FUND BALANCE - ENDING 8075$ 527388$ 469908$ (57480)$

Hawks Point CDD

Debt Service - Series 2017

Statement of Revenues Expenditures and Changes in Fund Balance

For the period from October 1 2019 through April 30 2020

Page 5

Bank United

Balance Per Bank Statement 7549415$

Plus Deposits in Transit -

Less Outstanding Checks (935250)

Adjusted Bank Balance 6614165$

Beginning Bank Balance Per Books 4251943$

Cash Receipts 5000350

Cash Disbursements (2638128)

Balance Per Books 6614165$

Hawks Point CDD

Bank Reconciliation (GF)

May 31 2020

Page 6

Date Num Name Memo Receipts Disbursements Balance

Bank United EOY Balance 9460943

10012019 9035 DPFG MANAGEMENT amp CONSULTING LLC CDD Mgmt - October 385833 9075110

10022019 Hawks Point West HOA 2019-245- HPW 18866 9093976

10082019 646 Hawks Point HOA 2019245 - HPA 21225 9115201

10082019 Hawks Point West HOA 201956 - HPW 208516 9323717

10082019 1115 Egis Insurance amp Risk Advisors Ins - FY 2020 563800 8759917

10112019 9036 JAYMAN ENTERPRISES LLC Replace Bulbs at Entrances Rcvd 10119 23000 8736917

10112019 9037 Landscape Maintenance Professionals Inc Landscape Maint - October 1105000 7631917

10162019 1116 FLORIDA DEPT OF ECONOMIC OPPORTUNIT Annual Filing FY 2020 17500 7614417

10182019 9041 TAMPA BAY TIMES Legal Ad - Meeting Schedule 55200 7559217

10212019 9038 DPFG MANAGEMENT amp CONSULTING LLC Special Assessment - FY 2020 Continuing Disclosure ADA Compliance 650000 6909217

10212019 9039 JAYMAN ENTERPRISES LLC Replace Bulbs 7000 6902217

10212019 9040 STANTEC CONSULTING SERVICES INC Lake amp Pond Maint - Sept 10500 6891717

10242019 ACH102419 TAMPA ELECTRIC 830-930 - 1416 Little Hawk Dr 7637 6884080

10242019 ACH1024192 TAMPA ELECTRIC 830-930 - 2160 Golden Falcon Dr 7083 6876997

10242019 000652 Hawks Point HOA 20197-HPA 4921 6881918

10252019 694003DD ANDREW HERON Bos Mtg - 101519 18470 6863448

10252019 ACH102519 Innovative Employer Soltuions Bos Mtg - 101519 17140 6846308

10252019 694005DD KAREN OBRIEN Bos Mtg - 101519 18470 6827838

10252019 694004DD SHERRI KEENE Bos Mtg - 101519 18470 6809368

10252019 694002DD WILLIAM J HATHAWAY Bos Mtg - 101519 18470 6790898

10312019 Bank United Interest 691 6791589

Bank United EOM Balance 254219 2923573 6791589

11012019 9042 DPFG MANAGEMENT amp CONSULTING LLC CDD Mgmt - November 385833 6405756

11012019 9043 STANTEC CONSULTING SERVICES INC Lake amp Pond Maint - Pond 201-19 amp 21 - Sept 274000 6131756

11012019 9044 STRALEY ROBIN VERICKER Legal Svcs thru 101519 65999 6065757

11122019 1117 HAWKS POINT CDD DS 2017 Tax Collection Share co Wells Fargo 762290 5303467

11152019 9045 Landscape Maintenance Professionals Inc Landscape Maint - November amp Irrigation Repairs 1229369 4074098

11152019 9046 STANTEC CONSULTING SERVICES INC Lake amp Pond Maint - Oct 333600 3740498

11202019 9048 TAMPA BAY TIMES Legal Ad - Audit Meeting 42050 3698448

11222019 9047 STANTEC CONSULTING SERVICES INC Lake amp Pond Maint - Pond 20 - Oct 10500 3687948

11252019 ACH1125191 TAMPA ELECTRIC 101-1030 - 1416 Little Hawk Dr 7431 3680517

11252019 ACH1125192 TAMPA ELECTRIC 101-1030 - 2160 Golden Falcon Dr 8753 3671764

11292019 703783DD ANDREW HERON Bos Mtg - 111919 18470 3653294

11292019 ACH112919 Innovative Employer Soltuions Bos Mtg - 111919 20200 3633094

11292019 703785DD KAREN OBRIEN Bos Mtg - 111919 18470 3614624

11292019 703781DD MARIE CHANTAL COPELAND Bos Mtg - 111919 18470 3596154

11292019 703784DD SHERRI KEENE Bos Mtg - 111919 18470 3577684

11292019 703782DD WILLIAM J HATHAWAY Bos Mtg - 111919 18470 3559214

11302019 Bank United Interest 450 3559664

Bank United EOM Balance 450 3232375 3559664

12022019 9049 DPFG MANAGEMENT amp CONSULTING LLC CDD Mgmt - December 385833 3173831

12042019 694 Hawks Point HOA 20198-HPA 5105 3178936

12042019 503 Hawks Point West HOA 20197-HPW amp 20198-HPW 7388 3186324

12042019 1118 Site Masters of Florida LLC Investigation of pipe discharge Townhome Yard Drain Blockage 150000 3036324

12112019 9050 Illuminations Holiday Lighting Electrical Fix Holiday Lights - Deposit 261250 2775074

12132019 Bank United Funds Transfer - MMK to Opt Acct 4500000 7275074

12132019 Bank United Funds Transfer - MMK to Opt Acct 50834407 58109481

12162019 9055 TAMPA BAY TIMES Legal Ad - RFP Auditing Svc 36100 58073381

12182019 9051 Flatwoods Environmental Cut amp Dispose Brazilian Pepper 396500 57676881

12182019 9052 Landscape Maintenance Professionals Inc Landscape Maint - December 1105000 56571881

12182019 9053 STANTEC CONSULTING SERVICES INC Misc Environmental Services 137000 56434881

12182019 9054 STRALEY ROBIN VERICKER Legal Svcs thru 111519 57500 56377381

12182019 1119 HAWKS POINT CDD DS 2017 Tax Collection Share co Wells Fargo 49544765 6832616

12182019 1120 Innersync ADA Compliant website 124942 6707674

12262019 ACH1226191 TAMPA ELECTRIC 1031-122 - 2160 Golden Falcon Dr 8771 6698903

12262019 ACH1226192 TAMPA ELECTRIC 1031-1202 - 1416 Little Hawk Dr 9315 6689588

12272019 711993DD ANDREW HERON Bos Mtg - 121719 18470 6671118

12272019 ACH122719 Innovative Employer Soltuions Bos Mtg - 121719 20200 6650918

12272019 711995DD KAREN OBRIEN Bos Mtg - 121719 18470 6632448

12272019 711991DD MARIE CHANTAL COPELAND Bos Mtg - 121719 18470 6613978

12272019 711994DD SHERRI KEENE Bos Mtg - 121719 18470 6595508

12272019 711992DD WILLIAM J HATHAWAY Bos Mtg - 121719 18470 6577038

12312019 Bank United Interest 3091 6580129

Bank United EOM Balance 55349991 52329526 6580129

01022020 9056 DPFG MANAGEMENT amp CONSULTING LLC CDD Mgmt - January 385833 6194296

01082020 9057 Landscape Maintenance Professionals Inc Station decoders 82908 6111388

01082020 9058 STRALEY ROBIN VERICKER Legal Svcs thru 121519 10000 6101388

01102020 9159 Landscape Maintenance Professionals Inc Landscape Maint - January 1105000 4996388

01102020 9160 Mike White LLC Entry Monument repair 54119 4942269

01132020 1121 HAWKS POINT CDD DS 2017 Tax Collection Share co Wells Fargo 868256 4074013

01172020 9161 Illuminations Holiday Lighting Holiday Lights - Balance Due 231250 3842763

01172020 000534 Hawks Point West HOA 20201-HPW 4493 3847256

01272020 1122 STANTEC CONSULTING SERVICES INC Pond Maint - December Engineering Svcs thru 122719 353400 3493856

01272020 ACH012720 TAMPA ELECTRIC 123-1231 - 2160 Golden Falcon Dr 8116 3485740

01272020 ACH0127202 TAMPA ELECTRIC 1203-1231 - 1416 Little Hawk Dr 6682 3479058

01312020 072704 Innovative Employer Soltuions Bos Mtg - 12120 17140 3461918

01312020 721948DD KAREN OBRIEN Bos Mtg - 12120 18470 3443448

01312020 721945DD MARIE CHANTAL COPELAND Bos Mtg - 12120 18470 3424978

01312020 721947DD SHERRI KEENE Bos Mtg - 12120 18470 3406508

01312020 721946DD WILLIAM J HATHAWAY Bos Mtg - 12120 18470 3388038

01312020 Bank United Interest 1406 3389444

Bank United EOM Balance 5899 3196584 3389444

02052020 1124 DPFG MANAGEMENT amp CONSULTING LLC CDD Mgmt - February 385833 3003611

02052020 1125 Landscape Maintenance Professionals Inc Landscape Maint - February 1105000 1898611

02052020 1126 TAMPA ELECTRIC 101-1030 - 1416 Little Hawk Dr 308 1898303

02252020 1127 Landscape Maintenance Professionals Inc Landscape Maint - March 1105000 793303

02252020 02252020ACH TAMPA ELECTRIC 11-130 - 1416 Little Hawk Dr 7840 785463

02252020 02252020ACH TAMPA ELECTRIC 11-130 - 2160 Golden Falcon Dr 9092 776371

02282020 02182020ACH Innovative Employer Soltuions Bos Mtg - 21820 14080 762291

02282020 730271DD MARIE CHANTAL COPELAND Bos Mtg - 21820 18470 743821

02282020 730273DD SHERRI KEENE Bos Mtg - 21820 18470 725351

02282020 7302272DD WILLIAM J HATHAWAY Bos Mtg - 21820 18470 706881

02292020 Bank United Interest 203 707084

HAWKS POINT CDDCASH REGISTER

FY 2020

Page 7

Date Num Name Memo Receipts Disbursements Balance

HAWKS POINT CDDCASH REGISTER

FY 2020

Bank United EOM Balance 203 2682563 707084

03042020 1128 DPFG MANAGEMENT amp CONSULTING LLC CDD Mgmt - March 385833 321251

03122020 1129 STANTEC CONSULTING SERVICES INC Engineering Svcs thru 012420 73950 247301

03122020 ACH032520 TAMPA ELECTRIC 13120 - 22820 - 2160 Golden Falcon Dr 8527 238774

03122020 ACH0325202 TAMPA ELECTRIC 013120 - 22820 - 1416 Little Hawk Dr 6592 232182

03192020 BankUnited Funds Transfer 5000000 5232182

03192020 1130 HAWKS POINT CDD DS 2017 Tax Collection Share co Wells Fargo thru 030420 1437199 3794983

03242020 1131 Landscape Maintenance Professionals Inc Pencil Pruning of Crape Myrtles Landscape Maint -042020 1360500 2434483

03242020 1132 STANTEC CONSULTING SERVICES INC Pond Maint - January Feb 295000 2139483

03242020 1133 STRALEY ROBIN VERICKER Legal Svcs thru 021520 23250 2116233

03272020 1134 DPFG MANAGEMENT amp CONSULTING LLC CDD Mgmt - April 2020 385833 1730400

03272020 1135 Landscape Maintenance Professionals Inc Irrigation Inspection repairs 74858 1655542

03312020 BankUnited Interest 200 1655742

Bank United EOM Balance 5000200 4051542 1655742

04082020 1136 Accurate Drilling Solutions Service call - 032520 - Replacement for Controller on pump 4 60234 1595508

04082020 1137 STANTEC CONSULTING SERVICES INC Engineering Svcs thru 032020 61250 1534258

04082020 1138 STRALEY ROBIN VERICKER Legal Svcs thru 031520 93270 1440988

04082020 1139 TAMPA ELECTRIC 229-330 - Electricity 16915 1424073

04162020 1140 HAWKS POINT CDD DS 2017 Tax Collection Share co Wells Fargo thru 041320 298431 1125642

04232020 BankUnited Funds Transfer 5000000 6125642

04232020 1141 Accurate Drilling Solutions Well Drilling and new pump system installation 1816480 4309162

04282020 1142 STRALEY ROBIN VERICKER Legal Svcs thru 041520 57460 4251702

04302020 BankUnited Interest 241 4251943

Bank United EOM Balance 5000241 2404040 4251943

05012020 1143 DPFG MANAGEMENT amp CONSULTING LLC CDD Mgmt - May 2020 385833 3866110

05012020 ACH050120 Innovative Employer Soltuions Bos Mtg - 42120 14080 3852030

05012020 747666DD MARIE CHANTAL COPELAND Bos Mtg - 42120 18470 3833560

05012020 747667DD WILLIAM J HATHAWAY Bos Mtg - 42120 18470 3815090

05012020 747668DD SHERRI KEENE Bos Mtg - 42120 18470 3796620

05082020 ACH050820 Innovative Employer Soltuions Bos Mtg - 42120 8620 3788000

05082020 1 Caryn Williams BOS 04212020 18470 3769530

05112020 1144 Landscape Maintenance Professionals Inc Landscape Maint -052020 1105000 2664530

05112020 1145 STANTEC CONSULTING SERVICES INC Engineering Svcs thru 042420 25400 2639130

05112020 1146 TAMPA ELECTRIC 330-429 - Electricity 19915 2619215

05212020 1147 BUSINESS OBSERVER Legal Ad - Notice of Qualifying Period 51520 5250 2613965

05212020 1148 CertaPro Painters Paint exterior wall 24th to 30th Street 635000 1978965

05212020 1149 STANTEC CONSULTING SERVICES INC Pond Maint - March-April 295000 1683965

05292020 BankUnited Funds Transfer 5000000 6683965

05292020 755486DD Caryn Williams Bos Mtg - 51920 18470 6665495

05292020 ACH052920 Innovative Employer Soltuions Bos Mtg - 51920 14740 6650755

05292020 755485DD SHERRI KEENE Bos Mtg - 51920 18470 6632285

05292020 755484DD WILLIAM J HATHAWAY Bos Mtg - 51920 18470 6613815

05312020 BankUnited Interest 350 6614165

Bank United EOM Balance 5000350 2638128 6614165

Page 8

EXHIBIT 3

Vacant Position on the Board of Supervisors of the Hawkrsquos Point Community Development District The Hawkrsquos Point Community Development District (CDD) is soliciting interested candidates to fill a vacant position on the Board of Supervisors of the CDD (Board) The CDD is a local unit of special-purpose government which is created pursuant to Chapter 190 Florida Statutes The Board is comprised of 5 members who are public officials who are normally elected on the November General Elections who serve in staggered terms The vacancy is a result of a resignation of a board member due to a relocation The remaining term of the vacant supervisorrsquos seat is through November 2022

Qualification Requirements

1 Resident of the CDD

2 At least 18 years of age

3 Citizen of the United States

4 Legal resident of Florida and of the CDD

5 Registered to vote with the Hillsborough County Supervisor of Elections

Instructions for Interested Candidates

Interested candidates must submit a letter of interest and resume to Raymondlotitodpfgcom by 4 pm on Friday June 5 2020 The subject line in the email should read ldquoVacant Position on the Board of Supervisors of the Hawkrsquos Point CDDrdquo

The Letter of Interest must contain

1 A statement stating why you believe you are well suited for the position

2 Your vision for the CDD and what you would like to see the Community evolve into Please be specific

The Resume must contain

1 Your academic background and professional experience

2 Previous and current experience with governmental agencies and governing boards

Interested candidates should attend the Board meeting on Tuesday June 16 2020 at 630 pm and present a brief presentation about themselves and be prepared for a brief question and answer period with the current Board members

Additional Notes

The current Board members will discuss the candidates and may make an appointment at the June meeting If the Board cannot come to a consensus on one candidate or if they determine to not appoint any candidate to the vacant seat they may revisit the vacancy at a future meeting or leave the seat vacant until the November 2022 General Election

Please note that the person appointed to serve in the vacant seat will be required to submit a financial disclosure statement to the State and will be subject to Floridarsquos Government in the Sunshine Laws Public Records laws and Ethics laws

1

Sookdeo (Shami) Choon Phone number (813) 731-5564 1803 Oak Pond Street Ruskin Fl 33570 E-mailchoons27gmailcom

PROFESSIONAL HISTORY Firkins GroupGarber Nissan December 2013 to Present Commercial Vehicle Sales ManagerFinance Manager Auto Nation From January 2006 to December 2013 Sales 2006- 2007 Finance Manager 2007- 2008 Sales Manager Training Manager 2008-2009 Sales Finance 2009- 2011 Commercial Sales Manager Finance Manager 2011- 2020 Parts Depot Inc From 1990 to 2005 ___________________________________________________________________________________________ Operations Manager Florida Distribution 2002 ndash 2005 bull Responsible for total inventory control of all Florida warehouses frac12 of the corporationrsquos revenue bull Directed top management to complete acquisition consolidations which resulted in the corporationrsquos

expansion bull Managed all Florida branch warehouse managers and employees totaling 200 employees bull Increased productivity and shipping efficiency in all departments developed new delivery logistics

improved product availability to all customers as well a hired and efficiently trained employees bull Reviewed all customer service statistics daily and contacted customer directly on all issues bull Reviewed PampLrsquos for all units monthly bull Presented weekly productivity and financial reports to senior management bull Directed DOT monthly guidelines maintained driver files in accordance with DOT regulations and

implemented loss prevention programs Operations Manager for Florida Branch Distribution 1999 ndash 2002 bull Improved customer service by increasing product availability to customers by implementing new

delivery logistics bull Developed employee training implemented safety awareness and monthly safety programs Warehouse Manager of Miami Distribution Center 1998 ndash 1999 bull Developed and implemented productivity guidelines implemented delivery cost saving programs

and improved product availability to the corporationrsquos customers Branch Manager of West Palm Beach 1994 ndash 1998 bull Responsible for the opening of this new branch set the building layout as well as the delivery and

logistics systems

2

bull Increased sales by 80 over budget and kept operating cost as of sales Implemented new customer service department Hired and trained all employees

Assistant Branch Manager 1991 ndash 1994 bull Increased productivity by 20 and improved delivery service Customer Service Agent 1990 ndash 1991 bull Created and implemented customer service guidelines Wingate Automotive Group 1987ndash 1990 Trinidad amp Tobago Government National Security 1984- 1987 Field Operation

EXHIBIT 4

PO Box 267 Seffner FL 33583 O 813-757-6500 F 813-757-6501 Estimate

Submitted To Hawks Point CDD 250 International Parkway Suite 280 Lake Mary FL 32746

CDD - controller 4 - zones 1 and 2

Date 5232020

Estimate 66077

LMP REPRESENTATIVE

DG-TI

PO

W ork Order

DESCRIPTION QTY COST TOTAL

Controller 4 34 inch poly pipe 34 inch poly pipe clamps Labor 2 men $ 8500 per hour

Irrigation inspection repairs needed Repair 6 - 34 inch poly pipe line leaks

6 12 05

072 129

8500

432 1548 4250

TERMS AND CONDITIONS TOTAL $6230

LMP reserves the right to withdraw this proposal if not accepted within 30 days of the date listed above Any alteration or deviation to scope of work involving additional costs must be agreed upon in writing as a separate proposal or change order to this proposal Periodic invoices may be submitted if job is substantial in nature with final invoice being submitted at completion of project Any work performed requiring more than 5 days to complete is subject to progressive payments as portions of the work are completed No finance charge will be imposed if the total of said work is paid in full within 30 days of invoice date If not paid in full within 30 days then customer is subject to finance charges on the balance of the work from the invoice date at a rate of 15 per month until paid LMP shall have the right to stop work under this contract until all outstanding amounts including finance charges are paid in full Payments will be applied to the oldest invoices

ACCEPTANCE OF PROPOSAL The above prices scope of work and terms and conditions are hereby satisfactorily agreed upon LMP Inc has been authorized to perform the work as outlined and payment will be made as outlined above The above pricing does not include any unforeseen modifications to the said irrigation system that could not be reasonably accounted for prior to job start All plant material carries a one (1) year warranty provided LMP Inc is performing landscape maintenance services to the area installed or enhanced at the time of installation If not then there is no warranty on the plant material

OWNER AGENT

DATE

EXHIBIT 5

Independent Franchise Owner Job TBE8F300154 Terry Beamer 9266 Lazy Ln

Date 06012020

EXTERIOR PROPOSALEXTERIOR PROPOSALEXTERIOR PROPOSALEXTERIOR PROPOSAL Tampa FL 33614 813-936-9242

Fax 813 936-9172

1-800-462-3782

License PA2508

Full Workers Compensation Coverage$2000000 General Liability Insurance

DPFG Management amp Consulting LLC (Hawks Point) Raymond Lotito (SB) Hawks Point CDD Ruskin FL 33570 Phone 813-418-7473 Cell 813-220-6089 Email raymondlotitodpfgcom

Special Notes CERTAPRO PAINTERS WILL PAINT WALL FACING 19ST FROM 18TH-24TH

SPECIAL ATTENTION ADDRESSING STUCCO CRACKS USING CONCRETE AND MASONRY PATCH

SPECIAL ATTENTION PRESSURE WASHING LOOSE PEELING PAINT PRIOR TO PAINTING

CERTAPRO PAINTERS WILL ONLY PAINT STREET FACING SIDE- HOMEOWNERS SIDE EXCLUDED FROM PROPOSAL

CUSTOMER RESPONSIBILITIES Please cut back all shrubs bushes and palms away from wall

GENERAL DESCRIPTION Painting to Exterior Wall 18th-24th Facing 19th Ave

PREPARATION Washing To remove dirt mildew and loose paint so the new finish coat will adhere properly

Caulking To fill all cracks and gaps around windows and doorswood work to seal out moisture and drafts Stair step

cracks

Scraping Scrape all loose and peeling paint to ensure a firm base for the new paint

Masonry Repair to all cracks gaps and holes with elastemeric caulking or masonry patch as required

Sanding To degloss where necessary to promote adhesion of the top coat

Surface TypeArea Primer PurposePRIMING

Masonry Loxon sealerprimer Latex For propor top coat adhesion

Conditioner Loxon sealerprimer to all Latex For proper top coat adhesion

masonry surfaces

FINISH COATS

Surface Area

Exterior

ManufacturePaint Type

Sherwin Williams Resilience Ext Satin

Coats

1 primer-sealer 1 spray 1 backroll stucco

Color

Same As Existing

Clean Up Daily and upon completion

$1132900 All Labor Paint Materials

$1132900 TOTAL

Signature of Authorized Franchise Representative Date

Payment is due In Full upon Job Completion

(IWE HAVE READ THE TERMS STATED HEREIN THEY HAVE (IWE) HAVE EXAMINED THE JOB STATED HEREIN THEY EXPLAINED TO (MEUS) AND (IWE) FIND THEM TO BE HAVE SHOWN TO (MEUS) AND (IWE) FIND THE JOB TO SATISFACTORY AND HEREBY ACCEPT THEM BE SATISFACTORY AND HEREBY ACCEPT THE JOB AS

COMPLETE

SIGNATURE Date SIGNATURE Date

QUOTE

Shazam Construction LLC DATE MAY 13 2020

Shazam Hera 6773 Waterton Drive Riverview FL 33578 813-385-4591 ShazamConstructionLLCgmailcom Hawks Point CDD

TO Bill to Development Planning and Financing Group 15310 Amberly Drive Suite 175 Tampa FL 33647

QUANITY DESCRIPTION UNIT PRICE LINE TOTAL

Pressure wash the wall that parallels 19th avenue from 18th street to 24th street in Hawks Point CDD in Ruskin

$1270000

Repair any cracks with caulk or elastomeric as neededPrep for paint

Paint the wall that parallels 19th avenue from 18th street to 24th street in Hawks Point CDD in Ruskin

Paint using body trim and caps of exterior wall facing 19th avenue

Paint while matching existing colors

Paint using Sherwin Williams

All paint materials and labor is included

SUBTOTAL

SALES TAX

TOTAL $1270000

Make all checks payable to Shazam Construction LLC

THANK YOU FOR YOUR BUSINESS

EXHIBIT 6

Independent Franchise Owner Job TB443B00157 Terry Beamer 9266 Lazy Ln

Date 06052020

EXTERIOR PROPOSALEXTERIOR PROPOSALEXTERIOR PROPOSALEXTERIOR PROPOSAL Tampa FL 33614 813-936-9242

Fax 813 936-9172

1-800-462-3782

License PA2508

Full Workers Compensation Coverage$2000000 General Liability Insurance

DPFG Management amp Consulting LLC (Hawks Point) Raymond Lotito (SB) Hawks Point CDD Ruskin FL 33570 Phone 813-418-7473 Cell 813-220-6089 Email raymondlotitodpfgcom

Special Notes CERTAPRO PAINTERS PRESSURE WASHING PROPOSAL 18TH-24TH

CERTAPRO PAINTERS WILL PRESSURE WASH WALL FACING 19TH ST ONLY

GENERAL DESCRIPTION Painting to

PREPARATION Washing To remove dirt mildew and loose paint so the new finish coat will adhere properly

PRIMING Surface TypeArea Primer Purpose

Clean Up Daily and upon completion

All Labor Paint Materials

TOTAL

$195000

$195000

Signature of Authorized Franchise Representative Date

Payment is due In Full upon Job Completion

(IWE HAVE READ THE TERMS STATED HEREIN THEY HAVE (IWE) HAVE EXAMINED THE JOB STATED HEREIN THEY EXPLAINED TO (MEUS) AND (IWE) FIND THEM TO BE HAVE SHOWN TO (MEUS) AND (IWE) FIND THE JOB TO SATISFACTORY AND HEREBY ACCEPT THEM BE SATISFACTORY AND HEREBY ACCEPT THE JOB AS

COMPLETE

SIGNATURE Date SIGNATURE Date

QUOTE

Shazam Construction LLC DATE JUNE 5 2020

Shazam Hera 6773 Waterton Drive Riverview FL 33578 813-385-4591 ShazamConstructionLLCgmailcom Hawks Point CDD

TO Bill to Development Planning and Financing Group 15310 Amberly Drive Suite 175 Tampa FL 33647

QUANITY DESCRIPTION UNIT PRICE LINE TOTAL

Pressure wash the wall that parallels 19th avenue from 18th street to 24th street in Hawks Point CDD in Ruskin

$160000

All materials and labor is included

SUBTOTAL

SALES TAX

TOTAL $160000

Make all checks payable to Shazam Construction LLC

THANK YOU FOR YOUR BUSINESS

EXHIBIT 7

2019FORM 1 STATEMENT OF

Please print or type your name mailing FOR OFFICE USE ONLY FINANCIAL INTERESTS address agency name and position below

LAST NAME -- FIRST NAME -- MIDDLE NAME

MAILING ADDRESS

CITY ZIP COUNTY

NAME OF AGENCY

NAME OF OFFICE OR POSITION HELD OR SOUGHT

CHECK ONLY IF CANDIDATE OR NEW EMPLOYEE OR APPOINTEE

THIS SECTION MUST BE COMPLETED DISCLOSURE PERIOD THIS STATEMENT REFLECTS YOUR FINANCIAL INTERESTS FOR CALENDAR YEAR ENDING DECEMBER 31 2019

MANNER OF CALCULATING REPORTABLE INTERESTS FILERS HAVE THE OPTION OF USING REPORTING THRESHOLDS THAT ARE ABSOLUTE DOLLAR VALUES WHICH REQUIRES FEWER CALCULATIONS OR USING COMPARATIVE THRESHOLDS WHICH ARE USUALLY BASED ON PERCENTAGE VALUES (see instructions for further details) CHECK THE ONE YOU ARE USING (must check one)

COMPARATIVE (PERCENTAGE) THRESHOLDS OR DOLLAR VALUE THRESHOLDS

PART A -- PRIMARY SOURCES OF INCOME [Major sources of income to the reporting person - See instructions] (If you have nothing to report write none or na)

NAME OF SOURCE SOURCES DESCRIPTION OF THE SOURCES OF INCOME ADDRESS PRINCIPAL BUSINESS ACTIVITY

PART B -- SECONDARY SOURCES OF INCOME [Major customers clients and other sources of income to businesses owned by the reporting person - See instructions] (If you have nothing to report write none or na)

NAME OF NAME OF MAJOR SOURCES ADDRESS PRINCIPAL BUSINESS BUSINESS ENTITY OF BUSINESS INCOME OF SOURCE ACTIVITY OF SOURCE

PART C -- REAL PROPERTY [Land buildings owned by the reporting person - See instructions] You are not limited to the space on the (If you have nothing to report write none or na) lines on this form Attach additional

sheets if necessary

FILING INSTRUCTIONS for when and where to file this form are located at the bottom of page 2

INSTRUCTIONS on who must file this form and how to fill it out begin on page 3

CE FORM 1 - Effective January 1 2020 (Continued on reverse side) PAGE 1 Incorporated by reference in Rule 34-8202(1) FAC

FILING INSTRUCTIONS

IF ANY OF PARTS A THROUGH G ARE CONTINUED ON A SEPARATE SHEET PLEASE CHECK HERE

PART D mdash INTANGIBLE PERSONAL PROPERTY [Stocks bonds certificates of deposit etc - See instructions] (If you have nothing to report write none or na) TYPE OF INTANGIBLE BUSINESS ENTITY TO WHICH THE PROPERTY RELATES

PART E mdash LIABILITIES [Major debts - See instructions] (If you have nothing to report write none or na)

NAME OF CREDITOR ADDRESS OF CREDITOR

PART F mdash INTERESTS IN SPECIFIED BUSINESSES [Ownership or positions in certain types of businesses - See instructions] (If you have nothing to report write none or na)

BUSINESS ENTITY 1 BUSINESS ENTITY 2

NAME OF BUSINESS ENTITY

ADDRESS OF BUSINESS ENTITY

PRINCIPAL BUSINESS ACTIVITY

POSITION HELD WITH ENTITY

I OWN MORE THAN A 5 INTEREST IN THE BUSINESS

NATURE OF MY OWNERSHIP INTEREST

If you were mailed the form by the Commission on Ethics or a County Supervisor of Elections for your annual disclosure filing return the form to that location To determine what category your position falls under see page 3 of instructions Local officersemployees file with the Supervisor of Elections of the county in which they permanently reside (If you do not permanently reside in Florida file with the Supervisor of the county where your agency has its headquarters) Form 1 filers who file with the Supervisor of Elections may file by mail or email Contact your Supervisor of Elections for the mailing address or email address to use Do not email your form to the Commission on Ethics it will be returned State officers or specified state employees who file with the Commission on Ethics may file by mail or email To file by mail send the completed form to PO Drawer 15709 Tallahassee FL32317-5709 physical address 325 John Knox Rd Bldg E Ste 200 Tallahassee FL 32303 To file with the Commission by email scan your completed form and any attachments as a pdf (do not use any other format) send it to CEForm1legstateflus and retain a copy for your records Do not file by both mail and email Choose only one filing method Form 6s will not be accepted via email

Candidates file this form together with their filing papers MULTIPLE FILING UNNECESSARY A candidate who files a Form 1 with a qualifying officer is not required to file with the Commission or Supervisor of Elections WHEN TO FILE Initially each local officeremployee state officer and specified state employee must file within 30 days of the date of his or her appointment or of the beginning of employment Appointees who must be confirmed by the Senate must file prior to confirmation even if that is less than 30 days from the date of their appointment Candidates must file at the same time they file their qualifying papers Thereafter file by July 1 following each calendar year in which they hold their positions Finally file a final disclosure form (Form 1F) within 60 days of leaving office or employment Filing a CE Form 1F (Final Statement of Financial Interests) does not relieve the filer of filing a CE Form 1 if the filer was in his or her position on December 31 2019

SIGNATURE OF FILER Signature

____________________________________________

Date Signed

____________________________________________

CPA or ATTORNEY SIGNATURE ONLY If a certified public accountant licensed under Chapter 473 or attorney in good standing with the Florida Bar prepared this form for you he or she must complete the following statement

I _______________________________________ prepared the CE Form 1 in accordance with Section 1123145 Florida Statutes and the instructions to the form Upon my reasonable knowledge and belief the disclosure herein is true and correct

CPAAttorney Signature ______________________________

Date Signed _______________________________________

PART G mdash TRAINING For elected municipal officers required to complete annual ethics training pursuant to section 1123142 FS

I CERTIFY THAT I HAVE COMPLETED THE REQUIRED TRAINING

CE FORM 1 - Effective January 1 2020 PAGE 2 Incorporated by reference in Rule 34-8202(1) FAC

Examplesmdash You are the sole proprietor of a dry cleaning business fromwhich you received more than 10 of your gross incomemdashanamount that was more than $1500 If only one customer auniform rental company provided more than 10 of your drycleaning business you must list the name of the uniform rentalcompany its address and its principal business activity (uniform rentals) mdash You are a 20 partner in a partnership that owns a shopping mall and your partnership income exceeded the thresholds listed above You should list each tenant of the mall that provided more than 10 of the partnershiprsquos gross income and the tenantrsquos address and principal business activity

PART C mdash REAL PROPERTY[Required by s 1123145(3)(a)3 FS]In this part list the location or description of all real property in

Florida in which you owned directly or indirectly at any time during the disclosure period in excess of 5 of the propertyrsquos value You are not required to list your residences You should list any vacation homes if you derive income from them

Indirect ownership includes situations where you are abeneficiary of a trust that owns the property as well as situations where you own more than 5 of a partnership or corporation thatowns the property The value of the property may be determined by the most recently assessed value for tax purposes in the absence of a more current appraisal

The location or description of the property should be sufficient to enable anyone who looks at the form to identify the property Astreet address should be used if one exists PART D mdash INTANGIBLE PERSONAL PROPERTY

[Required by s 1123145(3)(a)3 FS]Describe any intangible personal property that at any time

during the disclosure period was worth more than 10 of your total assets and state the business entity to which the property related Intangible personal property includes things such as cash on hand stocks bonds certificates of deposit vehicle leases interests in businesses beneficial interests in trusts money owed you Deferred Retirement Option Program (DROP) accounts the Florida Prepaid College Plan and bank accounts Intangiblepersonal property also includes investment products held in IRAs brokerage accounts and the Florida College Investment Plan Note that the product contained in a brokerage account IRA or the Florida College Investment Plan is your assetmdashnot the account or plan itself Things like automobiles and houses you own jewelryand paintings are not intangible property Intangibles relating to the same business entity may be aggregated for example CDrsquos and savings accounts with the same bank

Calculations To determine whether the intangible property exceeds 10 of your total assets total the fair market value of all of your assets (including real property intangible property and tangible personal property such as jewelry furniture etc) When making this calculation do not subtract any liabilities (debts) that may relate to the property Multiply the total figure by 10 to arrive at the disclosure threshold List only the intangibles that exceed this threshold amount The value of a leased vehicle is the vehiclersquos present value minus the lease residual (a number which can be found on the lease document) Property that is only jointly owned property should be valued according to the percentage of your joint ownership Property owned as tenants by the entirety or as joint tenants with right of survivorship should be valued at 100 None of your calculations or the value of the property have to be disclosed on the form

Example You own 50 of the stock of a small corporation that is worth $100000 the estimated fair market value of your home and other property (bank accounts automobile furniture etc) is $200000 As your total assets are worth $250000 you must disclose intangibles worth over $25000 Since the value of the stock exceeds this threshold you should list ldquostockrdquo and the name of the corporation If your accounts with a particular bank exceed $25000 you should list ldquobank accountsrdquo and bankrsquos name

PART E mdash LIABILITIES[Required by s 1123145(3)(b)4 FS]List the name and address of each creditor to whom you owed

any amount that at any time during the disclosure period exceeded your net worth You are not required to list the amount of any debt or your net worth You do not have to disclose credit card and retail installment accounts taxes owed (unless reduced to a judgment) indebtedness on a life insurance policy owed to the company of issuance or contingent liabilities A ldquocontingent liabilityrdquo is one that will become an actual liability only when one or more future events occur or fail to occur such as where you are liable only as a guarantor surety or endorser on a promissory note If you are a ldquoco-makerrdquo and are jointly liable or jointly and severally liable it is not a contingent liability

Calculations To determine whether the debt exceeds your net worth total all of your liabilities (including promissory notes mortgages credit card debts judgments against you etc) Theamount of the liability of a vehicle lease is the sum of any past-due payments and all unpaid prospective lease payments Subtract the sum total of your liabilities from the value of all your assets as calculated above for Part D This is your ldquonet worthrdquo List each creditor to whom your debt exceeded this amount unless it is one of the types of indebtedness listed in the paragraph above (credit card and retail installment accounts etc) Joint liabilities with others for which you are ldquojointly and severally liablerdquo meaning that you may be liable for either your part or the whole of the obligation should be included in your calculations at 100 of the amount owed

Example You owe $15000 to a bank for student loans $5000 for credit card debts and $60000 (with spouse) to a savings and loan for a home mortgage Your home (owned by you and your spouse) is worth $80000 and your other property is worth $20000 Since your net worth is $20000 ($100000 minus $80000) you must report only the name and address of the savings and loan

PART F mdash INTERESTS IN SPECIFIED BUSINESSES[Required by s 1123145 FS]The types of businesses covered in this disclosure include

state and federally chartered banks state and federal savings and loan associations cemetery companies insurance companies mortgage companies credit unions small loan companies alcoholic beverage licensees pari-mutuel wagering companies utilitycompanies entities controlled by the Public Service Commission and entities granted a franchise to operate by either a city or acounty government

Disclose in this part the fact that you owned during the disclosure period an interest in or held any of certain positions with the types of businesses listed above You are required to make this disclosure if you own or owned (either directly orindirectly in the form of an equitable or beneficial interest) at any time during the disclosure period more than 5 of the total assets or capital stock of one of the types of business entities listed above You also must complete this part of the form for each of these types of businesses for which you are or were at any time during thedisclosure period an officer director partner proprietor or agent (other than a resident agent solely for service of process)

If you have or held such a position or ownership interest in one of these types of businesses list the name of the business its address and principal business activity and the position held with the business (if any) If you own(ed) more than a 5 interest in the business indicate that fact and describe the nature of your interest

PART G mdash TRAINING CERTIFICATION[Required by s 1123142 FS]If you are a Constitutional or elected municipal officer whose

service began before March 31 of the year for which you are filing you are required to complete four hours of ethics training which addresses Article II Section 8 of the Florida Constitution the Code of Ethics for Public Officers and Employees and the public records and open meetings laws of the state You are required to certify on this form that you have taken such training (End of Percentage Thresholds Instructions)

CE FORM 1 - Effective January 1 2020 Incorporated by reference in Rule 34-8202 FAC PAGE 6

NOTICE Annual Statements of Financial Interests are due July 1 If the annual form is not filed or postmarked by September 1 an automatic fine of $25 for each day late will be imposed up to a maximum penalty of $1500 Failure to file also can result in removal from public office or employment [s 1123145 FS]

In addition failure to make any required disclosure constitutes grounds for and may be punished by one or more of the following disqualification from being on the ballot impeachment removal or suspension from office or employment demotion reduction in salary reprimand or a civil penalty not exceeding $10000 [s 112317 FS]

WHO MUST FILE FORM 1 1) Elected public officials not serving in a political subdivision of the

state and any person appointed to fill a vacancy in such office unlessrequired to file full disclosure on Form 62) Appointed members of each board commission authority

or council having statewide jurisdiction excluding members of solelyadvisory bodies but including judicial nominating commission membersDirectors of Enterprise Florida Scripps Florida Funding Corporationand Career Source Florida and members of the Council on the Social Status of Black Men and Boys the Executive Director Governors and senior managers of Citizens Property Insurance CorporationGovernors and senior managers of Florida Workers Compensation JointUnderwriting Association board members of the Northeast Fla RegionalTransportation Commission board members of Triumph Gulf Coast Incboard members of Florida Is For Veterans Inc and members of the Technology Advisory Council within the Agency for State Technology3) The Commissioner of Education members of the State Board

of Education the Board of Governors the local Boards of Trustees and Presidents of state universities and the Florida Prepaid College Board 4) Persons elected to office in any political subdivision (such as

municipalities counties and special districts) and any person appointedto fill a vacancy in such office unless required to file Form 65) Appointed members of the following boards councils

commissions authorities or other bodies of county municipality schooldistrict independent special district or other political subdivision thegoverning body of the subdivision community college or junior collegedistrict boards of trustees boards having the power to enforce local codeprovisions boards of adjustment community redevelopment agenciesplanning or zoning boards having the power to recommend create ormodify land planning or zoning within a political subdivision except forcitizen advisory committees technical coordinating committees andsimilar groups who only have the power to make recommendationsto planning or zoning boards and except for representatives of a military installation acting on behalf of all military installations within thatjurisdiction pension or retirement boards empowered to invest pensionor retirement funds or determine entitlement to or amount of pensions orother retirement benefits and the Pinellas County Construction LicensingBoard 6) Any appointed member of a local government board who

is required to file a statement of financial interests by the appointingauthority or the enabling legislation ordinance or resolution creating theboard 7) Persons holding any of these positions in local government

mayor county or city manager chief administrative employee or finance

director of a county municipality or other political subdivision county or municipal attorney chief county or municipal building inspectorcounty or municipal water resources coordinator county or municipalpollution control director county or municipal environmental control director county or municipal administrator with power to grant or denya land development permit chief of police fire chief municipal clerkappointed district school superintendent community college presidentdistrict medical examiner purchasing agent (regardless of title) havingthe authority to make any purchase exceeding $35000 for the localgovernmental unit8) Officers and employees of entities serving as chief administrative

officer of a political subdivision9) Members of governing boards of charter schools operated by a

city or other public entity10) Employees in the office of the Governor or of a Cabinet member

who are exempt from the Career Service System excluding secretarialclerical and similar positions11) The following positions in each state department commission

board or council Secretary Assistant or Deputy Secretary ExecutiveDirector Assistant or Deputy Executive Director and anyone having thepower normally conferred upon such persons regardless of title12) The following positions in each state department or division

Director Assistant or Deputy Director Bureau Chief and any personhaving the power normally conferred upon such persons regardless oftitle 13) Assistant State Attorneys Assistant Public Defenders criminal

conflict and civil regional counsel and assistant criminal conflict and civilregional counsel Public Counsel full-time state employees serving ascounsel or assistant counsel to a state agency administrative law judgesand hearing officers14) The Superintendent or Director of a state mental health institute

established for training and research in the mental health field or anymajor state institution or facility established for corrections trainingtreatment or rehabilitation 15) State agency Business Managers Finance and Accounting

Directors Personnel Officers Grant Coordinators and purchasingagents (regardless of title) with power to make a purchase exceeding$35000 16) The following positions in legislative branch agencies each

employee (other than those employed in maintenance clerical secretarial or similar positions and legislative assistants exempted by the presiding officer of their house) and each employee of theCommission on Ethics

INSTRUCTIONS FOR COMPLETING FORM 1 INTRODUCTORY INFORMATION (Top of Form) If your name mailing address public agency and position are already printed on the form you do not need to provide this information unless it should be changed To change any of this information write the correct information on the form and contact your agencys financial disclosure coordinator You can find your coordinator on the Commission on Ethics website wwwethics stateflus NAME OF AGENCY The name of the governmental unit which you serve or served by which you are or were employed or for which you are a candidate DISCLOSURE PERIOD The ldquodisclosure periodrdquo for your report is the calendar year ending December 31 2019

OFFICE OR POSITION HELD OR SOUGHT The title of the office or position you hold are seeking or held during the disclosure period even if you have since left that position If you are a candidate for office or are a new employee or appointee check the appropriate box PUBLIC RECORD The disclosure form and everythingattached to it is a public record Your Social Security Number is not required and you should redact it from any documents you file If you are an active or former officer or employee listed in Section 119071 FS whose home address is exempt from disclosure the Commission will maintain that confidentiality if you submit a written request

CE FORM 1 - Effective January 1 2020 Incorporated by reference in Rule 34-8202 FAC PAGE 3

PART E mdash LIABILITIES[Required by s 1123145(3)(b)4 FS]List the name and address of each creditor to whom you owed more

than $10000 at any time during the disclosure period The amount of theliability of a vehicle lease is the sum of any past-due payments and allunpaid prospective lease payments You are not required to list the amountof any debt You do not have to disclose credit card and retail installmentaccounts taxes owed (unless reduced to a judgment) indebtedness ona life insurance policy owed to the company of issuance or contingentliabilities A ldquocontingent liabilityrdquo is one that will become an actual liabilityonly when one or more future events occur or fail to occur such as whereyou are liable only as a guarantor surety or endorser on a promissorynote If you are a ldquoco-makerrdquo and are jointly liable or jointly and severallyliable then it is not a contingent liability

PART F mdash INTERESTS IN SPECIFIED BUSINESSES[Required by s 1123145(6) FS]The types of businesses covered in this disclosure include state and

federally chartered banks state and federal savings and loan associationscemetery companies insurance companies mortgage companies creditunions small loan companies alcoholic beverage licensees pari-mutuelwagering companies utility companies entities controlled by the PublicService Commission and entities granted a franchise to operate by either acity or a county government

Disclose in this part the fact that you owned during the disclosure period aninterest in or held any of certain positions with the types of businesses listedabove You must make this disclosure if you own or owned (either directly orindirectly in the form of an equitable or beneficial interest) at any time duringthe disclosure period more than 5 of the total assets or capital stock ofone of the types of business entities listed above You also must completethis part of the form for each of these types of businesses for which youare or were at any time during the disclosure period an officer directorpartner proprietor or agent (other than a resident agent solely for service ofprocess)

If you have or held such a position or ownership interest in one ofthese types of businesses list the name of the business its address andprincipal business activity and the position held with the business (if any) Ifyou own(ed) more than a 5 interest in the business indicate that fact anddescribe the nature of your interest

PART G mdash TRAINING CERTIFICATION[Required by s 1123142 FS]If you are a Constitutional or elected municipal officer whose

service began before March 31 of the year for which you are filingyou are required to complete four hours of ethics training which addresses Article II Section 8 of the Florida Constitution the Codeof Ethics for Public Officers and Employees and the public recordsand open meetings laws of the state You are required to certify onthis form that you have taken such training

(End of Dollar Value Thresholds Instructions)

PART A mdash PRIMARY SOURCES OF INCOME[Required by s 1123145(3)(a)1 FS]Part A is intended to require the disclosure of your principal

sources of income during the disclosure period You do not haveto disclose any public salary or public position(s) but income from these public sources should be included when calculating your gross income for the disclosure period The income of your spouse need not be disclosed however if there is joint income to you and your spouse from property you own jointly (such as interest or dividends from a bank account or stocks) you should include all of that income when calculating your gross income and disclose the source of that income if it exceeded the threshold

Please list in this part of the form the name address and principal business activity of each source of your income whichexceeded 5 of the gross income received by you in your own name or by any other person for your benefit or use during the disclosure period

Gross income means the same as it does for income tax purposes even if the income is not actually taxable such as interest on tax-free bonds Examples include compensation for servicesincome from business gains from property dealings interest rents dividends pensions IRA distributions social security distributive share of partnership gross income and alimony but not child support

Examplesmdash If you were employed by a company that manufactures computers and received more than 5 of your gross income from the company list the name of the company its address and its principal business activity (computer manufacturing)mdash If you were a partner in a law firm and your distributive share of partnership gross income exceeded 5 of your gross income then list the name of the firm its address and its principal business activity (practice of law)mdash If you were the sole proprietor of a retail gift business andyour gross income from the business exceeded 5 of your total gross income list the name of the business its addressand its principal business activity (retail gift sales)mdash If you received income from investments in stocks and bonds list each individual company from which you derived

more than 5 of your gross income Do not aggregate all of your investment incomemdash If more than 5 of your gross income was gain from the sale of property (not just the selling price) list as a source of income the purchaserrsquos name address and principal business activityIf the purchasers identity is unknown such as where securities listed on an exchange are sold through a brokerage firm the source of income should be listed as sale of (name of company)stock for examplemdash If more than 5 of your gross income was in the form of interest from one particular financial institution (aggregatinginterest from all CDrsquos accounts etc at that institution) list the name of the institution its address and its principal business activity

PART B mdash SECONDARY SOURCES OF INCOME[Required by s 1123145(3)(a)2 FS]This part is intended to require the disclosure of major customers

clients and other sources of income to businesses in which you ownan interest It is not for reporting income from second jobs That kindof income should be reported in Part A Primary Sources of Incomeif it meets the reporting threshold You will not have anything to reportunless during the disclosure period

(1) You owned (either directly or indirectly in the form of anequitable or beneficial interest) more than 5 of the total assetsor capital stock of a business entity (a corporation partnershipLLC limited partnership proprietorship joint venture trust firmetc doing business in Florida) and(2) You received more than 10 of your gross income from thatbusiness entity and(3) You received more than $1500 in gross income from thatbusiness entity

If your interests and gross income exceeded these thresholds thenfor that business entity you must list every source of income to thebusiness entity which exceeded 10 of the business entityrsquos grossincome (computed on the basis of the business entityrsquos most recentlycompleted fiscal year) the sourcersquos address and the sourcersquosprincipal business activity

IF YOU HAVE CHOSEN COMPARATIVE (PERCENTAGE) THRESHOLDSTHE FOLLOWING INSTRUCTIONS APPLY

CE FORM 1 - Effective January 1 2020 Incorporated by reference in Rule 34-8202 FAC PAGE 5

MANNER OF CALCULATING REPORTABLE INTEREST Filers have the option of reporting based on either thresholds that are comparative (usually based on percentage values) or thresholds that are based on absolute dollar values The instructions on the following pages specifically describe the different thresholds Check the box that reflects the choice you have made You must use the type of threshold you have chosen for each part of the form In other words if you choose to report based on absolute dollar value thresholds you cannot use a percentage threshold on any part of the form

IF YOU HAVE CHOSEN DOLLAR VALUE THRESHOLDS THE FOLLOWING INSTRUCTIONS APPLY

PART A mdash PRIMARY SOURCES OF INCOME [Required by s 1123145(3)(b)1 FS] Part A is intended to require the disclosure of your principal

sources of income during the disclosure period You do not have todisclose any public salary or public position(s) The income of yourspouse need not be disclosed however if there is joint income toyou and your spouse from property you own jointly (such as interestor dividends from a bank account or stocks) you should disclose thesource of that income if it exceeded the threshold

Please list in this part of the form the name address andprincipal business activity of each source of your income whichexceeded $2500 of gross income received by you in your own name or by any other person for your use or benefit

Gross income means the same as it does for income tax purposes even if the income is not actually taxable such as interest on tax-free bonds Examples include compensation for servicesincome from business gains from property dealings interest rentsdividends pensions IRA distributions social security distributive share of partnership gross income and alimony but not child support

Examples mdash If you were employed by a company that manufacturescomputers and received more than $2500 list the name of thecompany its address and its principal business activity (computermanufacturing) mdash If you were a partner in a law firm and your distributive shareof partnership gross income exceeded $2500 list the name ofthe firm its address and its principal business activity (practice oflaw) mdash If you were the sole proprietor of a retail gift business and yourgross income from the business exceeded $2500 list the nameof the business its address and its principal business activity(retail gift sales) mdash If you received income from investments in stocks and bondslist each individual company from which you derived more than$2500 Do not aggregate all of your investment income mdash If more than $2500 of your gross income was gain from thesale of property (not just the selling price) list as a source ofincome the purchaserrsquos name address and principal businessactivity If the purchaserrsquos identity is unknown such as wheresecurities listed on an exchange are sold through a brokeragefirm the source of income should be listed as sale of (name of company) stock for example mdash If more than $2500 of your gross income was in the formof interest from one particular financial institution (aggregatinginterest from all CDrsquos accounts etc at that institution) list the name of the institution its address and its principal business activity

PART B mdash SECONDARY SOURCES OF INCOME [Required by s 1123145(3)(b)2 FS] This part is intended to require the disclosure of major customers

clients and other sources of income to businesses in which you own aninterest It is not for reporting income from second jobs That kind of incomeshould be reported in Part A Primary Sources of Income if it meets thereporting threshold You will not have anything to report unless during thedisclosure period

(1) You owned (either directly or indirectly in the form of an equitableor beneficial interest) more than 5 of the total assets or capitalstock of a business entity (a corporation partnership LLC limitedpartnership proprietorship joint venture trust firm etc doing business in Florida) and (2) You received more than $5000 of your gross income during thedisclosure period from that business entity

If your interests and gross income exceeded these thresholds then for thatbusiness entity you must list every source of income to the business entitywhich exceeded 10 of the business entityrsquos gross income (computed onthe basis of the business entitys most recently completed fiscal year) thesourcersquos address and the sources principal business activity

Examples mdash You are the sole proprietor of a dry cleaning business from whichyou received more than $5000 If only one customer a uniform rentalcompany provided more than 10 of your dry cleaning business youmust list the name of the uniform rental company its address and itsprincipal business activity (uniform rentals) mdash You are a 20 partner in a partnership that owns a shopping malland your partnership income exceeded the above thresholds List eachtenant of the mall that provided more than 10 of the partnershipsgross income and the tenants address and principal business activity

PART C mdash REAL PROPERTY [Required by s 1123145(3)(b)3 FS] In this part list the location or description of all real property in Florida

in which you owned directly or indirectly at any time during the disclosureperiod in excess of 5 of the propertyrsquos value You are not required to listyour residences You should list any vacation homes if you derive incomefrom them

Indirect ownership includes situations where you are a beneficiary of atrust that owns the property as well as situations where you own more than5 of a partnership or corporation that owns the property The value of theproperty may be determined by the most recently assessed value for taxpurposes in the absence of a more current appraisal

The location or description of the property should be sufficient toenable anyone who looks at the form to identify the property A streetaddress should be used if one exists

PART D mdash INTANGIBLE PERSONAL PROPERTY [Required by s 1123145(3)(b)3 FS] Describe any intangible personal property that at any time during the

disclosure period was worth more than $10000 and state the businessentity to which the property related Intangible personal property includesthings such as cash on hand stocks bonds certificates of deposit vehicleleases interests in businesses beneficial interests in trusts money owedyou Deferred Retirement Option Program (DROP) accounts the FloridaPrepaid College Plan and bank accounts Intangible personal propertyalso includes investment products held in IRAs brokerage accounts andthe Florida College Investment Plan Note that the product contained in a brokerage account IRA or the Florida College Investment Plan is yourassetmdashnot the account or plan itself Things like automobiles and housesyou own jewelry and paintings are not intangible property Intangiblesrelating to the same business entity may be aggregated for example CDsand savings accounts with the same bank Property owned as tenants bythe entirety or as joint tenants with right of survivorship should be valued at100 The value of a leased vehicle is the vehiclersquos present value minusthe lease residual (a number found on the lease document)

CE FORM 1 - Effective January 1 2020 Incorporated by reference in Rule 34-8202 FAC PAGE 4

PART A mdash PRIMARY SOURCES OF INCOME[Required by s 1123145(3)(b)1 FS]Part A is intended to require the disclosure of your principal

sources of income during the disclosure period You do not have todisclose any public salary or public position(s) The income of yourspouse need not be disclosed however if there is joint income t oyou and your spouse from property you own jointly (such as interestor dividends from a bank account or stocks) you should disclose thesource of that income if it exceeded the threshold

Please list in this part of the form the name address andprincipal business activity of each source of your income whichexceeded $2500 of gross income received by you in your own name or by any other person for your use or benefit

Gross income means the same as it does for income taxpurposes even if the income is not actually taxable such as intereston tax-free bonds Examples include compensation for servicesincome from business gains from property dealings interest rentsdividends pensions IRA distributions social security distributiveshare of partnership gross income and alimony but not child support

Examplesmdash If you were employed by a company that manufacturescomputers and received more than $2500 list the name of thecompany its address and its principal business activity (computermanufacturing)mdash If you were a partner in a law firm and your distributive shareof partnership gross income exceeded $2500 list the name ofthe firm its address and its principal business activity (practice oflaw)mdash If you were the sole proprietor of a retail gift business and yourgross income from the business exceeded $2500 list the nameof the business its address and its principal business activity(retail gift sales)mdash If you received income from investments in stocks and bondslist each individual company from which you derived more than$2500 Do not aggregate all of your investment incomemdash If more than $2500 of your gross income was gain from thesale of property (not just the selling price) list as a source o fincome the purchaserrsquos name address and principal businessactivity If the purchaserrsquos identity is unknown such as wheresecurities listed on an exchange are sold through a brokeragefirm the source of income should be listed as sale of (name of company) stock for examplemdash If more than $2500 of your gross income was in the formof interest from one particular financial institution (aggregatinginterest from all CDrsquos accounts etc at that institution) list thename of the institution its address and its principal business activity

PART B mdash SECONDARY SOURCES OF INCOME[Required by s 1123145(3)(b)2 FS]This part is intended to require the disclosure of major customers

clients and other sources of income to businesses in which you own aninterest It is not for reporting income from second jobs That kind of incomeshould be reported in Part A Primary Sources of Income if it meets thereporting threshold You will not have anything to report unless during thedisclosure period

(1) You owned (either directly or indirectly in the form of an equitableor beneficial interest) more than 5 of the total assets or capitalstock of a business entity (a corporation partnership LLC limitedpartnership proprietorship joint venture trust firm etc doing business in Florida) and(2) You received more than $5000 of your gross income during thedisclosure period from that business entity

If your interests and gross income exceeded these thresholds then for thatbusiness entity you must list every source of income to the business entitywhich exceeded 10 of the business entityrsquos gross income (computed onthe basis of the business entitys most recently completed fiscal year) thesourcersquos address and the sources principal business activity

Examplesmdash You are the sole proprietor of a dry cleaning business from whichyou received more than $5000 If only one customer a uniform rentalcompany provided more than 10 of your dry cleaning business youmust list the name of the uniform rental company its address and itsprincipal business activity (uniform rentals)mdash You are a 20 partner in a partnership that owns a shopping malland your partnership income exceeded the above thresholds List eachtenant of the mall that provided more than 10 of the partnershipsgross income and the tenants address and principal business activity

PART C mdash REAL PROPERTY[Required by s 1123145(3)(b)3 FS]In this part list the location or description of all real property in Florida

in which you owned directly or indirectly at any time during the disclosureperiod in excess of 5 of the propertyrsquos value You are not required to listyour residences You should list any vacation homes if you derive incomefrom them

Indirect ownership includes situations where you are a beneficiary of atrust that owns the property as well as situations where you own more than5 of a partnership or corporation that owns the property The value of theproperty may be determined by the most recently assessed value for taxpurposes in the absence of a more current appraisal

The location or description of the property should be sufficient toenable anyone who looks at the form to identify the property A streetaddress should be used if one exists

PART D mdash INTANGIBLE PERSONAL PROPERTY[Required by s 1123145(3)(b)3 FS]Describe any intangible personal property that at any time during the

disclosure period was worth more than $10000 and state the businessentity to which the property related Intangible personal property includesthings such as cash on hand stocks bonds certificates of deposit vehicleleases interests in businesses beneficial interests in trusts money owedyou Deferred Retirement Option Program (DROP) accounts the FloridaPrepaid College Plan and bank accounts Intangible personal propertyalso includes investment products held in IRAs brokerage accounts andthe Florida College Investment Plan Note that the product contained ina brokerage account IRA or the Florida College Investment Plan is yourassetmdashnot the account or plan itself Things like automobiles and housesyou own jewelry and paintings are not intangible property Intangiblesrelating to the same business entity may be aggregated for example CDsand savings accounts with the same bank Property owned as tenants bythe entirety or as joint tenants with right of survivorship should be valued at100 The value of a leased vehicle is the vehiclersquos present value minusthe lease residual (a number found on the lease document)

Filers have the option of reporting based on either thresholds that are comparative (usually based on percentage values) orthresholds that are based on absolute dollar values The instructions on the following pages specifically describe the differentthresholds Check the box that reflects the choice you have made You must use the type of threshold you have chosen for eachpart of the form In other words if you choose to report based on absolute dollar value thresholds you cannot use a percentagethreshold on any part of the form

MANNER OF CALCULATING REPORTABLE INTEREST

IF YOU HAVE CHOSEN DOLLAR VALUE THRESHOLDSTHE FOLLOWING INSTRUCTIONS APPLY

CE FORM 1 - Effective January 1 2020 Incorporated by reference in Rule 34-8202 FAC PAGE 4

PART E mdash LIABILITIES [Required by s 1123145(3)(b)4 FS] List the name and address of each creditor to whom you owed more

than $10000 at any time during the disclosure period The amount of theliability of a vehicle lease is the sum of any past-due payments and allunpaid prospective lease payments You are not required to list the amountof any debt You do not have to disclose credit card and retail installmentaccounts taxes owed (unless reduced to a judgment) indebtedness ona life insurance policy owed to the company of issuance or contingentliabilities A ldquocontingent liabilityrdquo is one that will become an actual liabilityonly when one or more future events occur or fail to occur such as whereyou are liable only as a guarantor surety or endorser on a promissorynote If you are a ldquoco-makerrdquo and are jointly liable or jointly and severallyliable then it is not a contingent liability

PART F mdash INTERESTS IN SPECIFIED BUSINESSES [Required by s 1123145(6) FS] The types of businesses covered in this disclosure include state and

federally chartered banks state and federal savings and loan associationscemetery companies insurance companies mortgage companies creditunions small loan companies alcoholic beverage licensees pari-mutuelwagering companies utility companies entities controlled by the PublicService Commission and entities granted a franchise to operate by either acity or a county government

Disclose in this part the fact that you owned during the disclosure period aninterest in or held any of certain positions with the types of businesses listedabove You must make this disclosure if you own or owned (either directly orindirectly in the form of an equitable or beneficial interest) at any time duringthe disclosure period more than 5 of the total assets or capital stock ofone of the types of business entities listed above You also must completethis part of the form for each of these types of businesses for which youare or were at any time during the disclosure period an officer directorpartner proprietor or agent (other than a resident agent solely for service ofprocess)

If you have or held such a position or ownership interest in one ofthese types of businesses list the name of the business its address andprincipal business activity and the position held with the business (if any) Ifyou own(ed) more than a 5 interest in the business indicate that fact anddescribe the nature of your interest

PART G mdash TRAINING CERTIFICATION [Required by s 1123142 FS] If you are a Constitutional or elected municipal officer whose

service began before March 31 of the year for which you are filingyou are required to complete four hours of ethics training which addresses Article II Section 8 of the Florida Constitution the Code of Ethics for Public Officers and Employees and the public recordsand open meetings laws of the state You are required to certify onthis form that you have taken such training

(End of Dollar Value Thresholds Instructions)

IF YOU HAVE CHOSEN COMPARATIVE (PERCENTAGE) THRESHOLDS THE FOLLOWING INSTRUCTIONS APPLY

PART A mdash PRIMARY SOURCES OF INCOME [Required by s 1123145(3)(a)1 FS] Part A is intended to require the disclosure of your principal

sources of income during the disclosure period You do not haveto disclose any public salary or public position(s) but income from these public sources should be included when calculating your gross income for the disclosure period The income of your spouse need not be disclosed however if there is joint income to you and your spouse from property you own jointly (such as interest or dividends from a bank account or stocks) you should include all of that income when calculating your gross income and disclose the source of that income if it exceeded the threshold

Please list in this part of the form the name address and principal business activity of each source of your income whichexceeded 5 of the gross income received by you in your own name or by any other person for your benefit or use during the disclosure period

Gross income means the same as it does for income tax purposes even if the income is not actually taxable such as interest on tax-free bonds Examples include compensation for servicesincome from business gains from property dealings interest rents dividends pensions IRA distributions social security distributive share of partnership gross income and alimony but not child support

Examples mdash If you were employed by a company that manufactures computers and received more than 5 of your gross income from the company list the name of the company its address and its principal business activity (computer manufacturing) mdash If you were a partner in a law firm and your distributive share of partnership gross income exceeded 5 of your gross income then list the name of the firm its address and its principal business activity (practice of law) mdash If you were the sole proprietor of a retail gift business andyour gross income from the business exceeded 5 of your total gross income list the name of the business its addressand its principal business activity (retail gift sales) mdash If you received income from investments in stocks and bonds list each individual company from which you derived

more than 5 of your gross income Do not aggregate all of your investment income mdash If more than 5 of your gross income was gain from the sale of property (not just the selling price) list as a source of income the purchaserrsquos name address and principal business activityIf the purchasers identity is unknown such as where securities listed on an exchange are sold through a brokerage firm the source of income should be listed as sale of (name of company)stock for example mdash If more than 5 of your gross income was in the form of interest from one particular financial institution (aggregatinginterest from all CDrsquos accounts etc at that institution) list the name of the institution its address and its principal business activity

PART B mdash SECONDARY SOURCES OF INCOME [Required by s 1123145(3)(a)2 FS] This part is intended to require the disclosure of major customers

clients and other sources of income to businesses in which you ownan interest It is not for reporting income from second jobs That kindof income should be reported in Part A Primary Sources of Incomeif it meets the reporting threshold You will not have anything to report unless during the disclosure period

(1) You owned (either directly or indirectly in the form of anequitable or beneficial interest) more than 5 of the total assetsor capital stock of a business entity (a corporation partnershipLLC limited partnership proprietorship joint venture trust firmetc doing business in Florida) and (2) You received more than 10 of your gross income from thatbusiness entity and (3) You received more than $1500 in gross income from thatbusiness entity

If your interests and gross income exceeded these thresholds thenfor that business entity you must list every source of income to thebusiness entity which exceeded 10 of the business entityrsquos grossincome (computed on the basis of the business entityrsquos most recentlycompleted fiscal year) the sourcersquos address and the sourcersquos principal business activity

CE FORM 1 - Effective January 1 2020 Incorporated by reference in Rule 34-8202 FAC PAGE 5

NOTICE Annual Statements of Financial Interests are due July 1 If the annual form is not filed or postmarked by September 1 an automatic fine of $25 for each day late will be imposed up to a maximum penalty of $1500 Failure to file also can result in removal from public office or employment [s 1123145 FS]

In addition failure to make any required disclosure constitutes grounds for and may be punished by one or more of the following disqualification from being on the ballot impeachment removal or suspension from office or employment demotion reduction in salary reprimand or a civil penalty not exceeding $10000 [s 112317 FS]

1) Elected public officials not serving in a political subdivision of thestate and any person appointed to fill a vacancy in such office unlessrequired to file full disclosure on Form 62) Appointed members of each board commission authority

or council having statewide jurisdiction excluding members of solelyadvisory bodies but including judicial nominating commission membersDirectors of Enterprise Florida Scripps Florida Funding Corporationand Career Source Florida and members of the Council on the SocialStatus of Black Men and Boys the Executive Director Governors and senior managers of Citizens Property Insurance CorporationGovernors and senior managers of Florida Workers Compensation JointUnderwriting Association board members of the Northeast Fla RegionalTransportation Commission board members of Triumph Gulf Coast Incboard members of Florida Is For Veterans Inc and members of theTechnology Advisory Council within the Agency for State Technology3) The Commissioner of Education members of the State Board

of Education the Board of Governors the local Boards of Trustees andPresidents of state universities and the Florida Prepaid College Board4) Persons elected to office in any political subdivision (such a s

municipalities counties and special districts) and any person appointedto fill a vacancy in such office unless required to file Form 65) Appointed members of the following boards councils

commissions authorities or other bodies of county municipality schooldistrict independent special district or other political subdivision thegoverning body of the subdivision community college or junior collegedistrict boards of trustees boards having the power to enforce local codeprovisions boards of adjustment community redevelopment agenciesplanning or zoning boards having the power to recommend create ormodify land planning or zoning within a political subdivision except forcitizen advisory committees technical coordinating committees andsimilar groups who only have the power to make recommendationsto planning or zoning boards and except for representatives of amilitary installation acting on behalf of all military installations within thatjurisdiction pension or retirement boards empowered to invest pensionor retirement funds or determine entitlement to or amount of pensions orother retirement benefits and the Pinellas County Construction LicensingBoard6) Any appointed member of a local government board who

is required to file a statement of financial interests by the appointingauthority or the enabling legislation ordinance or resolution creating theboard7) Persons holding any of these positions in local government

mayor county or city manager chief administrative employee or finance

director of a county municipality or other political subdivision countyor municipal attorney chief county or municipal building inspectorcounty or municipal water resources coordinator county or municipalpollution control director county or municipal environmental controldirector county or municipal administrator with power to grant or denya land development permit chief of police fire chief municipal clerkappointed district school superintendent community college presidentdistrict medical examiner purchasing agent (regardless of title) havingthe authority to make any purchase exceeding $35000 for the localgovernmental unit8) Officers and employees of entities serving as chief administrative

officer of a political subdivision9) Members of governing boards of charter schools operated by a

city or other public entity10) Employees in the office of the Governor or of a Cabinet member

who are exempt from the Career Service System excluding secretarialclerical and similar positions11) The following positions in each state department commission

board or council Secretary Assistant or Deputy Secretary ExecutiveDirector Assistant or Deputy Executive Director and anyone having thepower normally conferred upon such persons regardless of title12) The following positions in each state department or division

Director Assistant or Deputy Director Bureau Chief and any personhaving the power normally conferred upon such persons regardless oftitle13) Assistant State Attorneys Assistant Public Defenders criminal

conflict and civil regional counsel and assistant criminal conflict and civilregional counsel Public Counsel full-time state employees serving ascounsel or assistant counsel to a state agency administrative law judgesand hearing officers14) The Superintendent or Director of a state mental health institute

established for training and research in the mental health field or anymajor state institution or facility established for corrections trainingtreatment or rehabilitation15) State agency Business Managers Finance and Accounting

Directors Personnel Officers Grant Coordinators and purchasingagents (regardless of title) with power to make a purchase exceeding$3500016) The following positions in legislative branch agencies each

employee (other than those employed in maintenance clerical secretarial or similar positions and legislative assistants exemptedby the presiding officer of their house) and each employee of theCommission on Ethics

INSTRUCTIONS FOR COMPLETING FORM 1INTRODUCTORY INFORMATION (Top of Form) If your name mailing address public agency and position are already printed on the form you do not need to provide this information unless it should be changed To change any of this information write the correct information on the form and contact your agencys financial disclosure coordinator You can find your coordinator on the Commission on Ethics website wwwethicsstateflus NAME OF AGENCY The name of the governmental unit which you serve or served by which you are or were employed or for which you are a candidate DISCLOSURE PERIOD The ldquodisclosure periodrdquo for your report is the calendar year ending December 31 2019

OFFICE OR POSITION HELD OR SOUGHT The title of the office or position you hold are seeking or held during the disclosure period even if you have since left that position If you are a candidate for office or are a new employee or appointee check the appropriate boxPUBLIC RECORD The disclosure form and everythingattached to it is a public record Your Social Security Number is not required and you should redact it from any documents you file If you are an active or former officer or employee listed in Section 119071 FS whose home address is exempt from disclosure the Commission will maintain that confidentiality if you submit a written request

WHO MUST FILE FORM 1

CE FORM 1 - Effective January 1 2020 Incorporated by reference in Rule 34-8202 FAC PAGE 3

Examples PART E mdash LIABILITIES mdash You are the sole proprietor of a dry cleaning business from [Required by s 1123145(3)(b)4 FS]which you received more than 10 of your gross incomemdashan List the name and address of each creditor to whom you owed amount that was more than $1500 If only one customer a any amount that at any time during the disclosure period exceeded uniform rental company provided more than 10 of your dry your net worth You are not required to list the amount of any debt cleaning business you must list the name of the uniform rental or your net worth You do not have to disclose credit card and retail company its address and its principal business activity (uniform installment accounts taxes owed (unless reduced to a judgment) rentals) indebtedness on a life insurance policy owed to the company of mdash You are a 20 partner in a partnership that owns a shopping issuance or contingent liabilities A ldquocontingent liabilityrdquo is one mall and your partnership income exceeded the thresholds that will become an actual liability only when one or more future listed above You should list each tenant of the mall that events occur or fail to occur such as where you are liable only as provided more than 10 of the partnershiprsquos gross income and a guarantor surety or endorser on a promissory note If you are a the tenantrsquos address and principal business activity ldquoco-makerrdquo and are jointly liable or jointly and severally liable it is not

a contingent liability PART C mdash REAL PROPERTY Calculations To determine whether the debt exceeds your

[Required by s 1123145(3)(a)3 FS] net worth total all of your liabilities (including promissory notes mortgages credit card debts judgments against you etc) TheIn this part list the location or description of all real property in amount of the liability of a vehicle lease is the sum of any past-due Florida in which you owned directly or indirectly at any time during payments and all unpaid prospective lease payments Subtract the disclosure period in excess of 5 of the propertyrsquos value You the sum total of your liabilities from the value of all your assets are not required to list your residences You should list any vacation as calculated above for Part D This is your ldquonet worthrdquo List each homes if you derive income from them creditor to whom your debt exceeded this amount unless it is one of

Indirect ownership includes situations where you are a the types of indebtedness listed in the paragraph above (credit card beneficiary of a trust that owns the property as well as situations and retail installment accounts etc) Joint liabilities with others for where you own more than 5 of a partnership or corporation that which you are ldquojointly and severally liablerdquo meaning that you may owns the property The value of the property may be determined by be liable for either your part or the whole of the obligation should be the most recently assessed value for tax purposes in the absence included in your calculations at 100 of the amount owed of a more current appraisal

Example You owe $15000 to a bank for student loans $5000 The location or description of the property should be sufficient for credit card debts and $60000 (with spouse) to a savings to enable anyone who looks at the form to identify the property A and loan for a home mortgage Your home (owned by you and street address should be used if one exists your spouse) is worth $80000 and your other property is worth PART D mdash INTANGIBLE PERSONAL PROPERTY $20000 Since your net worth is $20000 ($100000 minus

$80000) you must report only the name and address of the [Required by s 1123145(3)(a)3 FS] savings and loan Describe any intangible personal property that at any time

during the disclosure period was worth more than 10 of your PART F mdash INTERESTS IN SPECIFIED BUSINESSES total assets and state the business entity to which the property [Required by s 1123145 FS] related Intangible personal property includes things such as cash on hand stocks bonds certificates of deposit vehicle leases The types of businesses covered in this disclosure include interests in businesses beneficial interests in trusts money owed state and federally chartered banks state and federal savings and you Deferred Retirement Option Program (DROP) accounts loan associations cemetery companies insurance companies the Florida Prepaid College Plan and bank accounts Intangible mortgage companies credit unions small loan companies alcoholic personal property also includes investment products held in IRAs beverage licensees pari-mutuel wagering companies utilitybrokerage accounts and the Florida College Investment Plan companies entities controlled by the Public Service Commission Note that the product contained in a brokerage account IRA or the and entities granted a franchise to operate by either a city or a Florida College Investment Plan is your assetmdashnot the account or county governmentplan itself Things like automobiles and houses you own jewelry Disclose in this part the fact that you owned during the and paintings are not intangible property Intangibles relating to the disclosure period an interest in or held any of certain positions same business entity may be aggregated for example CDrsquos and with the types of businesses listed above You are requiredsavings accounts with the same bank to make this disclosure if you own or owned (either directly or

Calculations To determine whether the intangible property indirectly in the form of an equitable or beneficial interest) at any exceeds 10 of your total assets total the fair market value of time during the disclosure period more than 5 of the total assets all of your assets (including real property intangible property and or capital stock of one of the types of business entities listed above tangible personal property such as jewelry furniture etc) When You also must complete this part of the form for each of these types making this calculation do not subtract any liabilities (debts) that of businesses for which you are or were at any time during themay relate to the property Multiply the total figure by 10 to arrive disclosure period an officer director partner proprietor or agent at the disclosure threshold List only the intangibles that exceed (other than a resident agent solely for service of process) this threshold amount The value of a leased vehicle is the vehiclersquos If you have or held such a position or ownership interest in present value minus the lease residual (a number which can be one of these types of businesses list the name of the business its found on the lease document) Property that is only jointly owned address and principal business activity and the position held with property should be valued according to the percentage of your the business (if any) If you own(ed) more than a 5 interest in the joint ownership Property owned as tenants by the entirety or as business indicate that fact and describe the nature of your interest joint tenants with right of survivorship should be valued at 100 None of your calculations or the value of the property have to be PART G mdash TRAINING CERTIFICATIONdisclosed on the form

[Required by s 1123142 FS] Example You own 50 of the stock of a small corporation that is worth $100000 the estimated fair market value of If you are a Constitutional or elected municipal officer whoseyour home and other property (bank accounts automobile service began before March 31 of the year for which you are filing furniture etc) is $200000 As your total assets are worth you are required to complete four hours of ethics training which $250000 you must disclose intangibles worth over $25000 addresses Article II Section 8 of the Florida Constitution the Code Since the value of the stock exceeds this threshold you of Ethics for Public Officers and Employees and the public records should list ldquostockrdquo and the name of the corporation If your and open meetings laws of the state You are required to certify on accounts with a particular bank exceed $25000 you should this form that you have taken such training list ldquobank accountsrdquo and bankrsquos name

(

End of Percentage Thresholds Instructions) CE FORM 1 - Effective January 1 2020 Incorporated by reference in Rule 34-8202 FAC PAGE 6

  • 0 HP Cover Page v2
  • 1 Hawks Point Meeting Invite Draft v2
  • 2 Agenda Draft v3
  • 3 EXHIBIT 1
  • 7 HP 05-19-2020 Meeting Minutes Approved
  • 6 EXHIBIT 2
  • 9 HP May FY20 Fin
  • 8 EXHIBIT 3
  • 4 Vacant Position Qualification Requirements for Hawks Point CDD
    • Vacant Position on the Board of Supervisors of the Hawkrsquos Point Community Development District
      • Qualification Requirements
      • Instructions for Interested Candidates
      • Additional Notes
          • 5 Shami Choon Vacant Position - updated 11-5-11 resume
            • 1803 Oak Pond Street Ruskin Fl 33570 E-mailchoons27gmailcom
              • PROFESSIONAL HISTORY
                • Operations Manager Florida Distribution 2002 ndash 2005
                • Operations Manager for Florida Branch Distribution 1999 ndash 2002
                • Warehouse Manager of Miami Distribution Center 1998 ndash 1999
                • Branch Manager of West Palm Beach 1994 ndash 1998
                • Assistant Branch Manager 1991 ndash 1994
                • Customer Service Agent 1990 ndash 1991
                  • 10 EXHIBIT 4
                  • 11 New Business - Hawks Point CDD - MI proposal
                  • 12 EXHIBIT 5
                  • 13 CertaPro Proposal to Paint Exterior Wall 18th to 24th Avenue
                  • 14 Shazam Construction Proposal to Paint Exterior Wall 18th to 24th Street
                    • QUOTE
                      • TO
                          • 15 Photo to accompany Shazam Proposal
                          • 16 EXHIBIT 6
                          • 17 CertaPro Proposal for Pressure Washing Exterior Wall 18th St to 24th Street
                          • 18 Shazam Construction Proposal for Pressure Washing Exterion Wall 18th Street to 24th Street
                            • QUOTE
                              • TO
                                  • 19 EXHIBIT 7
                                  • 20 Form 1_2019i
                                      1. LAST NAME
                                      2. FIRST NAME
                                      3. MIDDLE NAME
                                      4. MAILING ADDRESS ROW 1
                                      5. MAILING ADDRESS ROW 2
                                      6. CITY
                                      7. ZIP
                                      8. COUNTY
                                      9. NAME OF AGENCY
                                      10. NAME OF OFFICE OR POSITION HELD OR SOUGHT
                                      11. CANDIDATE Off
                                      12. NEW EMPLOYEE OR APPOINTEE Off
                                      13. COMPARATIVE (PERCENTAGE) THRESHOLDS Off
                                      14. DOLLAR VALUE THRESHOLDS Off
                                      15. NAME OF SOURCE INCOME ROW 1
                                      16. ADDRESS ROW 1
                                      17. DESCRIPTION OF THE SOURCES PRINCIPAL BUSINESS ACTIVITY ROW 1
                                      18. NAME OF SOURCE INCOME ROW 2
                                      19. ADDRESS ROW 2
                                      20. DESCRIPTION OF THE SOURCES PRINCIPAL BUSINESS ACTIVITY ROW 2
                                      21. NAME OF SOURCE INCOME ROW 3
                                      22. ADDRESS ROW 3
                                      23. DESCRIPTION OF THE SOURCES PRINCIPAL BUSINESS ACTIVITY ROW 3
                                      24. NAME OF SOURCE INCOME ROW 4
                                      25. ADDRESS ROW 4
                                      26. DESCRIPTION OF THE SOURCES PRINCIPAL BUSINESS ACTIVITY ROW 4
                                      27. NAME OF BUSINESS ENTITY ROW 1
                                      28. NAME OF MAJOR SOURCES OF BUSINESS INCOME ROW 1
                                      29. ADDRESS OF SOURCE ROW 1
                                      30. PRINCIPAL BUSINESS ACTIVITY OF SOURCE ROW 1
                                      31. NAME OF BUSINESS ENTITY ROW 2
                                      32. NAME OF MAJOR SOURCES OF BUSINESS INCOME ROW 2
                                      33. ADDRESS OF SOURCE ROW 2
                                      34. PRINCIPAL BUSINESS ACTIVITY OF SOURCE ROW 2
                                      35. NAME OF BUSINESS ENTITY ROW 3
                                      36. NAME OF MAJOR SOURCES OF BUSINESS INCOME ROW 3
                                      37. ADDRESS OF SOURCE ROW 3
                                      38. PRINCIPAL BUSINESS ACTIVITY OF SOURCE ROW 3
                                      39. REAL PROPERTY ROW 1
                                      40. REAL PROPERTY ROW 2
                                      41. REAL PROPERTY ROW 3
                                      42. REAL PROPERTY ROW 4
                                      43. TYPE OF INTANGIBLE ROW 1
                                      44. BUSINESS ENTITY TO WHICH THE PROPERTY RELATES ROW 1
                                      45. TYPE OF INTANGIBLE ROW 2
                                      46. BUSINESS ENTITY TO WHICH THE PROPERTY RELATES ROW 2
                                      47. NAME OF CREDITOR ROW 1
                                      48. ADDRESS OF CREDITOR ROW 1
                                      49. NAME OF CREDITOR ROW 2
                                      50. ADDRESS OF CREDITOR ROW 2
                                      51. ADDRESS OF BUSINESS ENTITY 1
                                      52. PRINCIPAL BUSINESS ACTIVITY 1
                                      53. POSITION HELD WITH ENTITY 1
                                      54. I OWN MORE THAN A 5 INTEREST IN THE BUSINESS 1
                                      55. NATURE OF MY OWNERSHIP INTEREST 1
                                      56. ADDRESS OF BUSINESS ENTITY 2
                                      57. PRINCIPAL BUSINESS ACTIVITY 2
                                      58. POSITION HELD WITH ENTITY 2
                                      59. I OWN MORE THAN A 5 INTEREST IN THE BUSINESS 2
                                      60. NATURE OF MY OWNERSHIP INTEREST 2
                                      61. FOR ELECTED MUNICIPAL OFFICERS REQUIRED TO COMPLETE ANNUAL ETHICS TRAINING PURSUANT TO SECTION 112
                                        1. 3142 F
                                          1. S Off
                                              1. IF ANY OF PARTS A THROUGH G ARE CONTINUED ON A SEPARATE SHEET PLEASE CHECK HERE Off
                                              2. SIGNATURE
                                              3. Date Signed
Page 6: HAWKS POINT COMMUNITY DEVELOPMENT …...2020/06/16  · Hawks Point Community Development District Board of Supervisors Meeting Tuesday, June 16th at 6:30 PM via Zoom All: We welcome

Page 3 of 3

VII Staff Reports

A District Manager Form 1 Statement of Financial Interests Reminder Exhibit 7

B District Counsel

District Counsel Update on Property Ownership

C District Engineer

VIII Supervisors Requests

IX Audience Comments ndash New Business ndash (limited to 3 minutes per individual for non-agenda items)

X Adjournment

EXHIBIT 1

MINUTES OF MEETING 1

HAWKS POINT 2

COMMUNITY DEVELOPMENT DISTRICT 3

The Regular Meeting of the Board of Supervisors of the Hawks Point Community Development 4 District was held on Tuesday May 19 2020 at 630 pm via electronic teleconference 5

FIRST ORDER OF BUSINESS ndash Roll Call 6

Mr Lotito called the meeting to order and conducted roll call 7

Present and constituting a quorum were 8

Chantal Copeland Board Supervisor Chairwoman 9 Sherri Keene Board Supervisor Vice Chairwoman 10 William Hathaway Board Supervisor Assistant Secretary 11 Caryn Williams Board Supervisor Assistant Secretary 12

Also present were 13

Ray Lotito District Manager DPFG Management amp Consulting LLC 14 Vivek Babbar District Counsel Straley Robin Vericker 15 Paul Gomez Landscape Maintenance Professionals Inc 16 David Manfrin Landscape Maintenance Professionals Inc 17 Mitchell Moore Stantec Engineering 18 Adam Markle Stantec Engineering 19 Joe Hamilton Steadfast Environmental 20 Cary Brown Hawks Point Resident 21

The following is a summary of the discussions and actions taken at the May 19 2020 Hawks Point CDD 22 Board of Supervisors Regular Meeting 23

SECOND ORDER OF BUSINESS ndash Audience Comments 24

Ms Brown indicated that she had sent in a list of questions for the Board regarding items on the 25 agenda Mr Lotito clarified in response that the electric meters were for irrigation pumps advised 26 that the Board was required to hire a District management firm with a number of responsibilities 27 dictated under Florida Statute 190 and addressed concerns regarding contract renewals 28

THIRD ORDER OF BUSINESS ndash Landscape amp Pond Maintenance Reports 29

A LMP Landscape amp Irrigation Monthly Report 30

Ms Brown asked about treatments used and Mr Gomez clarified that they were not Roundup 31

B Pond Maintenance Report ndash Stantec 32

FOURTH ORDER OF BUSINESS ndash Administrative Matters ndash Consent Agenda 33

A Exhibit 1 Consideration and Approval of Minutes of the April 21 2020 Meeting 34

B Exhibit 2 Acceptance of the Unaudited April 2020 Financial Statements 35

On a MOTION by Ms Copeland SECONDED by Ms Keene WITH ALL IN FAVOR the Board 36 approved Items A ndash B of the Consent Agenda for the Hawks Point Community Development District 37

FIFTH ORDER OF BUSINESS ndash Business Matters 38

A New Business 39

1 Exhibit 3 Presentation and Discussion of the FY 2021 Budget 40

Hawks Point CDD May 19 2020

Regular Meeting Page 2 of 3

2 Exhibit 4 Consideration and Adoption of Resolution 2020-02 Approving Proposed 41

Budget and Setting Public Hearing for Final Budget 42

On a MOTION by Mr Hathaway SECONDED by Ms Copeland WITH ALL IN FAVOR the Board 43 adopted Resolution 2020-02 Approving Proposed Budget and Setting Public Hearing for Final Budget 44 for the Hawks Point Community Development District 45

3 Exhibit 5 Hillsborough County Number of Registered Voters for Hawks Point ndash 1554 46

4 Exhibit 6 Consideration of Steadfast Environmental Proposal for Pond Plantings ndash No 47 98 - $450000 48

Mr Lotito indicated that this item was to improve quality of storm water discharge and to 49 proactively prevent erosion and noted that the plantings had been budgeted for multiple 50 years but never implemented Mr Hamilton gave an overview of areas for planting and 51 types of plants noting that budget restrictions may lead to the Board needing to prioritize 52 areas Discussion ensued 53

On a MOTION by Mr Hathaway SECONDED by Ms Williams WITH ALL IN FAVOR the Board 54 approved the Steadfast Environmental Proposal for Pond Plantings in the amount of $450000 for the 55 Hawks Point Community Development District 56

5 Exhibit 7 Consideration of LMP Proposal for Palm Trimming ndash No 65827 - $81900 57

This item was tabled to the next meeting pending determination of property ownership 58 by District Counsel 59

B Old Business 60

1 Exhibit 8 Consideration of the Stantec Proposal for Landscape Design for Improvement 61 of Monuments and Common Areas - $1275000 62

Mr Markle gave an overview of the proposal in terms of the scope of landscape design 63 and contractor oversight A resident indicated that she felt the cost of the proposal for 64 design was excessive Discussion ensued 65

On a MOTION by Ms Copeland SECONDED by Ms Williams WITH ALL IN FAVOR the Board 66 approved the Stantec Proposal for Landscape Design for Improvement of Monuments and Common 67 Areas in the amount of $1275000 for the Hawks Point Community Development District 68

2 Exhibit 9 Consideration of LMP Proposals 69

Replace Faulty Hunter 1 Station Decoder ndash Estimate No 64891 - $21050 70

Repair Controller 1 ndash Estimate No 64935 - $19100 71

Repair Controller 3 ndash Estimate No 64936 - $10600 72

Repair Controller 5 ndash Estimate No 64937 - $2900 73

On a MOTION by Mr Hathaway SECONDED by Ms Keene WITH ALL IN FAVOR the Board 74 approved all LMP repair and replacement proposals for the Hawks Point Community Development 75 District 76

Hawks Point CDD May 19 2020

Regular Meeting Page 3 of 3

SIXTH ORDER OF BUSINESS ndash Staff Reports 77

A District Manager 78

There being none the next item followed 79

B District Counsel 80

Mr Babbar noted that District Engineering had recommended an irrigation specialist and that a 81 proposal from the specialist would be forthcoming 82

C District Engineer 83

There being none the next item followed 84

SEVENTH ORDER OF BUSINESS ndash Supervisors Requests 85

There being none the next item followed 86

EIGHTH ORDER OF BUSINESS ndash Audience Comments ndash New Business 87

A resident asked about the ownership of a conservation area at 18th and Hawks Island and Mr 88 Hathaway indicated that this was CDD property The resident noted that the conservation area 89 had been overgrown onto the sidewalk 90

NINTH ORDER OF BUSINESS ndash Adjournment 91

Mr Lotito asked for final questions comments or corrections before requesting a motion to 92 adjourn the meeting There being none Mr Hathaway made a motion to adjourn the meeting 93

On a MOTION by Mr Hathaway SECONDED by Ms Williams WITH ALL IN FAVOR the Board 94 adjourned the meeting for the Hawks Point Community Development District 95

Each person who decides to appeal any decision made by the Board with respect to any matter 96 considered at the meeting is advised that person may need to ensure that a verbatim record of the 97 proceedings is made including the testimony and evidence upon which such appeal is to be based 98

Meeting minutes were approved at a meeting by vote of the Board of Supervisors at a publicly noticed 99 meeting held on ________________________ 100

101

Signature Signature

102

Printed Name Printed Name

Title Secretary Assistant Secretary Title Chairman Vice Chairman 103

EXHIBIT 2

Hawks Point

Community Development District

Financial Statements

(Unaudited)

Period Ending

May 31 2020

DEBT

GENERAL SERVICE CONSOLIDATED

FUND SERIES 2017 TOTAL

1 ASSETS

2

3 CASH 66142$ -$ 66142$

4 MMK 456665 - 456665

5 INVESTMENTS

6 REVENUE FUND - 203538 203538

7 INTEREST FUNDS - 195 195

8 PRINCIPAL FUNDS - - -

9 SINKING FUNDS - 1 1

11 RESERVE - 266003 266003

12 ACCOUNTS RECEIVABLE 2588 - 2588

13 ASSESMENTS RECEIVABLE 2781 3237 6018

14 DUE FROM GF - 172 172

15 PREPAID ITEMS - - -

16 DEPOSITS 451 - 451

17 TOTAL ASSETS 528627$ 473145$ 1001772$

18

19 LIABILITIES

20

21 ACCOUNTS PAYABLE 537$ -$ 537$

22 DUE TO DEBT SERVICE SERIES 2017 172 - 172

23 ACCRUED INTEREST PAYABLE DS 2017 - - -

24 DEFERRED REVENUE 2781 3237 6018

26

27 FUND EQUITY

28

29 RESTRICTED FOR

30 DEBT SERVICE - 469908 469908

32 ASSIGNED 1 QTR OPER 71304 - 71304

33 ASSIGNED FY 2018 INC IN RESERVES 15650 - 15650

34 ASSIGNED FY 2019 INC IN RESERVES 22500 - 22500

35 UNASSIGNED 415683 - 415683 36

37 TOTAL LIABILITIES amp FUND EQUITY 528627$ 473145$ 1001772$

Hawks Point CDDBalance Sheet

May 31 2020

Note GASB 34 government wide financial statements are available in the annual independent audit of the District The audit is

available on the website and upon request

Page 2

FY2020 VARIANCE

ADOPTED BUDGET ACTUAL FAVORABLE

BUDGET YEAR-TO-DATE YEAR-TO-DATE (UNFAVORABLE)

1 REVENUE

2

3 ASSESSMENT ON ROLL (NET) 453615$ 453615$ 450924$ (2691)$

4 ASSESSMENT ON ROLL EXCESS FEES - - - -

5 INTEREST REVENUE - - 1594 1594

6 MISCELLANEOUS REVENUE - - - -

7 ELECTRICITY COST SHARE WITH THE HOA 1600 1067 2633 1566

8 TOTAL REVENUE 455215 454682 455152 470

9

10 EXPENDITURES

11

12 ADMINISTRATIVE

13 BOARD OF SUPERVISORS 12000 8000 5539 2461

14 PAYROLL TAXES 918 612 503 109

15 PAYROLL SERVICE FEE 625 417 392 25

16 MANAGEMENT CONSULTING SERVICES 40000 26667 26667 -

17 GENERAL ADMINISTRATIVE 4800 3200 3200 -

18 MISCELLANEOUS 500 333 - 333

19 AUDITING 3200 3200 - 3200

20 REGULATORY AND PERMIT FEES 175 175 175 -

21 LEGAL ADVERTISEMENTS 1500 1000 1386 (386)

22 ENGINEERING SERVICES 5000 3333 1896 1437

23 LEGAL SERVICES - GENERAL 7500 5000 2895 2105

24 WEBSITE ADMINISTRATION 2265 2165 1749 416

25 TOTAL ADMINISTRATIVE 78483 54102 44401 9701

26

27 INSURANCE

28 INSURANCE (Liability Property amp Casualty) 6050 6050 5638 412

29 TOTAL INSURANCE 6050 6050 5638 412

30

31 DEBT SERVICE ADMINISTRATION

32 DISSEMINATION AGENT 1000 1000 1000 -

33 TRUSTEE FEES 10500 - - -

34 TRUST FUND ACCOUNTING 1500 1000 1000 -

35 ARBITRAGE 650 - - -

36 ASSESSMENT ADMINISTRATION 5000 5000 5000 -

37 TOTAL DEBT SERVICE ADMINISTRATION 18650 7000 7000 -

38

39 UTILITIES

40 ELECTRICITY-IRRIGATION 2928 1952 1191 761

41 TOTAL UTILITIES 2928 1952 1191 761

42

43 FIELD OPERATIONS

44 IRRIGATION MAINTENANCE amp REPAIRS 10000 6667 3960 2706

45 POND MONITORING amp MAINTENANCE 17700 10325 10325 -

46 POND PLANTINGS 5000 5000 - 5000

47 WETLAND MONITORING 7120 5340 1780 3560

48 LANDSCAPE MAINTENANCE 129000 86000 88400 (2400)

49 LANDSCAPE REPLENISHMENT 119898 79932 6520 73412

50 TREE TRIMMING 16800 11200 - 11200

51 STREETLIGHTS 2000 1333 - 1333

52 MISCELLANEOUS FIELD EXPENSES 18586 12391 8886 3504

53 CAPITAL PROJECTS - WELL DRILLING amp PUMP INSTALL - - 18165 (18165)

54 RESERVE - PAINT PERIMITER WALL - - 6350 (6350)

55 TOTAL FIELD OPERATIONS 326104 218188 144386 73802

Hawks Point

General Fund

Statement of Revenues Expenditures and Changes in Fund Balance

For the period from October 1 2019 through April 30 2020

Preliminary

Page 3

FY2020 VARIANCE

ADOPTED BUDGET ACTUAL FAVORABLE

BUDGET YEAR-TO-DATE YEAR-TO-DATE (UNFAVORABLE)

Hawks Point

General Fund

Statement of Revenues Expenditures and Changes in Fund Balance

For the period from October 1 2019 through April 30 2020

Preliminary

56

57 TOTAL EXPENDITURES BEFORE RESERVES 432215 287292 202616 84675

58

59 INCREASE FOR RESERVES 23000 - - -

60 INCREASE IN FUND BALANCE - - - -

61

62

63 TOTAL EXPENDITURES AFTER RESERVE 455215 287292 202616 84675

64

65 EXCESS OF REVENUE OVER (UNDER) EXPENDITURES - 167390 252535 85145

66

67 FUND BALANCE - BEGINNING 269666 269666 272602 272602

68 DECREASE IN FUND BALANCE - - - -

69 INCREASE IN RESERVE 23000 - - -

70 FUND BALANCE - ENDING 292666$ 437056$ 525137$ 357747$

71

72

73 FY 2018FY 2019 - Irrigation System Grounding Phased 15544$

74 FY 2018 - Perimieter Wall Paint Applications 5815

75 FY 2019 - Reserve Study Update 1100

77 FY 2020 - Irrigation System-Clocks 6442

Total Replacement Expenses for Reserves 28901$

Reserve Expenditure Components

Page 4

FY 2020 VARIANCE

ADOPTED BUDGET ACTUAL FAVORABLE

BUDGET YEAR-TO-DATE YEAR-TO-DATE (UNFAVORABLE)

1 REVENUE

2 ASSESSMENTS - ON-ROLL (Gross) 561051$ 527388$ 524922$ (2466)$

3 ASSESSMENTS - ON-ROLL EXCESS FEES - - - -

4 FUND BALANCE FORWARD - - - -

5 INTEREST - INVESTMENT - - 3703 3703

6 DISCOUNT (22442) - - -

7 TOTAL REVENUE 538609 527388 528624 1236

8

9

10 EXPENDITURES

11

12 PRINCIPAL

13 512020 235000 - 235000 (235000)

14 INTEREST EXPENSE

15 1112019 - - 144238 (144238)

16 512020 144238 - 144238 (144238)

17 1112020 140075 - - -

18 COUNTY COLLECTION CHARGES 11221 - - -

19 TOTAL EXPENDITURES 530534 - 523475 (523475)

20

21 EXCESS OF REVENUE OVER (UNDER) EXPENDITURES 8075 527388 5149 (522239)

22

23 OTHER FINANCING SOURCES (USES)

24 TRANSFER IN - - - -

25 TRANSFER OUT (USES) - - - -

26 TOTAL OTHER FINANCING SOURCES (USES) - - - -

27

28 NET CHANGE IN FUND BALANCE 8075 527388 5149 (522239)

29

30 FUND BALANCE - BEGINNING - - 464759 464759

31 FUND BALANCE APPROPRIATED - - - -

32

33 FUND BALANCE - ENDING 8075$ 527388$ 469908$ (57480)$

Hawks Point CDD

Debt Service - Series 2017

Statement of Revenues Expenditures and Changes in Fund Balance

For the period from October 1 2019 through April 30 2020

Page 5

Bank United

Balance Per Bank Statement 7549415$

Plus Deposits in Transit -

Less Outstanding Checks (935250)

Adjusted Bank Balance 6614165$

Beginning Bank Balance Per Books 4251943$

Cash Receipts 5000350

Cash Disbursements (2638128)

Balance Per Books 6614165$

Hawks Point CDD

Bank Reconciliation (GF)

May 31 2020

Page 6

Date Num Name Memo Receipts Disbursements Balance

Bank United EOY Balance 9460943

10012019 9035 DPFG MANAGEMENT amp CONSULTING LLC CDD Mgmt - October 385833 9075110

10022019 Hawks Point West HOA 2019-245- HPW 18866 9093976

10082019 646 Hawks Point HOA 2019245 - HPA 21225 9115201

10082019 Hawks Point West HOA 201956 - HPW 208516 9323717

10082019 1115 Egis Insurance amp Risk Advisors Ins - FY 2020 563800 8759917

10112019 9036 JAYMAN ENTERPRISES LLC Replace Bulbs at Entrances Rcvd 10119 23000 8736917

10112019 9037 Landscape Maintenance Professionals Inc Landscape Maint - October 1105000 7631917

10162019 1116 FLORIDA DEPT OF ECONOMIC OPPORTUNIT Annual Filing FY 2020 17500 7614417

10182019 9041 TAMPA BAY TIMES Legal Ad - Meeting Schedule 55200 7559217

10212019 9038 DPFG MANAGEMENT amp CONSULTING LLC Special Assessment - FY 2020 Continuing Disclosure ADA Compliance 650000 6909217

10212019 9039 JAYMAN ENTERPRISES LLC Replace Bulbs 7000 6902217

10212019 9040 STANTEC CONSULTING SERVICES INC Lake amp Pond Maint - Sept 10500 6891717

10242019 ACH102419 TAMPA ELECTRIC 830-930 - 1416 Little Hawk Dr 7637 6884080

10242019 ACH1024192 TAMPA ELECTRIC 830-930 - 2160 Golden Falcon Dr 7083 6876997

10242019 000652 Hawks Point HOA 20197-HPA 4921 6881918

10252019 694003DD ANDREW HERON Bos Mtg - 101519 18470 6863448

10252019 ACH102519 Innovative Employer Soltuions Bos Mtg - 101519 17140 6846308

10252019 694005DD KAREN OBRIEN Bos Mtg - 101519 18470 6827838

10252019 694004DD SHERRI KEENE Bos Mtg - 101519 18470 6809368

10252019 694002DD WILLIAM J HATHAWAY Bos Mtg - 101519 18470 6790898

10312019 Bank United Interest 691 6791589

Bank United EOM Balance 254219 2923573 6791589

11012019 9042 DPFG MANAGEMENT amp CONSULTING LLC CDD Mgmt - November 385833 6405756

11012019 9043 STANTEC CONSULTING SERVICES INC Lake amp Pond Maint - Pond 201-19 amp 21 - Sept 274000 6131756

11012019 9044 STRALEY ROBIN VERICKER Legal Svcs thru 101519 65999 6065757

11122019 1117 HAWKS POINT CDD DS 2017 Tax Collection Share co Wells Fargo 762290 5303467

11152019 9045 Landscape Maintenance Professionals Inc Landscape Maint - November amp Irrigation Repairs 1229369 4074098

11152019 9046 STANTEC CONSULTING SERVICES INC Lake amp Pond Maint - Oct 333600 3740498

11202019 9048 TAMPA BAY TIMES Legal Ad - Audit Meeting 42050 3698448

11222019 9047 STANTEC CONSULTING SERVICES INC Lake amp Pond Maint - Pond 20 - Oct 10500 3687948

11252019 ACH1125191 TAMPA ELECTRIC 101-1030 - 1416 Little Hawk Dr 7431 3680517

11252019 ACH1125192 TAMPA ELECTRIC 101-1030 - 2160 Golden Falcon Dr 8753 3671764

11292019 703783DD ANDREW HERON Bos Mtg - 111919 18470 3653294

11292019 ACH112919 Innovative Employer Soltuions Bos Mtg - 111919 20200 3633094

11292019 703785DD KAREN OBRIEN Bos Mtg - 111919 18470 3614624

11292019 703781DD MARIE CHANTAL COPELAND Bos Mtg - 111919 18470 3596154

11292019 703784DD SHERRI KEENE Bos Mtg - 111919 18470 3577684

11292019 703782DD WILLIAM J HATHAWAY Bos Mtg - 111919 18470 3559214

11302019 Bank United Interest 450 3559664

Bank United EOM Balance 450 3232375 3559664

12022019 9049 DPFG MANAGEMENT amp CONSULTING LLC CDD Mgmt - December 385833 3173831

12042019 694 Hawks Point HOA 20198-HPA 5105 3178936

12042019 503 Hawks Point West HOA 20197-HPW amp 20198-HPW 7388 3186324

12042019 1118 Site Masters of Florida LLC Investigation of pipe discharge Townhome Yard Drain Blockage 150000 3036324

12112019 9050 Illuminations Holiday Lighting Electrical Fix Holiday Lights - Deposit 261250 2775074

12132019 Bank United Funds Transfer - MMK to Opt Acct 4500000 7275074

12132019 Bank United Funds Transfer - MMK to Opt Acct 50834407 58109481

12162019 9055 TAMPA BAY TIMES Legal Ad - RFP Auditing Svc 36100 58073381

12182019 9051 Flatwoods Environmental Cut amp Dispose Brazilian Pepper 396500 57676881

12182019 9052 Landscape Maintenance Professionals Inc Landscape Maint - December 1105000 56571881

12182019 9053 STANTEC CONSULTING SERVICES INC Misc Environmental Services 137000 56434881

12182019 9054 STRALEY ROBIN VERICKER Legal Svcs thru 111519 57500 56377381

12182019 1119 HAWKS POINT CDD DS 2017 Tax Collection Share co Wells Fargo 49544765 6832616

12182019 1120 Innersync ADA Compliant website 124942 6707674

12262019 ACH1226191 TAMPA ELECTRIC 1031-122 - 2160 Golden Falcon Dr 8771 6698903

12262019 ACH1226192 TAMPA ELECTRIC 1031-1202 - 1416 Little Hawk Dr 9315 6689588

12272019 711993DD ANDREW HERON Bos Mtg - 121719 18470 6671118

12272019 ACH122719 Innovative Employer Soltuions Bos Mtg - 121719 20200 6650918

12272019 711995DD KAREN OBRIEN Bos Mtg - 121719 18470 6632448

12272019 711991DD MARIE CHANTAL COPELAND Bos Mtg - 121719 18470 6613978

12272019 711994DD SHERRI KEENE Bos Mtg - 121719 18470 6595508

12272019 711992DD WILLIAM J HATHAWAY Bos Mtg - 121719 18470 6577038

12312019 Bank United Interest 3091 6580129

Bank United EOM Balance 55349991 52329526 6580129

01022020 9056 DPFG MANAGEMENT amp CONSULTING LLC CDD Mgmt - January 385833 6194296

01082020 9057 Landscape Maintenance Professionals Inc Station decoders 82908 6111388

01082020 9058 STRALEY ROBIN VERICKER Legal Svcs thru 121519 10000 6101388

01102020 9159 Landscape Maintenance Professionals Inc Landscape Maint - January 1105000 4996388

01102020 9160 Mike White LLC Entry Monument repair 54119 4942269

01132020 1121 HAWKS POINT CDD DS 2017 Tax Collection Share co Wells Fargo 868256 4074013

01172020 9161 Illuminations Holiday Lighting Holiday Lights - Balance Due 231250 3842763

01172020 000534 Hawks Point West HOA 20201-HPW 4493 3847256

01272020 1122 STANTEC CONSULTING SERVICES INC Pond Maint - December Engineering Svcs thru 122719 353400 3493856

01272020 ACH012720 TAMPA ELECTRIC 123-1231 - 2160 Golden Falcon Dr 8116 3485740

01272020 ACH0127202 TAMPA ELECTRIC 1203-1231 - 1416 Little Hawk Dr 6682 3479058

01312020 072704 Innovative Employer Soltuions Bos Mtg - 12120 17140 3461918

01312020 721948DD KAREN OBRIEN Bos Mtg - 12120 18470 3443448

01312020 721945DD MARIE CHANTAL COPELAND Bos Mtg - 12120 18470 3424978

01312020 721947DD SHERRI KEENE Bos Mtg - 12120 18470 3406508

01312020 721946DD WILLIAM J HATHAWAY Bos Mtg - 12120 18470 3388038

01312020 Bank United Interest 1406 3389444

Bank United EOM Balance 5899 3196584 3389444

02052020 1124 DPFG MANAGEMENT amp CONSULTING LLC CDD Mgmt - February 385833 3003611

02052020 1125 Landscape Maintenance Professionals Inc Landscape Maint - February 1105000 1898611

02052020 1126 TAMPA ELECTRIC 101-1030 - 1416 Little Hawk Dr 308 1898303

02252020 1127 Landscape Maintenance Professionals Inc Landscape Maint - March 1105000 793303

02252020 02252020ACH TAMPA ELECTRIC 11-130 - 1416 Little Hawk Dr 7840 785463

02252020 02252020ACH TAMPA ELECTRIC 11-130 - 2160 Golden Falcon Dr 9092 776371

02282020 02182020ACH Innovative Employer Soltuions Bos Mtg - 21820 14080 762291

02282020 730271DD MARIE CHANTAL COPELAND Bos Mtg - 21820 18470 743821

02282020 730273DD SHERRI KEENE Bos Mtg - 21820 18470 725351

02282020 7302272DD WILLIAM J HATHAWAY Bos Mtg - 21820 18470 706881

02292020 Bank United Interest 203 707084

HAWKS POINT CDDCASH REGISTER

FY 2020

Page 7

Date Num Name Memo Receipts Disbursements Balance

HAWKS POINT CDDCASH REGISTER

FY 2020

Bank United EOM Balance 203 2682563 707084

03042020 1128 DPFG MANAGEMENT amp CONSULTING LLC CDD Mgmt - March 385833 321251

03122020 1129 STANTEC CONSULTING SERVICES INC Engineering Svcs thru 012420 73950 247301

03122020 ACH032520 TAMPA ELECTRIC 13120 - 22820 - 2160 Golden Falcon Dr 8527 238774

03122020 ACH0325202 TAMPA ELECTRIC 013120 - 22820 - 1416 Little Hawk Dr 6592 232182

03192020 BankUnited Funds Transfer 5000000 5232182

03192020 1130 HAWKS POINT CDD DS 2017 Tax Collection Share co Wells Fargo thru 030420 1437199 3794983

03242020 1131 Landscape Maintenance Professionals Inc Pencil Pruning of Crape Myrtles Landscape Maint -042020 1360500 2434483

03242020 1132 STANTEC CONSULTING SERVICES INC Pond Maint - January Feb 295000 2139483

03242020 1133 STRALEY ROBIN VERICKER Legal Svcs thru 021520 23250 2116233

03272020 1134 DPFG MANAGEMENT amp CONSULTING LLC CDD Mgmt - April 2020 385833 1730400

03272020 1135 Landscape Maintenance Professionals Inc Irrigation Inspection repairs 74858 1655542

03312020 BankUnited Interest 200 1655742

Bank United EOM Balance 5000200 4051542 1655742

04082020 1136 Accurate Drilling Solutions Service call - 032520 - Replacement for Controller on pump 4 60234 1595508

04082020 1137 STANTEC CONSULTING SERVICES INC Engineering Svcs thru 032020 61250 1534258

04082020 1138 STRALEY ROBIN VERICKER Legal Svcs thru 031520 93270 1440988

04082020 1139 TAMPA ELECTRIC 229-330 - Electricity 16915 1424073

04162020 1140 HAWKS POINT CDD DS 2017 Tax Collection Share co Wells Fargo thru 041320 298431 1125642

04232020 BankUnited Funds Transfer 5000000 6125642

04232020 1141 Accurate Drilling Solutions Well Drilling and new pump system installation 1816480 4309162

04282020 1142 STRALEY ROBIN VERICKER Legal Svcs thru 041520 57460 4251702

04302020 BankUnited Interest 241 4251943

Bank United EOM Balance 5000241 2404040 4251943

05012020 1143 DPFG MANAGEMENT amp CONSULTING LLC CDD Mgmt - May 2020 385833 3866110

05012020 ACH050120 Innovative Employer Soltuions Bos Mtg - 42120 14080 3852030

05012020 747666DD MARIE CHANTAL COPELAND Bos Mtg - 42120 18470 3833560

05012020 747667DD WILLIAM J HATHAWAY Bos Mtg - 42120 18470 3815090

05012020 747668DD SHERRI KEENE Bos Mtg - 42120 18470 3796620

05082020 ACH050820 Innovative Employer Soltuions Bos Mtg - 42120 8620 3788000

05082020 1 Caryn Williams BOS 04212020 18470 3769530

05112020 1144 Landscape Maintenance Professionals Inc Landscape Maint -052020 1105000 2664530

05112020 1145 STANTEC CONSULTING SERVICES INC Engineering Svcs thru 042420 25400 2639130

05112020 1146 TAMPA ELECTRIC 330-429 - Electricity 19915 2619215

05212020 1147 BUSINESS OBSERVER Legal Ad - Notice of Qualifying Period 51520 5250 2613965

05212020 1148 CertaPro Painters Paint exterior wall 24th to 30th Street 635000 1978965

05212020 1149 STANTEC CONSULTING SERVICES INC Pond Maint - March-April 295000 1683965

05292020 BankUnited Funds Transfer 5000000 6683965

05292020 755486DD Caryn Williams Bos Mtg - 51920 18470 6665495

05292020 ACH052920 Innovative Employer Soltuions Bos Mtg - 51920 14740 6650755

05292020 755485DD SHERRI KEENE Bos Mtg - 51920 18470 6632285

05292020 755484DD WILLIAM J HATHAWAY Bos Mtg - 51920 18470 6613815

05312020 BankUnited Interest 350 6614165

Bank United EOM Balance 5000350 2638128 6614165

Page 8

EXHIBIT 3

Vacant Position on the Board of Supervisors of the Hawkrsquos Point Community Development District The Hawkrsquos Point Community Development District (CDD) is soliciting interested candidates to fill a vacant position on the Board of Supervisors of the CDD (Board) The CDD is a local unit of special-purpose government which is created pursuant to Chapter 190 Florida Statutes The Board is comprised of 5 members who are public officials who are normally elected on the November General Elections who serve in staggered terms The vacancy is a result of a resignation of a board member due to a relocation The remaining term of the vacant supervisorrsquos seat is through November 2022

Qualification Requirements

1 Resident of the CDD

2 At least 18 years of age

3 Citizen of the United States

4 Legal resident of Florida and of the CDD

5 Registered to vote with the Hillsborough County Supervisor of Elections

Instructions for Interested Candidates

Interested candidates must submit a letter of interest and resume to Raymondlotitodpfgcom by 4 pm on Friday June 5 2020 The subject line in the email should read ldquoVacant Position on the Board of Supervisors of the Hawkrsquos Point CDDrdquo

The Letter of Interest must contain

1 A statement stating why you believe you are well suited for the position

2 Your vision for the CDD and what you would like to see the Community evolve into Please be specific

The Resume must contain

1 Your academic background and professional experience

2 Previous and current experience with governmental agencies and governing boards

Interested candidates should attend the Board meeting on Tuesday June 16 2020 at 630 pm and present a brief presentation about themselves and be prepared for a brief question and answer period with the current Board members

Additional Notes

The current Board members will discuss the candidates and may make an appointment at the June meeting If the Board cannot come to a consensus on one candidate or if they determine to not appoint any candidate to the vacant seat they may revisit the vacancy at a future meeting or leave the seat vacant until the November 2022 General Election

Please note that the person appointed to serve in the vacant seat will be required to submit a financial disclosure statement to the State and will be subject to Floridarsquos Government in the Sunshine Laws Public Records laws and Ethics laws

1

Sookdeo (Shami) Choon Phone number (813) 731-5564 1803 Oak Pond Street Ruskin Fl 33570 E-mailchoons27gmailcom

PROFESSIONAL HISTORY Firkins GroupGarber Nissan December 2013 to Present Commercial Vehicle Sales ManagerFinance Manager Auto Nation From January 2006 to December 2013 Sales 2006- 2007 Finance Manager 2007- 2008 Sales Manager Training Manager 2008-2009 Sales Finance 2009- 2011 Commercial Sales Manager Finance Manager 2011- 2020 Parts Depot Inc From 1990 to 2005 ___________________________________________________________________________________________ Operations Manager Florida Distribution 2002 ndash 2005 bull Responsible for total inventory control of all Florida warehouses frac12 of the corporationrsquos revenue bull Directed top management to complete acquisition consolidations which resulted in the corporationrsquos

expansion bull Managed all Florida branch warehouse managers and employees totaling 200 employees bull Increased productivity and shipping efficiency in all departments developed new delivery logistics

improved product availability to all customers as well a hired and efficiently trained employees bull Reviewed all customer service statistics daily and contacted customer directly on all issues bull Reviewed PampLrsquos for all units monthly bull Presented weekly productivity and financial reports to senior management bull Directed DOT monthly guidelines maintained driver files in accordance with DOT regulations and

implemented loss prevention programs Operations Manager for Florida Branch Distribution 1999 ndash 2002 bull Improved customer service by increasing product availability to customers by implementing new

delivery logistics bull Developed employee training implemented safety awareness and monthly safety programs Warehouse Manager of Miami Distribution Center 1998 ndash 1999 bull Developed and implemented productivity guidelines implemented delivery cost saving programs

and improved product availability to the corporationrsquos customers Branch Manager of West Palm Beach 1994 ndash 1998 bull Responsible for the opening of this new branch set the building layout as well as the delivery and

logistics systems

2

bull Increased sales by 80 over budget and kept operating cost as of sales Implemented new customer service department Hired and trained all employees

Assistant Branch Manager 1991 ndash 1994 bull Increased productivity by 20 and improved delivery service Customer Service Agent 1990 ndash 1991 bull Created and implemented customer service guidelines Wingate Automotive Group 1987ndash 1990 Trinidad amp Tobago Government National Security 1984- 1987 Field Operation

EXHIBIT 4

PO Box 267 Seffner FL 33583 O 813-757-6500 F 813-757-6501 Estimate

Submitted To Hawks Point CDD 250 International Parkway Suite 280 Lake Mary FL 32746

CDD - controller 4 - zones 1 and 2

Date 5232020

Estimate 66077

LMP REPRESENTATIVE

DG-TI

PO

W ork Order

DESCRIPTION QTY COST TOTAL

Controller 4 34 inch poly pipe 34 inch poly pipe clamps Labor 2 men $ 8500 per hour

Irrigation inspection repairs needed Repair 6 - 34 inch poly pipe line leaks

6 12 05

072 129

8500

432 1548 4250

TERMS AND CONDITIONS TOTAL $6230

LMP reserves the right to withdraw this proposal if not accepted within 30 days of the date listed above Any alteration or deviation to scope of work involving additional costs must be agreed upon in writing as a separate proposal or change order to this proposal Periodic invoices may be submitted if job is substantial in nature with final invoice being submitted at completion of project Any work performed requiring more than 5 days to complete is subject to progressive payments as portions of the work are completed No finance charge will be imposed if the total of said work is paid in full within 30 days of invoice date If not paid in full within 30 days then customer is subject to finance charges on the balance of the work from the invoice date at a rate of 15 per month until paid LMP shall have the right to stop work under this contract until all outstanding amounts including finance charges are paid in full Payments will be applied to the oldest invoices

ACCEPTANCE OF PROPOSAL The above prices scope of work and terms and conditions are hereby satisfactorily agreed upon LMP Inc has been authorized to perform the work as outlined and payment will be made as outlined above The above pricing does not include any unforeseen modifications to the said irrigation system that could not be reasonably accounted for prior to job start All plant material carries a one (1) year warranty provided LMP Inc is performing landscape maintenance services to the area installed or enhanced at the time of installation If not then there is no warranty on the plant material

OWNER AGENT

DATE

EXHIBIT 5

Independent Franchise Owner Job TBE8F300154 Terry Beamer 9266 Lazy Ln

Date 06012020

EXTERIOR PROPOSALEXTERIOR PROPOSALEXTERIOR PROPOSALEXTERIOR PROPOSAL Tampa FL 33614 813-936-9242

Fax 813 936-9172

1-800-462-3782

License PA2508

Full Workers Compensation Coverage$2000000 General Liability Insurance

DPFG Management amp Consulting LLC (Hawks Point) Raymond Lotito (SB) Hawks Point CDD Ruskin FL 33570 Phone 813-418-7473 Cell 813-220-6089 Email raymondlotitodpfgcom

Special Notes CERTAPRO PAINTERS WILL PAINT WALL FACING 19ST FROM 18TH-24TH

SPECIAL ATTENTION ADDRESSING STUCCO CRACKS USING CONCRETE AND MASONRY PATCH

SPECIAL ATTENTION PRESSURE WASHING LOOSE PEELING PAINT PRIOR TO PAINTING

CERTAPRO PAINTERS WILL ONLY PAINT STREET FACING SIDE- HOMEOWNERS SIDE EXCLUDED FROM PROPOSAL

CUSTOMER RESPONSIBILITIES Please cut back all shrubs bushes and palms away from wall

GENERAL DESCRIPTION Painting to Exterior Wall 18th-24th Facing 19th Ave

PREPARATION Washing To remove dirt mildew and loose paint so the new finish coat will adhere properly

Caulking To fill all cracks and gaps around windows and doorswood work to seal out moisture and drafts Stair step

cracks

Scraping Scrape all loose and peeling paint to ensure a firm base for the new paint

Masonry Repair to all cracks gaps and holes with elastemeric caulking or masonry patch as required

Sanding To degloss where necessary to promote adhesion of the top coat

Surface TypeArea Primer PurposePRIMING

Masonry Loxon sealerprimer Latex For propor top coat adhesion

Conditioner Loxon sealerprimer to all Latex For proper top coat adhesion

masonry surfaces

FINISH COATS

Surface Area

Exterior

ManufacturePaint Type

Sherwin Williams Resilience Ext Satin

Coats

1 primer-sealer 1 spray 1 backroll stucco

Color

Same As Existing

Clean Up Daily and upon completion

$1132900 All Labor Paint Materials

$1132900 TOTAL

Signature of Authorized Franchise Representative Date

Payment is due In Full upon Job Completion

(IWE HAVE READ THE TERMS STATED HEREIN THEY HAVE (IWE) HAVE EXAMINED THE JOB STATED HEREIN THEY EXPLAINED TO (MEUS) AND (IWE) FIND THEM TO BE HAVE SHOWN TO (MEUS) AND (IWE) FIND THE JOB TO SATISFACTORY AND HEREBY ACCEPT THEM BE SATISFACTORY AND HEREBY ACCEPT THE JOB AS

COMPLETE

SIGNATURE Date SIGNATURE Date

QUOTE

Shazam Construction LLC DATE MAY 13 2020

Shazam Hera 6773 Waterton Drive Riverview FL 33578 813-385-4591 ShazamConstructionLLCgmailcom Hawks Point CDD

TO Bill to Development Planning and Financing Group 15310 Amberly Drive Suite 175 Tampa FL 33647

QUANITY DESCRIPTION UNIT PRICE LINE TOTAL

Pressure wash the wall that parallels 19th avenue from 18th street to 24th street in Hawks Point CDD in Ruskin

$1270000

Repair any cracks with caulk or elastomeric as neededPrep for paint

Paint the wall that parallels 19th avenue from 18th street to 24th street in Hawks Point CDD in Ruskin

Paint using body trim and caps of exterior wall facing 19th avenue

Paint while matching existing colors

Paint using Sherwin Williams

All paint materials and labor is included

SUBTOTAL

SALES TAX

TOTAL $1270000

Make all checks payable to Shazam Construction LLC

THANK YOU FOR YOUR BUSINESS

EXHIBIT 6

Independent Franchise Owner Job TB443B00157 Terry Beamer 9266 Lazy Ln

Date 06052020

EXTERIOR PROPOSALEXTERIOR PROPOSALEXTERIOR PROPOSALEXTERIOR PROPOSAL Tampa FL 33614 813-936-9242

Fax 813 936-9172

1-800-462-3782

License PA2508

Full Workers Compensation Coverage$2000000 General Liability Insurance

DPFG Management amp Consulting LLC (Hawks Point) Raymond Lotito (SB) Hawks Point CDD Ruskin FL 33570 Phone 813-418-7473 Cell 813-220-6089 Email raymondlotitodpfgcom

Special Notes CERTAPRO PAINTERS PRESSURE WASHING PROPOSAL 18TH-24TH

CERTAPRO PAINTERS WILL PRESSURE WASH WALL FACING 19TH ST ONLY

GENERAL DESCRIPTION Painting to

PREPARATION Washing To remove dirt mildew and loose paint so the new finish coat will adhere properly

PRIMING Surface TypeArea Primer Purpose

Clean Up Daily and upon completion

All Labor Paint Materials

TOTAL

$195000

$195000

Signature of Authorized Franchise Representative Date

Payment is due In Full upon Job Completion

(IWE HAVE READ THE TERMS STATED HEREIN THEY HAVE (IWE) HAVE EXAMINED THE JOB STATED HEREIN THEY EXPLAINED TO (MEUS) AND (IWE) FIND THEM TO BE HAVE SHOWN TO (MEUS) AND (IWE) FIND THE JOB TO SATISFACTORY AND HEREBY ACCEPT THEM BE SATISFACTORY AND HEREBY ACCEPT THE JOB AS

COMPLETE

SIGNATURE Date SIGNATURE Date

QUOTE

Shazam Construction LLC DATE JUNE 5 2020

Shazam Hera 6773 Waterton Drive Riverview FL 33578 813-385-4591 ShazamConstructionLLCgmailcom Hawks Point CDD

TO Bill to Development Planning and Financing Group 15310 Amberly Drive Suite 175 Tampa FL 33647

QUANITY DESCRIPTION UNIT PRICE LINE TOTAL

Pressure wash the wall that parallels 19th avenue from 18th street to 24th street in Hawks Point CDD in Ruskin

$160000

All materials and labor is included

SUBTOTAL

SALES TAX

TOTAL $160000

Make all checks payable to Shazam Construction LLC

THANK YOU FOR YOUR BUSINESS

EXHIBIT 7

2019FORM 1 STATEMENT OF

Please print or type your name mailing FOR OFFICE USE ONLY FINANCIAL INTERESTS address agency name and position below

LAST NAME -- FIRST NAME -- MIDDLE NAME

MAILING ADDRESS

CITY ZIP COUNTY

NAME OF AGENCY

NAME OF OFFICE OR POSITION HELD OR SOUGHT

CHECK ONLY IF CANDIDATE OR NEW EMPLOYEE OR APPOINTEE

THIS SECTION MUST BE COMPLETED DISCLOSURE PERIOD THIS STATEMENT REFLECTS YOUR FINANCIAL INTERESTS FOR CALENDAR YEAR ENDING DECEMBER 31 2019

MANNER OF CALCULATING REPORTABLE INTERESTS FILERS HAVE THE OPTION OF USING REPORTING THRESHOLDS THAT ARE ABSOLUTE DOLLAR VALUES WHICH REQUIRES FEWER CALCULATIONS OR USING COMPARATIVE THRESHOLDS WHICH ARE USUALLY BASED ON PERCENTAGE VALUES (see instructions for further details) CHECK THE ONE YOU ARE USING (must check one)

COMPARATIVE (PERCENTAGE) THRESHOLDS OR DOLLAR VALUE THRESHOLDS

PART A -- PRIMARY SOURCES OF INCOME [Major sources of income to the reporting person - See instructions] (If you have nothing to report write none or na)

NAME OF SOURCE SOURCES DESCRIPTION OF THE SOURCES OF INCOME ADDRESS PRINCIPAL BUSINESS ACTIVITY

PART B -- SECONDARY SOURCES OF INCOME [Major customers clients and other sources of income to businesses owned by the reporting person - See instructions] (If you have nothing to report write none or na)

NAME OF NAME OF MAJOR SOURCES ADDRESS PRINCIPAL BUSINESS BUSINESS ENTITY OF BUSINESS INCOME OF SOURCE ACTIVITY OF SOURCE

PART C -- REAL PROPERTY [Land buildings owned by the reporting person - See instructions] You are not limited to the space on the (If you have nothing to report write none or na) lines on this form Attach additional

sheets if necessary

FILING INSTRUCTIONS for when and where to file this form are located at the bottom of page 2

INSTRUCTIONS on who must file this form and how to fill it out begin on page 3

CE FORM 1 - Effective January 1 2020 (Continued on reverse side) PAGE 1 Incorporated by reference in Rule 34-8202(1) FAC

FILING INSTRUCTIONS

IF ANY OF PARTS A THROUGH G ARE CONTINUED ON A SEPARATE SHEET PLEASE CHECK HERE

PART D mdash INTANGIBLE PERSONAL PROPERTY [Stocks bonds certificates of deposit etc - See instructions] (If you have nothing to report write none or na) TYPE OF INTANGIBLE BUSINESS ENTITY TO WHICH THE PROPERTY RELATES

PART E mdash LIABILITIES [Major debts - See instructions] (If you have nothing to report write none or na)

NAME OF CREDITOR ADDRESS OF CREDITOR

PART F mdash INTERESTS IN SPECIFIED BUSINESSES [Ownership or positions in certain types of businesses - See instructions] (If you have nothing to report write none or na)

BUSINESS ENTITY 1 BUSINESS ENTITY 2

NAME OF BUSINESS ENTITY

ADDRESS OF BUSINESS ENTITY

PRINCIPAL BUSINESS ACTIVITY

POSITION HELD WITH ENTITY

I OWN MORE THAN A 5 INTEREST IN THE BUSINESS

NATURE OF MY OWNERSHIP INTEREST

If you were mailed the form by the Commission on Ethics or a County Supervisor of Elections for your annual disclosure filing return the form to that location To determine what category your position falls under see page 3 of instructions Local officersemployees file with the Supervisor of Elections of the county in which they permanently reside (If you do not permanently reside in Florida file with the Supervisor of the county where your agency has its headquarters) Form 1 filers who file with the Supervisor of Elections may file by mail or email Contact your Supervisor of Elections for the mailing address or email address to use Do not email your form to the Commission on Ethics it will be returned State officers or specified state employees who file with the Commission on Ethics may file by mail or email To file by mail send the completed form to PO Drawer 15709 Tallahassee FL32317-5709 physical address 325 John Knox Rd Bldg E Ste 200 Tallahassee FL 32303 To file with the Commission by email scan your completed form and any attachments as a pdf (do not use any other format) send it to CEForm1legstateflus and retain a copy for your records Do not file by both mail and email Choose only one filing method Form 6s will not be accepted via email

Candidates file this form together with their filing papers MULTIPLE FILING UNNECESSARY A candidate who files a Form 1 with a qualifying officer is not required to file with the Commission or Supervisor of Elections WHEN TO FILE Initially each local officeremployee state officer and specified state employee must file within 30 days of the date of his or her appointment or of the beginning of employment Appointees who must be confirmed by the Senate must file prior to confirmation even if that is less than 30 days from the date of their appointment Candidates must file at the same time they file their qualifying papers Thereafter file by July 1 following each calendar year in which they hold their positions Finally file a final disclosure form (Form 1F) within 60 days of leaving office or employment Filing a CE Form 1F (Final Statement of Financial Interests) does not relieve the filer of filing a CE Form 1 if the filer was in his or her position on December 31 2019

SIGNATURE OF FILER Signature

____________________________________________

Date Signed

____________________________________________

CPA or ATTORNEY SIGNATURE ONLY If a certified public accountant licensed under Chapter 473 or attorney in good standing with the Florida Bar prepared this form for you he or she must complete the following statement

I _______________________________________ prepared the CE Form 1 in accordance with Section 1123145 Florida Statutes and the instructions to the form Upon my reasonable knowledge and belief the disclosure herein is true and correct

CPAAttorney Signature ______________________________

Date Signed _______________________________________

PART G mdash TRAINING For elected municipal officers required to complete annual ethics training pursuant to section 1123142 FS

I CERTIFY THAT I HAVE COMPLETED THE REQUIRED TRAINING

CE FORM 1 - Effective January 1 2020 PAGE 2 Incorporated by reference in Rule 34-8202(1) FAC

Examplesmdash You are the sole proprietor of a dry cleaning business fromwhich you received more than 10 of your gross incomemdashanamount that was more than $1500 If only one customer auniform rental company provided more than 10 of your drycleaning business you must list the name of the uniform rentalcompany its address and its principal business activity (uniform rentals) mdash You are a 20 partner in a partnership that owns a shopping mall and your partnership income exceeded the thresholds listed above You should list each tenant of the mall that provided more than 10 of the partnershiprsquos gross income and the tenantrsquos address and principal business activity

PART C mdash REAL PROPERTY[Required by s 1123145(3)(a)3 FS]In this part list the location or description of all real property in

Florida in which you owned directly or indirectly at any time during the disclosure period in excess of 5 of the propertyrsquos value You are not required to list your residences You should list any vacation homes if you derive income from them

Indirect ownership includes situations where you are abeneficiary of a trust that owns the property as well as situations where you own more than 5 of a partnership or corporation thatowns the property The value of the property may be determined by the most recently assessed value for tax purposes in the absence of a more current appraisal

The location or description of the property should be sufficient to enable anyone who looks at the form to identify the property Astreet address should be used if one exists PART D mdash INTANGIBLE PERSONAL PROPERTY

[Required by s 1123145(3)(a)3 FS]Describe any intangible personal property that at any time

during the disclosure period was worth more than 10 of your total assets and state the business entity to which the property related Intangible personal property includes things such as cash on hand stocks bonds certificates of deposit vehicle leases interests in businesses beneficial interests in trusts money owed you Deferred Retirement Option Program (DROP) accounts the Florida Prepaid College Plan and bank accounts Intangiblepersonal property also includes investment products held in IRAs brokerage accounts and the Florida College Investment Plan Note that the product contained in a brokerage account IRA or the Florida College Investment Plan is your assetmdashnot the account or plan itself Things like automobiles and houses you own jewelryand paintings are not intangible property Intangibles relating to the same business entity may be aggregated for example CDrsquos and savings accounts with the same bank

Calculations To determine whether the intangible property exceeds 10 of your total assets total the fair market value of all of your assets (including real property intangible property and tangible personal property such as jewelry furniture etc) When making this calculation do not subtract any liabilities (debts) that may relate to the property Multiply the total figure by 10 to arrive at the disclosure threshold List only the intangibles that exceed this threshold amount The value of a leased vehicle is the vehiclersquos present value minus the lease residual (a number which can be found on the lease document) Property that is only jointly owned property should be valued according to the percentage of your joint ownership Property owned as tenants by the entirety or as joint tenants with right of survivorship should be valued at 100 None of your calculations or the value of the property have to be disclosed on the form

Example You own 50 of the stock of a small corporation that is worth $100000 the estimated fair market value of your home and other property (bank accounts automobile furniture etc) is $200000 As your total assets are worth $250000 you must disclose intangibles worth over $25000 Since the value of the stock exceeds this threshold you should list ldquostockrdquo and the name of the corporation If your accounts with a particular bank exceed $25000 you should list ldquobank accountsrdquo and bankrsquos name

PART E mdash LIABILITIES[Required by s 1123145(3)(b)4 FS]List the name and address of each creditor to whom you owed

any amount that at any time during the disclosure period exceeded your net worth You are not required to list the amount of any debt or your net worth You do not have to disclose credit card and retail installment accounts taxes owed (unless reduced to a judgment) indebtedness on a life insurance policy owed to the company of issuance or contingent liabilities A ldquocontingent liabilityrdquo is one that will become an actual liability only when one or more future events occur or fail to occur such as where you are liable only as a guarantor surety or endorser on a promissory note If you are a ldquoco-makerrdquo and are jointly liable or jointly and severally liable it is not a contingent liability

Calculations To determine whether the debt exceeds your net worth total all of your liabilities (including promissory notes mortgages credit card debts judgments against you etc) Theamount of the liability of a vehicle lease is the sum of any past-due payments and all unpaid prospective lease payments Subtract the sum total of your liabilities from the value of all your assets as calculated above for Part D This is your ldquonet worthrdquo List each creditor to whom your debt exceeded this amount unless it is one of the types of indebtedness listed in the paragraph above (credit card and retail installment accounts etc) Joint liabilities with others for which you are ldquojointly and severally liablerdquo meaning that you may be liable for either your part or the whole of the obligation should be included in your calculations at 100 of the amount owed

Example You owe $15000 to a bank for student loans $5000 for credit card debts and $60000 (with spouse) to a savings and loan for a home mortgage Your home (owned by you and your spouse) is worth $80000 and your other property is worth $20000 Since your net worth is $20000 ($100000 minus $80000) you must report only the name and address of the savings and loan

PART F mdash INTERESTS IN SPECIFIED BUSINESSES[Required by s 1123145 FS]The types of businesses covered in this disclosure include

state and federally chartered banks state and federal savings and loan associations cemetery companies insurance companies mortgage companies credit unions small loan companies alcoholic beverage licensees pari-mutuel wagering companies utilitycompanies entities controlled by the Public Service Commission and entities granted a franchise to operate by either a city or acounty government

Disclose in this part the fact that you owned during the disclosure period an interest in or held any of certain positions with the types of businesses listed above You are required to make this disclosure if you own or owned (either directly orindirectly in the form of an equitable or beneficial interest) at any time during the disclosure period more than 5 of the total assets or capital stock of one of the types of business entities listed above You also must complete this part of the form for each of these types of businesses for which you are or were at any time during thedisclosure period an officer director partner proprietor or agent (other than a resident agent solely for service of process)

If you have or held such a position or ownership interest in one of these types of businesses list the name of the business its address and principal business activity and the position held with the business (if any) If you own(ed) more than a 5 interest in the business indicate that fact and describe the nature of your interest

PART G mdash TRAINING CERTIFICATION[Required by s 1123142 FS]If you are a Constitutional or elected municipal officer whose

service began before March 31 of the year for which you are filing you are required to complete four hours of ethics training which addresses Article II Section 8 of the Florida Constitution the Code of Ethics for Public Officers and Employees and the public records and open meetings laws of the state You are required to certify on this form that you have taken such training (End of Percentage Thresholds Instructions)

CE FORM 1 - Effective January 1 2020 Incorporated by reference in Rule 34-8202 FAC PAGE 6

NOTICE Annual Statements of Financial Interests are due July 1 If the annual form is not filed or postmarked by September 1 an automatic fine of $25 for each day late will be imposed up to a maximum penalty of $1500 Failure to file also can result in removal from public office or employment [s 1123145 FS]

In addition failure to make any required disclosure constitutes grounds for and may be punished by one or more of the following disqualification from being on the ballot impeachment removal or suspension from office or employment demotion reduction in salary reprimand or a civil penalty not exceeding $10000 [s 112317 FS]

WHO MUST FILE FORM 1 1) Elected public officials not serving in a political subdivision of the

state and any person appointed to fill a vacancy in such office unlessrequired to file full disclosure on Form 62) Appointed members of each board commission authority

or council having statewide jurisdiction excluding members of solelyadvisory bodies but including judicial nominating commission membersDirectors of Enterprise Florida Scripps Florida Funding Corporationand Career Source Florida and members of the Council on the Social Status of Black Men and Boys the Executive Director Governors and senior managers of Citizens Property Insurance CorporationGovernors and senior managers of Florida Workers Compensation JointUnderwriting Association board members of the Northeast Fla RegionalTransportation Commission board members of Triumph Gulf Coast Incboard members of Florida Is For Veterans Inc and members of the Technology Advisory Council within the Agency for State Technology3) The Commissioner of Education members of the State Board

of Education the Board of Governors the local Boards of Trustees and Presidents of state universities and the Florida Prepaid College Board 4) Persons elected to office in any political subdivision (such as

municipalities counties and special districts) and any person appointedto fill a vacancy in such office unless required to file Form 65) Appointed members of the following boards councils

commissions authorities or other bodies of county municipality schooldistrict independent special district or other political subdivision thegoverning body of the subdivision community college or junior collegedistrict boards of trustees boards having the power to enforce local codeprovisions boards of adjustment community redevelopment agenciesplanning or zoning boards having the power to recommend create ormodify land planning or zoning within a political subdivision except forcitizen advisory committees technical coordinating committees andsimilar groups who only have the power to make recommendationsto planning or zoning boards and except for representatives of a military installation acting on behalf of all military installations within thatjurisdiction pension or retirement boards empowered to invest pensionor retirement funds or determine entitlement to or amount of pensions orother retirement benefits and the Pinellas County Construction LicensingBoard 6) Any appointed member of a local government board who

is required to file a statement of financial interests by the appointingauthority or the enabling legislation ordinance or resolution creating theboard 7) Persons holding any of these positions in local government

mayor county or city manager chief administrative employee or finance

director of a county municipality or other political subdivision county or municipal attorney chief county or municipal building inspectorcounty or municipal water resources coordinator county or municipalpollution control director county or municipal environmental control director county or municipal administrator with power to grant or denya land development permit chief of police fire chief municipal clerkappointed district school superintendent community college presidentdistrict medical examiner purchasing agent (regardless of title) havingthe authority to make any purchase exceeding $35000 for the localgovernmental unit8) Officers and employees of entities serving as chief administrative

officer of a political subdivision9) Members of governing boards of charter schools operated by a

city or other public entity10) Employees in the office of the Governor or of a Cabinet member

who are exempt from the Career Service System excluding secretarialclerical and similar positions11) The following positions in each state department commission

board or council Secretary Assistant or Deputy Secretary ExecutiveDirector Assistant or Deputy Executive Director and anyone having thepower normally conferred upon such persons regardless of title12) The following positions in each state department or division

Director Assistant or Deputy Director Bureau Chief and any personhaving the power normally conferred upon such persons regardless oftitle 13) Assistant State Attorneys Assistant Public Defenders criminal

conflict and civil regional counsel and assistant criminal conflict and civilregional counsel Public Counsel full-time state employees serving ascounsel or assistant counsel to a state agency administrative law judgesand hearing officers14) The Superintendent or Director of a state mental health institute

established for training and research in the mental health field or anymajor state institution or facility established for corrections trainingtreatment or rehabilitation 15) State agency Business Managers Finance and Accounting

Directors Personnel Officers Grant Coordinators and purchasingagents (regardless of title) with power to make a purchase exceeding$35000 16) The following positions in legislative branch agencies each

employee (other than those employed in maintenance clerical secretarial or similar positions and legislative assistants exempted by the presiding officer of their house) and each employee of theCommission on Ethics

INSTRUCTIONS FOR COMPLETING FORM 1 INTRODUCTORY INFORMATION (Top of Form) If your name mailing address public agency and position are already printed on the form you do not need to provide this information unless it should be changed To change any of this information write the correct information on the form and contact your agencys financial disclosure coordinator You can find your coordinator on the Commission on Ethics website wwwethics stateflus NAME OF AGENCY The name of the governmental unit which you serve or served by which you are or were employed or for which you are a candidate DISCLOSURE PERIOD The ldquodisclosure periodrdquo for your report is the calendar year ending December 31 2019

OFFICE OR POSITION HELD OR SOUGHT The title of the office or position you hold are seeking or held during the disclosure period even if you have since left that position If you are a candidate for office or are a new employee or appointee check the appropriate box PUBLIC RECORD The disclosure form and everythingattached to it is a public record Your Social Security Number is not required and you should redact it from any documents you file If you are an active or former officer or employee listed in Section 119071 FS whose home address is exempt from disclosure the Commission will maintain that confidentiality if you submit a written request

CE FORM 1 - Effective January 1 2020 Incorporated by reference in Rule 34-8202 FAC PAGE 3

PART E mdash LIABILITIES[Required by s 1123145(3)(b)4 FS]List the name and address of each creditor to whom you owed more

than $10000 at any time during the disclosure period The amount of theliability of a vehicle lease is the sum of any past-due payments and allunpaid prospective lease payments You are not required to list the amountof any debt You do not have to disclose credit card and retail installmentaccounts taxes owed (unless reduced to a judgment) indebtedness ona life insurance policy owed to the company of issuance or contingentliabilities A ldquocontingent liabilityrdquo is one that will become an actual liabilityonly when one or more future events occur or fail to occur such as whereyou are liable only as a guarantor surety or endorser on a promissorynote If you are a ldquoco-makerrdquo and are jointly liable or jointly and severallyliable then it is not a contingent liability

PART F mdash INTERESTS IN SPECIFIED BUSINESSES[Required by s 1123145(6) FS]The types of businesses covered in this disclosure include state and

federally chartered banks state and federal savings and loan associationscemetery companies insurance companies mortgage companies creditunions small loan companies alcoholic beverage licensees pari-mutuelwagering companies utility companies entities controlled by the PublicService Commission and entities granted a franchise to operate by either acity or a county government

Disclose in this part the fact that you owned during the disclosure period aninterest in or held any of certain positions with the types of businesses listedabove You must make this disclosure if you own or owned (either directly orindirectly in the form of an equitable or beneficial interest) at any time duringthe disclosure period more than 5 of the total assets or capital stock ofone of the types of business entities listed above You also must completethis part of the form for each of these types of businesses for which youare or were at any time during the disclosure period an officer directorpartner proprietor or agent (other than a resident agent solely for service ofprocess)

If you have or held such a position or ownership interest in one ofthese types of businesses list the name of the business its address andprincipal business activity and the position held with the business (if any) Ifyou own(ed) more than a 5 interest in the business indicate that fact anddescribe the nature of your interest

PART G mdash TRAINING CERTIFICATION[Required by s 1123142 FS]If you are a Constitutional or elected municipal officer whose

service began before March 31 of the year for which you are filingyou are required to complete four hours of ethics training which addresses Article II Section 8 of the Florida Constitution the Codeof Ethics for Public Officers and Employees and the public recordsand open meetings laws of the state You are required to certify onthis form that you have taken such training

(End of Dollar Value Thresholds Instructions)

PART A mdash PRIMARY SOURCES OF INCOME[Required by s 1123145(3)(a)1 FS]Part A is intended to require the disclosure of your principal

sources of income during the disclosure period You do not haveto disclose any public salary or public position(s) but income from these public sources should be included when calculating your gross income for the disclosure period The income of your spouse need not be disclosed however if there is joint income to you and your spouse from property you own jointly (such as interest or dividends from a bank account or stocks) you should include all of that income when calculating your gross income and disclose the source of that income if it exceeded the threshold

Please list in this part of the form the name address and principal business activity of each source of your income whichexceeded 5 of the gross income received by you in your own name or by any other person for your benefit or use during the disclosure period

Gross income means the same as it does for income tax purposes even if the income is not actually taxable such as interest on tax-free bonds Examples include compensation for servicesincome from business gains from property dealings interest rents dividends pensions IRA distributions social security distributive share of partnership gross income and alimony but not child support

Examplesmdash If you were employed by a company that manufactures computers and received more than 5 of your gross income from the company list the name of the company its address and its principal business activity (computer manufacturing)mdash If you were a partner in a law firm and your distributive share of partnership gross income exceeded 5 of your gross income then list the name of the firm its address and its principal business activity (practice of law)mdash If you were the sole proprietor of a retail gift business andyour gross income from the business exceeded 5 of your total gross income list the name of the business its addressand its principal business activity (retail gift sales)mdash If you received income from investments in stocks and bonds list each individual company from which you derived

more than 5 of your gross income Do not aggregate all of your investment incomemdash If more than 5 of your gross income was gain from the sale of property (not just the selling price) list as a source of income the purchaserrsquos name address and principal business activityIf the purchasers identity is unknown such as where securities listed on an exchange are sold through a brokerage firm the source of income should be listed as sale of (name of company)stock for examplemdash If more than 5 of your gross income was in the form of interest from one particular financial institution (aggregatinginterest from all CDrsquos accounts etc at that institution) list the name of the institution its address and its principal business activity

PART B mdash SECONDARY SOURCES OF INCOME[Required by s 1123145(3)(a)2 FS]This part is intended to require the disclosure of major customers

clients and other sources of income to businesses in which you ownan interest It is not for reporting income from second jobs That kindof income should be reported in Part A Primary Sources of Incomeif it meets the reporting threshold You will not have anything to reportunless during the disclosure period

(1) You owned (either directly or indirectly in the form of anequitable or beneficial interest) more than 5 of the total assetsor capital stock of a business entity (a corporation partnershipLLC limited partnership proprietorship joint venture trust firmetc doing business in Florida) and(2) You received more than 10 of your gross income from thatbusiness entity and(3) You received more than $1500 in gross income from thatbusiness entity

If your interests and gross income exceeded these thresholds thenfor that business entity you must list every source of income to thebusiness entity which exceeded 10 of the business entityrsquos grossincome (computed on the basis of the business entityrsquos most recentlycompleted fiscal year) the sourcersquos address and the sourcersquosprincipal business activity

IF YOU HAVE CHOSEN COMPARATIVE (PERCENTAGE) THRESHOLDSTHE FOLLOWING INSTRUCTIONS APPLY

CE FORM 1 - Effective January 1 2020 Incorporated by reference in Rule 34-8202 FAC PAGE 5

MANNER OF CALCULATING REPORTABLE INTEREST Filers have the option of reporting based on either thresholds that are comparative (usually based on percentage values) or thresholds that are based on absolute dollar values The instructions on the following pages specifically describe the different thresholds Check the box that reflects the choice you have made You must use the type of threshold you have chosen for each part of the form In other words if you choose to report based on absolute dollar value thresholds you cannot use a percentage threshold on any part of the form

IF YOU HAVE CHOSEN DOLLAR VALUE THRESHOLDS THE FOLLOWING INSTRUCTIONS APPLY

PART A mdash PRIMARY SOURCES OF INCOME [Required by s 1123145(3)(b)1 FS] Part A is intended to require the disclosure of your principal

sources of income during the disclosure period You do not have todisclose any public salary or public position(s) The income of yourspouse need not be disclosed however if there is joint income toyou and your spouse from property you own jointly (such as interestor dividends from a bank account or stocks) you should disclose thesource of that income if it exceeded the threshold

Please list in this part of the form the name address andprincipal business activity of each source of your income whichexceeded $2500 of gross income received by you in your own name or by any other person for your use or benefit

Gross income means the same as it does for income tax purposes even if the income is not actually taxable such as interest on tax-free bonds Examples include compensation for servicesincome from business gains from property dealings interest rentsdividends pensions IRA distributions social security distributive share of partnership gross income and alimony but not child support

Examples mdash If you were employed by a company that manufacturescomputers and received more than $2500 list the name of thecompany its address and its principal business activity (computermanufacturing) mdash If you were a partner in a law firm and your distributive shareof partnership gross income exceeded $2500 list the name ofthe firm its address and its principal business activity (practice oflaw) mdash If you were the sole proprietor of a retail gift business and yourgross income from the business exceeded $2500 list the nameof the business its address and its principal business activity(retail gift sales) mdash If you received income from investments in stocks and bondslist each individual company from which you derived more than$2500 Do not aggregate all of your investment income mdash If more than $2500 of your gross income was gain from thesale of property (not just the selling price) list as a source ofincome the purchaserrsquos name address and principal businessactivity If the purchaserrsquos identity is unknown such as wheresecurities listed on an exchange are sold through a brokeragefirm the source of income should be listed as sale of (name of company) stock for example mdash If more than $2500 of your gross income was in the formof interest from one particular financial institution (aggregatinginterest from all CDrsquos accounts etc at that institution) list the name of the institution its address and its principal business activity

PART B mdash SECONDARY SOURCES OF INCOME [Required by s 1123145(3)(b)2 FS] This part is intended to require the disclosure of major customers

clients and other sources of income to businesses in which you own aninterest It is not for reporting income from second jobs That kind of incomeshould be reported in Part A Primary Sources of Income if it meets thereporting threshold You will not have anything to report unless during thedisclosure period

(1) You owned (either directly or indirectly in the form of an equitableor beneficial interest) more than 5 of the total assets or capitalstock of a business entity (a corporation partnership LLC limitedpartnership proprietorship joint venture trust firm etc doing business in Florida) and (2) You received more than $5000 of your gross income during thedisclosure period from that business entity

If your interests and gross income exceeded these thresholds then for thatbusiness entity you must list every source of income to the business entitywhich exceeded 10 of the business entityrsquos gross income (computed onthe basis of the business entitys most recently completed fiscal year) thesourcersquos address and the sources principal business activity

Examples mdash You are the sole proprietor of a dry cleaning business from whichyou received more than $5000 If only one customer a uniform rentalcompany provided more than 10 of your dry cleaning business youmust list the name of the uniform rental company its address and itsprincipal business activity (uniform rentals) mdash You are a 20 partner in a partnership that owns a shopping malland your partnership income exceeded the above thresholds List eachtenant of the mall that provided more than 10 of the partnershipsgross income and the tenants address and principal business activity

PART C mdash REAL PROPERTY [Required by s 1123145(3)(b)3 FS] In this part list the location or description of all real property in Florida

in which you owned directly or indirectly at any time during the disclosureperiod in excess of 5 of the propertyrsquos value You are not required to listyour residences You should list any vacation homes if you derive incomefrom them

Indirect ownership includes situations where you are a beneficiary of atrust that owns the property as well as situations where you own more than5 of a partnership or corporation that owns the property The value of theproperty may be determined by the most recently assessed value for taxpurposes in the absence of a more current appraisal

The location or description of the property should be sufficient toenable anyone who looks at the form to identify the property A streetaddress should be used if one exists

PART D mdash INTANGIBLE PERSONAL PROPERTY [Required by s 1123145(3)(b)3 FS] Describe any intangible personal property that at any time during the

disclosure period was worth more than $10000 and state the businessentity to which the property related Intangible personal property includesthings such as cash on hand stocks bonds certificates of deposit vehicleleases interests in businesses beneficial interests in trusts money owedyou Deferred Retirement Option Program (DROP) accounts the FloridaPrepaid College Plan and bank accounts Intangible personal propertyalso includes investment products held in IRAs brokerage accounts andthe Florida College Investment Plan Note that the product contained in a brokerage account IRA or the Florida College Investment Plan is yourassetmdashnot the account or plan itself Things like automobiles and housesyou own jewelry and paintings are not intangible property Intangiblesrelating to the same business entity may be aggregated for example CDsand savings accounts with the same bank Property owned as tenants bythe entirety or as joint tenants with right of survivorship should be valued at100 The value of a leased vehicle is the vehiclersquos present value minusthe lease residual (a number found on the lease document)

CE FORM 1 - Effective January 1 2020 Incorporated by reference in Rule 34-8202 FAC PAGE 4

PART A mdash PRIMARY SOURCES OF INCOME[Required by s 1123145(3)(b)1 FS]Part A is intended to require the disclosure of your principal

sources of income during the disclosure period You do not have todisclose any public salary or public position(s) The income of yourspouse need not be disclosed however if there is joint income t oyou and your spouse from property you own jointly (such as interestor dividends from a bank account or stocks) you should disclose thesource of that income if it exceeded the threshold

Please list in this part of the form the name address andprincipal business activity of each source of your income whichexceeded $2500 of gross income received by you in your own name or by any other person for your use or benefit

Gross income means the same as it does for income taxpurposes even if the income is not actually taxable such as intereston tax-free bonds Examples include compensation for servicesincome from business gains from property dealings interest rentsdividends pensions IRA distributions social security distributiveshare of partnership gross income and alimony but not child support

Examplesmdash If you were employed by a company that manufacturescomputers and received more than $2500 list the name of thecompany its address and its principal business activity (computermanufacturing)mdash If you were a partner in a law firm and your distributive shareof partnership gross income exceeded $2500 list the name ofthe firm its address and its principal business activity (practice oflaw)mdash If you were the sole proprietor of a retail gift business and yourgross income from the business exceeded $2500 list the nameof the business its address and its principal business activity(retail gift sales)mdash If you received income from investments in stocks and bondslist each individual company from which you derived more than$2500 Do not aggregate all of your investment incomemdash If more than $2500 of your gross income was gain from thesale of property (not just the selling price) list as a source o fincome the purchaserrsquos name address and principal businessactivity If the purchaserrsquos identity is unknown such as wheresecurities listed on an exchange are sold through a brokeragefirm the source of income should be listed as sale of (name of company) stock for examplemdash If more than $2500 of your gross income was in the formof interest from one particular financial institution (aggregatinginterest from all CDrsquos accounts etc at that institution) list thename of the institution its address and its principal business activity

PART B mdash SECONDARY SOURCES OF INCOME[Required by s 1123145(3)(b)2 FS]This part is intended to require the disclosure of major customers

clients and other sources of income to businesses in which you own aninterest It is not for reporting income from second jobs That kind of incomeshould be reported in Part A Primary Sources of Income if it meets thereporting threshold You will not have anything to report unless during thedisclosure period

(1) You owned (either directly or indirectly in the form of an equitableor beneficial interest) more than 5 of the total assets or capitalstock of a business entity (a corporation partnership LLC limitedpartnership proprietorship joint venture trust firm etc doing business in Florida) and(2) You received more than $5000 of your gross income during thedisclosure period from that business entity

If your interests and gross income exceeded these thresholds then for thatbusiness entity you must list every source of income to the business entitywhich exceeded 10 of the business entityrsquos gross income (computed onthe basis of the business entitys most recently completed fiscal year) thesourcersquos address and the sources principal business activity

Examplesmdash You are the sole proprietor of a dry cleaning business from whichyou received more than $5000 If only one customer a uniform rentalcompany provided more than 10 of your dry cleaning business youmust list the name of the uniform rental company its address and itsprincipal business activity (uniform rentals)mdash You are a 20 partner in a partnership that owns a shopping malland your partnership income exceeded the above thresholds List eachtenant of the mall that provided more than 10 of the partnershipsgross income and the tenants address and principal business activity

PART C mdash REAL PROPERTY[Required by s 1123145(3)(b)3 FS]In this part list the location or description of all real property in Florida

in which you owned directly or indirectly at any time during the disclosureperiod in excess of 5 of the propertyrsquos value You are not required to listyour residences You should list any vacation homes if you derive incomefrom them

Indirect ownership includes situations where you are a beneficiary of atrust that owns the property as well as situations where you own more than5 of a partnership or corporation that owns the property The value of theproperty may be determined by the most recently assessed value for taxpurposes in the absence of a more current appraisal

The location or description of the property should be sufficient toenable anyone who looks at the form to identify the property A streetaddress should be used if one exists

PART D mdash INTANGIBLE PERSONAL PROPERTY[Required by s 1123145(3)(b)3 FS]Describe any intangible personal property that at any time during the

disclosure period was worth more than $10000 and state the businessentity to which the property related Intangible personal property includesthings such as cash on hand stocks bonds certificates of deposit vehicleleases interests in businesses beneficial interests in trusts money owedyou Deferred Retirement Option Program (DROP) accounts the FloridaPrepaid College Plan and bank accounts Intangible personal propertyalso includes investment products held in IRAs brokerage accounts andthe Florida College Investment Plan Note that the product contained ina brokerage account IRA or the Florida College Investment Plan is yourassetmdashnot the account or plan itself Things like automobiles and housesyou own jewelry and paintings are not intangible property Intangiblesrelating to the same business entity may be aggregated for example CDsand savings accounts with the same bank Property owned as tenants bythe entirety or as joint tenants with right of survivorship should be valued at100 The value of a leased vehicle is the vehiclersquos present value minusthe lease residual (a number found on the lease document)

Filers have the option of reporting based on either thresholds that are comparative (usually based on percentage values) orthresholds that are based on absolute dollar values The instructions on the following pages specifically describe the differentthresholds Check the box that reflects the choice you have made You must use the type of threshold you have chosen for eachpart of the form In other words if you choose to report based on absolute dollar value thresholds you cannot use a percentagethreshold on any part of the form

MANNER OF CALCULATING REPORTABLE INTEREST

IF YOU HAVE CHOSEN DOLLAR VALUE THRESHOLDSTHE FOLLOWING INSTRUCTIONS APPLY

CE FORM 1 - Effective January 1 2020 Incorporated by reference in Rule 34-8202 FAC PAGE 4

PART E mdash LIABILITIES [Required by s 1123145(3)(b)4 FS] List the name and address of each creditor to whom you owed more

than $10000 at any time during the disclosure period The amount of theliability of a vehicle lease is the sum of any past-due payments and allunpaid prospective lease payments You are not required to list the amountof any debt You do not have to disclose credit card and retail installmentaccounts taxes owed (unless reduced to a judgment) indebtedness ona life insurance policy owed to the company of issuance or contingentliabilities A ldquocontingent liabilityrdquo is one that will become an actual liabilityonly when one or more future events occur or fail to occur such as whereyou are liable only as a guarantor surety or endorser on a promissorynote If you are a ldquoco-makerrdquo and are jointly liable or jointly and severallyliable then it is not a contingent liability

PART F mdash INTERESTS IN SPECIFIED BUSINESSES [Required by s 1123145(6) FS] The types of businesses covered in this disclosure include state and

federally chartered banks state and federal savings and loan associationscemetery companies insurance companies mortgage companies creditunions small loan companies alcoholic beverage licensees pari-mutuelwagering companies utility companies entities controlled by the PublicService Commission and entities granted a franchise to operate by either acity or a county government

Disclose in this part the fact that you owned during the disclosure period aninterest in or held any of certain positions with the types of businesses listedabove You must make this disclosure if you own or owned (either directly orindirectly in the form of an equitable or beneficial interest) at any time duringthe disclosure period more than 5 of the total assets or capital stock ofone of the types of business entities listed above You also must completethis part of the form for each of these types of businesses for which youare or were at any time during the disclosure period an officer directorpartner proprietor or agent (other than a resident agent solely for service ofprocess)

If you have or held such a position or ownership interest in one ofthese types of businesses list the name of the business its address andprincipal business activity and the position held with the business (if any) Ifyou own(ed) more than a 5 interest in the business indicate that fact anddescribe the nature of your interest

PART G mdash TRAINING CERTIFICATION [Required by s 1123142 FS] If you are a Constitutional or elected municipal officer whose

service began before March 31 of the year for which you are filingyou are required to complete four hours of ethics training which addresses Article II Section 8 of the Florida Constitution the Code of Ethics for Public Officers and Employees and the public recordsand open meetings laws of the state You are required to certify onthis form that you have taken such training

(End of Dollar Value Thresholds Instructions)

IF YOU HAVE CHOSEN COMPARATIVE (PERCENTAGE) THRESHOLDS THE FOLLOWING INSTRUCTIONS APPLY

PART A mdash PRIMARY SOURCES OF INCOME [Required by s 1123145(3)(a)1 FS] Part A is intended to require the disclosure of your principal

sources of income during the disclosure period You do not haveto disclose any public salary or public position(s) but income from these public sources should be included when calculating your gross income for the disclosure period The income of your spouse need not be disclosed however if there is joint income to you and your spouse from property you own jointly (such as interest or dividends from a bank account or stocks) you should include all of that income when calculating your gross income and disclose the source of that income if it exceeded the threshold

Please list in this part of the form the name address and principal business activity of each source of your income whichexceeded 5 of the gross income received by you in your own name or by any other person for your benefit or use during the disclosure period

Gross income means the same as it does for income tax purposes even if the income is not actually taxable such as interest on tax-free bonds Examples include compensation for servicesincome from business gains from property dealings interest rents dividends pensions IRA distributions social security distributive share of partnership gross income and alimony but not child support

Examples mdash If you were employed by a company that manufactures computers and received more than 5 of your gross income from the company list the name of the company its address and its principal business activity (computer manufacturing) mdash If you were a partner in a law firm and your distributive share of partnership gross income exceeded 5 of your gross income then list the name of the firm its address and its principal business activity (practice of law) mdash If you were the sole proprietor of a retail gift business andyour gross income from the business exceeded 5 of your total gross income list the name of the business its addressand its principal business activity (retail gift sales) mdash If you received income from investments in stocks and bonds list each individual company from which you derived

more than 5 of your gross income Do not aggregate all of your investment income mdash If more than 5 of your gross income was gain from the sale of property (not just the selling price) list as a source of income the purchaserrsquos name address and principal business activityIf the purchasers identity is unknown such as where securities listed on an exchange are sold through a brokerage firm the source of income should be listed as sale of (name of company)stock for example mdash If more than 5 of your gross income was in the form of interest from one particular financial institution (aggregatinginterest from all CDrsquos accounts etc at that institution) list the name of the institution its address and its principal business activity

PART B mdash SECONDARY SOURCES OF INCOME [Required by s 1123145(3)(a)2 FS] This part is intended to require the disclosure of major customers

clients and other sources of income to businesses in which you ownan interest It is not for reporting income from second jobs That kindof income should be reported in Part A Primary Sources of Incomeif it meets the reporting threshold You will not have anything to report unless during the disclosure period

(1) You owned (either directly or indirectly in the form of anequitable or beneficial interest) more than 5 of the total assetsor capital stock of a business entity (a corporation partnershipLLC limited partnership proprietorship joint venture trust firmetc doing business in Florida) and (2) You received more than 10 of your gross income from thatbusiness entity and (3) You received more than $1500 in gross income from thatbusiness entity

If your interests and gross income exceeded these thresholds thenfor that business entity you must list every source of income to thebusiness entity which exceeded 10 of the business entityrsquos grossincome (computed on the basis of the business entityrsquos most recentlycompleted fiscal year) the sourcersquos address and the sourcersquos principal business activity

CE FORM 1 - Effective January 1 2020 Incorporated by reference in Rule 34-8202 FAC PAGE 5

NOTICE Annual Statements of Financial Interests are due July 1 If the annual form is not filed or postmarked by September 1 an automatic fine of $25 for each day late will be imposed up to a maximum penalty of $1500 Failure to file also can result in removal from public office or employment [s 1123145 FS]

In addition failure to make any required disclosure constitutes grounds for and may be punished by one or more of the following disqualification from being on the ballot impeachment removal or suspension from office or employment demotion reduction in salary reprimand or a civil penalty not exceeding $10000 [s 112317 FS]

1) Elected public officials not serving in a political subdivision of thestate and any person appointed to fill a vacancy in such office unlessrequired to file full disclosure on Form 62) Appointed members of each board commission authority

or council having statewide jurisdiction excluding members of solelyadvisory bodies but including judicial nominating commission membersDirectors of Enterprise Florida Scripps Florida Funding Corporationand Career Source Florida and members of the Council on the SocialStatus of Black Men and Boys the Executive Director Governors and senior managers of Citizens Property Insurance CorporationGovernors and senior managers of Florida Workers Compensation JointUnderwriting Association board members of the Northeast Fla RegionalTransportation Commission board members of Triumph Gulf Coast Incboard members of Florida Is For Veterans Inc and members of theTechnology Advisory Council within the Agency for State Technology3) The Commissioner of Education members of the State Board

of Education the Board of Governors the local Boards of Trustees andPresidents of state universities and the Florida Prepaid College Board4) Persons elected to office in any political subdivision (such a s

municipalities counties and special districts) and any person appointedto fill a vacancy in such office unless required to file Form 65) Appointed members of the following boards councils

commissions authorities or other bodies of county municipality schooldistrict independent special district or other political subdivision thegoverning body of the subdivision community college or junior collegedistrict boards of trustees boards having the power to enforce local codeprovisions boards of adjustment community redevelopment agenciesplanning or zoning boards having the power to recommend create ormodify land planning or zoning within a political subdivision except forcitizen advisory committees technical coordinating committees andsimilar groups who only have the power to make recommendationsto planning or zoning boards and except for representatives of amilitary installation acting on behalf of all military installations within thatjurisdiction pension or retirement boards empowered to invest pensionor retirement funds or determine entitlement to or amount of pensions orother retirement benefits and the Pinellas County Construction LicensingBoard6) Any appointed member of a local government board who

is required to file a statement of financial interests by the appointingauthority or the enabling legislation ordinance or resolution creating theboard7) Persons holding any of these positions in local government

mayor county or city manager chief administrative employee or finance

director of a county municipality or other political subdivision countyor municipal attorney chief county or municipal building inspectorcounty or municipal water resources coordinator county or municipalpollution control director county or municipal environmental controldirector county or municipal administrator with power to grant or denya land development permit chief of police fire chief municipal clerkappointed district school superintendent community college presidentdistrict medical examiner purchasing agent (regardless of title) havingthe authority to make any purchase exceeding $35000 for the localgovernmental unit8) Officers and employees of entities serving as chief administrative

officer of a political subdivision9) Members of governing boards of charter schools operated by a

city or other public entity10) Employees in the office of the Governor or of a Cabinet member

who are exempt from the Career Service System excluding secretarialclerical and similar positions11) The following positions in each state department commission

board or council Secretary Assistant or Deputy Secretary ExecutiveDirector Assistant or Deputy Executive Director and anyone having thepower normally conferred upon such persons regardless of title12) The following positions in each state department or division

Director Assistant or Deputy Director Bureau Chief and any personhaving the power normally conferred upon such persons regardless oftitle13) Assistant State Attorneys Assistant Public Defenders criminal

conflict and civil regional counsel and assistant criminal conflict and civilregional counsel Public Counsel full-time state employees serving ascounsel or assistant counsel to a state agency administrative law judgesand hearing officers14) The Superintendent or Director of a state mental health institute

established for training and research in the mental health field or anymajor state institution or facility established for corrections trainingtreatment or rehabilitation15) State agency Business Managers Finance and Accounting

Directors Personnel Officers Grant Coordinators and purchasingagents (regardless of title) with power to make a purchase exceeding$3500016) The following positions in legislative branch agencies each

employee (other than those employed in maintenance clerical secretarial or similar positions and legislative assistants exemptedby the presiding officer of their house) and each employee of theCommission on Ethics

INSTRUCTIONS FOR COMPLETING FORM 1INTRODUCTORY INFORMATION (Top of Form) If your name mailing address public agency and position are already printed on the form you do not need to provide this information unless it should be changed To change any of this information write the correct information on the form and contact your agencys financial disclosure coordinator You can find your coordinator on the Commission on Ethics website wwwethicsstateflus NAME OF AGENCY The name of the governmental unit which you serve or served by which you are or were employed or for which you are a candidate DISCLOSURE PERIOD The ldquodisclosure periodrdquo for your report is the calendar year ending December 31 2019

OFFICE OR POSITION HELD OR SOUGHT The title of the office or position you hold are seeking or held during the disclosure period even if you have since left that position If you are a candidate for office or are a new employee or appointee check the appropriate boxPUBLIC RECORD The disclosure form and everythingattached to it is a public record Your Social Security Number is not required and you should redact it from any documents you file If you are an active or former officer or employee listed in Section 119071 FS whose home address is exempt from disclosure the Commission will maintain that confidentiality if you submit a written request

WHO MUST FILE FORM 1

CE FORM 1 - Effective January 1 2020 Incorporated by reference in Rule 34-8202 FAC PAGE 3

Examples PART E mdash LIABILITIES mdash You are the sole proprietor of a dry cleaning business from [Required by s 1123145(3)(b)4 FS]which you received more than 10 of your gross incomemdashan List the name and address of each creditor to whom you owed amount that was more than $1500 If only one customer a any amount that at any time during the disclosure period exceeded uniform rental company provided more than 10 of your dry your net worth You are not required to list the amount of any debt cleaning business you must list the name of the uniform rental or your net worth You do not have to disclose credit card and retail company its address and its principal business activity (uniform installment accounts taxes owed (unless reduced to a judgment) rentals) indebtedness on a life insurance policy owed to the company of mdash You are a 20 partner in a partnership that owns a shopping issuance or contingent liabilities A ldquocontingent liabilityrdquo is one mall and your partnership income exceeded the thresholds that will become an actual liability only when one or more future listed above You should list each tenant of the mall that events occur or fail to occur such as where you are liable only as provided more than 10 of the partnershiprsquos gross income and a guarantor surety or endorser on a promissory note If you are a the tenantrsquos address and principal business activity ldquoco-makerrdquo and are jointly liable or jointly and severally liable it is not

a contingent liability PART C mdash REAL PROPERTY Calculations To determine whether the debt exceeds your

[Required by s 1123145(3)(a)3 FS] net worth total all of your liabilities (including promissory notes mortgages credit card debts judgments against you etc) TheIn this part list the location or description of all real property in amount of the liability of a vehicle lease is the sum of any past-due Florida in which you owned directly or indirectly at any time during payments and all unpaid prospective lease payments Subtract the disclosure period in excess of 5 of the propertyrsquos value You the sum total of your liabilities from the value of all your assets are not required to list your residences You should list any vacation as calculated above for Part D This is your ldquonet worthrdquo List each homes if you derive income from them creditor to whom your debt exceeded this amount unless it is one of

Indirect ownership includes situations where you are a the types of indebtedness listed in the paragraph above (credit card beneficiary of a trust that owns the property as well as situations and retail installment accounts etc) Joint liabilities with others for where you own more than 5 of a partnership or corporation that which you are ldquojointly and severally liablerdquo meaning that you may owns the property The value of the property may be determined by be liable for either your part or the whole of the obligation should be the most recently assessed value for tax purposes in the absence included in your calculations at 100 of the amount owed of a more current appraisal

Example You owe $15000 to a bank for student loans $5000 The location or description of the property should be sufficient for credit card debts and $60000 (with spouse) to a savings to enable anyone who looks at the form to identify the property A and loan for a home mortgage Your home (owned by you and street address should be used if one exists your spouse) is worth $80000 and your other property is worth PART D mdash INTANGIBLE PERSONAL PROPERTY $20000 Since your net worth is $20000 ($100000 minus

$80000) you must report only the name and address of the [Required by s 1123145(3)(a)3 FS] savings and loan Describe any intangible personal property that at any time

during the disclosure period was worth more than 10 of your PART F mdash INTERESTS IN SPECIFIED BUSINESSES total assets and state the business entity to which the property [Required by s 1123145 FS] related Intangible personal property includes things such as cash on hand stocks bonds certificates of deposit vehicle leases The types of businesses covered in this disclosure include interests in businesses beneficial interests in trusts money owed state and federally chartered banks state and federal savings and you Deferred Retirement Option Program (DROP) accounts loan associations cemetery companies insurance companies the Florida Prepaid College Plan and bank accounts Intangible mortgage companies credit unions small loan companies alcoholic personal property also includes investment products held in IRAs beverage licensees pari-mutuel wagering companies utilitybrokerage accounts and the Florida College Investment Plan companies entities controlled by the Public Service Commission Note that the product contained in a brokerage account IRA or the and entities granted a franchise to operate by either a city or a Florida College Investment Plan is your assetmdashnot the account or county governmentplan itself Things like automobiles and houses you own jewelry Disclose in this part the fact that you owned during the and paintings are not intangible property Intangibles relating to the disclosure period an interest in or held any of certain positions same business entity may be aggregated for example CDrsquos and with the types of businesses listed above You are requiredsavings accounts with the same bank to make this disclosure if you own or owned (either directly or

Calculations To determine whether the intangible property indirectly in the form of an equitable or beneficial interest) at any exceeds 10 of your total assets total the fair market value of time during the disclosure period more than 5 of the total assets all of your assets (including real property intangible property and or capital stock of one of the types of business entities listed above tangible personal property such as jewelry furniture etc) When You also must complete this part of the form for each of these types making this calculation do not subtract any liabilities (debts) that of businesses for which you are or were at any time during themay relate to the property Multiply the total figure by 10 to arrive disclosure period an officer director partner proprietor or agent at the disclosure threshold List only the intangibles that exceed (other than a resident agent solely for service of process) this threshold amount The value of a leased vehicle is the vehiclersquos If you have or held such a position or ownership interest in present value minus the lease residual (a number which can be one of these types of businesses list the name of the business its found on the lease document) Property that is only jointly owned address and principal business activity and the position held with property should be valued according to the percentage of your the business (if any) If you own(ed) more than a 5 interest in the joint ownership Property owned as tenants by the entirety or as business indicate that fact and describe the nature of your interest joint tenants with right of survivorship should be valued at 100 None of your calculations or the value of the property have to be PART G mdash TRAINING CERTIFICATIONdisclosed on the form

[Required by s 1123142 FS] Example You own 50 of the stock of a small corporation that is worth $100000 the estimated fair market value of If you are a Constitutional or elected municipal officer whoseyour home and other property (bank accounts automobile service began before March 31 of the year for which you are filing furniture etc) is $200000 As your total assets are worth you are required to complete four hours of ethics training which $250000 you must disclose intangibles worth over $25000 addresses Article II Section 8 of the Florida Constitution the Code Since the value of the stock exceeds this threshold you of Ethics for Public Officers and Employees and the public records should list ldquostockrdquo and the name of the corporation If your and open meetings laws of the state You are required to certify on accounts with a particular bank exceed $25000 you should this form that you have taken such training list ldquobank accountsrdquo and bankrsquos name

(

End of Percentage Thresholds Instructions) CE FORM 1 - Effective January 1 2020 Incorporated by reference in Rule 34-8202 FAC PAGE 6

  • 0 HP Cover Page v2
  • 1 Hawks Point Meeting Invite Draft v2
  • 2 Agenda Draft v3
  • 3 EXHIBIT 1
  • 7 HP 05-19-2020 Meeting Minutes Approved
  • 6 EXHIBIT 2
  • 9 HP May FY20 Fin
  • 8 EXHIBIT 3
  • 4 Vacant Position Qualification Requirements for Hawks Point CDD
    • Vacant Position on the Board of Supervisors of the Hawkrsquos Point Community Development District
      • Qualification Requirements
      • Instructions for Interested Candidates
      • Additional Notes
          • 5 Shami Choon Vacant Position - updated 11-5-11 resume
            • 1803 Oak Pond Street Ruskin Fl 33570 E-mailchoons27gmailcom
              • PROFESSIONAL HISTORY
                • Operations Manager Florida Distribution 2002 ndash 2005
                • Operations Manager for Florida Branch Distribution 1999 ndash 2002
                • Warehouse Manager of Miami Distribution Center 1998 ndash 1999
                • Branch Manager of West Palm Beach 1994 ndash 1998
                • Assistant Branch Manager 1991 ndash 1994
                • Customer Service Agent 1990 ndash 1991
                  • 10 EXHIBIT 4
                  • 11 New Business - Hawks Point CDD - MI proposal
                  • 12 EXHIBIT 5
                  • 13 CertaPro Proposal to Paint Exterior Wall 18th to 24th Avenue
                  • 14 Shazam Construction Proposal to Paint Exterior Wall 18th to 24th Street
                    • QUOTE
                      • TO
                          • 15 Photo to accompany Shazam Proposal
                          • 16 EXHIBIT 6
                          • 17 CertaPro Proposal for Pressure Washing Exterior Wall 18th St to 24th Street
                          • 18 Shazam Construction Proposal for Pressure Washing Exterion Wall 18th Street to 24th Street
                            • QUOTE
                              • TO
                                  • 19 EXHIBIT 7
                                  • 20 Form 1_2019i
                                      1. LAST NAME
                                      2. FIRST NAME
                                      3. MIDDLE NAME
                                      4. MAILING ADDRESS ROW 1
                                      5. MAILING ADDRESS ROW 2
                                      6. CITY
                                      7. ZIP
                                      8. COUNTY
                                      9. NAME OF AGENCY
                                      10. NAME OF OFFICE OR POSITION HELD OR SOUGHT
                                      11. CANDIDATE Off
                                      12. NEW EMPLOYEE OR APPOINTEE Off
                                      13. COMPARATIVE (PERCENTAGE) THRESHOLDS Off
                                      14. DOLLAR VALUE THRESHOLDS Off
                                      15. NAME OF SOURCE INCOME ROW 1
                                      16. ADDRESS ROW 1
                                      17. DESCRIPTION OF THE SOURCES PRINCIPAL BUSINESS ACTIVITY ROW 1
                                      18. NAME OF SOURCE INCOME ROW 2
                                      19. ADDRESS ROW 2
                                      20. DESCRIPTION OF THE SOURCES PRINCIPAL BUSINESS ACTIVITY ROW 2
                                      21. NAME OF SOURCE INCOME ROW 3
                                      22. ADDRESS ROW 3
                                      23. DESCRIPTION OF THE SOURCES PRINCIPAL BUSINESS ACTIVITY ROW 3
                                      24. NAME OF SOURCE INCOME ROW 4
                                      25. ADDRESS ROW 4
                                      26. DESCRIPTION OF THE SOURCES PRINCIPAL BUSINESS ACTIVITY ROW 4
                                      27. NAME OF BUSINESS ENTITY ROW 1
                                      28. NAME OF MAJOR SOURCES OF BUSINESS INCOME ROW 1
                                      29. ADDRESS OF SOURCE ROW 1
                                      30. PRINCIPAL BUSINESS ACTIVITY OF SOURCE ROW 1
                                      31. NAME OF BUSINESS ENTITY ROW 2
                                      32. NAME OF MAJOR SOURCES OF BUSINESS INCOME ROW 2
                                      33. ADDRESS OF SOURCE ROW 2
                                      34. PRINCIPAL BUSINESS ACTIVITY OF SOURCE ROW 2
                                      35. NAME OF BUSINESS ENTITY ROW 3
                                      36. NAME OF MAJOR SOURCES OF BUSINESS INCOME ROW 3
                                      37. ADDRESS OF SOURCE ROW 3
                                      38. PRINCIPAL BUSINESS ACTIVITY OF SOURCE ROW 3
                                      39. REAL PROPERTY ROW 1
                                      40. REAL PROPERTY ROW 2
                                      41. REAL PROPERTY ROW 3
                                      42. REAL PROPERTY ROW 4
                                      43. TYPE OF INTANGIBLE ROW 1
                                      44. BUSINESS ENTITY TO WHICH THE PROPERTY RELATES ROW 1
                                      45. TYPE OF INTANGIBLE ROW 2
                                      46. BUSINESS ENTITY TO WHICH THE PROPERTY RELATES ROW 2
                                      47. NAME OF CREDITOR ROW 1
                                      48. ADDRESS OF CREDITOR ROW 1
                                      49. NAME OF CREDITOR ROW 2
                                      50. ADDRESS OF CREDITOR ROW 2
                                      51. ADDRESS OF BUSINESS ENTITY 1
                                      52. PRINCIPAL BUSINESS ACTIVITY 1
                                      53. POSITION HELD WITH ENTITY 1
                                      54. I OWN MORE THAN A 5 INTEREST IN THE BUSINESS 1
                                      55. NATURE OF MY OWNERSHIP INTEREST 1
                                      56. ADDRESS OF BUSINESS ENTITY 2
                                      57. PRINCIPAL BUSINESS ACTIVITY 2
                                      58. POSITION HELD WITH ENTITY 2
                                      59. I OWN MORE THAN A 5 INTEREST IN THE BUSINESS 2
                                      60. NATURE OF MY OWNERSHIP INTEREST 2
                                      61. FOR ELECTED MUNICIPAL OFFICERS REQUIRED TO COMPLETE ANNUAL ETHICS TRAINING PURSUANT TO SECTION 112
                                        1. 3142 F
                                          1. S Off
                                              1. IF ANY OF PARTS A THROUGH G ARE CONTINUED ON A SEPARATE SHEET PLEASE CHECK HERE Off
                                              2. SIGNATURE
                                              3. Date Signed
Page 7: HAWKS POINT COMMUNITY DEVELOPMENT …...2020/06/16  · Hawks Point Community Development District Board of Supervisors Meeting Tuesday, June 16th at 6:30 PM via Zoom All: We welcome

EXHIBIT 1

MINUTES OF MEETING 1

HAWKS POINT 2

COMMUNITY DEVELOPMENT DISTRICT 3

The Regular Meeting of the Board of Supervisors of the Hawks Point Community Development 4 District was held on Tuesday May 19 2020 at 630 pm via electronic teleconference 5

FIRST ORDER OF BUSINESS ndash Roll Call 6

Mr Lotito called the meeting to order and conducted roll call 7

Present and constituting a quorum were 8

Chantal Copeland Board Supervisor Chairwoman 9 Sherri Keene Board Supervisor Vice Chairwoman 10 William Hathaway Board Supervisor Assistant Secretary 11 Caryn Williams Board Supervisor Assistant Secretary 12

Also present were 13

Ray Lotito District Manager DPFG Management amp Consulting LLC 14 Vivek Babbar District Counsel Straley Robin Vericker 15 Paul Gomez Landscape Maintenance Professionals Inc 16 David Manfrin Landscape Maintenance Professionals Inc 17 Mitchell Moore Stantec Engineering 18 Adam Markle Stantec Engineering 19 Joe Hamilton Steadfast Environmental 20 Cary Brown Hawks Point Resident 21

The following is a summary of the discussions and actions taken at the May 19 2020 Hawks Point CDD 22 Board of Supervisors Regular Meeting 23

SECOND ORDER OF BUSINESS ndash Audience Comments 24

Ms Brown indicated that she had sent in a list of questions for the Board regarding items on the 25 agenda Mr Lotito clarified in response that the electric meters were for irrigation pumps advised 26 that the Board was required to hire a District management firm with a number of responsibilities 27 dictated under Florida Statute 190 and addressed concerns regarding contract renewals 28

THIRD ORDER OF BUSINESS ndash Landscape amp Pond Maintenance Reports 29

A LMP Landscape amp Irrigation Monthly Report 30

Ms Brown asked about treatments used and Mr Gomez clarified that they were not Roundup 31

B Pond Maintenance Report ndash Stantec 32

FOURTH ORDER OF BUSINESS ndash Administrative Matters ndash Consent Agenda 33

A Exhibit 1 Consideration and Approval of Minutes of the April 21 2020 Meeting 34

B Exhibit 2 Acceptance of the Unaudited April 2020 Financial Statements 35

On a MOTION by Ms Copeland SECONDED by Ms Keene WITH ALL IN FAVOR the Board 36 approved Items A ndash B of the Consent Agenda for the Hawks Point Community Development District 37

FIFTH ORDER OF BUSINESS ndash Business Matters 38

A New Business 39

1 Exhibit 3 Presentation and Discussion of the FY 2021 Budget 40

Hawks Point CDD May 19 2020

Regular Meeting Page 2 of 3

2 Exhibit 4 Consideration and Adoption of Resolution 2020-02 Approving Proposed 41

Budget and Setting Public Hearing for Final Budget 42

On a MOTION by Mr Hathaway SECONDED by Ms Copeland WITH ALL IN FAVOR the Board 43 adopted Resolution 2020-02 Approving Proposed Budget and Setting Public Hearing for Final Budget 44 for the Hawks Point Community Development District 45

3 Exhibit 5 Hillsborough County Number of Registered Voters for Hawks Point ndash 1554 46

4 Exhibit 6 Consideration of Steadfast Environmental Proposal for Pond Plantings ndash No 47 98 - $450000 48

Mr Lotito indicated that this item was to improve quality of storm water discharge and to 49 proactively prevent erosion and noted that the plantings had been budgeted for multiple 50 years but never implemented Mr Hamilton gave an overview of areas for planting and 51 types of plants noting that budget restrictions may lead to the Board needing to prioritize 52 areas Discussion ensued 53

On a MOTION by Mr Hathaway SECONDED by Ms Williams WITH ALL IN FAVOR the Board 54 approved the Steadfast Environmental Proposal for Pond Plantings in the amount of $450000 for the 55 Hawks Point Community Development District 56

5 Exhibit 7 Consideration of LMP Proposal for Palm Trimming ndash No 65827 - $81900 57

This item was tabled to the next meeting pending determination of property ownership 58 by District Counsel 59

B Old Business 60

1 Exhibit 8 Consideration of the Stantec Proposal for Landscape Design for Improvement 61 of Monuments and Common Areas - $1275000 62

Mr Markle gave an overview of the proposal in terms of the scope of landscape design 63 and contractor oversight A resident indicated that she felt the cost of the proposal for 64 design was excessive Discussion ensued 65

On a MOTION by Ms Copeland SECONDED by Ms Williams WITH ALL IN FAVOR the Board 66 approved the Stantec Proposal for Landscape Design for Improvement of Monuments and Common 67 Areas in the amount of $1275000 for the Hawks Point Community Development District 68

2 Exhibit 9 Consideration of LMP Proposals 69

Replace Faulty Hunter 1 Station Decoder ndash Estimate No 64891 - $21050 70

Repair Controller 1 ndash Estimate No 64935 - $19100 71

Repair Controller 3 ndash Estimate No 64936 - $10600 72

Repair Controller 5 ndash Estimate No 64937 - $2900 73

On a MOTION by Mr Hathaway SECONDED by Ms Keene WITH ALL IN FAVOR the Board 74 approved all LMP repair and replacement proposals for the Hawks Point Community Development 75 District 76

Hawks Point CDD May 19 2020

Regular Meeting Page 3 of 3

SIXTH ORDER OF BUSINESS ndash Staff Reports 77

A District Manager 78

There being none the next item followed 79

B District Counsel 80

Mr Babbar noted that District Engineering had recommended an irrigation specialist and that a 81 proposal from the specialist would be forthcoming 82

C District Engineer 83

There being none the next item followed 84

SEVENTH ORDER OF BUSINESS ndash Supervisors Requests 85

There being none the next item followed 86

EIGHTH ORDER OF BUSINESS ndash Audience Comments ndash New Business 87

A resident asked about the ownership of a conservation area at 18th and Hawks Island and Mr 88 Hathaway indicated that this was CDD property The resident noted that the conservation area 89 had been overgrown onto the sidewalk 90

NINTH ORDER OF BUSINESS ndash Adjournment 91

Mr Lotito asked for final questions comments or corrections before requesting a motion to 92 adjourn the meeting There being none Mr Hathaway made a motion to adjourn the meeting 93

On a MOTION by Mr Hathaway SECONDED by Ms Williams WITH ALL IN FAVOR the Board 94 adjourned the meeting for the Hawks Point Community Development District 95

Each person who decides to appeal any decision made by the Board with respect to any matter 96 considered at the meeting is advised that person may need to ensure that a verbatim record of the 97 proceedings is made including the testimony and evidence upon which such appeal is to be based 98

Meeting minutes were approved at a meeting by vote of the Board of Supervisors at a publicly noticed 99 meeting held on ________________________ 100

101

Signature Signature

102

Printed Name Printed Name

Title Secretary Assistant Secretary Title Chairman Vice Chairman 103

EXHIBIT 2

Hawks Point

Community Development District

Financial Statements

(Unaudited)

Period Ending

May 31 2020

DEBT

GENERAL SERVICE CONSOLIDATED

FUND SERIES 2017 TOTAL

1 ASSETS

2

3 CASH 66142$ -$ 66142$

4 MMK 456665 - 456665

5 INVESTMENTS

6 REVENUE FUND - 203538 203538

7 INTEREST FUNDS - 195 195

8 PRINCIPAL FUNDS - - -

9 SINKING FUNDS - 1 1

11 RESERVE - 266003 266003

12 ACCOUNTS RECEIVABLE 2588 - 2588

13 ASSESMENTS RECEIVABLE 2781 3237 6018

14 DUE FROM GF - 172 172

15 PREPAID ITEMS - - -

16 DEPOSITS 451 - 451

17 TOTAL ASSETS 528627$ 473145$ 1001772$

18

19 LIABILITIES

20

21 ACCOUNTS PAYABLE 537$ -$ 537$

22 DUE TO DEBT SERVICE SERIES 2017 172 - 172

23 ACCRUED INTEREST PAYABLE DS 2017 - - -

24 DEFERRED REVENUE 2781 3237 6018

26

27 FUND EQUITY

28

29 RESTRICTED FOR

30 DEBT SERVICE - 469908 469908

32 ASSIGNED 1 QTR OPER 71304 - 71304

33 ASSIGNED FY 2018 INC IN RESERVES 15650 - 15650

34 ASSIGNED FY 2019 INC IN RESERVES 22500 - 22500

35 UNASSIGNED 415683 - 415683 36

37 TOTAL LIABILITIES amp FUND EQUITY 528627$ 473145$ 1001772$

Hawks Point CDDBalance Sheet

May 31 2020

Note GASB 34 government wide financial statements are available in the annual independent audit of the District The audit is

available on the website and upon request

Page 2

FY2020 VARIANCE

ADOPTED BUDGET ACTUAL FAVORABLE

BUDGET YEAR-TO-DATE YEAR-TO-DATE (UNFAVORABLE)

1 REVENUE

2

3 ASSESSMENT ON ROLL (NET) 453615$ 453615$ 450924$ (2691)$

4 ASSESSMENT ON ROLL EXCESS FEES - - - -

5 INTEREST REVENUE - - 1594 1594

6 MISCELLANEOUS REVENUE - - - -

7 ELECTRICITY COST SHARE WITH THE HOA 1600 1067 2633 1566

8 TOTAL REVENUE 455215 454682 455152 470

9

10 EXPENDITURES

11

12 ADMINISTRATIVE

13 BOARD OF SUPERVISORS 12000 8000 5539 2461

14 PAYROLL TAXES 918 612 503 109

15 PAYROLL SERVICE FEE 625 417 392 25

16 MANAGEMENT CONSULTING SERVICES 40000 26667 26667 -

17 GENERAL ADMINISTRATIVE 4800 3200 3200 -

18 MISCELLANEOUS 500 333 - 333

19 AUDITING 3200 3200 - 3200

20 REGULATORY AND PERMIT FEES 175 175 175 -

21 LEGAL ADVERTISEMENTS 1500 1000 1386 (386)

22 ENGINEERING SERVICES 5000 3333 1896 1437

23 LEGAL SERVICES - GENERAL 7500 5000 2895 2105

24 WEBSITE ADMINISTRATION 2265 2165 1749 416

25 TOTAL ADMINISTRATIVE 78483 54102 44401 9701

26

27 INSURANCE

28 INSURANCE (Liability Property amp Casualty) 6050 6050 5638 412

29 TOTAL INSURANCE 6050 6050 5638 412

30

31 DEBT SERVICE ADMINISTRATION

32 DISSEMINATION AGENT 1000 1000 1000 -

33 TRUSTEE FEES 10500 - - -

34 TRUST FUND ACCOUNTING 1500 1000 1000 -

35 ARBITRAGE 650 - - -

36 ASSESSMENT ADMINISTRATION 5000 5000 5000 -

37 TOTAL DEBT SERVICE ADMINISTRATION 18650 7000 7000 -

38

39 UTILITIES

40 ELECTRICITY-IRRIGATION 2928 1952 1191 761

41 TOTAL UTILITIES 2928 1952 1191 761

42

43 FIELD OPERATIONS

44 IRRIGATION MAINTENANCE amp REPAIRS 10000 6667 3960 2706

45 POND MONITORING amp MAINTENANCE 17700 10325 10325 -

46 POND PLANTINGS 5000 5000 - 5000

47 WETLAND MONITORING 7120 5340 1780 3560

48 LANDSCAPE MAINTENANCE 129000 86000 88400 (2400)

49 LANDSCAPE REPLENISHMENT 119898 79932 6520 73412

50 TREE TRIMMING 16800 11200 - 11200

51 STREETLIGHTS 2000 1333 - 1333

52 MISCELLANEOUS FIELD EXPENSES 18586 12391 8886 3504

53 CAPITAL PROJECTS - WELL DRILLING amp PUMP INSTALL - - 18165 (18165)

54 RESERVE - PAINT PERIMITER WALL - - 6350 (6350)

55 TOTAL FIELD OPERATIONS 326104 218188 144386 73802

Hawks Point

General Fund

Statement of Revenues Expenditures and Changes in Fund Balance

For the period from October 1 2019 through April 30 2020

Preliminary

Page 3

FY2020 VARIANCE

ADOPTED BUDGET ACTUAL FAVORABLE

BUDGET YEAR-TO-DATE YEAR-TO-DATE (UNFAVORABLE)

Hawks Point

General Fund

Statement of Revenues Expenditures and Changes in Fund Balance

For the period from October 1 2019 through April 30 2020

Preliminary

56

57 TOTAL EXPENDITURES BEFORE RESERVES 432215 287292 202616 84675

58

59 INCREASE FOR RESERVES 23000 - - -

60 INCREASE IN FUND BALANCE - - - -

61

62

63 TOTAL EXPENDITURES AFTER RESERVE 455215 287292 202616 84675

64

65 EXCESS OF REVENUE OVER (UNDER) EXPENDITURES - 167390 252535 85145

66

67 FUND BALANCE - BEGINNING 269666 269666 272602 272602

68 DECREASE IN FUND BALANCE - - - -

69 INCREASE IN RESERVE 23000 - - -

70 FUND BALANCE - ENDING 292666$ 437056$ 525137$ 357747$

71

72

73 FY 2018FY 2019 - Irrigation System Grounding Phased 15544$

74 FY 2018 - Perimieter Wall Paint Applications 5815

75 FY 2019 - Reserve Study Update 1100

77 FY 2020 - Irrigation System-Clocks 6442

Total Replacement Expenses for Reserves 28901$

Reserve Expenditure Components

Page 4

FY 2020 VARIANCE

ADOPTED BUDGET ACTUAL FAVORABLE

BUDGET YEAR-TO-DATE YEAR-TO-DATE (UNFAVORABLE)

1 REVENUE

2 ASSESSMENTS - ON-ROLL (Gross) 561051$ 527388$ 524922$ (2466)$

3 ASSESSMENTS - ON-ROLL EXCESS FEES - - - -

4 FUND BALANCE FORWARD - - - -

5 INTEREST - INVESTMENT - - 3703 3703

6 DISCOUNT (22442) - - -

7 TOTAL REVENUE 538609 527388 528624 1236

8

9

10 EXPENDITURES

11

12 PRINCIPAL

13 512020 235000 - 235000 (235000)

14 INTEREST EXPENSE

15 1112019 - - 144238 (144238)

16 512020 144238 - 144238 (144238)

17 1112020 140075 - - -

18 COUNTY COLLECTION CHARGES 11221 - - -

19 TOTAL EXPENDITURES 530534 - 523475 (523475)

20

21 EXCESS OF REVENUE OVER (UNDER) EXPENDITURES 8075 527388 5149 (522239)

22

23 OTHER FINANCING SOURCES (USES)

24 TRANSFER IN - - - -

25 TRANSFER OUT (USES) - - - -

26 TOTAL OTHER FINANCING SOURCES (USES) - - - -

27

28 NET CHANGE IN FUND BALANCE 8075 527388 5149 (522239)

29

30 FUND BALANCE - BEGINNING - - 464759 464759

31 FUND BALANCE APPROPRIATED - - - -

32

33 FUND BALANCE - ENDING 8075$ 527388$ 469908$ (57480)$

Hawks Point CDD

Debt Service - Series 2017

Statement of Revenues Expenditures and Changes in Fund Balance

For the period from October 1 2019 through April 30 2020

Page 5

Bank United

Balance Per Bank Statement 7549415$

Plus Deposits in Transit -

Less Outstanding Checks (935250)

Adjusted Bank Balance 6614165$

Beginning Bank Balance Per Books 4251943$

Cash Receipts 5000350

Cash Disbursements (2638128)

Balance Per Books 6614165$

Hawks Point CDD

Bank Reconciliation (GF)

May 31 2020

Page 6

Date Num Name Memo Receipts Disbursements Balance

Bank United EOY Balance 9460943

10012019 9035 DPFG MANAGEMENT amp CONSULTING LLC CDD Mgmt - October 385833 9075110

10022019 Hawks Point West HOA 2019-245- HPW 18866 9093976

10082019 646 Hawks Point HOA 2019245 - HPA 21225 9115201

10082019 Hawks Point West HOA 201956 - HPW 208516 9323717

10082019 1115 Egis Insurance amp Risk Advisors Ins - FY 2020 563800 8759917

10112019 9036 JAYMAN ENTERPRISES LLC Replace Bulbs at Entrances Rcvd 10119 23000 8736917

10112019 9037 Landscape Maintenance Professionals Inc Landscape Maint - October 1105000 7631917

10162019 1116 FLORIDA DEPT OF ECONOMIC OPPORTUNIT Annual Filing FY 2020 17500 7614417

10182019 9041 TAMPA BAY TIMES Legal Ad - Meeting Schedule 55200 7559217

10212019 9038 DPFG MANAGEMENT amp CONSULTING LLC Special Assessment - FY 2020 Continuing Disclosure ADA Compliance 650000 6909217

10212019 9039 JAYMAN ENTERPRISES LLC Replace Bulbs 7000 6902217

10212019 9040 STANTEC CONSULTING SERVICES INC Lake amp Pond Maint - Sept 10500 6891717

10242019 ACH102419 TAMPA ELECTRIC 830-930 - 1416 Little Hawk Dr 7637 6884080

10242019 ACH1024192 TAMPA ELECTRIC 830-930 - 2160 Golden Falcon Dr 7083 6876997

10242019 000652 Hawks Point HOA 20197-HPA 4921 6881918

10252019 694003DD ANDREW HERON Bos Mtg - 101519 18470 6863448

10252019 ACH102519 Innovative Employer Soltuions Bos Mtg - 101519 17140 6846308

10252019 694005DD KAREN OBRIEN Bos Mtg - 101519 18470 6827838

10252019 694004DD SHERRI KEENE Bos Mtg - 101519 18470 6809368

10252019 694002DD WILLIAM J HATHAWAY Bos Mtg - 101519 18470 6790898

10312019 Bank United Interest 691 6791589

Bank United EOM Balance 254219 2923573 6791589

11012019 9042 DPFG MANAGEMENT amp CONSULTING LLC CDD Mgmt - November 385833 6405756

11012019 9043 STANTEC CONSULTING SERVICES INC Lake amp Pond Maint - Pond 201-19 amp 21 - Sept 274000 6131756

11012019 9044 STRALEY ROBIN VERICKER Legal Svcs thru 101519 65999 6065757

11122019 1117 HAWKS POINT CDD DS 2017 Tax Collection Share co Wells Fargo 762290 5303467

11152019 9045 Landscape Maintenance Professionals Inc Landscape Maint - November amp Irrigation Repairs 1229369 4074098

11152019 9046 STANTEC CONSULTING SERVICES INC Lake amp Pond Maint - Oct 333600 3740498

11202019 9048 TAMPA BAY TIMES Legal Ad - Audit Meeting 42050 3698448

11222019 9047 STANTEC CONSULTING SERVICES INC Lake amp Pond Maint - Pond 20 - Oct 10500 3687948

11252019 ACH1125191 TAMPA ELECTRIC 101-1030 - 1416 Little Hawk Dr 7431 3680517

11252019 ACH1125192 TAMPA ELECTRIC 101-1030 - 2160 Golden Falcon Dr 8753 3671764

11292019 703783DD ANDREW HERON Bos Mtg - 111919 18470 3653294

11292019 ACH112919 Innovative Employer Soltuions Bos Mtg - 111919 20200 3633094

11292019 703785DD KAREN OBRIEN Bos Mtg - 111919 18470 3614624

11292019 703781DD MARIE CHANTAL COPELAND Bos Mtg - 111919 18470 3596154

11292019 703784DD SHERRI KEENE Bos Mtg - 111919 18470 3577684

11292019 703782DD WILLIAM J HATHAWAY Bos Mtg - 111919 18470 3559214

11302019 Bank United Interest 450 3559664

Bank United EOM Balance 450 3232375 3559664

12022019 9049 DPFG MANAGEMENT amp CONSULTING LLC CDD Mgmt - December 385833 3173831

12042019 694 Hawks Point HOA 20198-HPA 5105 3178936

12042019 503 Hawks Point West HOA 20197-HPW amp 20198-HPW 7388 3186324

12042019 1118 Site Masters of Florida LLC Investigation of pipe discharge Townhome Yard Drain Blockage 150000 3036324

12112019 9050 Illuminations Holiday Lighting Electrical Fix Holiday Lights - Deposit 261250 2775074

12132019 Bank United Funds Transfer - MMK to Opt Acct 4500000 7275074

12132019 Bank United Funds Transfer - MMK to Opt Acct 50834407 58109481

12162019 9055 TAMPA BAY TIMES Legal Ad - RFP Auditing Svc 36100 58073381

12182019 9051 Flatwoods Environmental Cut amp Dispose Brazilian Pepper 396500 57676881

12182019 9052 Landscape Maintenance Professionals Inc Landscape Maint - December 1105000 56571881

12182019 9053 STANTEC CONSULTING SERVICES INC Misc Environmental Services 137000 56434881

12182019 9054 STRALEY ROBIN VERICKER Legal Svcs thru 111519 57500 56377381

12182019 1119 HAWKS POINT CDD DS 2017 Tax Collection Share co Wells Fargo 49544765 6832616

12182019 1120 Innersync ADA Compliant website 124942 6707674

12262019 ACH1226191 TAMPA ELECTRIC 1031-122 - 2160 Golden Falcon Dr 8771 6698903

12262019 ACH1226192 TAMPA ELECTRIC 1031-1202 - 1416 Little Hawk Dr 9315 6689588

12272019 711993DD ANDREW HERON Bos Mtg - 121719 18470 6671118

12272019 ACH122719 Innovative Employer Soltuions Bos Mtg - 121719 20200 6650918

12272019 711995DD KAREN OBRIEN Bos Mtg - 121719 18470 6632448

12272019 711991DD MARIE CHANTAL COPELAND Bos Mtg - 121719 18470 6613978

12272019 711994DD SHERRI KEENE Bos Mtg - 121719 18470 6595508

12272019 711992DD WILLIAM J HATHAWAY Bos Mtg - 121719 18470 6577038

12312019 Bank United Interest 3091 6580129

Bank United EOM Balance 55349991 52329526 6580129

01022020 9056 DPFG MANAGEMENT amp CONSULTING LLC CDD Mgmt - January 385833 6194296

01082020 9057 Landscape Maintenance Professionals Inc Station decoders 82908 6111388

01082020 9058 STRALEY ROBIN VERICKER Legal Svcs thru 121519 10000 6101388

01102020 9159 Landscape Maintenance Professionals Inc Landscape Maint - January 1105000 4996388

01102020 9160 Mike White LLC Entry Monument repair 54119 4942269

01132020 1121 HAWKS POINT CDD DS 2017 Tax Collection Share co Wells Fargo 868256 4074013

01172020 9161 Illuminations Holiday Lighting Holiday Lights - Balance Due 231250 3842763

01172020 000534 Hawks Point West HOA 20201-HPW 4493 3847256

01272020 1122 STANTEC CONSULTING SERVICES INC Pond Maint - December Engineering Svcs thru 122719 353400 3493856

01272020 ACH012720 TAMPA ELECTRIC 123-1231 - 2160 Golden Falcon Dr 8116 3485740

01272020 ACH0127202 TAMPA ELECTRIC 1203-1231 - 1416 Little Hawk Dr 6682 3479058

01312020 072704 Innovative Employer Soltuions Bos Mtg - 12120 17140 3461918

01312020 721948DD KAREN OBRIEN Bos Mtg - 12120 18470 3443448

01312020 721945DD MARIE CHANTAL COPELAND Bos Mtg - 12120 18470 3424978

01312020 721947DD SHERRI KEENE Bos Mtg - 12120 18470 3406508

01312020 721946DD WILLIAM J HATHAWAY Bos Mtg - 12120 18470 3388038

01312020 Bank United Interest 1406 3389444

Bank United EOM Balance 5899 3196584 3389444

02052020 1124 DPFG MANAGEMENT amp CONSULTING LLC CDD Mgmt - February 385833 3003611

02052020 1125 Landscape Maintenance Professionals Inc Landscape Maint - February 1105000 1898611

02052020 1126 TAMPA ELECTRIC 101-1030 - 1416 Little Hawk Dr 308 1898303

02252020 1127 Landscape Maintenance Professionals Inc Landscape Maint - March 1105000 793303

02252020 02252020ACH TAMPA ELECTRIC 11-130 - 1416 Little Hawk Dr 7840 785463

02252020 02252020ACH TAMPA ELECTRIC 11-130 - 2160 Golden Falcon Dr 9092 776371

02282020 02182020ACH Innovative Employer Soltuions Bos Mtg - 21820 14080 762291

02282020 730271DD MARIE CHANTAL COPELAND Bos Mtg - 21820 18470 743821

02282020 730273DD SHERRI KEENE Bos Mtg - 21820 18470 725351

02282020 7302272DD WILLIAM J HATHAWAY Bos Mtg - 21820 18470 706881

02292020 Bank United Interest 203 707084

HAWKS POINT CDDCASH REGISTER

FY 2020

Page 7

Date Num Name Memo Receipts Disbursements Balance

HAWKS POINT CDDCASH REGISTER

FY 2020

Bank United EOM Balance 203 2682563 707084

03042020 1128 DPFG MANAGEMENT amp CONSULTING LLC CDD Mgmt - March 385833 321251

03122020 1129 STANTEC CONSULTING SERVICES INC Engineering Svcs thru 012420 73950 247301

03122020 ACH032520 TAMPA ELECTRIC 13120 - 22820 - 2160 Golden Falcon Dr 8527 238774

03122020 ACH0325202 TAMPA ELECTRIC 013120 - 22820 - 1416 Little Hawk Dr 6592 232182

03192020 BankUnited Funds Transfer 5000000 5232182

03192020 1130 HAWKS POINT CDD DS 2017 Tax Collection Share co Wells Fargo thru 030420 1437199 3794983

03242020 1131 Landscape Maintenance Professionals Inc Pencil Pruning of Crape Myrtles Landscape Maint -042020 1360500 2434483

03242020 1132 STANTEC CONSULTING SERVICES INC Pond Maint - January Feb 295000 2139483

03242020 1133 STRALEY ROBIN VERICKER Legal Svcs thru 021520 23250 2116233

03272020 1134 DPFG MANAGEMENT amp CONSULTING LLC CDD Mgmt - April 2020 385833 1730400

03272020 1135 Landscape Maintenance Professionals Inc Irrigation Inspection repairs 74858 1655542

03312020 BankUnited Interest 200 1655742

Bank United EOM Balance 5000200 4051542 1655742

04082020 1136 Accurate Drilling Solutions Service call - 032520 - Replacement for Controller on pump 4 60234 1595508

04082020 1137 STANTEC CONSULTING SERVICES INC Engineering Svcs thru 032020 61250 1534258

04082020 1138 STRALEY ROBIN VERICKER Legal Svcs thru 031520 93270 1440988

04082020 1139 TAMPA ELECTRIC 229-330 - Electricity 16915 1424073

04162020 1140 HAWKS POINT CDD DS 2017 Tax Collection Share co Wells Fargo thru 041320 298431 1125642

04232020 BankUnited Funds Transfer 5000000 6125642

04232020 1141 Accurate Drilling Solutions Well Drilling and new pump system installation 1816480 4309162

04282020 1142 STRALEY ROBIN VERICKER Legal Svcs thru 041520 57460 4251702

04302020 BankUnited Interest 241 4251943

Bank United EOM Balance 5000241 2404040 4251943

05012020 1143 DPFG MANAGEMENT amp CONSULTING LLC CDD Mgmt - May 2020 385833 3866110

05012020 ACH050120 Innovative Employer Soltuions Bos Mtg - 42120 14080 3852030

05012020 747666DD MARIE CHANTAL COPELAND Bos Mtg - 42120 18470 3833560

05012020 747667DD WILLIAM J HATHAWAY Bos Mtg - 42120 18470 3815090

05012020 747668DD SHERRI KEENE Bos Mtg - 42120 18470 3796620

05082020 ACH050820 Innovative Employer Soltuions Bos Mtg - 42120 8620 3788000

05082020 1 Caryn Williams BOS 04212020 18470 3769530

05112020 1144 Landscape Maintenance Professionals Inc Landscape Maint -052020 1105000 2664530

05112020 1145 STANTEC CONSULTING SERVICES INC Engineering Svcs thru 042420 25400 2639130

05112020 1146 TAMPA ELECTRIC 330-429 - Electricity 19915 2619215

05212020 1147 BUSINESS OBSERVER Legal Ad - Notice of Qualifying Period 51520 5250 2613965

05212020 1148 CertaPro Painters Paint exterior wall 24th to 30th Street 635000 1978965

05212020 1149 STANTEC CONSULTING SERVICES INC Pond Maint - March-April 295000 1683965

05292020 BankUnited Funds Transfer 5000000 6683965

05292020 755486DD Caryn Williams Bos Mtg - 51920 18470 6665495

05292020 ACH052920 Innovative Employer Soltuions Bos Mtg - 51920 14740 6650755

05292020 755485DD SHERRI KEENE Bos Mtg - 51920 18470 6632285

05292020 755484DD WILLIAM J HATHAWAY Bos Mtg - 51920 18470 6613815

05312020 BankUnited Interest 350 6614165

Bank United EOM Balance 5000350 2638128 6614165

Page 8

EXHIBIT 3

Vacant Position on the Board of Supervisors of the Hawkrsquos Point Community Development District The Hawkrsquos Point Community Development District (CDD) is soliciting interested candidates to fill a vacant position on the Board of Supervisors of the CDD (Board) The CDD is a local unit of special-purpose government which is created pursuant to Chapter 190 Florida Statutes The Board is comprised of 5 members who are public officials who are normally elected on the November General Elections who serve in staggered terms The vacancy is a result of a resignation of a board member due to a relocation The remaining term of the vacant supervisorrsquos seat is through November 2022

Qualification Requirements

1 Resident of the CDD

2 At least 18 years of age

3 Citizen of the United States

4 Legal resident of Florida and of the CDD

5 Registered to vote with the Hillsborough County Supervisor of Elections

Instructions for Interested Candidates

Interested candidates must submit a letter of interest and resume to Raymondlotitodpfgcom by 4 pm on Friday June 5 2020 The subject line in the email should read ldquoVacant Position on the Board of Supervisors of the Hawkrsquos Point CDDrdquo

The Letter of Interest must contain

1 A statement stating why you believe you are well suited for the position

2 Your vision for the CDD and what you would like to see the Community evolve into Please be specific

The Resume must contain

1 Your academic background and professional experience

2 Previous and current experience with governmental agencies and governing boards

Interested candidates should attend the Board meeting on Tuesday June 16 2020 at 630 pm and present a brief presentation about themselves and be prepared for a brief question and answer period with the current Board members

Additional Notes

The current Board members will discuss the candidates and may make an appointment at the June meeting If the Board cannot come to a consensus on one candidate or if they determine to not appoint any candidate to the vacant seat they may revisit the vacancy at a future meeting or leave the seat vacant until the November 2022 General Election

Please note that the person appointed to serve in the vacant seat will be required to submit a financial disclosure statement to the State and will be subject to Floridarsquos Government in the Sunshine Laws Public Records laws and Ethics laws

1

Sookdeo (Shami) Choon Phone number (813) 731-5564 1803 Oak Pond Street Ruskin Fl 33570 E-mailchoons27gmailcom

PROFESSIONAL HISTORY Firkins GroupGarber Nissan December 2013 to Present Commercial Vehicle Sales ManagerFinance Manager Auto Nation From January 2006 to December 2013 Sales 2006- 2007 Finance Manager 2007- 2008 Sales Manager Training Manager 2008-2009 Sales Finance 2009- 2011 Commercial Sales Manager Finance Manager 2011- 2020 Parts Depot Inc From 1990 to 2005 ___________________________________________________________________________________________ Operations Manager Florida Distribution 2002 ndash 2005 bull Responsible for total inventory control of all Florida warehouses frac12 of the corporationrsquos revenue bull Directed top management to complete acquisition consolidations which resulted in the corporationrsquos

expansion bull Managed all Florida branch warehouse managers and employees totaling 200 employees bull Increased productivity and shipping efficiency in all departments developed new delivery logistics

improved product availability to all customers as well a hired and efficiently trained employees bull Reviewed all customer service statistics daily and contacted customer directly on all issues bull Reviewed PampLrsquos for all units monthly bull Presented weekly productivity and financial reports to senior management bull Directed DOT monthly guidelines maintained driver files in accordance with DOT regulations and

implemented loss prevention programs Operations Manager for Florida Branch Distribution 1999 ndash 2002 bull Improved customer service by increasing product availability to customers by implementing new

delivery logistics bull Developed employee training implemented safety awareness and monthly safety programs Warehouse Manager of Miami Distribution Center 1998 ndash 1999 bull Developed and implemented productivity guidelines implemented delivery cost saving programs

and improved product availability to the corporationrsquos customers Branch Manager of West Palm Beach 1994 ndash 1998 bull Responsible for the opening of this new branch set the building layout as well as the delivery and

logistics systems

2

bull Increased sales by 80 over budget and kept operating cost as of sales Implemented new customer service department Hired and trained all employees

Assistant Branch Manager 1991 ndash 1994 bull Increased productivity by 20 and improved delivery service Customer Service Agent 1990 ndash 1991 bull Created and implemented customer service guidelines Wingate Automotive Group 1987ndash 1990 Trinidad amp Tobago Government National Security 1984- 1987 Field Operation

EXHIBIT 4

PO Box 267 Seffner FL 33583 O 813-757-6500 F 813-757-6501 Estimate

Submitted To Hawks Point CDD 250 International Parkway Suite 280 Lake Mary FL 32746

CDD - controller 4 - zones 1 and 2

Date 5232020

Estimate 66077

LMP REPRESENTATIVE

DG-TI

PO

W ork Order

DESCRIPTION QTY COST TOTAL

Controller 4 34 inch poly pipe 34 inch poly pipe clamps Labor 2 men $ 8500 per hour

Irrigation inspection repairs needed Repair 6 - 34 inch poly pipe line leaks

6 12 05

072 129

8500

432 1548 4250

TERMS AND CONDITIONS TOTAL $6230

LMP reserves the right to withdraw this proposal if not accepted within 30 days of the date listed above Any alteration or deviation to scope of work involving additional costs must be agreed upon in writing as a separate proposal or change order to this proposal Periodic invoices may be submitted if job is substantial in nature with final invoice being submitted at completion of project Any work performed requiring more than 5 days to complete is subject to progressive payments as portions of the work are completed No finance charge will be imposed if the total of said work is paid in full within 30 days of invoice date If not paid in full within 30 days then customer is subject to finance charges on the balance of the work from the invoice date at a rate of 15 per month until paid LMP shall have the right to stop work under this contract until all outstanding amounts including finance charges are paid in full Payments will be applied to the oldest invoices

ACCEPTANCE OF PROPOSAL The above prices scope of work and terms and conditions are hereby satisfactorily agreed upon LMP Inc has been authorized to perform the work as outlined and payment will be made as outlined above The above pricing does not include any unforeseen modifications to the said irrigation system that could not be reasonably accounted for prior to job start All plant material carries a one (1) year warranty provided LMP Inc is performing landscape maintenance services to the area installed or enhanced at the time of installation If not then there is no warranty on the plant material

OWNER AGENT

DATE

EXHIBIT 5

Independent Franchise Owner Job TBE8F300154 Terry Beamer 9266 Lazy Ln

Date 06012020

EXTERIOR PROPOSALEXTERIOR PROPOSALEXTERIOR PROPOSALEXTERIOR PROPOSAL Tampa FL 33614 813-936-9242

Fax 813 936-9172

1-800-462-3782

License PA2508

Full Workers Compensation Coverage$2000000 General Liability Insurance

DPFG Management amp Consulting LLC (Hawks Point) Raymond Lotito (SB) Hawks Point CDD Ruskin FL 33570 Phone 813-418-7473 Cell 813-220-6089 Email raymondlotitodpfgcom

Special Notes CERTAPRO PAINTERS WILL PAINT WALL FACING 19ST FROM 18TH-24TH

SPECIAL ATTENTION ADDRESSING STUCCO CRACKS USING CONCRETE AND MASONRY PATCH

SPECIAL ATTENTION PRESSURE WASHING LOOSE PEELING PAINT PRIOR TO PAINTING

CERTAPRO PAINTERS WILL ONLY PAINT STREET FACING SIDE- HOMEOWNERS SIDE EXCLUDED FROM PROPOSAL

CUSTOMER RESPONSIBILITIES Please cut back all shrubs bushes and palms away from wall

GENERAL DESCRIPTION Painting to Exterior Wall 18th-24th Facing 19th Ave

PREPARATION Washing To remove dirt mildew and loose paint so the new finish coat will adhere properly

Caulking To fill all cracks and gaps around windows and doorswood work to seal out moisture and drafts Stair step

cracks

Scraping Scrape all loose and peeling paint to ensure a firm base for the new paint

Masonry Repair to all cracks gaps and holes with elastemeric caulking or masonry patch as required

Sanding To degloss where necessary to promote adhesion of the top coat

Surface TypeArea Primer PurposePRIMING

Masonry Loxon sealerprimer Latex For propor top coat adhesion

Conditioner Loxon sealerprimer to all Latex For proper top coat adhesion

masonry surfaces

FINISH COATS

Surface Area

Exterior

ManufacturePaint Type

Sherwin Williams Resilience Ext Satin

Coats

1 primer-sealer 1 spray 1 backroll stucco

Color

Same As Existing

Clean Up Daily and upon completion

$1132900 All Labor Paint Materials

$1132900 TOTAL

Signature of Authorized Franchise Representative Date

Payment is due In Full upon Job Completion

(IWE HAVE READ THE TERMS STATED HEREIN THEY HAVE (IWE) HAVE EXAMINED THE JOB STATED HEREIN THEY EXPLAINED TO (MEUS) AND (IWE) FIND THEM TO BE HAVE SHOWN TO (MEUS) AND (IWE) FIND THE JOB TO SATISFACTORY AND HEREBY ACCEPT THEM BE SATISFACTORY AND HEREBY ACCEPT THE JOB AS

COMPLETE

SIGNATURE Date SIGNATURE Date

QUOTE

Shazam Construction LLC DATE MAY 13 2020

Shazam Hera 6773 Waterton Drive Riverview FL 33578 813-385-4591 ShazamConstructionLLCgmailcom Hawks Point CDD

TO Bill to Development Planning and Financing Group 15310 Amberly Drive Suite 175 Tampa FL 33647

QUANITY DESCRIPTION UNIT PRICE LINE TOTAL

Pressure wash the wall that parallels 19th avenue from 18th street to 24th street in Hawks Point CDD in Ruskin

$1270000

Repair any cracks with caulk or elastomeric as neededPrep for paint

Paint the wall that parallels 19th avenue from 18th street to 24th street in Hawks Point CDD in Ruskin

Paint using body trim and caps of exterior wall facing 19th avenue

Paint while matching existing colors

Paint using Sherwin Williams

All paint materials and labor is included

SUBTOTAL

SALES TAX

TOTAL $1270000

Make all checks payable to Shazam Construction LLC

THANK YOU FOR YOUR BUSINESS

EXHIBIT 6

Independent Franchise Owner Job TB443B00157 Terry Beamer 9266 Lazy Ln

Date 06052020

EXTERIOR PROPOSALEXTERIOR PROPOSALEXTERIOR PROPOSALEXTERIOR PROPOSAL Tampa FL 33614 813-936-9242

Fax 813 936-9172

1-800-462-3782

License PA2508

Full Workers Compensation Coverage$2000000 General Liability Insurance

DPFG Management amp Consulting LLC (Hawks Point) Raymond Lotito (SB) Hawks Point CDD Ruskin FL 33570 Phone 813-418-7473 Cell 813-220-6089 Email raymondlotitodpfgcom

Special Notes CERTAPRO PAINTERS PRESSURE WASHING PROPOSAL 18TH-24TH

CERTAPRO PAINTERS WILL PRESSURE WASH WALL FACING 19TH ST ONLY

GENERAL DESCRIPTION Painting to

PREPARATION Washing To remove dirt mildew and loose paint so the new finish coat will adhere properly

PRIMING Surface TypeArea Primer Purpose

Clean Up Daily and upon completion

All Labor Paint Materials

TOTAL

$195000

$195000

Signature of Authorized Franchise Representative Date

Payment is due In Full upon Job Completion

(IWE HAVE READ THE TERMS STATED HEREIN THEY HAVE (IWE) HAVE EXAMINED THE JOB STATED HEREIN THEY EXPLAINED TO (MEUS) AND (IWE) FIND THEM TO BE HAVE SHOWN TO (MEUS) AND (IWE) FIND THE JOB TO SATISFACTORY AND HEREBY ACCEPT THEM BE SATISFACTORY AND HEREBY ACCEPT THE JOB AS

COMPLETE

SIGNATURE Date SIGNATURE Date

QUOTE

Shazam Construction LLC DATE JUNE 5 2020

Shazam Hera 6773 Waterton Drive Riverview FL 33578 813-385-4591 ShazamConstructionLLCgmailcom Hawks Point CDD

TO Bill to Development Planning and Financing Group 15310 Amberly Drive Suite 175 Tampa FL 33647

QUANITY DESCRIPTION UNIT PRICE LINE TOTAL

Pressure wash the wall that parallels 19th avenue from 18th street to 24th street in Hawks Point CDD in Ruskin

$160000

All materials and labor is included

SUBTOTAL

SALES TAX

TOTAL $160000

Make all checks payable to Shazam Construction LLC

THANK YOU FOR YOUR BUSINESS

EXHIBIT 7

2019FORM 1 STATEMENT OF

Please print or type your name mailing FOR OFFICE USE ONLY FINANCIAL INTERESTS address agency name and position below

LAST NAME -- FIRST NAME -- MIDDLE NAME

MAILING ADDRESS

CITY ZIP COUNTY

NAME OF AGENCY

NAME OF OFFICE OR POSITION HELD OR SOUGHT

CHECK ONLY IF CANDIDATE OR NEW EMPLOYEE OR APPOINTEE

THIS SECTION MUST BE COMPLETED DISCLOSURE PERIOD THIS STATEMENT REFLECTS YOUR FINANCIAL INTERESTS FOR CALENDAR YEAR ENDING DECEMBER 31 2019

MANNER OF CALCULATING REPORTABLE INTERESTS FILERS HAVE THE OPTION OF USING REPORTING THRESHOLDS THAT ARE ABSOLUTE DOLLAR VALUES WHICH REQUIRES FEWER CALCULATIONS OR USING COMPARATIVE THRESHOLDS WHICH ARE USUALLY BASED ON PERCENTAGE VALUES (see instructions for further details) CHECK THE ONE YOU ARE USING (must check one)

COMPARATIVE (PERCENTAGE) THRESHOLDS OR DOLLAR VALUE THRESHOLDS

PART A -- PRIMARY SOURCES OF INCOME [Major sources of income to the reporting person - See instructions] (If you have nothing to report write none or na)

NAME OF SOURCE SOURCES DESCRIPTION OF THE SOURCES OF INCOME ADDRESS PRINCIPAL BUSINESS ACTIVITY

PART B -- SECONDARY SOURCES OF INCOME [Major customers clients and other sources of income to businesses owned by the reporting person - See instructions] (If you have nothing to report write none or na)

NAME OF NAME OF MAJOR SOURCES ADDRESS PRINCIPAL BUSINESS BUSINESS ENTITY OF BUSINESS INCOME OF SOURCE ACTIVITY OF SOURCE

PART C -- REAL PROPERTY [Land buildings owned by the reporting person - See instructions] You are not limited to the space on the (If you have nothing to report write none or na) lines on this form Attach additional

sheets if necessary

FILING INSTRUCTIONS for when and where to file this form are located at the bottom of page 2

INSTRUCTIONS on who must file this form and how to fill it out begin on page 3

CE FORM 1 - Effective January 1 2020 (Continued on reverse side) PAGE 1 Incorporated by reference in Rule 34-8202(1) FAC

FILING INSTRUCTIONS

IF ANY OF PARTS A THROUGH G ARE CONTINUED ON A SEPARATE SHEET PLEASE CHECK HERE

PART D mdash INTANGIBLE PERSONAL PROPERTY [Stocks bonds certificates of deposit etc - See instructions] (If you have nothing to report write none or na) TYPE OF INTANGIBLE BUSINESS ENTITY TO WHICH THE PROPERTY RELATES

PART E mdash LIABILITIES [Major debts - See instructions] (If you have nothing to report write none or na)

NAME OF CREDITOR ADDRESS OF CREDITOR

PART F mdash INTERESTS IN SPECIFIED BUSINESSES [Ownership or positions in certain types of businesses - See instructions] (If you have nothing to report write none or na)

BUSINESS ENTITY 1 BUSINESS ENTITY 2

NAME OF BUSINESS ENTITY

ADDRESS OF BUSINESS ENTITY

PRINCIPAL BUSINESS ACTIVITY

POSITION HELD WITH ENTITY

I OWN MORE THAN A 5 INTEREST IN THE BUSINESS

NATURE OF MY OWNERSHIP INTEREST

If you were mailed the form by the Commission on Ethics or a County Supervisor of Elections for your annual disclosure filing return the form to that location To determine what category your position falls under see page 3 of instructions Local officersemployees file with the Supervisor of Elections of the county in which they permanently reside (If you do not permanently reside in Florida file with the Supervisor of the county where your agency has its headquarters) Form 1 filers who file with the Supervisor of Elections may file by mail or email Contact your Supervisor of Elections for the mailing address or email address to use Do not email your form to the Commission on Ethics it will be returned State officers or specified state employees who file with the Commission on Ethics may file by mail or email To file by mail send the completed form to PO Drawer 15709 Tallahassee FL32317-5709 physical address 325 John Knox Rd Bldg E Ste 200 Tallahassee FL 32303 To file with the Commission by email scan your completed form and any attachments as a pdf (do not use any other format) send it to CEForm1legstateflus and retain a copy for your records Do not file by both mail and email Choose only one filing method Form 6s will not be accepted via email

Candidates file this form together with their filing papers MULTIPLE FILING UNNECESSARY A candidate who files a Form 1 with a qualifying officer is not required to file with the Commission or Supervisor of Elections WHEN TO FILE Initially each local officeremployee state officer and specified state employee must file within 30 days of the date of his or her appointment or of the beginning of employment Appointees who must be confirmed by the Senate must file prior to confirmation even if that is less than 30 days from the date of their appointment Candidates must file at the same time they file their qualifying papers Thereafter file by July 1 following each calendar year in which they hold their positions Finally file a final disclosure form (Form 1F) within 60 days of leaving office or employment Filing a CE Form 1F (Final Statement of Financial Interests) does not relieve the filer of filing a CE Form 1 if the filer was in his or her position on December 31 2019

SIGNATURE OF FILER Signature

____________________________________________

Date Signed

____________________________________________

CPA or ATTORNEY SIGNATURE ONLY If a certified public accountant licensed under Chapter 473 or attorney in good standing with the Florida Bar prepared this form for you he or she must complete the following statement

I _______________________________________ prepared the CE Form 1 in accordance with Section 1123145 Florida Statutes and the instructions to the form Upon my reasonable knowledge and belief the disclosure herein is true and correct

CPAAttorney Signature ______________________________

Date Signed _______________________________________

PART G mdash TRAINING For elected municipal officers required to complete annual ethics training pursuant to section 1123142 FS

I CERTIFY THAT I HAVE COMPLETED THE REQUIRED TRAINING

CE FORM 1 - Effective January 1 2020 PAGE 2 Incorporated by reference in Rule 34-8202(1) FAC

Examplesmdash You are the sole proprietor of a dry cleaning business fromwhich you received more than 10 of your gross incomemdashanamount that was more than $1500 If only one customer auniform rental company provided more than 10 of your drycleaning business you must list the name of the uniform rentalcompany its address and its principal business activity (uniform rentals) mdash You are a 20 partner in a partnership that owns a shopping mall and your partnership income exceeded the thresholds listed above You should list each tenant of the mall that provided more than 10 of the partnershiprsquos gross income and the tenantrsquos address and principal business activity

PART C mdash REAL PROPERTY[Required by s 1123145(3)(a)3 FS]In this part list the location or description of all real property in

Florida in which you owned directly or indirectly at any time during the disclosure period in excess of 5 of the propertyrsquos value You are not required to list your residences You should list any vacation homes if you derive income from them

Indirect ownership includes situations where you are abeneficiary of a trust that owns the property as well as situations where you own more than 5 of a partnership or corporation thatowns the property The value of the property may be determined by the most recently assessed value for tax purposes in the absence of a more current appraisal

The location or description of the property should be sufficient to enable anyone who looks at the form to identify the property Astreet address should be used if one exists PART D mdash INTANGIBLE PERSONAL PROPERTY

[Required by s 1123145(3)(a)3 FS]Describe any intangible personal property that at any time

during the disclosure period was worth more than 10 of your total assets and state the business entity to which the property related Intangible personal property includes things such as cash on hand stocks bonds certificates of deposit vehicle leases interests in businesses beneficial interests in trusts money owed you Deferred Retirement Option Program (DROP) accounts the Florida Prepaid College Plan and bank accounts Intangiblepersonal property also includes investment products held in IRAs brokerage accounts and the Florida College Investment Plan Note that the product contained in a brokerage account IRA or the Florida College Investment Plan is your assetmdashnot the account or plan itself Things like automobiles and houses you own jewelryand paintings are not intangible property Intangibles relating to the same business entity may be aggregated for example CDrsquos and savings accounts with the same bank

Calculations To determine whether the intangible property exceeds 10 of your total assets total the fair market value of all of your assets (including real property intangible property and tangible personal property such as jewelry furniture etc) When making this calculation do not subtract any liabilities (debts) that may relate to the property Multiply the total figure by 10 to arrive at the disclosure threshold List only the intangibles that exceed this threshold amount The value of a leased vehicle is the vehiclersquos present value minus the lease residual (a number which can be found on the lease document) Property that is only jointly owned property should be valued according to the percentage of your joint ownership Property owned as tenants by the entirety or as joint tenants with right of survivorship should be valued at 100 None of your calculations or the value of the property have to be disclosed on the form

Example You own 50 of the stock of a small corporation that is worth $100000 the estimated fair market value of your home and other property (bank accounts automobile furniture etc) is $200000 As your total assets are worth $250000 you must disclose intangibles worth over $25000 Since the value of the stock exceeds this threshold you should list ldquostockrdquo and the name of the corporation If your accounts with a particular bank exceed $25000 you should list ldquobank accountsrdquo and bankrsquos name

PART E mdash LIABILITIES[Required by s 1123145(3)(b)4 FS]List the name and address of each creditor to whom you owed

any amount that at any time during the disclosure period exceeded your net worth You are not required to list the amount of any debt or your net worth You do not have to disclose credit card and retail installment accounts taxes owed (unless reduced to a judgment) indebtedness on a life insurance policy owed to the company of issuance or contingent liabilities A ldquocontingent liabilityrdquo is one that will become an actual liability only when one or more future events occur or fail to occur such as where you are liable only as a guarantor surety or endorser on a promissory note If you are a ldquoco-makerrdquo and are jointly liable or jointly and severally liable it is not a contingent liability

Calculations To determine whether the debt exceeds your net worth total all of your liabilities (including promissory notes mortgages credit card debts judgments against you etc) Theamount of the liability of a vehicle lease is the sum of any past-due payments and all unpaid prospective lease payments Subtract the sum total of your liabilities from the value of all your assets as calculated above for Part D This is your ldquonet worthrdquo List each creditor to whom your debt exceeded this amount unless it is one of the types of indebtedness listed in the paragraph above (credit card and retail installment accounts etc) Joint liabilities with others for which you are ldquojointly and severally liablerdquo meaning that you may be liable for either your part or the whole of the obligation should be included in your calculations at 100 of the amount owed

Example You owe $15000 to a bank for student loans $5000 for credit card debts and $60000 (with spouse) to a savings and loan for a home mortgage Your home (owned by you and your spouse) is worth $80000 and your other property is worth $20000 Since your net worth is $20000 ($100000 minus $80000) you must report only the name and address of the savings and loan

PART F mdash INTERESTS IN SPECIFIED BUSINESSES[Required by s 1123145 FS]The types of businesses covered in this disclosure include

state and federally chartered banks state and federal savings and loan associations cemetery companies insurance companies mortgage companies credit unions small loan companies alcoholic beverage licensees pari-mutuel wagering companies utilitycompanies entities controlled by the Public Service Commission and entities granted a franchise to operate by either a city or acounty government

Disclose in this part the fact that you owned during the disclosure period an interest in or held any of certain positions with the types of businesses listed above You are required to make this disclosure if you own or owned (either directly orindirectly in the form of an equitable or beneficial interest) at any time during the disclosure period more than 5 of the total assets or capital stock of one of the types of business entities listed above You also must complete this part of the form for each of these types of businesses for which you are or were at any time during thedisclosure period an officer director partner proprietor or agent (other than a resident agent solely for service of process)

If you have or held such a position or ownership interest in one of these types of businesses list the name of the business its address and principal business activity and the position held with the business (if any) If you own(ed) more than a 5 interest in the business indicate that fact and describe the nature of your interest

PART G mdash TRAINING CERTIFICATION[Required by s 1123142 FS]If you are a Constitutional or elected municipal officer whose

service began before March 31 of the year for which you are filing you are required to complete four hours of ethics training which addresses Article II Section 8 of the Florida Constitution the Code of Ethics for Public Officers and Employees and the public records and open meetings laws of the state You are required to certify on this form that you have taken such training (End of Percentage Thresholds Instructions)

CE FORM 1 - Effective January 1 2020 Incorporated by reference in Rule 34-8202 FAC PAGE 6

NOTICE Annual Statements of Financial Interests are due July 1 If the annual form is not filed or postmarked by September 1 an automatic fine of $25 for each day late will be imposed up to a maximum penalty of $1500 Failure to file also can result in removal from public office or employment [s 1123145 FS]

In addition failure to make any required disclosure constitutes grounds for and may be punished by one or more of the following disqualification from being on the ballot impeachment removal or suspension from office or employment demotion reduction in salary reprimand or a civil penalty not exceeding $10000 [s 112317 FS]

WHO MUST FILE FORM 1 1) Elected public officials not serving in a political subdivision of the

state and any person appointed to fill a vacancy in such office unlessrequired to file full disclosure on Form 62) Appointed members of each board commission authority

or council having statewide jurisdiction excluding members of solelyadvisory bodies but including judicial nominating commission membersDirectors of Enterprise Florida Scripps Florida Funding Corporationand Career Source Florida and members of the Council on the Social Status of Black Men and Boys the Executive Director Governors and senior managers of Citizens Property Insurance CorporationGovernors and senior managers of Florida Workers Compensation JointUnderwriting Association board members of the Northeast Fla RegionalTransportation Commission board members of Triumph Gulf Coast Incboard members of Florida Is For Veterans Inc and members of the Technology Advisory Council within the Agency for State Technology3) The Commissioner of Education members of the State Board

of Education the Board of Governors the local Boards of Trustees and Presidents of state universities and the Florida Prepaid College Board 4) Persons elected to office in any political subdivision (such as

municipalities counties and special districts) and any person appointedto fill a vacancy in such office unless required to file Form 65) Appointed members of the following boards councils

commissions authorities or other bodies of county municipality schooldistrict independent special district or other political subdivision thegoverning body of the subdivision community college or junior collegedistrict boards of trustees boards having the power to enforce local codeprovisions boards of adjustment community redevelopment agenciesplanning or zoning boards having the power to recommend create ormodify land planning or zoning within a political subdivision except forcitizen advisory committees technical coordinating committees andsimilar groups who only have the power to make recommendationsto planning or zoning boards and except for representatives of a military installation acting on behalf of all military installations within thatjurisdiction pension or retirement boards empowered to invest pensionor retirement funds or determine entitlement to or amount of pensions orother retirement benefits and the Pinellas County Construction LicensingBoard 6) Any appointed member of a local government board who

is required to file a statement of financial interests by the appointingauthority or the enabling legislation ordinance or resolution creating theboard 7) Persons holding any of these positions in local government

mayor county or city manager chief administrative employee or finance

director of a county municipality or other political subdivision county or municipal attorney chief county or municipal building inspectorcounty or municipal water resources coordinator county or municipalpollution control director county or municipal environmental control director county or municipal administrator with power to grant or denya land development permit chief of police fire chief municipal clerkappointed district school superintendent community college presidentdistrict medical examiner purchasing agent (regardless of title) havingthe authority to make any purchase exceeding $35000 for the localgovernmental unit8) Officers and employees of entities serving as chief administrative

officer of a political subdivision9) Members of governing boards of charter schools operated by a

city or other public entity10) Employees in the office of the Governor or of a Cabinet member

who are exempt from the Career Service System excluding secretarialclerical and similar positions11) The following positions in each state department commission

board or council Secretary Assistant or Deputy Secretary ExecutiveDirector Assistant or Deputy Executive Director and anyone having thepower normally conferred upon such persons regardless of title12) The following positions in each state department or division

Director Assistant or Deputy Director Bureau Chief and any personhaving the power normally conferred upon such persons regardless oftitle 13) Assistant State Attorneys Assistant Public Defenders criminal

conflict and civil regional counsel and assistant criminal conflict and civilregional counsel Public Counsel full-time state employees serving ascounsel or assistant counsel to a state agency administrative law judgesand hearing officers14) The Superintendent or Director of a state mental health institute

established for training and research in the mental health field or anymajor state institution or facility established for corrections trainingtreatment or rehabilitation 15) State agency Business Managers Finance and Accounting

Directors Personnel Officers Grant Coordinators and purchasingagents (regardless of title) with power to make a purchase exceeding$35000 16) The following positions in legislative branch agencies each

employee (other than those employed in maintenance clerical secretarial or similar positions and legislative assistants exempted by the presiding officer of their house) and each employee of theCommission on Ethics

INSTRUCTIONS FOR COMPLETING FORM 1 INTRODUCTORY INFORMATION (Top of Form) If your name mailing address public agency and position are already printed on the form you do not need to provide this information unless it should be changed To change any of this information write the correct information on the form and contact your agencys financial disclosure coordinator You can find your coordinator on the Commission on Ethics website wwwethics stateflus NAME OF AGENCY The name of the governmental unit which you serve or served by which you are or were employed or for which you are a candidate DISCLOSURE PERIOD The ldquodisclosure periodrdquo for your report is the calendar year ending December 31 2019

OFFICE OR POSITION HELD OR SOUGHT The title of the office or position you hold are seeking or held during the disclosure period even if you have since left that position If you are a candidate for office or are a new employee or appointee check the appropriate box PUBLIC RECORD The disclosure form and everythingattached to it is a public record Your Social Security Number is not required and you should redact it from any documents you file If you are an active or former officer or employee listed in Section 119071 FS whose home address is exempt from disclosure the Commission will maintain that confidentiality if you submit a written request

CE FORM 1 - Effective January 1 2020 Incorporated by reference in Rule 34-8202 FAC PAGE 3

PART E mdash LIABILITIES[Required by s 1123145(3)(b)4 FS]List the name and address of each creditor to whom you owed more

than $10000 at any time during the disclosure period The amount of theliability of a vehicle lease is the sum of any past-due payments and allunpaid prospective lease payments You are not required to list the amountof any debt You do not have to disclose credit card and retail installmentaccounts taxes owed (unless reduced to a judgment) indebtedness ona life insurance policy owed to the company of issuance or contingentliabilities A ldquocontingent liabilityrdquo is one that will become an actual liabilityonly when one or more future events occur or fail to occur such as whereyou are liable only as a guarantor surety or endorser on a promissorynote If you are a ldquoco-makerrdquo and are jointly liable or jointly and severallyliable then it is not a contingent liability

PART F mdash INTERESTS IN SPECIFIED BUSINESSES[Required by s 1123145(6) FS]The types of businesses covered in this disclosure include state and

federally chartered banks state and federal savings and loan associationscemetery companies insurance companies mortgage companies creditunions small loan companies alcoholic beverage licensees pari-mutuelwagering companies utility companies entities controlled by the PublicService Commission and entities granted a franchise to operate by either acity or a county government

Disclose in this part the fact that you owned during the disclosure period aninterest in or held any of certain positions with the types of businesses listedabove You must make this disclosure if you own or owned (either directly orindirectly in the form of an equitable or beneficial interest) at any time duringthe disclosure period more than 5 of the total assets or capital stock ofone of the types of business entities listed above You also must completethis part of the form for each of these types of businesses for which youare or were at any time during the disclosure period an officer directorpartner proprietor or agent (other than a resident agent solely for service ofprocess)

If you have or held such a position or ownership interest in one ofthese types of businesses list the name of the business its address andprincipal business activity and the position held with the business (if any) Ifyou own(ed) more than a 5 interest in the business indicate that fact anddescribe the nature of your interest

PART G mdash TRAINING CERTIFICATION[Required by s 1123142 FS]If you are a Constitutional or elected municipal officer whose

service began before March 31 of the year for which you are filingyou are required to complete four hours of ethics training which addresses Article II Section 8 of the Florida Constitution the Codeof Ethics for Public Officers and Employees and the public recordsand open meetings laws of the state You are required to certify onthis form that you have taken such training

(End of Dollar Value Thresholds Instructions)

PART A mdash PRIMARY SOURCES OF INCOME[Required by s 1123145(3)(a)1 FS]Part A is intended to require the disclosure of your principal

sources of income during the disclosure period You do not haveto disclose any public salary or public position(s) but income from these public sources should be included when calculating your gross income for the disclosure period The income of your spouse need not be disclosed however if there is joint income to you and your spouse from property you own jointly (such as interest or dividends from a bank account or stocks) you should include all of that income when calculating your gross income and disclose the source of that income if it exceeded the threshold

Please list in this part of the form the name address and principal business activity of each source of your income whichexceeded 5 of the gross income received by you in your own name or by any other person for your benefit or use during the disclosure period

Gross income means the same as it does for income tax purposes even if the income is not actually taxable such as interest on tax-free bonds Examples include compensation for servicesincome from business gains from property dealings interest rents dividends pensions IRA distributions social security distributive share of partnership gross income and alimony but not child support

Examplesmdash If you were employed by a company that manufactures computers and received more than 5 of your gross income from the company list the name of the company its address and its principal business activity (computer manufacturing)mdash If you were a partner in a law firm and your distributive share of partnership gross income exceeded 5 of your gross income then list the name of the firm its address and its principal business activity (practice of law)mdash If you were the sole proprietor of a retail gift business andyour gross income from the business exceeded 5 of your total gross income list the name of the business its addressand its principal business activity (retail gift sales)mdash If you received income from investments in stocks and bonds list each individual company from which you derived

more than 5 of your gross income Do not aggregate all of your investment incomemdash If more than 5 of your gross income was gain from the sale of property (not just the selling price) list as a source of income the purchaserrsquos name address and principal business activityIf the purchasers identity is unknown such as where securities listed on an exchange are sold through a brokerage firm the source of income should be listed as sale of (name of company)stock for examplemdash If more than 5 of your gross income was in the form of interest from one particular financial institution (aggregatinginterest from all CDrsquos accounts etc at that institution) list the name of the institution its address and its principal business activity

PART B mdash SECONDARY SOURCES OF INCOME[Required by s 1123145(3)(a)2 FS]This part is intended to require the disclosure of major customers

clients and other sources of income to businesses in which you ownan interest It is not for reporting income from second jobs That kindof income should be reported in Part A Primary Sources of Incomeif it meets the reporting threshold You will not have anything to reportunless during the disclosure period

(1) You owned (either directly or indirectly in the form of anequitable or beneficial interest) more than 5 of the total assetsor capital stock of a business entity (a corporation partnershipLLC limited partnership proprietorship joint venture trust firmetc doing business in Florida) and(2) You received more than 10 of your gross income from thatbusiness entity and(3) You received more than $1500 in gross income from thatbusiness entity

If your interests and gross income exceeded these thresholds thenfor that business entity you must list every source of income to thebusiness entity which exceeded 10 of the business entityrsquos grossincome (computed on the basis of the business entityrsquos most recentlycompleted fiscal year) the sourcersquos address and the sourcersquosprincipal business activity

IF YOU HAVE CHOSEN COMPARATIVE (PERCENTAGE) THRESHOLDSTHE FOLLOWING INSTRUCTIONS APPLY

CE FORM 1 - Effective January 1 2020 Incorporated by reference in Rule 34-8202 FAC PAGE 5

MANNER OF CALCULATING REPORTABLE INTEREST Filers have the option of reporting based on either thresholds that are comparative (usually based on percentage values) or thresholds that are based on absolute dollar values The instructions on the following pages specifically describe the different thresholds Check the box that reflects the choice you have made You must use the type of threshold you have chosen for each part of the form In other words if you choose to report based on absolute dollar value thresholds you cannot use a percentage threshold on any part of the form

IF YOU HAVE CHOSEN DOLLAR VALUE THRESHOLDS THE FOLLOWING INSTRUCTIONS APPLY

PART A mdash PRIMARY SOURCES OF INCOME [Required by s 1123145(3)(b)1 FS] Part A is intended to require the disclosure of your principal

sources of income during the disclosure period You do not have todisclose any public salary or public position(s) The income of yourspouse need not be disclosed however if there is joint income toyou and your spouse from property you own jointly (such as interestor dividends from a bank account or stocks) you should disclose thesource of that income if it exceeded the threshold

Please list in this part of the form the name address andprincipal business activity of each source of your income whichexceeded $2500 of gross income received by you in your own name or by any other person for your use or benefit

Gross income means the same as it does for income tax purposes even if the income is not actually taxable such as interest on tax-free bonds Examples include compensation for servicesincome from business gains from property dealings interest rentsdividends pensions IRA distributions social security distributive share of partnership gross income and alimony but not child support

Examples mdash If you were employed by a company that manufacturescomputers and received more than $2500 list the name of thecompany its address and its principal business activity (computermanufacturing) mdash If you were a partner in a law firm and your distributive shareof partnership gross income exceeded $2500 list the name ofthe firm its address and its principal business activity (practice oflaw) mdash If you were the sole proprietor of a retail gift business and yourgross income from the business exceeded $2500 list the nameof the business its address and its principal business activity(retail gift sales) mdash If you received income from investments in stocks and bondslist each individual company from which you derived more than$2500 Do not aggregate all of your investment income mdash If more than $2500 of your gross income was gain from thesale of property (not just the selling price) list as a source ofincome the purchaserrsquos name address and principal businessactivity If the purchaserrsquos identity is unknown such as wheresecurities listed on an exchange are sold through a brokeragefirm the source of income should be listed as sale of (name of company) stock for example mdash If more than $2500 of your gross income was in the formof interest from one particular financial institution (aggregatinginterest from all CDrsquos accounts etc at that institution) list the name of the institution its address and its principal business activity

PART B mdash SECONDARY SOURCES OF INCOME [Required by s 1123145(3)(b)2 FS] This part is intended to require the disclosure of major customers

clients and other sources of income to businesses in which you own aninterest It is not for reporting income from second jobs That kind of incomeshould be reported in Part A Primary Sources of Income if it meets thereporting threshold You will not have anything to report unless during thedisclosure period

(1) You owned (either directly or indirectly in the form of an equitableor beneficial interest) more than 5 of the total assets or capitalstock of a business entity (a corporation partnership LLC limitedpartnership proprietorship joint venture trust firm etc doing business in Florida) and (2) You received more than $5000 of your gross income during thedisclosure period from that business entity

If your interests and gross income exceeded these thresholds then for thatbusiness entity you must list every source of income to the business entitywhich exceeded 10 of the business entityrsquos gross income (computed onthe basis of the business entitys most recently completed fiscal year) thesourcersquos address and the sources principal business activity

Examples mdash You are the sole proprietor of a dry cleaning business from whichyou received more than $5000 If only one customer a uniform rentalcompany provided more than 10 of your dry cleaning business youmust list the name of the uniform rental company its address and itsprincipal business activity (uniform rentals) mdash You are a 20 partner in a partnership that owns a shopping malland your partnership income exceeded the above thresholds List eachtenant of the mall that provided more than 10 of the partnershipsgross income and the tenants address and principal business activity

PART C mdash REAL PROPERTY [Required by s 1123145(3)(b)3 FS] In this part list the location or description of all real property in Florida

in which you owned directly or indirectly at any time during the disclosureperiod in excess of 5 of the propertyrsquos value You are not required to listyour residences You should list any vacation homes if you derive incomefrom them

Indirect ownership includes situations where you are a beneficiary of atrust that owns the property as well as situations where you own more than5 of a partnership or corporation that owns the property The value of theproperty may be determined by the most recently assessed value for taxpurposes in the absence of a more current appraisal

The location or description of the property should be sufficient toenable anyone who looks at the form to identify the property A streetaddress should be used if one exists

PART D mdash INTANGIBLE PERSONAL PROPERTY [Required by s 1123145(3)(b)3 FS] Describe any intangible personal property that at any time during the

disclosure period was worth more than $10000 and state the businessentity to which the property related Intangible personal property includesthings such as cash on hand stocks bonds certificates of deposit vehicleleases interests in businesses beneficial interests in trusts money owedyou Deferred Retirement Option Program (DROP) accounts the FloridaPrepaid College Plan and bank accounts Intangible personal propertyalso includes investment products held in IRAs brokerage accounts andthe Florida College Investment Plan Note that the product contained in a brokerage account IRA or the Florida College Investment Plan is yourassetmdashnot the account or plan itself Things like automobiles and housesyou own jewelry and paintings are not intangible property Intangiblesrelating to the same business entity may be aggregated for example CDsand savings accounts with the same bank Property owned as tenants bythe entirety or as joint tenants with right of survivorship should be valued at100 The value of a leased vehicle is the vehiclersquos present value minusthe lease residual (a number found on the lease document)

CE FORM 1 - Effective January 1 2020 Incorporated by reference in Rule 34-8202 FAC PAGE 4

PART A mdash PRIMARY SOURCES OF INCOME[Required by s 1123145(3)(b)1 FS]Part A is intended to require the disclosure of your principal

sources of income during the disclosure period You do not have todisclose any public salary or public position(s) The income of yourspouse need not be disclosed however if there is joint income t oyou and your spouse from property you own jointly (such as interestor dividends from a bank account or stocks) you should disclose thesource of that income if it exceeded the threshold

Please list in this part of the form the name address andprincipal business activity of each source of your income whichexceeded $2500 of gross income received by you in your own name or by any other person for your use or benefit

Gross income means the same as it does for income taxpurposes even if the income is not actually taxable such as intereston tax-free bonds Examples include compensation for servicesincome from business gains from property dealings interest rentsdividends pensions IRA distributions social security distributiveshare of partnership gross income and alimony but not child support

Examplesmdash If you were employed by a company that manufacturescomputers and received more than $2500 list the name of thecompany its address and its principal business activity (computermanufacturing)mdash If you were a partner in a law firm and your distributive shareof partnership gross income exceeded $2500 list the name ofthe firm its address and its principal business activity (practice oflaw)mdash If you were the sole proprietor of a retail gift business and yourgross income from the business exceeded $2500 list the nameof the business its address and its principal business activity(retail gift sales)mdash If you received income from investments in stocks and bondslist each individual company from which you derived more than$2500 Do not aggregate all of your investment incomemdash If more than $2500 of your gross income was gain from thesale of property (not just the selling price) list as a source o fincome the purchaserrsquos name address and principal businessactivity If the purchaserrsquos identity is unknown such as wheresecurities listed on an exchange are sold through a brokeragefirm the source of income should be listed as sale of (name of company) stock for examplemdash If more than $2500 of your gross income was in the formof interest from one particular financial institution (aggregatinginterest from all CDrsquos accounts etc at that institution) list thename of the institution its address and its principal business activity

PART B mdash SECONDARY SOURCES OF INCOME[Required by s 1123145(3)(b)2 FS]This part is intended to require the disclosure of major customers

clients and other sources of income to businesses in which you own aninterest It is not for reporting income from second jobs That kind of incomeshould be reported in Part A Primary Sources of Income if it meets thereporting threshold You will not have anything to report unless during thedisclosure period

(1) You owned (either directly or indirectly in the form of an equitableor beneficial interest) more than 5 of the total assets or capitalstock of a business entity (a corporation partnership LLC limitedpartnership proprietorship joint venture trust firm etc doing business in Florida) and(2) You received more than $5000 of your gross income during thedisclosure period from that business entity

If your interests and gross income exceeded these thresholds then for thatbusiness entity you must list every source of income to the business entitywhich exceeded 10 of the business entityrsquos gross income (computed onthe basis of the business entitys most recently completed fiscal year) thesourcersquos address and the sources principal business activity

Examplesmdash You are the sole proprietor of a dry cleaning business from whichyou received more than $5000 If only one customer a uniform rentalcompany provided more than 10 of your dry cleaning business youmust list the name of the uniform rental company its address and itsprincipal business activity (uniform rentals)mdash You are a 20 partner in a partnership that owns a shopping malland your partnership income exceeded the above thresholds List eachtenant of the mall that provided more than 10 of the partnershipsgross income and the tenants address and principal business activity

PART C mdash REAL PROPERTY[Required by s 1123145(3)(b)3 FS]In this part list the location or description of all real property in Florida

in which you owned directly or indirectly at any time during the disclosureperiod in excess of 5 of the propertyrsquos value You are not required to listyour residences You should list any vacation homes if you derive incomefrom them

Indirect ownership includes situations where you are a beneficiary of atrust that owns the property as well as situations where you own more than5 of a partnership or corporation that owns the property The value of theproperty may be determined by the most recently assessed value for taxpurposes in the absence of a more current appraisal

The location or description of the property should be sufficient toenable anyone who looks at the form to identify the property A streetaddress should be used if one exists

PART D mdash INTANGIBLE PERSONAL PROPERTY[Required by s 1123145(3)(b)3 FS]Describe any intangible personal property that at any time during the

disclosure period was worth more than $10000 and state the businessentity to which the property related Intangible personal property includesthings such as cash on hand stocks bonds certificates of deposit vehicleleases interests in businesses beneficial interests in trusts money owedyou Deferred Retirement Option Program (DROP) accounts the FloridaPrepaid College Plan and bank accounts Intangible personal propertyalso includes investment products held in IRAs brokerage accounts andthe Florida College Investment Plan Note that the product contained ina brokerage account IRA or the Florida College Investment Plan is yourassetmdashnot the account or plan itself Things like automobiles and housesyou own jewelry and paintings are not intangible property Intangiblesrelating to the same business entity may be aggregated for example CDsand savings accounts with the same bank Property owned as tenants bythe entirety or as joint tenants with right of survivorship should be valued at100 The value of a leased vehicle is the vehiclersquos present value minusthe lease residual (a number found on the lease document)

Filers have the option of reporting based on either thresholds that are comparative (usually based on percentage values) orthresholds that are based on absolute dollar values The instructions on the following pages specifically describe the differentthresholds Check the box that reflects the choice you have made You must use the type of threshold you have chosen for eachpart of the form In other words if you choose to report based on absolute dollar value thresholds you cannot use a percentagethreshold on any part of the form

MANNER OF CALCULATING REPORTABLE INTEREST

IF YOU HAVE CHOSEN DOLLAR VALUE THRESHOLDSTHE FOLLOWING INSTRUCTIONS APPLY

CE FORM 1 - Effective January 1 2020 Incorporated by reference in Rule 34-8202 FAC PAGE 4

PART E mdash LIABILITIES [Required by s 1123145(3)(b)4 FS] List the name and address of each creditor to whom you owed more

than $10000 at any time during the disclosure period The amount of theliability of a vehicle lease is the sum of any past-due payments and allunpaid prospective lease payments You are not required to list the amountof any debt You do not have to disclose credit card and retail installmentaccounts taxes owed (unless reduced to a judgment) indebtedness ona life insurance policy owed to the company of issuance or contingentliabilities A ldquocontingent liabilityrdquo is one that will become an actual liabilityonly when one or more future events occur or fail to occur such as whereyou are liable only as a guarantor surety or endorser on a promissorynote If you are a ldquoco-makerrdquo and are jointly liable or jointly and severallyliable then it is not a contingent liability

PART F mdash INTERESTS IN SPECIFIED BUSINESSES [Required by s 1123145(6) FS] The types of businesses covered in this disclosure include state and

federally chartered banks state and federal savings and loan associationscemetery companies insurance companies mortgage companies creditunions small loan companies alcoholic beverage licensees pari-mutuelwagering companies utility companies entities controlled by the PublicService Commission and entities granted a franchise to operate by either acity or a county government

Disclose in this part the fact that you owned during the disclosure period aninterest in or held any of certain positions with the types of businesses listedabove You must make this disclosure if you own or owned (either directly orindirectly in the form of an equitable or beneficial interest) at any time duringthe disclosure period more than 5 of the total assets or capital stock ofone of the types of business entities listed above You also must completethis part of the form for each of these types of businesses for which youare or were at any time during the disclosure period an officer directorpartner proprietor or agent (other than a resident agent solely for service ofprocess)

If you have or held such a position or ownership interest in one ofthese types of businesses list the name of the business its address andprincipal business activity and the position held with the business (if any) Ifyou own(ed) more than a 5 interest in the business indicate that fact anddescribe the nature of your interest

PART G mdash TRAINING CERTIFICATION [Required by s 1123142 FS] If you are a Constitutional or elected municipal officer whose

service began before March 31 of the year for which you are filingyou are required to complete four hours of ethics training which addresses Article II Section 8 of the Florida Constitution the Code of Ethics for Public Officers and Employees and the public recordsand open meetings laws of the state You are required to certify onthis form that you have taken such training

(End of Dollar Value Thresholds Instructions)

IF YOU HAVE CHOSEN COMPARATIVE (PERCENTAGE) THRESHOLDS THE FOLLOWING INSTRUCTIONS APPLY

PART A mdash PRIMARY SOURCES OF INCOME [Required by s 1123145(3)(a)1 FS] Part A is intended to require the disclosure of your principal

sources of income during the disclosure period You do not haveto disclose any public salary or public position(s) but income from these public sources should be included when calculating your gross income for the disclosure period The income of your spouse need not be disclosed however if there is joint income to you and your spouse from property you own jointly (such as interest or dividends from a bank account or stocks) you should include all of that income when calculating your gross income and disclose the source of that income if it exceeded the threshold

Please list in this part of the form the name address and principal business activity of each source of your income whichexceeded 5 of the gross income received by you in your own name or by any other person for your benefit or use during the disclosure period

Gross income means the same as it does for income tax purposes even if the income is not actually taxable such as interest on tax-free bonds Examples include compensation for servicesincome from business gains from property dealings interest rents dividends pensions IRA distributions social security distributive share of partnership gross income and alimony but not child support

Examples mdash If you were employed by a company that manufactures computers and received more than 5 of your gross income from the company list the name of the company its address and its principal business activity (computer manufacturing) mdash If you were a partner in a law firm and your distributive share of partnership gross income exceeded 5 of your gross income then list the name of the firm its address and its principal business activity (practice of law) mdash If you were the sole proprietor of a retail gift business andyour gross income from the business exceeded 5 of your total gross income list the name of the business its addressand its principal business activity (retail gift sales) mdash If you received income from investments in stocks and bonds list each individual company from which you derived

more than 5 of your gross income Do not aggregate all of your investment income mdash If more than 5 of your gross income was gain from the sale of property (not just the selling price) list as a source of income the purchaserrsquos name address and principal business activityIf the purchasers identity is unknown such as where securities listed on an exchange are sold through a brokerage firm the source of income should be listed as sale of (name of company)stock for example mdash If more than 5 of your gross income was in the form of interest from one particular financial institution (aggregatinginterest from all CDrsquos accounts etc at that institution) list the name of the institution its address and its principal business activity

PART B mdash SECONDARY SOURCES OF INCOME [Required by s 1123145(3)(a)2 FS] This part is intended to require the disclosure of major customers

clients and other sources of income to businesses in which you ownan interest It is not for reporting income from second jobs That kindof income should be reported in Part A Primary Sources of Incomeif it meets the reporting threshold You will not have anything to report unless during the disclosure period

(1) You owned (either directly or indirectly in the form of anequitable or beneficial interest) more than 5 of the total assetsor capital stock of a business entity (a corporation partnershipLLC limited partnership proprietorship joint venture trust firmetc doing business in Florida) and (2) You received more than 10 of your gross income from thatbusiness entity and (3) You received more than $1500 in gross income from thatbusiness entity

If your interests and gross income exceeded these thresholds thenfor that business entity you must list every source of income to thebusiness entity which exceeded 10 of the business entityrsquos grossincome (computed on the basis of the business entityrsquos most recentlycompleted fiscal year) the sourcersquos address and the sourcersquos principal business activity

CE FORM 1 - Effective January 1 2020 Incorporated by reference in Rule 34-8202 FAC PAGE 5

NOTICE Annual Statements of Financial Interests are due July 1 If the annual form is not filed or postmarked by September 1 an automatic fine of $25 for each day late will be imposed up to a maximum penalty of $1500 Failure to file also can result in removal from public office or employment [s 1123145 FS]

In addition failure to make any required disclosure constitutes grounds for and may be punished by one or more of the following disqualification from being on the ballot impeachment removal or suspension from office or employment demotion reduction in salary reprimand or a civil penalty not exceeding $10000 [s 112317 FS]

1) Elected public officials not serving in a political subdivision of thestate and any person appointed to fill a vacancy in such office unlessrequired to file full disclosure on Form 62) Appointed members of each board commission authority

or council having statewide jurisdiction excluding members of solelyadvisory bodies but including judicial nominating commission membersDirectors of Enterprise Florida Scripps Florida Funding Corporationand Career Source Florida and members of the Council on the SocialStatus of Black Men and Boys the Executive Director Governors and senior managers of Citizens Property Insurance CorporationGovernors and senior managers of Florida Workers Compensation JointUnderwriting Association board members of the Northeast Fla RegionalTransportation Commission board members of Triumph Gulf Coast Incboard members of Florida Is For Veterans Inc and members of theTechnology Advisory Council within the Agency for State Technology3) The Commissioner of Education members of the State Board

of Education the Board of Governors the local Boards of Trustees andPresidents of state universities and the Florida Prepaid College Board4) Persons elected to office in any political subdivision (such a s

municipalities counties and special districts) and any person appointedto fill a vacancy in such office unless required to file Form 65) Appointed members of the following boards councils

commissions authorities or other bodies of county municipality schooldistrict independent special district or other political subdivision thegoverning body of the subdivision community college or junior collegedistrict boards of trustees boards having the power to enforce local codeprovisions boards of adjustment community redevelopment agenciesplanning or zoning boards having the power to recommend create ormodify land planning or zoning within a political subdivision except forcitizen advisory committees technical coordinating committees andsimilar groups who only have the power to make recommendationsto planning or zoning boards and except for representatives of amilitary installation acting on behalf of all military installations within thatjurisdiction pension or retirement boards empowered to invest pensionor retirement funds or determine entitlement to or amount of pensions orother retirement benefits and the Pinellas County Construction LicensingBoard6) Any appointed member of a local government board who

is required to file a statement of financial interests by the appointingauthority or the enabling legislation ordinance or resolution creating theboard7) Persons holding any of these positions in local government

mayor county or city manager chief administrative employee or finance

director of a county municipality or other political subdivision countyor municipal attorney chief county or municipal building inspectorcounty or municipal water resources coordinator county or municipalpollution control director county or municipal environmental controldirector county or municipal administrator with power to grant or denya land development permit chief of police fire chief municipal clerkappointed district school superintendent community college presidentdistrict medical examiner purchasing agent (regardless of title) havingthe authority to make any purchase exceeding $35000 for the localgovernmental unit8) Officers and employees of entities serving as chief administrative

officer of a political subdivision9) Members of governing boards of charter schools operated by a

city or other public entity10) Employees in the office of the Governor or of a Cabinet member

who are exempt from the Career Service System excluding secretarialclerical and similar positions11) The following positions in each state department commission

board or council Secretary Assistant or Deputy Secretary ExecutiveDirector Assistant or Deputy Executive Director and anyone having thepower normally conferred upon such persons regardless of title12) The following positions in each state department or division

Director Assistant or Deputy Director Bureau Chief and any personhaving the power normally conferred upon such persons regardless oftitle13) Assistant State Attorneys Assistant Public Defenders criminal

conflict and civil regional counsel and assistant criminal conflict and civilregional counsel Public Counsel full-time state employees serving ascounsel or assistant counsel to a state agency administrative law judgesand hearing officers14) The Superintendent or Director of a state mental health institute

established for training and research in the mental health field or anymajor state institution or facility established for corrections trainingtreatment or rehabilitation15) State agency Business Managers Finance and Accounting

Directors Personnel Officers Grant Coordinators and purchasingagents (regardless of title) with power to make a purchase exceeding$3500016) The following positions in legislative branch agencies each

employee (other than those employed in maintenance clerical secretarial or similar positions and legislative assistants exemptedby the presiding officer of their house) and each employee of theCommission on Ethics

INSTRUCTIONS FOR COMPLETING FORM 1INTRODUCTORY INFORMATION (Top of Form) If your name mailing address public agency and position are already printed on the form you do not need to provide this information unless it should be changed To change any of this information write the correct information on the form and contact your agencys financial disclosure coordinator You can find your coordinator on the Commission on Ethics website wwwethicsstateflus NAME OF AGENCY The name of the governmental unit which you serve or served by which you are or were employed or for which you are a candidate DISCLOSURE PERIOD The ldquodisclosure periodrdquo for your report is the calendar year ending December 31 2019

OFFICE OR POSITION HELD OR SOUGHT The title of the office or position you hold are seeking or held during the disclosure period even if you have since left that position If you are a candidate for office or are a new employee or appointee check the appropriate boxPUBLIC RECORD The disclosure form and everythingattached to it is a public record Your Social Security Number is not required and you should redact it from any documents you file If you are an active or former officer or employee listed in Section 119071 FS whose home address is exempt from disclosure the Commission will maintain that confidentiality if you submit a written request

WHO MUST FILE FORM 1

CE FORM 1 - Effective January 1 2020 Incorporated by reference in Rule 34-8202 FAC PAGE 3

Examples PART E mdash LIABILITIES mdash You are the sole proprietor of a dry cleaning business from [Required by s 1123145(3)(b)4 FS]which you received more than 10 of your gross incomemdashan List the name and address of each creditor to whom you owed amount that was more than $1500 If only one customer a any amount that at any time during the disclosure period exceeded uniform rental company provided more than 10 of your dry your net worth You are not required to list the amount of any debt cleaning business you must list the name of the uniform rental or your net worth You do not have to disclose credit card and retail company its address and its principal business activity (uniform installment accounts taxes owed (unless reduced to a judgment) rentals) indebtedness on a life insurance policy owed to the company of mdash You are a 20 partner in a partnership that owns a shopping issuance or contingent liabilities A ldquocontingent liabilityrdquo is one mall and your partnership income exceeded the thresholds that will become an actual liability only when one or more future listed above You should list each tenant of the mall that events occur or fail to occur such as where you are liable only as provided more than 10 of the partnershiprsquos gross income and a guarantor surety or endorser on a promissory note If you are a the tenantrsquos address and principal business activity ldquoco-makerrdquo and are jointly liable or jointly and severally liable it is not

a contingent liability PART C mdash REAL PROPERTY Calculations To determine whether the debt exceeds your

[Required by s 1123145(3)(a)3 FS] net worth total all of your liabilities (including promissory notes mortgages credit card debts judgments against you etc) TheIn this part list the location or description of all real property in amount of the liability of a vehicle lease is the sum of any past-due Florida in which you owned directly or indirectly at any time during payments and all unpaid prospective lease payments Subtract the disclosure period in excess of 5 of the propertyrsquos value You the sum total of your liabilities from the value of all your assets are not required to list your residences You should list any vacation as calculated above for Part D This is your ldquonet worthrdquo List each homes if you derive income from them creditor to whom your debt exceeded this amount unless it is one of

Indirect ownership includes situations where you are a the types of indebtedness listed in the paragraph above (credit card beneficiary of a trust that owns the property as well as situations and retail installment accounts etc) Joint liabilities with others for where you own more than 5 of a partnership or corporation that which you are ldquojointly and severally liablerdquo meaning that you may owns the property The value of the property may be determined by be liable for either your part or the whole of the obligation should be the most recently assessed value for tax purposes in the absence included in your calculations at 100 of the amount owed of a more current appraisal

Example You owe $15000 to a bank for student loans $5000 The location or description of the property should be sufficient for credit card debts and $60000 (with spouse) to a savings to enable anyone who looks at the form to identify the property A and loan for a home mortgage Your home (owned by you and street address should be used if one exists your spouse) is worth $80000 and your other property is worth PART D mdash INTANGIBLE PERSONAL PROPERTY $20000 Since your net worth is $20000 ($100000 minus

$80000) you must report only the name and address of the [Required by s 1123145(3)(a)3 FS] savings and loan Describe any intangible personal property that at any time

during the disclosure period was worth more than 10 of your PART F mdash INTERESTS IN SPECIFIED BUSINESSES total assets and state the business entity to which the property [Required by s 1123145 FS] related Intangible personal property includes things such as cash on hand stocks bonds certificates of deposit vehicle leases The types of businesses covered in this disclosure include interests in businesses beneficial interests in trusts money owed state and federally chartered banks state and federal savings and you Deferred Retirement Option Program (DROP) accounts loan associations cemetery companies insurance companies the Florida Prepaid College Plan and bank accounts Intangible mortgage companies credit unions small loan companies alcoholic personal property also includes investment products held in IRAs beverage licensees pari-mutuel wagering companies utilitybrokerage accounts and the Florida College Investment Plan companies entities controlled by the Public Service Commission Note that the product contained in a brokerage account IRA or the and entities granted a franchise to operate by either a city or a Florida College Investment Plan is your assetmdashnot the account or county governmentplan itself Things like automobiles and houses you own jewelry Disclose in this part the fact that you owned during the and paintings are not intangible property Intangibles relating to the disclosure period an interest in or held any of certain positions same business entity may be aggregated for example CDrsquos and with the types of businesses listed above You are requiredsavings accounts with the same bank to make this disclosure if you own or owned (either directly or

Calculations To determine whether the intangible property indirectly in the form of an equitable or beneficial interest) at any exceeds 10 of your total assets total the fair market value of time during the disclosure period more than 5 of the total assets all of your assets (including real property intangible property and or capital stock of one of the types of business entities listed above tangible personal property such as jewelry furniture etc) When You also must complete this part of the form for each of these types making this calculation do not subtract any liabilities (debts) that of businesses for which you are or were at any time during themay relate to the property Multiply the total figure by 10 to arrive disclosure period an officer director partner proprietor or agent at the disclosure threshold List only the intangibles that exceed (other than a resident agent solely for service of process) this threshold amount The value of a leased vehicle is the vehiclersquos If you have or held such a position or ownership interest in present value minus the lease residual (a number which can be one of these types of businesses list the name of the business its found on the lease document) Property that is only jointly owned address and principal business activity and the position held with property should be valued according to the percentage of your the business (if any) If you own(ed) more than a 5 interest in the joint ownership Property owned as tenants by the entirety or as business indicate that fact and describe the nature of your interest joint tenants with right of survivorship should be valued at 100 None of your calculations or the value of the property have to be PART G mdash TRAINING CERTIFICATIONdisclosed on the form

[Required by s 1123142 FS] Example You own 50 of the stock of a small corporation that is worth $100000 the estimated fair market value of If you are a Constitutional or elected municipal officer whoseyour home and other property (bank accounts automobile service began before March 31 of the year for which you are filing furniture etc) is $200000 As your total assets are worth you are required to complete four hours of ethics training which $250000 you must disclose intangibles worth over $25000 addresses Article II Section 8 of the Florida Constitution the Code Since the value of the stock exceeds this threshold you of Ethics for Public Officers and Employees and the public records should list ldquostockrdquo and the name of the corporation If your and open meetings laws of the state You are required to certify on accounts with a particular bank exceed $25000 you should this form that you have taken such training list ldquobank accountsrdquo and bankrsquos name

(

End of Percentage Thresholds Instructions) CE FORM 1 - Effective January 1 2020 Incorporated by reference in Rule 34-8202 FAC PAGE 6

  • 0 HP Cover Page v2
  • 1 Hawks Point Meeting Invite Draft v2
  • 2 Agenda Draft v3
  • 3 EXHIBIT 1
  • 7 HP 05-19-2020 Meeting Minutes Approved
  • 6 EXHIBIT 2
  • 9 HP May FY20 Fin
  • 8 EXHIBIT 3
  • 4 Vacant Position Qualification Requirements for Hawks Point CDD
    • Vacant Position on the Board of Supervisors of the Hawkrsquos Point Community Development District
      • Qualification Requirements
      • Instructions for Interested Candidates
      • Additional Notes
          • 5 Shami Choon Vacant Position - updated 11-5-11 resume
            • 1803 Oak Pond Street Ruskin Fl 33570 E-mailchoons27gmailcom
              • PROFESSIONAL HISTORY
                • Operations Manager Florida Distribution 2002 ndash 2005
                • Operations Manager for Florida Branch Distribution 1999 ndash 2002
                • Warehouse Manager of Miami Distribution Center 1998 ndash 1999
                • Branch Manager of West Palm Beach 1994 ndash 1998
                • Assistant Branch Manager 1991 ndash 1994
                • Customer Service Agent 1990 ndash 1991
                  • 10 EXHIBIT 4
                  • 11 New Business - Hawks Point CDD - MI proposal
                  • 12 EXHIBIT 5
                  • 13 CertaPro Proposal to Paint Exterior Wall 18th to 24th Avenue
                  • 14 Shazam Construction Proposal to Paint Exterior Wall 18th to 24th Street
                    • QUOTE
                      • TO
                          • 15 Photo to accompany Shazam Proposal
                          • 16 EXHIBIT 6
                          • 17 CertaPro Proposal for Pressure Washing Exterior Wall 18th St to 24th Street
                          • 18 Shazam Construction Proposal for Pressure Washing Exterion Wall 18th Street to 24th Street
                            • QUOTE
                              • TO
                                  • 19 EXHIBIT 7
                                  • 20 Form 1_2019i
                                      1. LAST NAME
                                      2. FIRST NAME
                                      3. MIDDLE NAME
                                      4. MAILING ADDRESS ROW 1
                                      5. MAILING ADDRESS ROW 2
                                      6. CITY
                                      7. ZIP
                                      8. COUNTY
                                      9. NAME OF AGENCY
                                      10. NAME OF OFFICE OR POSITION HELD OR SOUGHT
                                      11. CANDIDATE Off
                                      12. NEW EMPLOYEE OR APPOINTEE Off
                                      13. COMPARATIVE (PERCENTAGE) THRESHOLDS Off
                                      14. DOLLAR VALUE THRESHOLDS Off
                                      15. NAME OF SOURCE INCOME ROW 1
                                      16. ADDRESS ROW 1
                                      17. DESCRIPTION OF THE SOURCES PRINCIPAL BUSINESS ACTIVITY ROW 1
                                      18. NAME OF SOURCE INCOME ROW 2
                                      19. ADDRESS ROW 2
                                      20. DESCRIPTION OF THE SOURCES PRINCIPAL BUSINESS ACTIVITY ROW 2
                                      21. NAME OF SOURCE INCOME ROW 3
                                      22. ADDRESS ROW 3
                                      23. DESCRIPTION OF THE SOURCES PRINCIPAL BUSINESS ACTIVITY ROW 3
                                      24. NAME OF SOURCE INCOME ROW 4
                                      25. ADDRESS ROW 4
                                      26. DESCRIPTION OF THE SOURCES PRINCIPAL BUSINESS ACTIVITY ROW 4
                                      27. NAME OF BUSINESS ENTITY ROW 1
                                      28. NAME OF MAJOR SOURCES OF BUSINESS INCOME ROW 1
                                      29. ADDRESS OF SOURCE ROW 1
                                      30. PRINCIPAL BUSINESS ACTIVITY OF SOURCE ROW 1
                                      31. NAME OF BUSINESS ENTITY ROW 2
                                      32. NAME OF MAJOR SOURCES OF BUSINESS INCOME ROW 2
                                      33. ADDRESS OF SOURCE ROW 2
                                      34. PRINCIPAL BUSINESS ACTIVITY OF SOURCE ROW 2
                                      35. NAME OF BUSINESS ENTITY ROW 3
                                      36. NAME OF MAJOR SOURCES OF BUSINESS INCOME ROW 3
                                      37. ADDRESS OF SOURCE ROW 3
                                      38. PRINCIPAL BUSINESS ACTIVITY OF SOURCE ROW 3
                                      39. REAL PROPERTY ROW 1
                                      40. REAL PROPERTY ROW 2
                                      41. REAL PROPERTY ROW 3
                                      42. REAL PROPERTY ROW 4
                                      43. TYPE OF INTANGIBLE ROW 1
                                      44. BUSINESS ENTITY TO WHICH THE PROPERTY RELATES ROW 1
                                      45. TYPE OF INTANGIBLE ROW 2
                                      46. BUSINESS ENTITY TO WHICH THE PROPERTY RELATES ROW 2
                                      47. NAME OF CREDITOR ROW 1
                                      48. ADDRESS OF CREDITOR ROW 1
                                      49. NAME OF CREDITOR ROW 2
                                      50. ADDRESS OF CREDITOR ROW 2
                                      51. ADDRESS OF BUSINESS ENTITY 1
                                      52. PRINCIPAL BUSINESS ACTIVITY 1
                                      53. POSITION HELD WITH ENTITY 1
                                      54. I OWN MORE THAN A 5 INTEREST IN THE BUSINESS 1
                                      55. NATURE OF MY OWNERSHIP INTEREST 1
                                      56. ADDRESS OF BUSINESS ENTITY 2
                                      57. PRINCIPAL BUSINESS ACTIVITY 2
                                      58. POSITION HELD WITH ENTITY 2
                                      59. I OWN MORE THAN A 5 INTEREST IN THE BUSINESS 2
                                      60. NATURE OF MY OWNERSHIP INTEREST 2
                                      61. FOR ELECTED MUNICIPAL OFFICERS REQUIRED TO COMPLETE ANNUAL ETHICS TRAINING PURSUANT TO SECTION 112
                                        1. 3142 F
                                          1. S Off
                                              1. IF ANY OF PARTS A THROUGH G ARE CONTINUED ON A SEPARATE SHEET PLEASE CHECK HERE Off
                                              2. SIGNATURE
                                              3. Date Signed
Page 8: HAWKS POINT COMMUNITY DEVELOPMENT …...2020/06/16  · Hawks Point Community Development District Board of Supervisors Meeting Tuesday, June 16th at 6:30 PM via Zoom All: We welcome

MINUTES OF MEETING 1

HAWKS POINT 2

COMMUNITY DEVELOPMENT DISTRICT 3

The Regular Meeting of the Board of Supervisors of the Hawks Point Community Development 4 District was held on Tuesday May 19 2020 at 630 pm via electronic teleconference 5

FIRST ORDER OF BUSINESS ndash Roll Call 6

Mr Lotito called the meeting to order and conducted roll call 7

Present and constituting a quorum were 8

Chantal Copeland Board Supervisor Chairwoman 9 Sherri Keene Board Supervisor Vice Chairwoman 10 William Hathaway Board Supervisor Assistant Secretary 11 Caryn Williams Board Supervisor Assistant Secretary 12

Also present were 13

Ray Lotito District Manager DPFG Management amp Consulting LLC 14 Vivek Babbar District Counsel Straley Robin Vericker 15 Paul Gomez Landscape Maintenance Professionals Inc 16 David Manfrin Landscape Maintenance Professionals Inc 17 Mitchell Moore Stantec Engineering 18 Adam Markle Stantec Engineering 19 Joe Hamilton Steadfast Environmental 20 Cary Brown Hawks Point Resident 21

The following is a summary of the discussions and actions taken at the May 19 2020 Hawks Point CDD 22 Board of Supervisors Regular Meeting 23

SECOND ORDER OF BUSINESS ndash Audience Comments 24

Ms Brown indicated that she had sent in a list of questions for the Board regarding items on the 25 agenda Mr Lotito clarified in response that the electric meters were for irrigation pumps advised 26 that the Board was required to hire a District management firm with a number of responsibilities 27 dictated under Florida Statute 190 and addressed concerns regarding contract renewals 28

THIRD ORDER OF BUSINESS ndash Landscape amp Pond Maintenance Reports 29

A LMP Landscape amp Irrigation Monthly Report 30

Ms Brown asked about treatments used and Mr Gomez clarified that they were not Roundup 31

B Pond Maintenance Report ndash Stantec 32

FOURTH ORDER OF BUSINESS ndash Administrative Matters ndash Consent Agenda 33

A Exhibit 1 Consideration and Approval of Minutes of the April 21 2020 Meeting 34

B Exhibit 2 Acceptance of the Unaudited April 2020 Financial Statements 35

On a MOTION by Ms Copeland SECONDED by Ms Keene WITH ALL IN FAVOR the Board 36 approved Items A ndash B of the Consent Agenda for the Hawks Point Community Development District 37

FIFTH ORDER OF BUSINESS ndash Business Matters 38

A New Business 39

1 Exhibit 3 Presentation and Discussion of the FY 2021 Budget 40

Hawks Point CDD May 19 2020

Regular Meeting Page 2 of 3

2 Exhibit 4 Consideration and Adoption of Resolution 2020-02 Approving Proposed 41

Budget and Setting Public Hearing for Final Budget 42

On a MOTION by Mr Hathaway SECONDED by Ms Copeland WITH ALL IN FAVOR the Board 43 adopted Resolution 2020-02 Approving Proposed Budget and Setting Public Hearing for Final Budget 44 for the Hawks Point Community Development District 45

3 Exhibit 5 Hillsborough County Number of Registered Voters for Hawks Point ndash 1554 46

4 Exhibit 6 Consideration of Steadfast Environmental Proposal for Pond Plantings ndash No 47 98 - $450000 48

Mr Lotito indicated that this item was to improve quality of storm water discharge and to 49 proactively prevent erosion and noted that the plantings had been budgeted for multiple 50 years but never implemented Mr Hamilton gave an overview of areas for planting and 51 types of plants noting that budget restrictions may lead to the Board needing to prioritize 52 areas Discussion ensued 53

On a MOTION by Mr Hathaway SECONDED by Ms Williams WITH ALL IN FAVOR the Board 54 approved the Steadfast Environmental Proposal for Pond Plantings in the amount of $450000 for the 55 Hawks Point Community Development District 56

5 Exhibit 7 Consideration of LMP Proposal for Palm Trimming ndash No 65827 - $81900 57

This item was tabled to the next meeting pending determination of property ownership 58 by District Counsel 59

B Old Business 60

1 Exhibit 8 Consideration of the Stantec Proposal for Landscape Design for Improvement 61 of Monuments and Common Areas - $1275000 62

Mr Markle gave an overview of the proposal in terms of the scope of landscape design 63 and contractor oversight A resident indicated that she felt the cost of the proposal for 64 design was excessive Discussion ensued 65

On a MOTION by Ms Copeland SECONDED by Ms Williams WITH ALL IN FAVOR the Board 66 approved the Stantec Proposal for Landscape Design for Improvement of Monuments and Common 67 Areas in the amount of $1275000 for the Hawks Point Community Development District 68

2 Exhibit 9 Consideration of LMP Proposals 69

Replace Faulty Hunter 1 Station Decoder ndash Estimate No 64891 - $21050 70

Repair Controller 1 ndash Estimate No 64935 - $19100 71

Repair Controller 3 ndash Estimate No 64936 - $10600 72

Repair Controller 5 ndash Estimate No 64937 - $2900 73

On a MOTION by Mr Hathaway SECONDED by Ms Keene WITH ALL IN FAVOR the Board 74 approved all LMP repair and replacement proposals for the Hawks Point Community Development 75 District 76

Hawks Point CDD May 19 2020

Regular Meeting Page 3 of 3

SIXTH ORDER OF BUSINESS ndash Staff Reports 77

A District Manager 78

There being none the next item followed 79

B District Counsel 80

Mr Babbar noted that District Engineering had recommended an irrigation specialist and that a 81 proposal from the specialist would be forthcoming 82

C District Engineer 83

There being none the next item followed 84

SEVENTH ORDER OF BUSINESS ndash Supervisors Requests 85

There being none the next item followed 86

EIGHTH ORDER OF BUSINESS ndash Audience Comments ndash New Business 87

A resident asked about the ownership of a conservation area at 18th and Hawks Island and Mr 88 Hathaway indicated that this was CDD property The resident noted that the conservation area 89 had been overgrown onto the sidewalk 90

NINTH ORDER OF BUSINESS ndash Adjournment 91

Mr Lotito asked for final questions comments or corrections before requesting a motion to 92 adjourn the meeting There being none Mr Hathaway made a motion to adjourn the meeting 93

On a MOTION by Mr Hathaway SECONDED by Ms Williams WITH ALL IN FAVOR the Board 94 adjourned the meeting for the Hawks Point Community Development District 95

Each person who decides to appeal any decision made by the Board with respect to any matter 96 considered at the meeting is advised that person may need to ensure that a verbatim record of the 97 proceedings is made including the testimony and evidence upon which such appeal is to be based 98

Meeting minutes were approved at a meeting by vote of the Board of Supervisors at a publicly noticed 99 meeting held on ________________________ 100

101

Signature Signature

102

Printed Name Printed Name

Title Secretary Assistant Secretary Title Chairman Vice Chairman 103

EXHIBIT 2

Hawks Point

Community Development District

Financial Statements

(Unaudited)

Period Ending

May 31 2020

DEBT

GENERAL SERVICE CONSOLIDATED

FUND SERIES 2017 TOTAL

1 ASSETS

2

3 CASH 66142$ -$ 66142$

4 MMK 456665 - 456665

5 INVESTMENTS

6 REVENUE FUND - 203538 203538

7 INTEREST FUNDS - 195 195

8 PRINCIPAL FUNDS - - -

9 SINKING FUNDS - 1 1

11 RESERVE - 266003 266003

12 ACCOUNTS RECEIVABLE 2588 - 2588

13 ASSESMENTS RECEIVABLE 2781 3237 6018

14 DUE FROM GF - 172 172

15 PREPAID ITEMS - - -

16 DEPOSITS 451 - 451

17 TOTAL ASSETS 528627$ 473145$ 1001772$

18

19 LIABILITIES

20

21 ACCOUNTS PAYABLE 537$ -$ 537$

22 DUE TO DEBT SERVICE SERIES 2017 172 - 172

23 ACCRUED INTEREST PAYABLE DS 2017 - - -

24 DEFERRED REVENUE 2781 3237 6018

26

27 FUND EQUITY

28

29 RESTRICTED FOR

30 DEBT SERVICE - 469908 469908

32 ASSIGNED 1 QTR OPER 71304 - 71304

33 ASSIGNED FY 2018 INC IN RESERVES 15650 - 15650

34 ASSIGNED FY 2019 INC IN RESERVES 22500 - 22500

35 UNASSIGNED 415683 - 415683 36

37 TOTAL LIABILITIES amp FUND EQUITY 528627$ 473145$ 1001772$

Hawks Point CDDBalance Sheet

May 31 2020

Note GASB 34 government wide financial statements are available in the annual independent audit of the District The audit is

available on the website and upon request

Page 2

FY2020 VARIANCE

ADOPTED BUDGET ACTUAL FAVORABLE

BUDGET YEAR-TO-DATE YEAR-TO-DATE (UNFAVORABLE)

1 REVENUE

2

3 ASSESSMENT ON ROLL (NET) 453615$ 453615$ 450924$ (2691)$

4 ASSESSMENT ON ROLL EXCESS FEES - - - -

5 INTEREST REVENUE - - 1594 1594

6 MISCELLANEOUS REVENUE - - - -

7 ELECTRICITY COST SHARE WITH THE HOA 1600 1067 2633 1566

8 TOTAL REVENUE 455215 454682 455152 470

9

10 EXPENDITURES

11

12 ADMINISTRATIVE

13 BOARD OF SUPERVISORS 12000 8000 5539 2461

14 PAYROLL TAXES 918 612 503 109

15 PAYROLL SERVICE FEE 625 417 392 25

16 MANAGEMENT CONSULTING SERVICES 40000 26667 26667 -

17 GENERAL ADMINISTRATIVE 4800 3200 3200 -

18 MISCELLANEOUS 500 333 - 333

19 AUDITING 3200 3200 - 3200

20 REGULATORY AND PERMIT FEES 175 175 175 -

21 LEGAL ADVERTISEMENTS 1500 1000 1386 (386)

22 ENGINEERING SERVICES 5000 3333 1896 1437

23 LEGAL SERVICES - GENERAL 7500 5000 2895 2105

24 WEBSITE ADMINISTRATION 2265 2165 1749 416

25 TOTAL ADMINISTRATIVE 78483 54102 44401 9701

26

27 INSURANCE

28 INSURANCE (Liability Property amp Casualty) 6050 6050 5638 412

29 TOTAL INSURANCE 6050 6050 5638 412

30

31 DEBT SERVICE ADMINISTRATION

32 DISSEMINATION AGENT 1000 1000 1000 -

33 TRUSTEE FEES 10500 - - -

34 TRUST FUND ACCOUNTING 1500 1000 1000 -

35 ARBITRAGE 650 - - -

36 ASSESSMENT ADMINISTRATION 5000 5000 5000 -

37 TOTAL DEBT SERVICE ADMINISTRATION 18650 7000 7000 -

38

39 UTILITIES

40 ELECTRICITY-IRRIGATION 2928 1952 1191 761

41 TOTAL UTILITIES 2928 1952 1191 761

42

43 FIELD OPERATIONS

44 IRRIGATION MAINTENANCE amp REPAIRS 10000 6667 3960 2706

45 POND MONITORING amp MAINTENANCE 17700 10325 10325 -

46 POND PLANTINGS 5000 5000 - 5000

47 WETLAND MONITORING 7120 5340 1780 3560

48 LANDSCAPE MAINTENANCE 129000 86000 88400 (2400)

49 LANDSCAPE REPLENISHMENT 119898 79932 6520 73412

50 TREE TRIMMING 16800 11200 - 11200

51 STREETLIGHTS 2000 1333 - 1333

52 MISCELLANEOUS FIELD EXPENSES 18586 12391 8886 3504

53 CAPITAL PROJECTS - WELL DRILLING amp PUMP INSTALL - - 18165 (18165)

54 RESERVE - PAINT PERIMITER WALL - - 6350 (6350)

55 TOTAL FIELD OPERATIONS 326104 218188 144386 73802

Hawks Point

General Fund

Statement of Revenues Expenditures and Changes in Fund Balance

For the period from October 1 2019 through April 30 2020

Preliminary

Page 3

FY2020 VARIANCE

ADOPTED BUDGET ACTUAL FAVORABLE

BUDGET YEAR-TO-DATE YEAR-TO-DATE (UNFAVORABLE)

Hawks Point

General Fund

Statement of Revenues Expenditures and Changes in Fund Balance

For the period from October 1 2019 through April 30 2020

Preliminary

56

57 TOTAL EXPENDITURES BEFORE RESERVES 432215 287292 202616 84675

58

59 INCREASE FOR RESERVES 23000 - - -

60 INCREASE IN FUND BALANCE - - - -

61

62

63 TOTAL EXPENDITURES AFTER RESERVE 455215 287292 202616 84675

64

65 EXCESS OF REVENUE OVER (UNDER) EXPENDITURES - 167390 252535 85145

66

67 FUND BALANCE - BEGINNING 269666 269666 272602 272602

68 DECREASE IN FUND BALANCE - - - -

69 INCREASE IN RESERVE 23000 - - -

70 FUND BALANCE - ENDING 292666$ 437056$ 525137$ 357747$

71

72

73 FY 2018FY 2019 - Irrigation System Grounding Phased 15544$

74 FY 2018 - Perimieter Wall Paint Applications 5815

75 FY 2019 - Reserve Study Update 1100

77 FY 2020 - Irrigation System-Clocks 6442

Total Replacement Expenses for Reserves 28901$

Reserve Expenditure Components

Page 4

FY 2020 VARIANCE

ADOPTED BUDGET ACTUAL FAVORABLE

BUDGET YEAR-TO-DATE YEAR-TO-DATE (UNFAVORABLE)

1 REVENUE

2 ASSESSMENTS - ON-ROLL (Gross) 561051$ 527388$ 524922$ (2466)$

3 ASSESSMENTS - ON-ROLL EXCESS FEES - - - -

4 FUND BALANCE FORWARD - - - -

5 INTEREST - INVESTMENT - - 3703 3703

6 DISCOUNT (22442) - - -

7 TOTAL REVENUE 538609 527388 528624 1236

8

9

10 EXPENDITURES

11

12 PRINCIPAL

13 512020 235000 - 235000 (235000)

14 INTEREST EXPENSE

15 1112019 - - 144238 (144238)

16 512020 144238 - 144238 (144238)

17 1112020 140075 - - -

18 COUNTY COLLECTION CHARGES 11221 - - -

19 TOTAL EXPENDITURES 530534 - 523475 (523475)

20

21 EXCESS OF REVENUE OVER (UNDER) EXPENDITURES 8075 527388 5149 (522239)

22

23 OTHER FINANCING SOURCES (USES)

24 TRANSFER IN - - - -

25 TRANSFER OUT (USES) - - - -

26 TOTAL OTHER FINANCING SOURCES (USES) - - - -

27

28 NET CHANGE IN FUND BALANCE 8075 527388 5149 (522239)

29

30 FUND BALANCE - BEGINNING - - 464759 464759

31 FUND BALANCE APPROPRIATED - - - -

32

33 FUND BALANCE - ENDING 8075$ 527388$ 469908$ (57480)$

Hawks Point CDD

Debt Service - Series 2017

Statement of Revenues Expenditures and Changes in Fund Balance

For the period from October 1 2019 through April 30 2020

Page 5

Bank United

Balance Per Bank Statement 7549415$

Plus Deposits in Transit -

Less Outstanding Checks (935250)

Adjusted Bank Balance 6614165$

Beginning Bank Balance Per Books 4251943$

Cash Receipts 5000350

Cash Disbursements (2638128)

Balance Per Books 6614165$

Hawks Point CDD

Bank Reconciliation (GF)

May 31 2020

Page 6

Date Num Name Memo Receipts Disbursements Balance

Bank United EOY Balance 9460943

10012019 9035 DPFG MANAGEMENT amp CONSULTING LLC CDD Mgmt - October 385833 9075110

10022019 Hawks Point West HOA 2019-245- HPW 18866 9093976

10082019 646 Hawks Point HOA 2019245 - HPA 21225 9115201

10082019 Hawks Point West HOA 201956 - HPW 208516 9323717

10082019 1115 Egis Insurance amp Risk Advisors Ins - FY 2020 563800 8759917

10112019 9036 JAYMAN ENTERPRISES LLC Replace Bulbs at Entrances Rcvd 10119 23000 8736917

10112019 9037 Landscape Maintenance Professionals Inc Landscape Maint - October 1105000 7631917

10162019 1116 FLORIDA DEPT OF ECONOMIC OPPORTUNIT Annual Filing FY 2020 17500 7614417

10182019 9041 TAMPA BAY TIMES Legal Ad - Meeting Schedule 55200 7559217

10212019 9038 DPFG MANAGEMENT amp CONSULTING LLC Special Assessment - FY 2020 Continuing Disclosure ADA Compliance 650000 6909217

10212019 9039 JAYMAN ENTERPRISES LLC Replace Bulbs 7000 6902217

10212019 9040 STANTEC CONSULTING SERVICES INC Lake amp Pond Maint - Sept 10500 6891717

10242019 ACH102419 TAMPA ELECTRIC 830-930 - 1416 Little Hawk Dr 7637 6884080

10242019 ACH1024192 TAMPA ELECTRIC 830-930 - 2160 Golden Falcon Dr 7083 6876997

10242019 000652 Hawks Point HOA 20197-HPA 4921 6881918

10252019 694003DD ANDREW HERON Bos Mtg - 101519 18470 6863448

10252019 ACH102519 Innovative Employer Soltuions Bos Mtg - 101519 17140 6846308

10252019 694005DD KAREN OBRIEN Bos Mtg - 101519 18470 6827838

10252019 694004DD SHERRI KEENE Bos Mtg - 101519 18470 6809368

10252019 694002DD WILLIAM J HATHAWAY Bos Mtg - 101519 18470 6790898

10312019 Bank United Interest 691 6791589

Bank United EOM Balance 254219 2923573 6791589

11012019 9042 DPFG MANAGEMENT amp CONSULTING LLC CDD Mgmt - November 385833 6405756

11012019 9043 STANTEC CONSULTING SERVICES INC Lake amp Pond Maint - Pond 201-19 amp 21 - Sept 274000 6131756

11012019 9044 STRALEY ROBIN VERICKER Legal Svcs thru 101519 65999 6065757

11122019 1117 HAWKS POINT CDD DS 2017 Tax Collection Share co Wells Fargo 762290 5303467

11152019 9045 Landscape Maintenance Professionals Inc Landscape Maint - November amp Irrigation Repairs 1229369 4074098

11152019 9046 STANTEC CONSULTING SERVICES INC Lake amp Pond Maint - Oct 333600 3740498

11202019 9048 TAMPA BAY TIMES Legal Ad - Audit Meeting 42050 3698448

11222019 9047 STANTEC CONSULTING SERVICES INC Lake amp Pond Maint - Pond 20 - Oct 10500 3687948

11252019 ACH1125191 TAMPA ELECTRIC 101-1030 - 1416 Little Hawk Dr 7431 3680517

11252019 ACH1125192 TAMPA ELECTRIC 101-1030 - 2160 Golden Falcon Dr 8753 3671764

11292019 703783DD ANDREW HERON Bos Mtg - 111919 18470 3653294

11292019 ACH112919 Innovative Employer Soltuions Bos Mtg - 111919 20200 3633094

11292019 703785DD KAREN OBRIEN Bos Mtg - 111919 18470 3614624

11292019 703781DD MARIE CHANTAL COPELAND Bos Mtg - 111919 18470 3596154

11292019 703784DD SHERRI KEENE Bos Mtg - 111919 18470 3577684

11292019 703782DD WILLIAM J HATHAWAY Bos Mtg - 111919 18470 3559214

11302019 Bank United Interest 450 3559664

Bank United EOM Balance 450 3232375 3559664

12022019 9049 DPFG MANAGEMENT amp CONSULTING LLC CDD Mgmt - December 385833 3173831

12042019 694 Hawks Point HOA 20198-HPA 5105 3178936

12042019 503 Hawks Point West HOA 20197-HPW amp 20198-HPW 7388 3186324

12042019 1118 Site Masters of Florida LLC Investigation of pipe discharge Townhome Yard Drain Blockage 150000 3036324

12112019 9050 Illuminations Holiday Lighting Electrical Fix Holiday Lights - Deposit 261250 2775074

12132019 Bank United Funds Transfer - MMK to Opt Acct 4500000 7275074

12132019 Bank United Funds Transfer - MMK to Opt Acct 50834407 58109481

12162019 9055 TAMPA BAY TIMES Legal Ad - RFP Auditing Svc 36100 58073381

12182019 9051 Flatwoods Environmental Cut amp Dispose Brazilian Pepper 396500 57676881

12182019 9052 Landscape Maintenance Professionals Inc Landscape Maint - December 1105000 56571881

12182019 9053 STANTEC CONSULTING SERVICES INC Misc Environmental Services 137000 56434881

12182019 9054 STRALEY ROBIN VERICKER Legal Svcs thru 111519 57500 56377381

12182019 1119 HAWKS POINT CDD DS 2017 Tax Collection Share co Wells Fargo 49544765 6832616

12182019 1120 Innersync ADA Compliant website 124942 6707674

12262019 ACH1226191 TAMPA ELECTRIC 1031-122 - 2160 Golden Falcon Dr 8771 6698903

12262019 ACH1226192 TAMPA ELECTRIC 1031-1202 - 1416 Little Hawk Dr 9315 6689588

12272019 711993DD ANDREW HERON Bos Mtg - 121719 18470 6671118

12272019 ACH122719 Innovative Employer Soltuions Bos Mtg - 121719 20200 6650918

12272019 711995DD KAREN OBRIEN Bos Mtg - 121719 18470 6632448

12272019 711991DD MARIE CHANTAL COPELAND Bos Mtg - 121719 18470 6613978

12272019 711994DD SHERRI KEENE Bos Mtg - 121719 18470 6595508

12272019 711992DD WILLIAM J HATHAWAY Bos Mtg - 121719 18470 6577038

12312019 Bank United Interest 3091 6580129

Bank United EOM Balance 55349991 52329526 6580129

01022020 9056 DPFG MANAGEMENT amp CONSULTING LLC CDD Mgmt - January 385833 6194296

01082020 9057 Landscape Maintenance Professionals Inc Station decoders 82908 6111388

01082020 9058 STRALEY ROBIN VERICKER Legal Svcs thru 121519 10000 6101388

01102020 9159 Landscape Maintenance Professionals Inc Landscape Maint - January 1105000 4996388

01102020 9160 Mike White LLC Entry Monument repair 54119 4942269

01132020 1121 HAWKS POINT CDD DS 2017 Tax Collection Share co Wells Fargo 868256 4074013

01172020 9161 Illuminations Holiday Lighting Holiday Lights - Balance Due 231250 3842763

01172020 000534 Hawks Point West HOA 20201-HPW 4493 3847256

01272020 1122 STANTEC CONSULTING SERVICES INC Pond Maint - December Engineering Svcs thru 122719 353400 3493856

01272020 ACH012720 TAMPA ELECTRIC 123-1231 - 2160 Golden Falcon Dr 8116 3485740

01272020 ACH0127202 TAMPA ELECTRIC 1203-1231 - 1416 Little Hawk Dr 6682 3479058

01312020 072704 Innovative Employer Soltuions Bos Mtg - 12120 17140 3461918

01312020 721948DD KAREN OBRIEN Bos Mtg - 12120 18470 3443448

01312020 721945DD MARIE CHANTAL COPELAND Bos Mtg - 12120 18470 3424978

01312020 721947DD SHERRI KEENE Bos Mtg - 12120 18470 3406508

01312020 721946DD WILLIAM J HATHAWAY Bos Mtg - 12120 18470 3388038

01312020 Bank United Interest 1406 3389444

Bank United EOM Balance 5899 3196584 3389444

02052020 1124 DPFG MANAGEMENT amp CONSULTING LLC CDD Mgmt - February 385833 3003611

02052020 1125 Landscape Maintenance Professionals Inc Landscape Maint - February 1105000 1898611

02052020 1126 TAMPA ELECTRIC 101-1030 - 1416 Little Hawk Dr 308 1898303

02252020 1127 Landscape Maintenance Professionals Inc Landscape Maint - March 1105000 793303

02252020 02252020ACH TAMPA ELECTRIC 11-130 - 1416 Little Hawk Dr 7840 785463

02252020 02252020ACH TAMPA ELECTRIC 11-130 - 2160 Golden Falcon Dr 9092 776371

02282020 02182020ACH Innovative Employer Soltuions Bos Mtg - 21820 14080 762291

02282020 730271DD MARIE CHANTAL COPELAND Bos Mtg - 21820 18470 743821

02282020 730273DD SHERRI KEENE Bos Mtg - 21820 18470 725351

02282020 7302272DD WILLIAM J HATHAWAY Bos Mtg - 21820 18470 706881

02292020 Bank United Interest 203 707084

HAWKS POINT CDDCASH REGISTER

FY 2020

Page 7

Date Num Name Memo Receipts Disbursements Balance

HAWKS POINT CDDCASH REGISTER

FY 2020

Bank United EOM Balance 203 2682563 707084

03042020 1128 DPFG MANAGEMENT amp CONSULTING LLC CDD Mgmt - March 385833 321251

03122020 1129 STANTEC CONSULTING SERVICES INC Engineering Svcs thru 012420 73950 247301

03122020 ACH032520 TAMPA ELECTRIC 13120 - 22820 - 2160 Golden Falcon Dr 8527 238774

03122020 ACH0325202 TAMPA ELECTRIC 013120 - 22820 - 1416 Little Hawk Dr 6592 232182

03192020 BankUnited Funds Transfer 5000000 5232182

03192020 1130 HAWKS POINT CDD DS 2017 Tax Collection Share co Wells Fargo thru 030420 1437199 3794983

03242020 1131 Landscape Maintenance Professionals Inc Pencil Pruning of Crape Myrtles Landscape Maint -042020 1360500 2434483

03242020 1132 STANTEC CONSULTING SERVICES INC Pond Maint - January Feb 295000 2139483

03242020 1133 STRALEY ROBIN VERICKER Legal Svcs thru 021520 23250 2116233

03272020 1134 DPFG MANAGEMENT amp CONSULTING LLC CDD Mgmt - April 2020 385833 1730400

03272020 1135 Landscape Maintenance Professionals Inc Irrigation Inspection repairs 74858 1655542

03312020 BankUnited Interest 200 1655742

Bank United EOM Balance 5000200 4051542 1655742

04082020 1136 Accurate Drilling Solutions Service call - 032520 - Replacement for Controller on pump 4 60234 1595508

04082020 1137 STANTEC CONSULTING SERVICES INC Engineering Svcs thru 032020 61250 1534258

04082020 1138 STRALEY ROBIN VERICKER Legal Svcs thru 031520 93270 1440988

04082020 1139 TAMPA ELECTRIC 229-330 - Electricity 16915 1424073

04162020 1140 HAWKS POINT CDD DS 2017 Tax Collection Share co Wells Fargo thru 041320 298431 1125642

04232020 BankUnited Funds Transfer 5000000 6125642

04232020 1141 Accurate Drilling Solutions Well Drilling and new pump system installation 1816480 4309162

04282020 1142 STRALEY ROBIN VERICKER Legal Svcs thru 041520 57460 4251702

04302020 BankUnited Interest 241 4251943

Bank United EOM Balance 5000241 2404040 4251943

05012020 1143 DPFG MANAGEMENT amp CONSULTING LLC CDD Mgmt - May 2020 385833 3866110

05012020 ACH050120 Innovative Employer Soltuions Bos Mtg - 42120 14080 3852030

05012020 747666DD MARIE CHANTAL COPELAND Bos Mtg - 42120 18470 3833560

05012020 747667DD WILLIAM J HATHAWAY Bos Mtg - 42120 18470 3815090

05012020 747668DD SHERRI KEENE Bos Mtg - 42120 18470 3796620

05082020 ACH050820 Innovative Employer Soltuions Bos Mtg - 42120 8620 3788000

05082020 1 Caryn Williams BOS 04212020 18470 3769530

05112020 1144 Landscape Maintenance Professionals Inc Landscape Maint -052020 1105000 2664530

05112020 1145 STANTEC CONSULTING SERVICES INC Engineering Svcs thru 042420 25400 2639130

05112020 1146 TAMPA ELECTRIC 330-429 - Electricity 19915 2619215

05212020 1147 BUSINESS OBSERVER Legal Ad - Notice of Qualifying Period 51520 5250 2613965

05212020 1148 CertaPro Painters Paint exterior wall 24th to 30th Street 635000 1978965

05212020 1149 STANTEC CONSULTING SERVICES INC Pond Maint - March-April 295000 1683965

05292020 BankUnited Funds Transfer 5000000 6683965

05292020 755486DD Caryn Williams Bos Mtg - 51920 18470 6665495

05292020 ACH052920 Innovative Employer Soltuions Bos Mtg - 51920 14740 6650755

05292020 755485DD SHERRI KEENE Bos Mtg - 51920 18470 6632285

05292020 755484DD WILLIAM J HATHAWAY Bos Mtg - 51920 18470 6613815

05312020 BankUnited Interest 350 6614165

Bank United EOM Balance 5000350 2638128 6614165

Page 8

EXHIBIT 3

Vacant Position on the Board of Supervisors of the Hawkrsquos Point Community Development District The Hawkrsquos Point Community Development District (CDD) is soliciting interested candidates to fill a vacant position on the Board of Supervisors of the CDD (Board) The CDD is a local unit of special-purpose government which is created pursuant to Chapter 190 Florida Statutes The Board is comprised of 5 members who are public officials who are normally elected on the November General Elections who serve in staggered terms The vacancy is a result of a resignation of a board member due to a relocation The remaining term of the vacant supervisorrsquos seat is through November 2022

Qualification Requirements

1 Resident of the CDD

2 At least 18 years of age

3 Citizen of the United States

4 Legal resident of Florida and of the CDD

5 Registered to vote with the Hillsborough County Supervisor of Elections

Instructions for Interested Candidates

Interested candidates must submit a letter of interest and resume to Raymondlotitodpfgcom by 4 pm on Friday June 5 2020 The subject line in the email should read ldquoVacant Position on the Board of Supervisors of the Hawkrsquos Point CDDrdquo

The Letter of Interest must contain

1 A statement stating why you believe you are well suited for the position

2 Your vision for the CDD and what you would like to see the Community evolve into Please be specific

The Resume must contain

1 Your academic background and professional experience

2 Previous and current experience with governmental agencies and governing boards

Interested candidates should attend the Board meeting on Tuesday June 16 2020 at 630 pm and present a brief presentation about themselves and be prepared for a brief question and answer period with the current Board members

Additional Notes

The current Board members will discuss the candidates and may make an appointment at the June meeting If the Board cannot come to a consensus on one candidate or if they determine to not appoint any candidate to the vacant seat they may revisit the vacancy at a future meeting or leave the seat vacant until the November 2022 General Election

Please note that the person appointed to serve in the vacant seat will be required to submit a financial disclosure statement to the State and will be subject to Floridarsquos Government in the Sunshine Laws Public Records laws and Ethics laws

1

Sookdeo (Shami) Choon Phone number (813) 731-5564 1803 Oak Pond Street Ruskin Fl 33570 E-mailchoons27gmailcom

PROFESSIONAL HISTORY Firkins GroupGarber Nissan December 2013 to Present Commercial Vehicle Sales ManagerFinance Manager Auto Nation From January 2006 to December 2013 Sales 2006- 2007 Finance Manager 2007- 2008 Sales Manager Training Manager 2008-2009 Sales Finance 2009- 2011 Commercial Sales Manager Finance Manager 2011- 2020 Parts Depot Inc From 1990 to 2005 ___________________________________________________________________________________________ Operations Manager Florida Distribution 2002 ndash 2005 bull Responsible for total inventory control of all Florida warehouses frac12 of the corporationrsquos revenue bull Directed top management to complete acquisition consolidations which resulted in the corporationrsquos

expansion bull Managed all Florida branch warehouse managers and employees totaling 200 employees bull Increased productivity and shipping efficiency in all departments developed new delivery logistics

improved product availability to all customers as well a hired and efficiently trained employees bull Reviewed all customer service statistics daily and contacted customer directly on all issues bull Reviewed PampLrsquos for all units monthly bull Presented weekly productivity and financial reports to senior management bull Directed DOT monthly guidelines maintained driver files in accordance with DOT regulations and

implemented loss prevention programs Operations Manager for Florida Branch Distribution 1999 ndash 2002 bull Improved customer service by increasing product availability to customers by implementing new

delivery logistics bull Developed employee training implemented safety awareness and monthly safety programs Warehouse Manager of Miami Distribution Center 1998 ndash 1999 bull Developed and implemented productivity guidelines implemented delivery cost saving programs

and improved product availability to the corporationrsquos customers Branch Manager of West Palm Beach 1994 ndash 1998 bull Responsible for the opening of this new branch set the building layout as well as the delivery and

logistics systems

2

bull Increased sales by 80 over budget and kept operating cost as of sales Implemented new customer service department Hired and trained all employees

Assistant Branch Manager 1991 ndash 1994 bull Increased productivity by 20 and improved delivery service Customer Service Agent 1990 ndash 1991 bull Created and implemented customer service guidelines Wingate Automotive Group 1987ndash 1990 Trinidad amp Tobago Government National Security 1984- 1987 Field Operation

EXHIBIT 4

PO Box 267 Seffner FL 33583 O 813-757-6500 F 813-757-6501 Estimate

Submitted To Hawks Point CDD 250 International Parkway Suite 280 Lake Mary FL 32746

CDD - controller 4 - zones 1 and 2

Date 5232020

Estimate 66077

LMP REPRESENTATIVE

DG-TI

PO

W ork Order

DESCRIPTION QTY COST TOTAL

Controller 4 34 inch poly pipe 34 inch poly pipe clamps Labor 2 men $ 8500 per hour

Irrigation inspection repairs needed Repair 6 - 34 inch poly pipe line leaks

6 12 05

072 129

8500

432 1548 4250

TERMS AND CONDITIONS TOTAL $6230

LMP reserves the right to withdraw this proposal if not accepted within 30 days of the date listed above Any alteration or deviation to scope of work involving additional costs must be agreed upon in writing as a separate proposal or change order to this proposal Periodic invoices may be submitted if job is substantial in nature with final invoice being submitted at completion of project Any work performed requiring more than 5 days to complete is subject to progressive payments as portions of the work are completed No finance charge will be imposed if the total of said work is paid in full within 30 days of invoice date If not paid in full within 30 days then customer is subject to finance charges on the balance of the work from the invoice date at a rate of 15 per month until paid LMP shall have the right to stop work under this contract until all outstanding amounts including finance charges are paid in full Payments will be applied to the oldest invoices

ACCEPTANCE OF PROPOSAL The above prices scope of work and terms and conditions are hereby satisfactorily agreed upon LMP Inc has been authorized to perform the work as outlined and payment will be made as outlined above The above pricing does not include any unforeseen modifications to the said irrigation system that could not be reasonably accounted for prior to job start All plant material carries a one (1) year warranty provided LMP Inc is performing landscape maintenance services to the area installed or enhanced at the time of installation If not then there is no warranty on the plant material

OWNER AGENT

DATE

EXHIBIT 5

Independent Franchise Owner Job TBE8F300154 Terry Beamer 9266 Lazy Ln

Date 06012020

EXTERIOR PROPOSALEXTERIOR PROPOSALEXTERIOR PROPOSALEXTERIOR PROPOSAL Tampa FL 33614 813-936-9242

Fax 813 936-9172

1-800-462-3782

License PA2508

Full Workers Compensation Coverage$2000000 General Liability Insurance

DPFG Management amp Consulting LLC (Hawks Point) Raymond Lotito (SB) Hawks Point CDD Ruskin FL 33570 Phone 813-418-7473 Cell 813-220-6089 Email raymondlotitodpfgcom

Special Notes CERTAPRO PAINTERS WILL PAINT WALL FACING 19ST FROM 18TH-24TH

SPECIAL ATTENTION ADDRESSING STUCCO CRACKS USING CONCRETE AND MASONRY PATCH

SPECIAL ATTENTION PRESSURE WASHING LOOSE PEELING PAINT PRIOR TO PAINTING

CERTAPRO PAINTERS WILL ONLY PAINT STREET FACING SIDE- HOMEOWNERS SIDE EXCLUDED FROM PROPOSAL

CUSTOMER RESPONSIBILITIES Please cut back all shrubs bushes and palms away from wall

GENERAL DESCRIPTION Painting to Exterior Wall 18th-24th Facing 19th Ave

PREPARATION Washing To remove dirt mildew and loose paint so the new finish coat will adhere properly

Caulking To fill all cracks and gaps around windows and doorswood work to seal out moisture and drafts Stair step

cracks

Scraping Scrape all loose and peeling paint to ensure a firm base for the new paint

Masonry Repair to all cracks gaps and holes with elastemeric caulking or masonry patch as required

Sanding To degloss where necessary to promote adhesion of the top coat

Surface TypeArea Primer PurposePRIMING

Masonry Loxon sealerprimer Latex For propor top coat adhesion

Conditioner Loxon sealerprimer to all Latex For proper top coat adhesion

masonry surfaces

FINISH COATS

Surface Area

Exterior

ManufacturePaint Type

Sherwin Williams Resilience Ext Satin

Coats

1 primer-sealer 1 spray 1 backroll stucco

Color

Same As Existing

Clean Up Daily and upon completion

$1132900 All Labor Paint Materials

$1132900 TOTAL

Signature of Authorized Franchise Representative Date

Payment is due In Full upon Job Completion

(IWE HAVE READ THE TERMS STATED HEREIN THEY HAVE (IWE) HAVE EXAMINED THE JOB STATED HEREIN THEY EXPLAINED TO (MEUS) AND (IWE) FIND THEM TO BE HAVE SHOWN TO (MEUS) AND (IWE) FIND THE JOB TO SATISFACTORY AND HEREBY ACCEPT THEM BE SATISFACTORY AND HEREBY ACCEPT THE JOB AS

COMPLETE

SIGNATURE Date SIGNATURE Date

QUOTE

Shazam Construction LLC DATE MAY 13 2020

Shazam Hera 6773 Waterton Drive Riverview FL 33578 813-385-4591 ShazamConstructionLLCgmailcom Hawks Point CDD

TO Bill to Development Planning and Financing Group 15310 Amberly Drive Suite 175 Tampa FL 33647

QUANITY DESCRIPTION UNIT PRICE LINE TOTAL

Pressure wash the wall that parallels 19th avenue from 18th street to 24th street in Hawks Point CDD in Ruskin

$1270000

Repair any cracks with caulk or elastomeric as neededPrep for paint

Paint the wall that parallels 19th avenue from 18th street to 24th street in Hawks Point CDD in Ruskin

Paint using body trim and caps of exterior wall facing 19th avenue

Paint while matching existing colors

Paint using Sherwin Williams

All paint materials and labor is included

SUBTOTAL

SALES TAX

TOTAL $1270000

Make all checks payable to Shazam Construction LLC

THANK YOU FOR YOUR BUSINESS

EXHIBIT 6

Independent Franchise Owner Job TB443B00157 Terry Beamer 9266 Lazy Ln

Date 06052020

EXTERIOR PROPOSALEXTERIOR PROPOSALEXTERIOR PROPOSALEXTERIOR PROPOSAL Tampa FL 33614 813-936-9242

Fax 813 936-9172

1-800-462-3782

License PA2508

Full Workers Compensation Coverage$2000000 General Liability Insurance

DPFG Management amp Consulting LLC (Hawks Point) Raymond Lotito (SB) Hawks Point CDD Ruskin FL 33570 Phone 813-418-7473 Cell 813-220-6089 Email raymondlotitodpfgcom

Special Notes CERTAPRO PAINTERS PRESSURE WASHING PROPOSAL 18TH-24TH

CERTAPRO PAINTERS WILL PRESSURE WASH WALL FACING 19TH ST ONLY

GENERAL DESCRIPTION Painting to

PREPARATION Washing To remove dirt mildew and loose paint so the new finish coat will adhere properly

PRIMING Surface TypeArea Primer Purpose

Clean Up Daily and upon completion

All Labor Paint Materials

TOTAL

$195000

$195000

Signature of Authorized Franchise Representative Date

Payment is due In Full upon Job Completion

(IWE HAVE READ THE TERMS STATED HEREIN THEY HAVE (IWE) HAVE EXAMINED THE JOB STATED HEREIN THEY EXPLAINED TO (MEUS) AND (IWE) FIND THEM TO BE HAVE SHOWN TO (MEUS) AND (IWE) FIND THE JOB TO SATISFACTORY AND HEREBY ACCEPT THEM BE SATISFACTORY AND HEREBY ACCEPT THE JOB AS

COMPLETE

SIGNATURE Date SIGNATURE Date

QUOTE

Shazam Construction LLC DATE JUNE 5 2020

Shazam Hera 6773 Waterton Drive Riverview FL 33578 813-385-4591 ShazamConstructionLLCgmailcom Hawks Point CDD

TO Bill to Development Planning and Financing Group 15310 Amberly Drive Suite 175 Tampa FL 33647

QUANITY DESCRIPTION UNIT PRICE LINE TOTAL

Pressure wash the wall that parallels 19th avenue from 18th street to 24th street in Hawks Point CDD in Ruskin

$160000

All materials and labor is included

SUBTOTAL

SALES TAX

TOTAL $160000

Make all checks payable to Shazam Construction LLC

THANK YOU FOR YOUR BUSINESS

EXHIBIT 7

2019FORM 1 STATEMENT OF

Please print or type your name mailing FOR OFFICE USE ONLY FINANCIAL INTERESTS address agency name and position below

LAST NAME -- FIRST NAME -- MIDDLE NAME

MAILING ADDRESS

CITY ZIP COUNTY

NAME OF AGENCY

NAME OF OFFICE OR POSITION HELD OR SOUGHT

CHECK ONLY IF CANDIDATE OR NEW EMPLOYEE OR APPOINTEE

THIS SECTION MUST BE COMPLETED DISCLOSURE PERIOD THIS STATEMENT REFLECTS YOUR FINANCIAL INTERESTS FOR CALENDAR YEAR ENDING DECEMBER 31 2019

MANNER OF CALCULATING REPORTABLE INTERESTS FILERS HAVE THE OPTION OF USING REPORTING THRESHOLDS THAT ARE ABSOLUTE DOLLAR VALUES WHICH REQUIRES FEWER CALCULATIONS OR USING COMPARATIVE THRESHOLDS WHICH ARE USUALLY BASED ON PERCENTAGE VALUES (see instructions for further details) CHECK THE ONE YOU ARE USING (must check one)

COMPARATIVE (PERCENTAGE) THRESHOLDS OR DOLLAR VALUE THRESHOLDS

PART A -- PRIMARY SOURCES OF INCOME [Major sources of income to the reporting person - See instructions] (If you have nothing to report write none or na)

NAME OF SOURCE SOURCES DESCRIPTION OF THE SOURCES OF INCOME ADDRESS PRINCIPAL BUSINESS ACTIVITY

PART B -- SECONDARY SOURCES OF INCOME [Major customers clients and other sources of income to businesses owned by the reporting person - See instructions] (If you have nothing to report write none or na)

NAME OF NAME OF MAJOR SOURCES ADDRESS PRINCIPAL BUSINESS BUSINESS ENTITY OF BUSINESS INCOME OF SOURCE ACTIVITY OF SOURCE

PART C -- REAL PROPERTY [Land buildings owned by the reporting person - See instructions] You are not limited to the space on the (If you have nothing to report write none or na) lines on this form Attach additional

sheets if necessary

FILING INSTRUCTIONS for when and where to file this form are located at the bottom of page 2

INSTRUCTIONS on who must file this form and how to fill it out begin on page 3

CE FORM 1 - Effective January 1 2020 (Continued on reverse side) PAGE 1 Incorporated by reference in Rule 34-8202(1) FAC

FILING INSTRUCTIONS

IF ANY OF PARTS A THROUGH G ARE CONTINUED ON A SEPARATE SHEET PLEASE CHECK HERE

PART D mdash INTANGIBLE PERSONAL PROPERTY [Stocks bonds certificates of deposit etc - See instructions] (If you have nothing to report write none or na) TYPE OF INTANGIBLE BUSINESS ENTITY TO WHICH THE PROPERTY RELATES

PART E mdash LIABILITIES [Major debts - See instructions] (If you have nothing to report write none or na)

NAME OF CREDITOR ADDRESS OF CREDITOR

PART F mdash INTERESTS IN SPECIFIED BUSINESSES [Ownership or positions in certain types of businesses - See instructions] (If you have nothing to report write none or na)

BUSINESS ENTITY 1 BUSINESS ENTITY 2

NAME OF BUSINESS ENTITY

ADDRESS OF BUSINESS ENTITY

PRINCIPAL BUSINESS ACTIVITY

POSITION HELD WITH ENTITY

I OWN MORE THAN A 5 INTEREST IN THE BUSINESS

NATURE OF MY OWNERSHIP INTEREST

If you were mailed the form by the Commission on Ethics or a County Supervisor of Elections for your annual disclosure filing return the form to that location To determine what category your position falls under see page 3 of instructions Local officersemployees file with the Supervisor of Elections of the county in which they permanently reside (If you do not permanently reside in Florida file with the Supervisor of the county where your agency has its headquarters) Form 1 filers who file with the Supervisor of Elections may file by mail or email Contact your Supervisor of Elections for the mailing address or email address to use Do not email your form to the Commission on Ethics it will be returned State officers or specified state employees who file with the Commission on Ethics may file by mail or email To file by mail send the completed form to PO Drawer 15709 Tallahassee FL32317-5709 physical address 325 John Knox Rd Bldg E Ste 200 Tallahassee FL 32303 To file with the Commission by email scan your completed form and any attachments as a pdf (do not use any other format) send it to CEForm1legstateflus and retain a copy for your records Do not file by both mail and email Choose only one filing method Form 6s will not be accepted via email

Candidates file this form together with their filing papers MULTIPLE FILING UNNECESSARY A candidate who files a Form 1 with a qualifying officer is not required to file with the Commission or Supervisor of Elections WHEN TO FILE Initially each local officeremployee state officer and specified state employee must file within 30 days of the date of his or her appointment or of the beginning of employment Appointees who must be confirmed by the Senate must file prior to confirmation even if that is less than 30 days from the date of their appointment Candidates must file at the same time they file their qualifying papers Thereafter file by July 1 following each calendar year in which they hold their positions Finally file a final disclosure form (Form 1F) within 60 days of leaving office or employment Filing a CE Form 1F (Final Statement of Financial Interests) does not relieve the filer of filing a CE Form 1 if the filer was in his or her position on December 31 2019

SIGNATURE OF FILER Signature

____________________________________________

Date Signed

____________________________________________

CPA or ATTORNEY SIGNATURE ONLY If a certified public accountant licensed under Chapter 473 or attorney in good standing with the Florida Bar prepared this form for you he or she must complete the following statement

I _______________________________________ prepared the CE Form 1 in accordance with Section 1123145 Florida Statutes and the instructions to the form Upon my reasonable knowledge and belief the disclosure herein is true and correct

CPAAttorney Signature ______________________________

Date Signed _______________________________________

PART G mdash TRAINING For elected municipal officers required to complete annual ethics training pursuant to section 1123142 FS

I CERTIFY THAT I HAVE COMPLETED THE REQUIRED TRAINING

CE FORM 1 - Effective January 1 2020 PAGE 2 Incorporated by reference in Rule 34-8202(1) FAC

Examplesmdash You are the sole proprietor of a dry cleaning business fromwhich you received more than 10 of your gross incomemdashanamount that was more than $1500 If only one customer auniform rental company provided more than 10 of your drycleaning business you must list the name of the uniform rentalcompany its address and its principal business activity (uniform rentals) mdash You are a 20 partner in a partnership that owns a shopping mall and your partnership income exceeded the thresholds listed above You should list each tenant of the mall that provided more than 10 of the partnershiprsquos gross income and the tenantrsquos address and principal business activity

PART C mdash REAL PROPERTY[Required by s 1123145(3)(a)3 FS]In this part list the location or description of all real property in

Florida in which you owned directly or indirectly at any time during the disclosure period in excess of 5 of the propertyrsquos value You are not required to list your residences You should list any vacation homes if you derive income from them

Indirect ownership includes situations where you are abeneficiary of a trust that owns the property as well as situations where you own more than 5 of a partnership or corporation thatowns the property The value of the property may be determined by the most recently assessed value for tax purposes in the absence of a more current appraisal

The location or description of the property should be sufficient to enable anyone who looks at the form to identify the property Astreet address should be used if one exists PART D mdash INTANGIBLE PERSONAL PROPERTY

[Required by s 1123145(3)(a)3 FS]Describe any intangible personal property that at any time

during the disclosure period was worth more than 10 of your total assets and state the business entity to which the property related Intangible personal property includes things such as cash on hand stocks bonds certificates of deposit vehicle leases interests in businesses beneficial interests in trusts money owed you Deferred Retirement Option Program (DROP) accounts the Florida Prepaid College Plan and bank accounts Intangiblepersonal property also includes investment products held in IRAs brokerage accounts and the Florida College Investment Plan Note that the product contained in a brokerage account IRA or the Florida College Investment Plan is your assetmdashnot the account or plan itself Things like automobiles and houses you own jewelryand paintings are not intangible property Intangibles relating to the same business entity may be aggregated for example CDrsquos and savings accounts with the same bank

Calculations To determine whether the intangible property exceeds 10 of your total assets total the fair market value of all of your assets (including real property intangible property and tangible personal property such as jewelry furniture etc) When making this calculation do not subtract any liabilities (debts) that may relate to the property Multiply the total figure by 10 to arrive at the disclosure threshold List only the intangibles that exceed this threshold amount The value of a leased vehicle is the vehiclersquos present value minus the lease residual (a number which can be found on the lease document) Property that is only jointly owned property should be valued according to the percentage of your joint ownership Property owned as tenants by the entirety or as joint tenants with right of survivorship should be valued at 100 None of your calculations or the value of the property have to be disclosed on the form

Example You own 50 of the stock of a small corporation that is worth $100000 the estimated fair market value of your home and other property (bank accounts automobile furniture etc) is $200000 As your total assets are worth $250000 you must disclose intangibles worth over $25000 Since the value of the stock exceeds this threshold you should list ldquostockrdquo and the name of the corporation If your accounts with a particular bank exceed $25000 you should list ldquobank accountsrdquo and bankrsquos name

PART E mdash LIABILITIES[Required by s 1123145(3)(b)4 FS]List the name and address of each creditor to whom you owed

any amount that at any time during the disclosure period exceeded your net worth You are not required to list the amount of any debt or your net worth You do not have to disclose credit card and retail installment accounts taxes owed (unless reduced to a judgment) indebtedness on a life insurance policy owed to the company of issuance or contingent liabilities A ldquocontingent liabilityrdquo is one that will become an actual liability only when one or more future events occur or fail to occur such as where you are liable only as a guarantor surety or endorser on a promissory note If you are a ldquoco-makerrdquo and are jointly liable or jointly and severally liable it is not a contingent liability

Calculations To determine whether the debt exceeds your net worth total all of your liabilities (including promissory notes mortgages credit card debts judgments against you etc) Theamount of the liability of a vehicle lease is the sum of any past-due payments and all unpaid prospective lease payments Subtract the sum total of your liabilities from the value of all your assets as calculated above for Part D This is your ldquonet worthrdquo List each creditor to whom your debt exceeded this amount unless it is one of the types of indebtedness listed in the paragraph above (credit card and retail installment accounts etc) Joint liabilities with others for which you are ldquojointly and severally liablerdquo meaning that you may be liable for either your part or the whole of the obligation should be included in your calculations at 100 of the amount owed

Example You owe $15000 to a bank for student loans $5000 for credit card debts and $60000 (with spouse) to a savings and loan for a home mortgage Your home (owned by you and your spouse) is worth $80000 and your other property is worth $20000 Since your net worth is $20000 ($100000 minus $80000) you must report only the name and address of the savings and loan

PART F mdash INTERESTS IN SPECIFIED BUSINESSES[Required by s 1123145 FS]The types of businesses covered in this disclosure include

state and federally chartered banks state and federal savings and loan associations cemetery companies insurance companies mortgage companies credit unions small loan companies alcoholic beverage licensees pari-mutuel wagering companies utilitycompanies entities controlled by the Public Service Commission and entities granted a franchise to operate by either a city or acounty government

Disclose in this part the fact that you owned during the disclosure period an interest in or held any of certain positions with the types of businesses listed above You are required to make this disclosure if you own or owned (either directly orindirectly in the form of an equitable or beneficial interest) at any time during the disclosure period more than 5 of the total assets or capital stock of one of the types of business entities listed above You also must complete this part of the form for each of these types of businesses for which you are or were at any time during thedisclosure period an officer director partner proprietor or agent (other than a resident agent solely for service of process)

If you have or held such a position or ownership interest in one of these types of businesses list the name of the business its address and principal business activity and the position held with the business (if any) If you own(ed) more than a 5 interest in the business indicate that fact and describe the nature of your interest

PART G mdash TRAINING CERTIFICATION[Required by s 1123142 FS]If you are a Constitutional or elected municipal officer whose

service began before March 31 of the year for which you are filing you are required to complete four hours of ethics training which addresses Article II Section 8 of the Florida Constitution the Code of Ethics for Public Officers and Employees and the public records and open meetings laws of the state You are required to certify on this form that you have taken such training (End of Percentage Thresholds Instructions)

CE FORM 1 - Effective January 1 2020 Incorporated by reference in Rule 34-8202 FAC PAGE 6

NOTICE Annual Statements of Financial Interests are due July 1 If the annual form is not filed or postmarked by September 1 an automatic fine of $25 for each day late will be imposed up to a maximum penalty of $1500 Failure to file also can result in removal from public office or employment [s 1123145 FS]

In addition failure to make any required disclosure constitutes grounds for and may be punished by one or more of the following disqualification from being on the ballot impeachment removal or suspension from office or employment demotion reduction in salary reprimand or a civil penalty not exceeding $10000 [s 112317 FS]

WHO MUST FILE FORM 1 1) Elected public officials not serving in a political subdivision of the

state and any person appointed to fill a vacancy in such office unlessrequired to file full disclosure on Form 62) Appointed members of each board commission authority

or council having statewide jurisdiction excluding members of solelyadvisory bodies but including judicial nominating commission membersDirectors of Enterprise Florida Scripps Florida Funding Corporationand Career Source Florida and members of the Council on the Social Status of Black Men and Boys the Executive Director Governors and senior managers of Citizens Property Insurance CorporationGovernors and senior managers of Florida Workers Compensation JointUnderwriting Association board members of the Northeast Fla RegionalTransportation Commission board members of Triumph Gulf Coast Incboard members of Florida Is For Veterans Inc and members of the Technology Advisory Council within the Agency for State Technology3) The Commissioner of Education members of the State Board

of Education the Board of Governors the local Boards of Trustees and Presidents of state universities and the Florida Prepaid College Board 4) Persons elected to office in any political subdivision (such as

municipalities counties and special districts) and any person appointedto fill a vacancy in such office unless required to file Form 65) Appointed members of the following boards councils

commissions authorities or other bodies of county municipality schooldistrict independent special district or other political subdivision thegoverning body of the subdivision community college or junior collegedistrict boards of trustees boards having the power to enforce local codeprovisions boards of adjustment community redevelopment agenciesplanning or zoning boards having the power to recommend create ormodify land planning or zoning within a political subdivision except forcitizen advisory committees technical coordinating committees andsimilar groups who only have the power to make recommendationsto planning or zoning boards and except for representatives of a military installation acting on behalf of all military installations within thatjurisdiction pension or retirement boards empowered to invest pensionor retirement funds or determine entitlement to or amount of pensions orother retirement benefits and the Pinellas County Construction LicensingBoard 6) Any appointed member of a local government board who

is required to file a statement of financial interests by the appointingauthority or the enabling legislation ordinance or resolution creating theboard 7) Persons holding any of these positions in local government

mayor county or city manager chief administrative employee or finance

director of a county municipality or other political subdivision county or municipal attorney chief county or municipal building inspectorcounty or municipal water resources coordinator county or municipalpollution control director county or municipal environmental control director county or municipal administrator with power to grant or denya land development permit chief of police fire chief municipal clerkappointed district school superintendent community college presidentdistrict medical examiner purchasing agent (regardless of title) havingthe authority to make any purchase exceeding $35000 for the localgovernmental unit8) Officers and employees of entities serving as chief administrative

officer of a political subdivision9) Members of governing boards of charter schools operated by a

city or other public entity10) Employees in the office of the Governor or of a Cabinet member

who are exempt from the Career Service System excluding secretarialclerical and similar positions11) The following positions in each state department commission

board or council Secretary Assistant or Deputy Secretary ExecutiveDirector Assistant or Deputy Executive Director and anyone having thepower normally conferred upon such persons regardless of title12) The following positions in each state department or division

Director Assistant or Deputy Director Bureau Chief and any personhaving the power normally conferred upon such persons regardless oftitle 13) Assistant State Attorneys Assistant Public Defenders criminal

conflict and civil regional counsel and assistant criminal conflict and civilregional counsel Public Counsel full-time state employees serving ascounsel or assistant counsel to a state agency administrative law judgesand hearing officers14) The Superintendent or Director of a state mental health institute

established for training and research in the mental health field or anymajor state institution or facility established for corrections trainingtreatment or rehabilitation 15) State agency Business Managers Finance and Accounting

Directors Personnel Officers Grant Coordinators and purchasingagents (regardless of title) with power to make a purchase exceeding$35000 16) The following positions in legislative branch agencies each

employee (other than those employed in maintenance clerical secretarial or similar positions and legislative assistants exempted by the presiding officer of their house) and each employee of theCommission on Ethics

INSTRUCTIONS FOR COMPLETING FORM 1 INTRODUCTORY INFORMATION (Top of Form) If your name mailing address public agency and position are already printed on the form you do not need to provide this information unless it should be changed To change any of this information write the correct information on the form and contact your agencys financial disclosure coordinator You can find your coordinator on the Commission on Ethics website wwwethics stateflus NAME OF AGENCY The name of the governmental unit which you serve or served by which you are or were employed or for which you are a candidate DISCLOSURE PERIOD The ldquodisclosure periodrdquo for your report is the calendar year ending December 31 2019

OFFICE OR POSITION HELD OR SOUGHT The title of the office or position you hold are seeking or held during the disclosure period even if you have since left that position If you are a candidate for office or are a new employee or appointee check the appropriate box PUBLIC RECORD The disclosure form and everythingattached to it is a public record Your Social Security Number is not required and you should redact it from any documents you file If you are an active or former officer or employee listed in Section 119071 FS whose home address is exempt from disclosure the Commission will maintain that confidentiality if you submit a written request

CE FORM 1 - Effective January 1 2020 Incorporated by reference in Rule 34-8202 FAC PAGE 3

PART E mdash LIABILITIES[Required by s 1123145(3)(b)4 FS]List the name and address of each creditor to whom you owed more

than $10000 at any time during the disclosure period The amount of theliability of a vehicle lease is the sum of any past-due payments and allunpaid prospective lease payments You are not required to list the amountof any debt You do not have to disclose credit card and retail installmentaccounts taxes owed (unless reduced to a judgment) indebtedness ona life insurance policy owed to the company of issuance or contingentliabilities A ldquocontingent liabilityrdquo is one that will become an actual liabilityonly when one or more future events occur or fail to occur such as whereyou are liable only as a guarantor surety or endorser on a promissorynote If you are a ldquoco-makerrdquo and are jointly liable or jointly and severallyliable then it is not a contingent liability

PART F mdash INTERESTS IN SPECIFIED BUSINESSES[Required by s 1123145(6) FS]The types of businesses covered in this disclosure include state and

federally chartered banks state and federal savings and loan associationscemetery companies insurance companies mortgage companies creditunions small loan companies alcoholic beverage licensees pari-mutuelwagering companies utility companies entities controlled by the PublicService Commission and entities granted a franchise to operate by either acity or a county government

Disclose in this part the fact that you owned during the disclosure period aninterest in or held any of certain positions with the types of businesses listedabove You must make this disclosure if you own or owned (either directly orindirectly in the form of an equitable or beneficial interest) at any time duringthe disclosure period more than 5 of the total assets or capital stock ofone of the types of business entities listed above You also must completethis part of the form for each of these types of businesses for which youare or were at any time during the disclosure period an officer directorpartner proprietor or agent (other than a resident agent solely for service ofprocess)

If you have or held such a position or ownership interest in one ofthese types of businesses list the name of the business its address andprincipal business activity and the position held with the business (if any) Ifyou own(ed) more than a 5 interest in the business indicate that fact anddescribe the nature of your interest

PART G mdash TRAINING CERTIFICATION[Required by s 1123142 FS]If you are a Constitutional or elected municipal officer whose

service began before March 31 of the year for which you are filingyou are required to complete four hours of ethics training which addresses Article II Section 8 of the Florida Constitution the Codeof Ethics for Public Officers and Employees and the public recordsand open meetings laws of the state You are required to certify onthis form that you have taken such training

(End of Dollar Value Thresholds Instructions)

PART A mdash PRIMARY SOURCES OF INCOME[Required by s 1123145(3)(a)1 FS]Part A is intended to require the disclosure of your principal

sources of income during the disclosure period You do not haveto disclose any public salary or public position(s) but income from these public sources should be included when calculating your gross income for the disclosure period The income of your spouse need not be disclosed however if there is joint income to you and your spouse from property you own jointly (such as interest or dividends from a bank account or stocks) you should include all of that income when calculating your gross income and disclose the source of that income if it exceeded the threshold

Please list in this part of the form the name address and principal business activity of each source of your income whichexceeded 5 of the gross income received by you in your own name or by any other person for your benefit or use during the disclosure period

Gross income means the same as it does for income tax purposes even if the income is not actually taxable such as interest on tax-free bonds Examples include compensation for servicesincome from business gains from property dealings interest rents dividends pensions IRA distributions social security distributive share of partnership gross income and alimony but not child support

Examplesmdash If you were employed by a company that manufactures computers and received more than 5 of your gross income from the company list the name of the company its address and its principal business activity (computer manufacturing)mdash If you were a partner in a law firm and your distributive share of partnership gross income exceeded 5 of your gross income then list the name of the firm its address and its principal business activity (practice of law)mdash If you were the sole proprietor of a retail gift business andyour gross income from the business exceeded 5 of your total gross income list the name of the business its addressand its principal business activity (retail gift sales)mdash If you received income from investments in stocks and bonds list each individual company from which you derived

more than 5 of your gross income Do not aggregate all of your investment incomemdash If more than 5 of your gross income was gain from the sale of property (not just the selling price) list as a source of income the purchaserrsquos name address and principal business activityIf the purchasers identity is unknown such as where securities listed on an exchange are sold through a brokerage firm the source of income should be listed as sale of (name of company)stock for examplemdash If more than 5 of your gross income was in the form of interest from one particular financial institution (aggregatinginterest from all CDrsquos accounts etc at that institution) list the name of the institution its address and its principal business activity

PART B mdash SECONDARY SOURCES OF INCOME[Required by s 1123145(3)(a)2 FS]This part is intended to require the disclosure of major customers

clients and other sources of income to businesses in which you ownan interest It is not for reporting income from second jobs That kindof income should be reported in Part A Primary Sources of Incomeif it meets the reporting threshold You will not have anything to reportunless during the disclosure period

(1) You owned (either directly or indirectly in the form of anequitable or beneficial interest) more than 5 of the total assetsor capital stock of a business entity (a corporation partnershipLLC limited partnership proprietorship joint venture trust firmetc doing business in Florida) and(2) You received more than 10 of your gross income from thatbusiness entity and(3) You received more than $1500 in gross income from thatbusiness entity

If your interests and gross income exceeded these thresholds thenfor that business entity you must list every source of income to thebusiness entity which exceeded 10 of the business entityrsquos grossincome (computed on the basis of the business entityrsquos most recentlycompleted fiscal year) the sourcersquos address and the sourcersquosprincipal business activity

IF YOU HAVE CHOSEN COMPARATIVE (PERCENTAGE) THRESHOLDSTHE FOLLOWING INSTRUCTIONS APPLY

CE FORM 1 - Effective January 1 2020 Incorporated by reference in Rule 34-8202 FAC PAGE 5

MANNER OF CALCULATING REPORTABLE INTEREST Filers have the option of reporting based on either thresholds that are comparative (usually based on percentage values) or thresholds that are based on absolute dollar values The instructions on the following pages specifically describe the different thresholds Check the box that reflects the choice you have made You must use the type of threshold you have chosen for each part of the form In other words if you choose to report based on absolute dollar value thresholds you cannot use a percentage threshold on any part of the form

IF YOU HAVE CHOSEN DOLLAR VALUE THRESHOLDS THE FOLLOWING INSTRUCTIONS APPLY

PART A mdash PRIMARY SOURCES OF INCOME [Required by s 1123145(3)(b)1 FS] Part A is intended to require the disclosure of your principal

sources of income during the disclosure period You do not have todisclose any public salary or public position(s) The income of yourspouse need not be disclosed however if there is joint income toyou and your spouse from property you own jointly (such as interestor dividends from a bank account or stocks) you should disclose thesource of that income if it exceeded the threshold

Please list in this part of the form the name address andprincipal business activity of each source of your income whichexceeded $2500 of gross income received by you in your own name or by any other person for your use or benefit

Gross income means the same as it does for income tax purposes even if the income is not actually taxable such as interest on tax-free bonds Examples include compensation for servicesincome from business gains from property dealings interest rentsdividends pensions IRA distributions social security distributive share of partnership gross income and alimony but not child support

Examples mdash If you were employed by a company that manufacturescomputers and received more than $2500 list the name of thecompany its address and its principal business activity (computermanufacturing) mdash If you were a partner in a law firm and your distributive shareof partnership gross income exceeded $2500 list the name ofthe firm its address and its principal business activity (practice oflaw) mdash If you were the sole proprietor of a retail gift business and yourgross income from the business exceeded $2500 list the nameof the business its address and its principal business activity(retail gift sales) mdash If you received income from investments in stocks and bondslist each individual company from which you derived more than$2500 Do not aggregate all of your investment income mdash If more than $2500 of your gross income was gain from thesale of property (not just the selling price) list as a source ofincome the purchaserrsquos name address and principal businessactivity If the purchaserrsquos identity is unknown such as wheresecurities listed on an exchange are sold through a brokeragefirm the source of income should be listed as sale of (name of company) stock for example mdash If more than $2500 of your gross income was in the formof interest from one particular financial institution (aggregatinginterest from all CDrsquos accounts etc at that institution) list the name of the institution its address and its principal business activity

PART B mdash SECONDARY SOURCES OF INCOME [Required by s 1123145(3)(b)2 FS] This part is intended to require the disclosure of major customers

clients and other sources of income to businesses in which you own aninterest It is not for reporting income from second jobs That kind of incomeshould be reported in Part A Primary Sources of Income if it meets thereporting threshold You will not have anything to report unless during thedisclosure period

(1) You owned (either directly or indirectly in the form of an equitableor beneficial interest) more than 5 of the total assets or capitalstock of a business entity (a corporation partnership LLC limitedpartnership proprietorship joint venture trust firm etc doing business in Florida) and (2) You received more than $5000 of your gross income during thedisclosure period from that business entity

If your interests and gross income exceeded these thresholds then for thatbusiness entity you must list every source of income to the business entitywhich exceeded 10 of the business entityrsquos gross income (computed onthe basis of the business entitys most recently completed fiscal year) thesourcersquos address and the sources principal business activity

Examples mdash You are the sole proprietor of a dry cleaning business from whichyou received more than $5000 If only one customer a uniform rentalcompany provided more than 10 of your dry cleaning business youmust list the name of the uniform rental company its address and itsprincipal business activity (uniform rentals) mdash You are a 20 partner in a partnership that owns a shopping malland your partnership income exceeded the above thresholds List eachtenant of the mall that provided more than 10 of the partnershipsgross income and the tenants address and principal business activity

PART C mdash REAL PROPERTY [Required by s 1123145(3)(b)3 FS] In this part list the location or description of all real property in Florida

in which you owned directly or indirectly at any time during the disclosureperiod in excess of 5 of the propertyrsquos value You are not required to listyour residences You should list any vacation homes if you derive incomefrom them

Indirect ownership includes situations where you are a beneficiary of atrust that owns the property as well as situations where you own more than5 of a partnership or corporation that owns the property The value of theproperty may be determined by the most recently assessed value for taxpurposes in the absence of a more current appraisal

The location or description of the property should be sufficient toenable anyone who looks at the form to identify the property A streetaddress should be used if one exists

PART D mdash INTANGIBLE PERSONAL PROPERTY [Required by s 1123145(3)(b)3 FS] Describe any intangible personal property that at any time during the

disclosure period was worth more than $10000 and state the businessentity to which the property related Intangible personal property includesthings such as cash on hand stocks bonds certificates of deposit vehicleleases interests in businesses beneficial interests in trusts money owedyou Deferred Retirement Option Program (DROP) accounts the FloridaPrepaid College Plan and bank accounts Intangible personal propertyalso includes investment products held in IRAs brokerage accounts andthe Florida College Investment Plan Note that the product contained in a brokerage account IRA or the Florida College Investment Plan is yourassetmdashnot the account or plan itself Things like automobiles and housesyou own jewelry and paintings are not intangible property Intangiblesrelating to the same business entity may be aggregated for example CDsand savings accounts with the same bank Property owned as tenants bythe entirety or as joint tenants with right of survivorship should be valued at100 The value of a leased vehicle is the vehiclersquos present value minusthe lease residual (a number found on the lease document)

CE FORM 1 - Effective January 1 2020 Incorporated by reference in Rule 34-8202 FAC PAGE 4

PART A mdash PRIMARY SOURCES OF INCOME[Required by s 1123145(3)(b)1 FS]Part A is intended to require the disclosure of your principal

sources of income during the disclosure period You do not have todisclose any public salary or public position(s) The income of yourspouse need not be disclosed however if there is joint income t oyou and your spouse from property you own jointly (such as interestor dividends from a bank account or stocks) you should disclose thesource of that income if it exceeded the threshold

Please list in this part of the form the name address andprincipal business activity of each source of your income whichexceeded $2500 of gross income received by you in your own name or by any other person for your use or benefit

Gross income means the same as it does for income taxpurposes even if the income is not actually taxable such as intereston tax-free bonds Examples include compensation for servicesincome from business gains from property dealings interest rentsdividends pensions IRA distributions social security distributiveshare of partnership gross income and alimony but not child support

Examplesmdash If you were employed by a company that manufacturescomputers and received more than $2500 list the name of thecompany its address and its principal business activity (computermanufacturing)mdash If you were a partner in a law firm and your distributive shareof partnership gross income exceeded $2500 list the name ofthe firm its address and its principal business activity (practice oflaw)mdash If you were the sole proprietor of a retail gift business and yourgross income from the business exceeded $2500 list the nameof the business its address and its principal business activity(retail gift sales)mdash If you received income from investments in stocks and bondslist each individual company from which you derived more than$2500 Do not aggregate all of your investment incomemdash If more than $2500 of your gross income was gain from thesale of property (not just the selling price) list as a source o fincome the purchaserrsquos name address and principal businessactivity If the purchaserrsquos identity is unknown such as wheresecurities listed on an exchange are sold through a brokeragefirm the source of income should be listed as sale of (name of company) stock for examplemdash If more than $2500 of your gross income was in the formof interest from one particular financial institution (aggregatinginterest from all CDrsquos accounts etc at that institution) list thename of the institution its address and its principal business activity

PART B mdash SECONDARY SOURCES OF INCOME[Required by s 1123145(3)(b)2 FS]This part is intended to require the disclosure of major customers

clients and other sources of income to businesses in which you own aninterest It is not for reporting income from second jobs That kind of incomeshould be reported in Part A Primary Sources of Income if it meets thereporting threshold You will not have anything to report unless during thedisclosure period

(1) You owned (either directly or indirectly in the form of an equitableor beneficial interest) more than 5 of the total assets or capitalstock of a business entity (a corporation partnership LLC limitedpartnership proprietorship joint venture trust firm etc doing business in Florida) and(2) You received more than $5000 of your gross income during thedisclosure period from that business entity

If your interests and gross income exceeded these thresholds then for thatbusiness entity you must list every source of income to the business entitywhich exceeded 10 of the business entityrsquos gross income (computed onthe basis of the business entitys most recently completed fiscal year) thesourcersquos address and the sources principal business activity

Examplesmdash You are the sole proprietor of a dry cleaning business from whichyou received more than $5000 If only one customer a uniform rentalcompany provided more than 10 of your dry cleaning business youmust list the name of the uniform rental company its address and itsprincipal business activity (uniform rentals)mdash You are a 20 partner in a partnership that owns a shopping malland your partnership income exceeded the above thresholds List eachtenant of the mall that provided more than 10 of the partnershipsgross income and the tenants address and principal business activity

PART C mdash REAL PROPERTY[Required by s 1123145(3)(b)3 FS]In this part list the location or description of all real property in Florida

in which you owned directly or indirectly at any time during the disclosureperiod in excess of 5 of the propertyrsquos value You are not required to listyour residences You should list any vacation homes if you derive incomefrom them

Indirect ownership includes situations where you are a beneficiary of atrust that owns the property as well as situations where you own more than5 of a partnership or corporation that owns the property The value of theproperty may be determined by the most recently assessed value for taxpurposes in the absence of a more current appraisal

The location or description of the property should be sufficient toenable anyone who looks at the form to identify the property A streetaddress should be used if one exists

PART D mdash INTANGIBLE PERSONAL PROPERTY[Required by s 1123145(3)(b)3 FS]Describe any intangible personal property that at any time during the

disclosure period was worth more than $10000 and state the businessentity to which the property related Intangible personal property includesthings such as cash on hand stocks bonds certificates of deposit vehicleleases interests in businesses beneficial interests in trusts money owedyou Deferred Retirement Option Program (DROP) accounts the FloridaPrepaid College Plan and bank accounts Intangible personal propertyalso includes investment products held in IRAs brokerage accounts andthe Florida College Investment Plan Note that the product contained ina brokerage account IRA or the Florida College Investment Plan is yourassetmdashnot the account or plan itself Things like automobiles and housesyou own jewelry and paintings are not intangible property Intangiblesrelating to the same business entity may be aggregated for example CDsand savings accounts with the same bank Property owned as tenants bythe entirety or as joint tenants with right of survivorship should be valued at100 The value of a leased vehicle is the vehiclersquos present value minusthe lease residual (a number found on the lease document)

Filers have the option of reporting based on either thresholds that are comparative (usually based on percentage values) orthresholds that are based on absolute dollar values The instructions on the following pages specifically describe the differentthresholds Check the box that reflects the choice you have made You must use the type of threshold you have chosen for eachpart of the form In other words if you choose to report based on absolute dollar value thresholds you cannot use a percentagethreshold on any part of the form

MANNER OF CALCULATING REPORTABLE INTEREST

IF YOU HAVE CHOSEN DOLLAR VALUE THRESHOLDSTHE FOLLOWING INSTRUCTIONS APPLY

CE FORM 1 - Effective January 1 2020 Incorporated by reference in Rule 34-8202 FAC PAGE 4

PART E mdash LIABILITIES [Required by s 1123145(3)(b)4 FS] List the name and address of each creditor to whom you owed more

than $10000 at any time during the disclosure period The amount of theliability of a vehicle lease is the sum of any past-due payments and allunpaid prospective lease payments You are not required to list the amountof any debt You do not have to disclose credit card and retail installmentaccounts taxes owed (unless reduced to a judgment) indebtedness ona life insurance policy owed to the company of issuance or contingentliabilities A ldquocontingent liabilityrdquo is one that will become an actual liabilityonly when one or more future events occur or fail to occur such as whereyou are liable only as a guarantor surety or endorser on a promissorynote If you are a ldquoco-makerrdquo and are jointly liable or jointly and severallyliable then it is not a contingent liability

PART F mdash INTERESTS IN SPECIFIED BUSINESSES [Required by s 1123145(6) FS] The types of businesses covered in this disclosure include state and

federally chartered banks state and federal savings and loan associationscemetery companies insurance companies mortgage companies creditunions small loan companies alcoholic beverage licensees pari-mutuelwagering companies utility companies entities controlled by the PublicService Commission and entities granted a franchise to operate by either acity or a county government

Disclose in this part the fact that you owned during the disclosure period aninterest in or held any of certain positions with the types of businesses listedabove You must make this disclosure if you own or owned (either directly orindirectly in the form of an equitable or beneficial interest) at any time duringthe disclosure period more than 5 of the total assets or capital stock ofone of the types of business entities listed above You also must completethis part of the form for each of these types of businesses for which youare or were at any time during the disclosure period an officer directorpartner proprietor or agent (other than a resident agent solely for service ofprocess)

If you have or held such a position or ownership interest in one ofthese types of businesses list the name of the business its address andprincipal business activity and the position held with the business (if any) Ifyou own(ed) more than a 5 interest in the business indicate that fact anddescribe the nature of your interest

PART G mdash TRAINING CERTIFICATION [Required by s 1123142 FS] If you are a Constitutional or elected municipal officer whose

service began before March 31 of the year for which you are filingyou are required to complete four hours of ethics training which addresses Article II Section 8 of the Florida Constitution the Code of Ethics for Public Officers and Employees and the public recordsand open meetings laws of the state You are required to certify onthis form that you have taken such training

(End of Dollar Value Thresholds Instructions)

IF YOU HAVE CHOSEN COMPARATIVE (PERCENTAGE) THRESHOLDS THE FOLLOWING INSTRUCTIONS APPLY

PART A mdash PRIMARY SOURCES OF INCOME [Required by s 1123145(3)(a)1 FS] Part A is intended to require the disclosure of your principal

sources of income during the disclosure period You do not haveto disclose any public salary or public position(s) but income from these public sources should be included when calculating your gross income for the disclosure period The income of your spouse need not be disclosed however if there is joint income to you and your spouse from property you own jointly (such as interest or dividends from a bank account or stocks) you should include all of that income when calculating your gross income and disclose the source of that income if it exceeded the threshold

Please list in this part of the form the name address and principal business activity of each source of your income whichexceeded 5 of the gross income received by you in your own name or by any other person for your benefit or use during the disclosure period

Gross income means the same as it does for income tax purposes even if the income is not actually taxable such as interest on tax-free bonds Examples include compensation for servicesincome from business gains from property dealings interest rents dividends pensions IRA distributions social security distributive share of partnership gross income and alimony but not child support

Examples mdash If you were employed by a company that manufactures computers and received more than 5 of your gross income from the company list the name of the company its address and its principal business activity (computer manufacturing) mdash If you were a partner in a law firm and your distributive share of partnership gross income exceeded 5 of your gross income then list the name of the firm its address and its principal business activity (practice of law) mdash If you were the sole proprietor of a retail gift business andyour gross income from the business exceeded 5 of your total gross income list the name of the business its addressand its principal business activity (retail gift sales) mdash If you received income from investments in stocks and bonds list each individual company from which you derived

more than 5 of your gross income Do not aggregate all of your investment income mdash If more than 5 of your gross income was gain from the sale of property (not just the selling price) list as a source of income the purchaserrsquos name address and principal business activityIf the purchasers identity is unknown such as where securities listed on an exchange are sold through a brokerage firm the source of income should be listed as sale of (name of company)stock for example mdash If more than 5 of your gross income was in the form of interest from one particular financial institution (aggregatinginterest from all CDrsquos accounts etc at that institution) list the name of the institution its address and its principal business activity

PART B mdash SECONDARY SOURCES OF INCOME [Required by s 1123145(3)(a)2 FS] This part is intended to require the disclosure of major customers

clients and other sources of income to businesses in which you ownan interest It is not for reporting income from second jobs That kindof income should be reported in Part A Primary Sources of Incomeif it meets the reporting threshold You will not have anything to report unless during the disclosure period

(1) You owned (either directly or indirectly in the form of anequitable or beneficial interest) more than 5 of the total assetsor capital stock of a business entity (a corporation partnershipLLC limited partnership proprietorship joint venture trust firmetc doing business in Florida) and (2) You received more than 10 of your gross income from thatbusiness entity and (3) You received more than $1500 in gross income from thatbusiness entity

If your interests and gross income exceeded these thresholds thenfor that business entity you must list every source of income to thebusiness entity which exceeded 10 of the business entityrsquos grossincome (computed on the basis of the business entityrsquos most recentlycompleted fiscal year) the sourcersquos address and the sourcersquos principal business activity

CE FORM 1 - Effective January 1 2020 Incorporated by reference in Rule 34-8202 FAC PAGE 5

NOTICE Annual Statements of Financial Interests are due July 1 If the annual form is not filed or postmarked by September 1 an automatic fine of $25 for each day late will be imposed up to a maximum penalty of $1500 Failure to file also can result in removal from public office or employment [s 1123145 FS]

In addition failure to make any required disclosure constitutes grounds for and may be punished by one or more of the following disqualification from being on the ballot impeachment removal or suspension from office or employment demotion reduction in salary reprimand or a civil penalty not exceeding $10000 [s 112317 FS]

1) Elected public officials not serving in a political subdivision of thestate and any person appointed to fill a vacancy in such office unlessrequired to file full disclosure on Form 62) Appointed members of each board commission authority

or council having statewide jurisdiction excluding members of solelyadvisory bodies but including judicial nominating commission membersDirectors of Enterprise Florida Scripps Florida Funding Corporationand Career Source Florida and members of the Council on the SocialStatus of Black Men and Boys the Executive Director Governors and senior managers of Citizens Property Insurance CorporationGovernors and senior managers of Florida Workers Compensation JointUnderwriting Association board members of the Northeast Fla RegionalTransportation Commission board members of Triumph Gulf Coast Incboard members of Florida Is For Veterans Inc and members of theTechnology Advisory Council within the Agency for State Technology3) The Commissioner of Education members of the State Board

of Education the Board of Governors the local Boards of Trustees andPresidents of state universities and the Florida Prepaid College Board4) Persons elected to office in any political subdivision (such a s

municipalities counties and special districts) and any person appointedto fill a vacancy in such office unless required to file Form 65) Appointed members of the following boards councils

commissions authorities or other bodies of county municipality schooldistrict independent special district or other political subdivision thegoverning body of the subdivision community college or junior collegedistrict boards of trustees boards having the power to enforce local codeprovisions boards of adjustment community redevelopment agenciesplanning or zoning boards having the power to recommend create ormodify land planning or zoning within a political subdivision except forcitizen advisory committees technical coordinating committees andsimilar groups who only have the power to make recommendationsto planning or zoning boards and except for representatives of amilitary installation acting on behalf of all military installations within thatjurisdiction pension or retirement boards empowered to invest pensionor retirement funds or determine entitlement to or amount of pensions orother retirement benefits and the Pinellas County Construction LicensingBoard6) Any appointed member of a local government board who

is required to file a statement of financial interests by the appointingauthority or the enabling legislation ordinance or resolution creating theboard7) Persons holding any of these positions in local government

mayor county or city manager chief administrative employee or finance

director of a county municipality or other political subdivision countyor municipal attorney chief county or municipal building inspectorcounty or municipal water resources coordinator county or municipalpollution control director county or municipal environmental controldirector county or municipal administrator with power to grant or denya land development permit chief of police fire chief municipal clerkappointed district school superintendent community college presidentdistrict medical examiner purchasing agent (regardless of title) havingthe authority to make any purchase exceeding $35000 for the localgovernmental unit8) Officers and employees of entities serving as chief administrative

officer of a political subdivision9) Members of governing boards of charter schools operated by a

city or other public entity10) Employees in the office of the Governor or of a Cabinet member

who are exempt from the Career Service System excluding secretarialclerical and similar positions11) The following positions in each state department commission

board or council Secretary Assistant or Deputy Secretary ExecutiveDirector Assistant or Deputy Executive Director and anyone having thepower normally conferred upon such persons regardless of title12) The following positions in each state department or division

Director Assistant or Deputy Director Bureau Chief and any personhaving the power normally conferred upon such persons regardless oftitle13) Assistant State Attorneys Assistant Public Defenders criminal

conflict and civil regional counsel and assistant criminal conflict and civilregional counsel Public Counsel full-time state employees serving ascounsel or assistant counsel to a state agency administrative law judgesand hearing officers14) The Superintendent or Director of a state mental health institute

established for training and research in the mental health field or anymajor state institution or facility established for corrections trainingtreatment or rehabilitation15) State agency Business Managers Finance and Accounting

Directors Personnel Officers Grant Coordinators and purchasingagents (regardless of title) with power to make a purchase exceeding$3500016) The following positions in legislative branch agencies each

employee (other than those employed in maintenance clerical secretarial or similar positions and legislative assistants exemptedby the presiding officer of their house) and each employee of theCommission on Ethics

INSTRUCTIONS FOR COMPLETING FORM 1INTRODUCTORY INFORMATION (Top of Form) If your name mailing address public agency and position are already printed on the form you do not need to provide this information unless it should be changed To change any of this information write the correct information on the form and contact your agencys financial disclosure coordinator You can find your coordinator on the Commission on Ethics website wwwethicsstateflus NAME OF AGENCY The name of the governmental unit which you serve or served by which you are or were employed or for which you are a candidate DISCLOSURE PERIOD The ldquodisclosure periodrdquo for your report is the calendar year ending December 31 2019

OFFICE OR POSITION HELD OR SOUGHT The title of the office or position you hold are seeking or held during the disclosure period even if you have since left that position If you are a candidate for office or are a new employee or appointee check the appropriate boxPUBLIC RECORD The disclosure form and everythingattached to it is a public record Your Social Security Number is not required and you should redact it from any documents you file If you are an active or former officer or employee listed in Section 119071 FS whose home address is exempt from disclosure the Commission will maintain that confidentiality if you submit a written request

WHO MUST FILE FORM 1

CE FORM 1 - Effective January 1 2020 Incorporated by reference in Rule 34-8202 FAC PAGE 3

Examples PART E mdash LIABILITIES mdash You are the sole proprietor of a dry cleaning business from [Required by s 1123145(3)(b)4 FS]which you received more than 10 of your gross incomemdashan List the name and address of each creditor to whom you owed amount that was more than $1500 If only one customer a any amount that at any time during the disclosure period exceeded uniform rental company provided more than 10 of your dry your net worth You are not required to list the amount of any debt cleaning business you must list the name of the uniform rental or your net worth You do not have to disclose credit card and retail company its address and its principal business activity (uniform installment accounts taxes owed (unless reduced to a judgment) rentals) indebtedness on a life insurance policy owed to the company of mdash You are a 20 partner in a partnership that owns a shopping issuance or contingent liabilities A ldquocontingent liabilityrdquo is one mall and your partnership income exceeded the thresholds that will become an actual liability only when one or more future listed above You should list each tenant of the mall that events occur or fail to occur such as where you are liable only as provided more than 10 of the partnershiprsquos gross income and a guarantor surety or endorser on a promissory note If you are a the tenantrsquos address and principal business activity ldquoco-makerrdquo and are jointly liable or jointly and severally liable it is not

a contingent liability PART C mdash REAL PROPERTY Calculations To determine whether the debt exceeds your

[Required by s 1123145(3)(a)3 FS] net worth total all of your liabilities (including promissory notes mortgages credit card debts judgments against you etc) TheIn this part list the location or description of all real property in amount of the liability of a vehicle lease is the sum of any past-due Florida in which you owned directly or indirectly at any time during payments and all unpaid prospective lease payments Subtract the disclosure period in excess of 5 of the propertyrsquos value You the sum total of your liabilities from the value of all your assets are not required to list your residences You should list any vacation as calculated above for Part D This is your ldquonet worthrdquo List each homes if you derive income from them creditor to whom your debt exceeded this amount unless it is one of

Indirect ownership includes situations where you are a the types of indebtedness listed in the paragraph above (credit card beneficiary of a trust that owns the property as well as situations and retail installment accounts etc) Joint liabilities with others for where you own more than 5 of a partnership or corporation that which you are ldquojointly and severally liablerdquo meaning that you may owns the property The value of the property may be determined by be liable for either your part or the whole of the obligation should be the most recently assessed value for tax purposes in the absence included in your calculations at 100 of the amount owed of a more current appraisal

Example You owe $15000 to a bank for student loans $5000 The location or description of the property should be sufficient for credit card debts and $60000 (with spouse) to a savings to enable anyone who looks at the form to identify the property A and loan for a home mortgage Your home (owned by you and street address should be used if one exists your spouse) is worth $80000 and your other property is worth PART D mdash INTANGIBLE PERSONAL PROPERTY $20000 Since your net worth is $20000 ($100000 minus

$80000) you must report only the name and address of the [Required by s 1123145(3)(a)3 FS] savings and loan Describe any intangible personal property that at any time

during the disclosure period was worth more than 10 of your PART F mdash INTERESTS IN SPECIFIED BUSINESSES total assets and state the business entity to which the property [Required by s 1123145 FS] related Intangible personal property includes things such as cash on hand stocks bonds certificates of deposit vehicle leases The types of businesses covered in this disclosure include interests in businesses beneficial interests in trusts money owed state and federally chartered banks state and federal savings and you Deferred Retirement Option Program (DROP) accounts loan associations cemetery companies insurance companies the Florida Prepaid College Plan and bank accounts Intangible mortgage companies credit unions small loan companies alcoholic personal property also includes investment products held in IRAs beverage licensees pari-mutuel wagering companies utilitybrokerage accounts and the Florida College Investment Plan companies entities controlled by the Public Service Commission Note that the product contained in a brokerage account IRA or the and entities granted a franchise to operate by either a city or a Florida College Investment Plan is your assetmdashnot the account or county governmentplan itself Things like automobiles and houses you own jewelry Disclose in this part the fact that you owned during the and paintings are not intangible property Intangibles relating to the disclosure period an interest in or held any of certain positions same business entity may be aggregated for example CDrsquos and with the types of businesses listed above You are requiredsavings accounts with the same bank to make this disclosure if you own or owned (either directly or

Calculations To determine whether the intangible property indirectly in the form of an equitable or beneficial interest) at any exceeds 10 of your total assets total the fair market value of time during the disclosure period more than 5 of the total assets all of your assets (including real property intangible property and or capital stock of one of the types of business entities listed above tangible personal property such as jewelry furniture etc) When You also must complete this part of the form for each of these types making this calculation do not subtract any liabilities (debts) that of businesses for which you are or were at any time during themay relate to the property Multiply the total figure by 10 to arrive disclosure period an officer director partner proprietor or agent at the disclosure threshold List only the intangibles that exceed (other than a resident agent solely for service of process) this threshold amount The value of a leased vehicle is the vehiclersquos If you have or held such a position or ownership interest in present value minus the lease residual (a number which can be one of these types of businesses list the name of the business its found on the lease document) Property that is only jointly owned address and principal business activity and the position held with property should be valued according to the percentage of your the business (if any) If you own(ed) more than a 5 interest in the joint ownership Property owned as tenants by the entirety or as business indicate that fact and describe the nature of your interest joint tenants with right of survivorship should be valued at 100 None of your calculations or the value of the property have to be PART G mdash TRAINING CERTIFICATIONdisclosed on the form

[Required by s 1123142 FS] Example You own 50 of the stock of a small corporation that is worth $100000 the estimated fair market value of If you are a Constitutional or elected municipal officer whoseyour home and other property (bank accounts automobile service began before March 31 of the year for which you are filing furniture etc) is $200000 As your total assets are worth you are required to complete four hours of ethics training which $250000 you must disclose intangibles worth over $25000 addresses Article II Section 8 of the Florida Constitution the Code Since the value of the stock exceeds this threshold you of Ethics for Public Officers and Employees and the public records should list ldquostockrdquo and the name of the corporation If your and open meetings laws of the state You are required to certify on accounts with a particular bank exceed $25000 you should this form that you have taken such training list ldquobank accountsrdquo and bankrsquos name

(

End of Percentage Thresholds Instructions) CE FORM 1 - Effective January 1 2020 Incorporated by reference in Rule 34-8202 FAC PAGE 6

  • 0 HP Cover Page v2
  • 1 Hawks Point Meeting Invite Draft v2
  • 2 Agenda Draft v3
  • 3 EXHIBIT 1
  • 7 HP 05-19-2020 Meeting Minutes Approved
  • 6 EXHIBIT 2
  • 9 HP May FY20 Fin
  • 8 EXHIBIT 3
  • 4 Vacant Position Qualification Requirements for Hawks Point CDD
    • Vacant Position on the Board of Supervisors of the Hawkrsquos Point Community Development District
      • Qualification Requirements
      • Instructions for Interested Candidates
      • Additional Notes
          • 5 Shami Choon Vacant Position - updated 11-5-11 resume
            • 1803 Oak Pond Street Ruskin Fl 33570 E-mailchoons27gmailcom
              • PROFESSIONAL HISTORY
                • Operations Manager Florida Distribution 2002 ndash 2005
                • Operations Manager for Florida Branch Distribution 1999 ndash 2002
                • Warehouse Manager of Miami Distribution Center 1998 ndash 1999
                • Branch Manager of West Palm Beach 1994 ndash 1998
                • Assistant Branch Manager 1991 ndash 1994
                • Customer Service Agent 1990 ndash 1991
                  • 10 EXHIBIT 4
                  • 11 New Business - Hawks Point CDD - MI proposal
                  • 12 EXHIBIT 5
                  • 13 CertaPro Proposal to Paint Exterior Wall 18th to 24th Avenue
                  • 14 Shazam Construction Proposal to Paint Exterior Wall 18th to 24th Street
                    • QUOTE
                      • TO
                          • 15 Photo to accompany Shazam Proposal
                          • 16 EXHIBIT 6
                          • 17 CertaPro Proposal for Pressure Washing Exterior Wall 18th St to 24th Street
                          • 18 Shazam Construction Proposal for Pressure Washing Exterion Wall 18th Street to 24th Street
                            • QUOTE
                              • TO
                                  • 19 EXHIBIT 7
                                  • 20 Form 1_2019i
                                      1. LAST NAME
                                      2. FIRST NAME
                                      3. MIDDLE NAME
                                      4. MAILING ADDRESS ROW 1
                                      5. MAILING ADDRESS ROW 2
                                      6. CITY
                                      7. ZIP
                                      8. COUNTY
                                      9. NAME OF AGENCY
                                      10. NAME OF OFFICE OR POSITION HELD OR SOUGHT
                                      11. CANDIDATE Off
                                      12. NEW EMPLOYEE OR APPOINTEE Off
                                      13. COMPARATIVE (PERCENTAGE) THRESHOLDS Off
                                      14. DOLLAR VALUE THRESHOLDS Off
                                      15. NAME OF SOURCE INCOME ROW 1
                                      16. ADDRESS ROW 1
                                      17. DESCRIPTION OF THE SOURCES PRINCIPAL BUSINESS ACTIVITY ROW 1
                                      18. NAME OF SOURCE INCOME ROW 2
                                      19. ADDRESS ROW 2
                                      20. DESCRIPTION OF THE SOURCES PRINCIPAL BUSINESS ACTIVITY ROW 2
                                      21. NAME OF SOURCE INCOME ROW 3
                                      22. ADDRESS ROW 3
                                      23. DESCRIPTION OF THE SOURCES PRINCIPAL BUSINESS ACTIVITY ROW 3
                                      24. NAME OF SOURCE INCOME ROW 4
                                      25. ADDRESS ROW 4
                                      26. DESCRIPTION OF THE SOURCES PRINCIPAL BUSINESS ACTIVITY ROW 4
                                      27. NAME OF BUSINESS ENTITY ROW 1
                                      28. NAME OF MAJOR SOURCES OF BUSINESS INCOME ROW 1
                                      29. ADDRESS OF SOURCE ROW 1
                                      30. PRINCIPAL BUSINESS ACTIVITY OF SOURCE ROW 1
                                      31. NAME OF BUSINESS ENTITY ROW 2
                                      32. NAME OF MAJOR SOURCES OF BUSINESS INCOME ROW 2
                                      33. ADDRESS OF SOURCE ROW 2
                                      34. PRINCIPAL BUSINESS ACTIVITY OF SOURCE ROW 2
                                      35. NAME OF BUSINESS ENTITY ROW 3
                                      36. NAME OF MAJOR SOURCES OF BUSINESS INCOME ROW 3
                                      37. ADDRESS OF SOURCE ROW 3
                                      38. PRINCIPAL BUSINESS ACTIVITY OF SOURCE ROW 3
                                      39. REAL PROPERTY ROW 1
                                      40. REAL PROPERTY ROW 2
                                      41. REAL PROPERTY ROW 3
                                      42. REAL PROPERTY ROW 4
                                      43. TYPE OF INTANGIBLE ROW 1
                                      44. BUSINESS ENTITY TO WHICH THE PROPERTY RELATES ROW 1
                                      45. TYPE OF INTANGIBLE ROW 2
                                      46. BUSINESS ENTITY TO WHICH THE PROPERTY RELATES ROW 2
                                      47. NAME OF CREDITOR ROW 1
                                      48. ADDRESS OF CREDITOR ROW 1
                                      49. NAME OF CREDITOR ROW 2
                                      50. ADDRESS OF CREDITOR ROW 2
                                      51. ADDRESS OF BUSINESS ENTITY 1
                                      52. PRINCIPAL BUSINESS ACTIVITY 1
                                      53. POSITION HELD WITH ENTITY 1
                                      54. I OWN MORE THAN A 5 INTEREST IN THE BUSINESS 1
                                      55. NATURE OF MY OWNERSHIP INTEREST 1
                                      56. ADDRESS OF BUSINESS ENTITY 2
                                      57. PRINCIPAL BUSINESS ACTIVITY 2
                                      58. POSITION HELD WITH ENTITY 2
                                      59. I OWN MORE THAN A 5 INTEREST IN THE BUSINESS 2
                                      60. NATURE OF MY OWNERSHIP INTEREST 2
                                      61. FOR ELECTED MUNICIPAL OFFICERS REQUIRED TO COMPLETE ANNUAL ETHICS TRAINING PURSUANT TO SECTION 112
                                        1. 3142 F
                                          1. S Off
                                              1. IF ANY OF PARTS A THROUGH G ARE CONTINUED ON A SEPARATE SHEET PLEASE CHECK HERE Off
                                              2. SIGNATURE
                                              3. Date Signed
Page 9: HAWKS POINT COMMUNITY DEVELOPMENT …...2020/06/16  · Hawks Point Community Development District Board of Supervisors Meeting Tuesday, June 16th at 6:30 PM via Zoom All: We welcome

Hawks Point CDD May 19 2020

Regular Meeting Page 2 of 3

2 Exhibit 4 Consideration and Adoption of Resolution 2020-02 Approving Proposed 41

Budget and Setting Public Hearing for Final Budget 42

On a MOTION by Mr Hathaway SECONDED by Ms Copeland WITH ALL IN FAVOR the Board 43 adopted Resolution 2020-02 Approving Proposed Budget and Setting Public Hearing for Final Budget 44 for the Hawks Point Community Development District 45

3 Exhibit 5 Hillsborough County Number of Registered Voters for Hawks Point ndash 1554 46

4 Exhibit 6 Consideration of Steadfast Environmental Proposal for Pond Plantings ndash No 47 98 - $450000 48

Mr Lotito indicated that this item was to improve quality of storm water discharge and to 49 proactively prevent erosion and noted that the plantings had been budgeted for multiple 50 years but never implemented Mr Hamilton gave an overview of areas for planting and 51 types of plants noting that budget restrictions may lead to the Board needing to prioritize 52 areas Discussion ensued 53

On a MOTION by Mr Hathaway SECONDED by Ms Williams WITH ALL IN FAVOR the Board 54 approved the Steadfast Environmental Proposal for Pond Plantings in the amount of $450000 for the 55 Hawks Point Community Development District 56

5 Exhibit 7 Consideration of LMP Proposal for Palm Trimming ndash No 65827 - $81900 57

This item was tabled to the next meeting pending determination of property ownership 58 by District Counsel 59

B Old Business 60

1 Exhibit 8 Consideration of the Stantec Proposal for Landscape Design for Improvement 61 of Monuments and Common Areas - $1275000 62

Mr Markle gave an overview of the proposal in terms of the scope of landscape design 63 and contractor oversight A resident indicated that she felt the cost of the proposal for 64 design was excessive Discussion ensued 65

On a MOTION by Ms Copeland SECONDED by Ms Williams WITH ALL IN FAVOR the Board 66 approved the Stantec Proposal for Landscape Design for Improvement of Monuments and Common 67 Areas in the amount of $1275000 for the Hawks Point Community Development District 68

2 Exhibit 9 Consideration of LMP Proposals 69

Replace Faulty Hunter 1 Station Decoder ndash Estimate No 64891 - $21050 70

Repair Controller 1 ndash Estimate No 64935 - $19100 71

Repair Controller 3 ndash Estimate No 64936 - $10600 72

Repair Controller 5 ndash Estimate No 64937 - $2900 73

On a MOTION by Mr Hathaway SECONDED by Ms Keene WITH ALL IN FAVOR the Board 74 approved all LMP repair and replacement proposals for the Hawks Point Community Development 75 District 76

Hawks Point CDD May 19 2020

Regular Meeting Page 3 of 3

SIXTH ORDER OF BUSINESS ndash Staff Reports 77

A District Manager 78

There being none the next item followed 79

B District Counsel 80

Mr Babbar noted that District Engineering had recommended an irrigation specialist and that a 81 proposal from the specialist would be forthcoming 82

C District Engineer 83

There being none the next item followed 84

SEVENTH ORDER OF BUSINESS ndash Supervisors Requests 85

There being none the next item followed 86

EIGHTH ORDER OF BUSINESS ndash Audience Comments ndash New Business 87

A resident asked about the ownership of a conservation area at 18th and Hawks Island and Mr 88 Hathaway indicated that this was CDD property The resident noted that the conservation area 89 had been overgrown onto the sidewalk 90

NINTH ORDER OF BUSINESS ndash Adjournment 91

Mr Lotito asked for final questions comments or corrections before requesting a motion to 92 adjourn the meeting There being none Mr Hathaway made a motion to adjourn the meeting 93

On a MOTION by Mr Hathaway SECONDED by Ms Williams WITH ALL IN FAVOR the Board 94 adjourned the meeting for the Hawks Point Community Development District 95

Each person who decides to appeal any decision made by the Board with respect to any matter 96 considered at the meeting is advised that person may need to ensure that a verbatim record of the 97 proceedings is made including the testimony and evidence upon which such appeal is to be based 98

Meeting minutes were approved at a meeting by vote of the Board of Supervisors at a publicly noticed 99 meeting held on ________________________ 100

101

Signature Signature

102

Printed Name Printed Name

Title Secretary Assistant Secretary Title Chairman Vice Chairman 103

EXHIBIT 2

Hawks Point

Community Development District

Financial Statements

(Unaudited)

Period Ending

May 31 2020

DEBT

GENERAL SERVICE CONSOLIDATED

FUND SERIES 2017 TOTAL

1 ASSETS

2

3 CASH 66142$ -$ 66142$

4 MMK 456665 - 456665

5 INVESTMENTS

6 REVENUE FUND - 203538 203538

7 INTEREST FUNDS - 195 195

8 PRINCIPAL FUNDS - - -

9 SINKING FUNDS - 1 1

11 RESERVE - 266003 266003

12 ACCOUNTS RECEIVABLE 2588 - 2588

13 ASSESMENTS RECEIVABLE 2781 3237 6018

14 DUE FROM GF - 172 172

15 PREPAID ITEMS - - -

16 DEPOSITS 451 - 451

17 TOTAL ASSETS 528627$ 473145$ 1001772$

18

19 LIABILITIES

20

21 ACCOUNTS PAYABLE 537$ -$ 537$

22 DUE TO DEBT SERVICE SERIES 2017 172 - 172

23 ACCRUED INTEREST PAYABLE DS 2017 - - -

24 DEFERRED REVENUE 2781 3237 6018

26

27 FUND EQUITY

28

29 RESTRICTED FOR

30 DEBT SERVICE - 469908 469908

32 ASSIGNED 1 QTR OPER 71304 - 71304

33 ASSIGNED FY 2018 INC IN RESERVES 15650 - 15650

34 ASSIGNED FY 2019 INC IN RESERVES 22500 - 22500

35 UNASSIGNED 415683 - 415683 36

37 TOTAL LIABILITIES amp FUND EQUITY 528627$ 473145$ 1001772$

Hawks Point CDDBalance Sheet

May 31 2020

Note GASB 34 government wide financial statements are available in the annual independent audit of the District The audit is

available on the website and upon request

Page 2

FY2020 VARIANCE

ADOPTED BUDGET ACTUAL FAVORABLE

BUDGET YEAR-TO-DATE YEAR-TO-DATE (UNFAVORABLE)

1 REVENUE

2

3 ASSESSMENT ON ROLL (NET) 453615$ 453615$ 450924$ (2691)$

4 ASSESSMENT ON ROLL EXCESS FEES - - - -

5 INTEREST REVENUE - - 1594 1594

6 MISCELLANEOUS REVENUE - - - -

7 ELECTRICITY COST SHARE WITH THE HOA 1600 1067 2633 1566

8 TOTAL REVENUE 455215 454682 455152 470

9

10 EXPENDITURES

11

12 ADMINISTRATIVE

13 BOARD OF SUPERVISORS 12000 8000 5539 2461

14 PAYROLL TAXES 918 612 503 109

15 PAYROLL SERVICE FEE 625 417 392 25

16 MANAGEMENT CONSULTING SERVICES 40000 26667 26667 -

17 GENERAL ADMINISTRATIVE 4800 3200 3200 -

18 MISCELLANEOUS 500 333 - 333

19 AUDITING 3200 3200 - 3200

20 REGULATORY AND PERMIT FEES 175 175 175 -

21 LEGAL ADVERTISEMENTS 1500 1000 1386 (386)

22 ENGINEERING SERVICES 5000 3333 1896 1437

23 LEGAL SERVICES - GENERAL 7500 5000 2895 2105

24 WEBSITE ADMINISTRATION 2265 2165 1749 416

25 TOTAL ADMINISTRATIVE 78483 54102 44401 9701

26

27 INSURANCE

28 INSURANCE (Liability Property amp Casualty) 6050 6050 5638 412

29 TOTAL INSURANCE 6050 6050 5638 412

30

31 DEBT SERVICE ADMINISTRATION

32 DISSEMINATION AGENT 1000 1000 1000 -

33 TRUSTEE FEES 10500 - - -

34 TRUST FUND ACCOUNTING 1500 1000 1000 -

35 ARBITRAGE 650 - - -

36 ASSESSMENT ADMINISTRATION 5000 5000 5000 -

37 TOTAL DEBT SERVICE ADMINISTRATION 18650 7000 7000 -

38

39 UTILITIES

40 ELECTRICITY-IRRIGATION 2928 1952 1191 761

41 TOTAL UTILITIES 2928 1952 1191 761

42

43 FIELD OPERATIONS

44 IRRIGATION MAINTENANCE amp REPAIRS 10000 6667 3960 2706

45 POND MONITORING amp MAINTENANCE 17700 10325 10325 -

46 POND PLANTINGS 5000 5000 - 5000

47 WETLAND MONITORING 7120 5340 1780 3560

48 LANDSCAPE MAINTENANCE 129000 86000 88400 (2400)

49 LANDSCAPE REPLENISHMENT 119898 79932 6520 73412

50 TREE TRIMMING 16800 11200 - 11200

51 STREETLIGHTS 2000 1333 - 1333

52 MISCELLANEOUS FIELD EXPENSES 18586 12391 8886 3504

53 CAPITAL PROJECTS - WELL DRILLING amp PUMP INSTALL - - 18165 (18165)

54 RESERVE - PAINT PERIMITER WALL - - 6350 (6350)

55 TOTAL FIELD OPERATIONS 326104 218188 144386 73802

Hawks Point

General Fund

Statement of Revenues Expenditures and Changes in Fund Balance

For the period from October 1 2019 through April 30 2020

Preliminary

Page 3

FY2020 VARIANCE

ADOPTED BUDGET ACTUAL FAVORABLE

BUDGET YEAR-TO-DATE YEAR-TO-DATE (UNFAVORABLE)

Hawks Point

General Fund

Statement of Revenues Expenditures and Changes in Fund Balance

For the period from October 1 2019 through April 30 2020

Preliminary

56

57 TOTAL EXPENDITURES BEFORE RESERVES 432215 287292 202616 84675

58

59 INCREASE FOR RESERVES 23000 - - -

60 INCREASE IN FUND BALANCE - - - -

61

62

63 TOTAL EXPENDITURES AFTER RESERVE 455215 287292 202616 84675

64

65 EXCESS OF REVENUE OVER (UNDER) EXPENDITURES - 167390 252535 85145

66

67 FUND BALANCE - BEGINNING 269666 269666 272602 272602

68 DECREASE IN FUND BALANCE - - - -

69 INCREASE IN RESERVE 23000 - - -

70 FUND BALANCE - ENDING 292666$ 437056$ 525137$ 357747$

71

72

73 FY 2018FY 2019 - Irrigation System Grounding Phased 15544$

74 FY 2018 - Perimieter Wall Paint Applications 5815

75 FY 2019 - Reserve Study Update 1100

77 FY 2020 - Irrigation System-Clocks 6442

Total Replacement Expenses for Reserves 28901$

Reserve Expenditure Components

Page 4

FY 2020 VARIANCE

ADOPTED BUDGET ACTUAL FAVORABLE

BUDGET YEAR-TO-DATE YEAR-TO-DATE (UNFAVORABLE)

1 REVENUE

2 ASSESSMENTS - ON-ROLL (Gross) 561051$ 527388$ 524922$ (2466)$

3 ASSESSMENTS - ON-ROLL EXCESS FEES - - - -

4 FUND BALANCE FORWARD - - - -

5 INTEREST - INVESTMENT - - 3703 3703

6 DISCOUNT (22442) - - -

7 TOTAL REVENUE 538609 527388 528624 1236

8

9

10 EXPENDITURES

11

12 PRINCIPAL

13 512020 235000 - 235000 (235000)

14 INTEREST EXPENSE

15 1112019 - - 144238 (144238)

16 512020 144238 - 144238 (144238)

17 1112020 140075 - - -

18 COUNTY COLLECTION CHARGES 11221 - - -

19 TOTAL EXPENDITURES 530534 - 523475 (523475)

20

21 EXCESS OF REVENUE OVER (UNDER) EXPENDITURES 8075 527388 5149 (522239)

22

23 OTHER FINANCING SOURCES (USES)

24 TRANSFER IN - - - -

25 TRANSFER OUT (USES) - - - -

26 TOTAL OTHER FINANCING SOURCES (USES) - - - -

27

28 NET CHANGE IN FUND BALANCE 8075 527388 5149 (522239)

29

30 FUND BALANCE - BEGINNING - - 464759 464759

31 FUND BALANCE APPROPRIATED - - - -

32

33 FUND BALANCE - ENDING 8075$ 527388$ 469908$ (57480)$

Hawks Point CDD

Debt Service - Series 2017

Statement of Revenues Expenditures and Changes in Fund Balance

For the period from October 1 2019 through April 30 2020

Page 5

Bank United

Balance Per Bank Statement 7549415$

Plus Deposits in Transit -

Less Outstanding Checks (935250)

Adjusted Bank Balance 6614165$

Beginning Bank Balance Per Books 4251943$

Cash Receipts 5000350

Cash Disbursements (2638128)

Balance Per Books 6614165$

Hawks Point CDD

Bank Reconciliation (GF)

May 31 2020

Page 6

Date Num Name Memo Receipts Disbursements Balance

Bank United EOY Balance 9460943

10012019 9035 DPFG MANAGEMENT amp CONSULTING LLC CDD Mgmt - October 385833 9075110

10022019 Hawks Point West HOA 2019-245- HPW 18866 9093976

10082019 646 Hawks Point HOA 2019245 - HPA 21225 9115201

10082019 Hawks Point West HOA 201956 - HPW 208516 9323717

10082019 1115 Egis Insurance amp Risk Advisors Ins - FY 2020 563800 8759917

10112019 9036 JAYMAN ENTERPRISES LLC Replace Bulbs at Entrances Rcvd 10119 23000 8736917

10112019 9037 Landscape Maintenance Professionals Inc Landscape Maint - October 1105000 7631917

10162019 1116 FLORIDA DEPT OF ECONOMIC OPPORTUNIT Annual Filing FY 2020 17500 7614417

10182019 9041 TAMPA BAY TIMES Legal Ad - Meeting Schedule 55200 7559217

10212019 9038 DPFG MANAGEMENT amp CONSULTING LLC Special Assessment - FY 2020 Continuing Disclosure ADA Compliance 650000 6909217

10212019 9039 JAYMAN ENTERPRISES LLC Replace Bulbs 7000 6902217

10212019 9040 STANTEC CONSULTING SERVICES INC Lake amp Pond Maint - Sept 10500 6891717

10242019 ACH102419 TAMPA ELECTRIC 830-930 - 1416 Little Hawk Dr 7637 6884080

10242019 ACH1024192 TAMPA ELECTRIC 830-930 - 2160 Golden Falcon Dr 7083 6876997

10242019 000652 Hawks Point HOA 20197-HPA 4921 6881918

10252019 694003DD ANDREW HERON Bos Mtg - 101519 18470 6863448

10252019 ACH102519 Innovative Employer Soltuions Bos Mtg - 101519 17140 6846308

10252019 694005DD KAREN OBRIEN Bos Mtg - 101519 18470 6827838

10252019 694004DD SHERRI KEENE Bos Mtg - 101519 18470 6809368

10252019 694002DD WILLIAM J HATHAWAY Bos Mtg - 101519 18470 6790898

10312019 Bank United Interest 691 6791589

Bank United EOM Balance 254219 2923573 6791589

11012019 9042 DPFG MANAGEMENT amp CONSULTING LLC CDD Mgmt - November 385833 6405756

11012019 9043 STANTEC CONSULTING SERVICES INC Lake amp Pond Maint - Pond 201-19 amp 21 - Sept 274000 6131756

11012019 9044 STRALEY ROBIN VERICKER Legal Svcs thru 101519 65999 6065757

11122019 1117 HAWKS POINT CDD DS 2017 Tax Collection Share co Wells Fargo 762290 5303467

11152019 9045 Landscape Maintenance Professionals Inc Landscape Maint - November amp Irrigation Repairs 1229369 4074098

11152019 9046 STANTEC CONSULTING SERVICES INC Lake amp Pond Maint - Oct 333600 3740498

11202019 9048 TAMPA BAY TIMES Legal Ad - Audit Meeting 42050 3698448

11222019 9047 STANTEC CONSULTING SERVICES INC Lake amp Pond Maint - Pond 20 - Oct 10500 3687948

11252019 ACH1125191 TAMPA ELECTRIC 101-1030 - 1416 Little Hawk Dr 7431 3680517

11252019 ACH1125192 TAMPA ELECTRIC 101-1030 - 2160 Golden Falcon Dr 8753 3671764

11292019 703783DD ANDREW HERON Bos Mtg - 111919 18470 3653294

11292019 ACH112919 Innovative Employer Soltuions Bos Mtg - 111919 20200 3633094

11292019 703785DD KAREN OBRIEN Bos Mtg - 111919 18470 3614624

11292019 703781DD MARIE CHANTAL COPELAND Bos Mtg - 111919 18470 3596154

11292019 703784DD SHERRI KEENE Bos Mtg - 111919 18470 3577684

11292019 703782DD WILLIAM J HATHAWAY Bos Mtg - 111919 18470 3559214

11302019 Bank United Interest 450 3559664

Bank United EOM Balance 450 3232375 3559664

12022019 9049 DPFG MANAGEMENT amp CONSULTING LLC CDD Mgmt - December 385833 3173831

12042019 694 Hawks Point HOA 20198-HPA 5105 3178936

12042019 503 Hawks Point West HOA 20197-HPW amp 20198-HPW 7388 3186324

12042019 1118 Site Masters of Florida LLC Investigation of pipe discharge Townhome Yard Drain Blockage 150000 3036324

12112019 9050 Illuminations Holiday Lighting Electrical Fix Holiday Lights - Deposit 261250 2775074

12132019 Bank United Funds Transfer - MMK to Opt Acct 4500000 7275074

12132019 Bank United Funds Transfer - MMK to Opt Acct 50834407 58109481

12162019 9055 TAMPA BAY TIMES Legal Ad - RFP Auditing Svc 36100 58073381

12182019 9051 Flatwoods Environmental Cut amp Dispose Brazilian Pepper 396500 57676881

12182019 9052 Landscape Maintenance Professionals Inc Landscape Maint - December 1105000 56571881

12182019 9053 STANTEC CONSULTING SERVICES INC Misc Environmental Services 137000 56434881

12182019 9054 STRALEY ROBIN VERICKER Legal Svcs thru 111519 57500 56377381

12182019 1119 HAWKS POINT CDD DS 2017 Tax Collection Share co Wells Fargo 49544765 6832616

12182019 1120 Innersync ADA Compliant website 124942 6707674

12262019 ACH1226191 TAMPA ELECTRIC 1031-122 - 2160 Golden Falcon Dr 8771 6698903

12262019 ACH1226192 TAMPA ELECTRIC 1031-1202 - 1416 Little Hawk Dr 9315 6689588

12272019 711993DD ANDREW HERON Bos Mtg - 121719 18470 6671118

12272019 ACH122719 Innovative Employer Soltuions Bos Mtg - 121719 20200 6650918

12272019 711995DD KAREN OBRIEN Bos Mtg - 121719 18470 6632448

12272019 711991DD MARIE CHANTAL COPELAND Bos Mtg - 121719 18470 6613978

12272019 711994DD SHERRI KEENE Bos Mtg - 121719 18470 6595508

12272019 711992DD WILLIAM J HATHAWAY Bos Mtg - 121719 18470 6577038

12312019 Bank United Interest 3091 6580129

Bank United EOM Balance 55349991 52329526 6580129

01022020 9056 DPFG MANAGEMENT amp CONSULTING LLC CDD Mgmt - January 385833 6194296

01082020 9057 Landscape Maintenance Professionals Inc Station decoders 82908 6111388

01082020 9058 STRALEY ROBIN VERICKER Legal Svcs thru 121519 10000 6101388

01102020 9159 Landscape Maintenance Professionals Inc Landscape Maint - January 1105000 4996388

01102020 9160 Mike White LLC Entry Monument repair 54119 4942269

01132020 1121 HAWKS POINT CDD DS 2017 Tax Collection Share co Wells Fargo 868256 4074013

01172020 9161 Illuminations Holiday Lighting Holiday Lights - Balance Due 231250 3842763

01172020 000534 Hawks Point West HOA 20201-HPW 4493 3847256

01272020 1122 STANTEC CONSULTING SERVICES INC Pond Maint - December Engineering Svcs thru 122719 353400 3493856

01272020 ACH012720 TAMPA ELECTRIC 123-1231 - 2160 Golden Falcon Dr 8116 3485740

01272020 ACH0127202 TAMPA ELECTRIC 1203-1231 - 1416 Little Hawk Dr 6682 3479058

01312020 072704 Innovative Employer Soltuions Bos Mtg - 12120 17140 3461918

01312020 721948DD KAREN OBRIEN Bos Mtg - 12120 18470 3443448

01312020 721945DD MARIE CHANTAL COPELAND Bos Mtg - 12120 18470 3424978

01312020 721947DD SHERRI KEENE Bos Mtg - 12120 18470 3406508

01312020 721946DD WILLIAM J HATHAWAY Bos Mtg - 12120 18470 3388038

01312020 Bank United Interest 1406 3389444

Bank United EOM Balance 5899 3196584 3389444

02052020 1124 DPFG MANAGEMENT amp CONSULTING LLC CDD Mgmt - February 385833 3003611

02052020 1125 Landscape Maintenance Professionals Inc Landscape Maint - February 1105000 1898611

02052020 1126 TAMPA ELECTRIC 101-1030 - 1416 Little Hawk Dr 308 1898303

02252020 1127 Landscape Maintenance Professionals Inc Landscape Maint - March 1105000 793303

02252020 02252020ACH TAMPA ELECTRIC 11-130 - 1416 Little Hawk Dr 7840 785463

02252020 02252020ACH TAMPA ELECTRIC 11-130 - 2160 Golden Falcon Dr 9092 776371

02282020 02182020ACH Innovative Employer Soltuions Bos Mtg - 21820 14080 762291

02282020 730271DD MARIE CHANTAL COPELAND Bos Mtg - 21820 18470 743821

02282020 730273DD SHERRI KEENE Bos Mtg - 21820 18470 725351

02282020 7302272DD WILLIAM J HATHAWAY Bos Mtg - 21820 18470 706881

02292020 Bank United Interest 203 707084

HAWKS POINT CDDCASH REGISTER

FY 2020

Page 7

Date Num Name Memo Receipts Disbursements Balance

HAWKS POINT CDDCASH REGISTER

FY 2020

Bank United EOM Balance 203 2682563 707084

03042020 1128 DPFG MANAGEMENT amp CONSULTING LLC CDD Mgmt - March 385833 321251

03122020 1129 STANTEC CONSULTING SERVICES INC Engineering Svcs thru 012420 73950 247301

03122020 ACH032520 TAMPA ELECTRIC 13120 - 22820 - 2160 Golden Falcon Dr 8527 238774

03122020 ACH0325202 TAMPA ELECTRIC 013120 - 22820 - 1416 Little Hawk Dr 6592 232182

03192020 BankUnited Funds Transfer 5000000 5232182

03192020 1130 HAWKS POINT CDD DS 2017 Tax Collection Share co Wells Fargo thru 030420 1437199 3794983

03242020 1131 Landscape Maintenance Professionals Inc Pencil Pruning of Crape Myrtles Landscape Maint -042020 1360500 2434483

03242020 1132 STANTEC CONSULTING SERVICES INC Pond Maint - January Feb 295000 2139483

03242020 1133 STRALEY ROBIN VERICKER Legal Svcs thru 021520 23250 2116233

03272020 1134 DPFG MANAGEMENT amp CONSULTING LLC CDD Mgmt - April 2020 385833 1730400

03272020 1135 Landscape Maintenance Professionals Inc Irrigation Inspection repairs 74858 1655542

03312020 BankUnited Interest 200 1655742

Bank United EOM Balance 5000200 4051542 1655742

04082020 1136 Accurate Drilling Solutions Service call - 032520 - Replacement for Controller on pump 4 60234 1595508

04082020 1137 STANTEC CONSULTING SERVICES INC Engineering Svcs thru 032020 61250 1534258

04082020 1138 STRALEY ROBIN VERICKER Legal Svcs thru 031520 93270 1440988

04082020 1139 TAMPA ELECTRIC 229-330 - Electricity 16915 1424073

04162020 1140 HAWKS POINT CDD DS 2017 Tax Collection Share co Wells Fargo thru 041320 298431 1125642

04232020 BankUnited Funds Transfer 5000000 6125642

04232020 1141 Accurate Drilling Solutions Well Drilling and new pump system installation 1816480 4309162

04282020 1142 STRALEY ROBIN VERICKER Legal Svcs thru 041520 57460 4251702

04302020 BankUnited Interest 241 4251943

Bank United EOM Balance 5000241 2404040 4251943

05012020 1143 DPFG MANAGEMENT amp CONSULTING LLC CDD Mgmt - May 2020 385833 3866110

05012020 ACH050120 Innovative Employer Soltuions Bos Mtg - 42120 14080 3852030

05012020 747666DD MARIE CHANTAL COPELAND Bos Mtg - 42120 18470 3833560

05012020 747667DD WILLIAM J HATHAWAY Bos Mtg - 42120 18470 3815090

05012020 747668DD SHERRI KEENE Bos Mtg - 42120 18470 3796620

05082020 ACH050820 Innovative Employer Soltuions Bos Mtg - 42120 8620 3788000

05082020 1 Caryn Williams BOS 04212020 18470 3769530

05112020 1144 Landscape Maintenance Professionals Inc Landscape Maint -052020 1105000 2664530

05112020 1145 STANTEC CONSULTING SERVICES INC Engineering Svcs thru 042420 25400 2639130

05112020 1146 TAMPA ELECTRIC 330-429 - Electricity 19915 2619215

05212020 1147 BUSINESS OBSERVER Legal Ad - Notice of Qualifying Period 51520 5250 2613965

05212020 1148 CertaPro Painters Paint exterior wall 24th to 30th Street 635000 1978965

05212020 1149 STANTEC CONSULTING SERVICES INC Pond Maint - March-April 295000 1683965

05292020 BankUnited Funds Transfer 5000000 6683965

05292020 755486DD Caryn Williams Bos Mtg - 51920 18470 6665495

05292020 ACH052920 Innovative Employer Soltuions Bos Mtg - 51920 14740 6650755

05292020 755485DD SHERRI KEENE Bos Mtg - 51920 18470 6632285

05292020 755484DD WILLIAM J HATHAWAY Bos Mtg - 51920 18470 6613815

05312020 BankUnited Interest 350 6614165

Bank United EOM Balance 5000350 2638128 6614165

Page 8

EXHIBIT 3

Vacant Position on the Board of Supervisors of the Hawkrsquos Point Community Development District The Hawkrsquos Point Community Development District (CDD) is soliciting interested candidates to fill a vacant position on the Board of Supervisors of the CDD (Board) The CDD is a local unit of special-purpose government which is created pursuant to Chapter 190 Florida Statutes The Board is comprised of 5 members who are public officials who are normally elected on the November General Elections who serve in staggered terms The vacancy is a result of a resignation of a board member due to a relocation The remaining term of the vacant supervisorrsquos seat is through November 2022

Qualification Requirements

1 Resident of the CDD

2 At least 18 years of age

3 Citizen of the United States

4 Legal resident of Florida and of the CDD

5 Registered to vote with the Hillsborough County Supervisor of Elections

Instructions for Interested Candidates

Interested candidates must submit a letter of interest and resume to Raymondlotitodpfgcom by 4 pm on Friday June 5 2020 The subject line in the email should read ldquoVacant Position on the Board of Supervisors of the Hawkrsquos Point CDDrdquo

The Letter of Interest must contain

1 A statement stating why you believe you are well suited for the position

2 Your vision for the CDD and what you would like to see the Community evolve into Please be specific

The Resume must contain

1 Your academic background and professional experience

2 Previous and current experience with governmental agencies and governing boards

Interested candidates should attend the Board meeting on Tuesday June 16 2020 at 630 pm and present a brief presentation about themselves and be prepared for a brief question and answer period with the current Board members

Additional Notes

The current Board members will discuss the candidates and may make an appointment at the June meeting If the Board cannot come to a consensus on one candidate or if they determine to not appoint any candidate to the vacant seat they may revisit the vacancy at a future meeting or leave the seat vacant until the November 2022 General Election

Please note that the person appointed to serve in the vacant seat will be required to submit a financial disclosure statement to the State and will be subject to Floridarsquos Government in the Sunshine Laws Public Records laws and Ethics laws

1

Sookdeo (Shami) Choon Phone number (813) 731-5564 1803 Oak Pond Street Ruskin Fl 33570 E-mailchoons27gmailcom

PROFESSIONAL HISTORY Firkins GroupGarber Nissan December 2013 to Present Commercial Vehicle Sales ManagerFinance Manager Auto Nation From January 2006 to December 2013 Sales 2006- 2007 Finance Manager 2007- 2008 Sales Manager Training Manager 2008-2009 Sales Finance 2009- 2011 Commercial Sales Manager Finance Manager 2011- 2020 Parts Depot Inc From 1990 to 2005 ___________________________________________________________________________________________ Operations Manager Florida Distribution 2002 ndash 2005 bull Responsible for total inventory control of all Florida warehouses frac12 of the corporationrsquos revenue bull Directed top management to complete acquisition consolidations which resulted in the corporationrsquos

expansion bull Managed all Florida branch warehouse managers and employees totaling 200 employees bull Increased productivity and shipping efficiency in all departments developed new delivery logistics

improved product availability to all customers as well a hired and efficiently trained employees bull Reviewed all customer service statistics daily and contacted customer directly on all issues bull Reviewed PampLrsquos for all units monthly bull Presented weekly productivity and financial reports to senior management bull Directed DOT monthly guidelines maintained driver files in accordance with DOT regulations and

implemented loss prevention programs Operations Manager for Florida Branch Distribution 1999 ndash 2002 bull Improved customer service by increasing product availability to customers by implementing new

delivery logistics bull Developed employee training implemented safety awareness and monthly safety programs Warehouse Manager of Miami Distribution Center 1998 ndash 1999 bull Developed and implemented productivity guidelines implemented delivery cost saving programs

and improved product availability to the corporationrsquos customers Branch Manager of West Palm Beach 1994 ndash 1998 bull Responsible for the opening of this new branch set the building layout as well as the delivery and

logistics systems

2

bull Increased sales by 80 over budget and kept operating cost as of sales Implemented new customer service department Hired and trained all employees

Assistant Branch Manager 1991 ndash 1994 bull Increased productivity by 20 and improved delivery service Customer Service Agent 1990 ndash 1991 bull Created and implemented customer service guidelines Wingate Automotive Group 1987ndash 1990 Trinidad amp Tobago Government National Security 1984- 1987 Field Operation

EXHIBIT 4

PO Box 267 Seffner FL 33583 O 813-757-6500 F 813-757-6501 Estimate

Submitted To Hawks Point CDD 250 International Parkway Suite 280 Lake Mary FL 32746

CDD - controller 4 - zones 1 and 2

Date 5232020

Estimate 66077

LMP REPRESENTATIVE

DG-TI

PO

W ork Order

DESCRIPTION QTY COST TOTAL

Controller 4 34 inch poly pipe 34 inch poly pipe clamps Labor 2 men $ 8500 per hour

Irrigation inspection repairs needed Repair 6 - 34 inch poly pipe line leaks

6 12 05

072 129

8500

432 1548 4250

TERMS AND CONDITIONS TOTAL $6230

LMP reserves the right to withdraw this proposal if not accepted within 30 days of the date listed above Any alteration or deviation to scope of work involving additional costs must be agreed upon in writing as a separate proposal or change order to this proposal Periodic invoices may be submitted if job is substantial in nature with final invoice being submitted at completion of project Any work performed requiring more than 5 days to complete is subject to progressive payments as portions of the work are completed No finance charge will be imposed if the total of said work is paid in full within 30 days of invoice date If not paid in full within 30 days then customer is subject to finance charges on the balance of the work from the invoice date at a rate of 15 per month until paid LMP shall have the right to stop work under this contract until all outstanding amounts including finance charges are paid in full Payments will be applied to the oldest invoices

ACCEPTANCE OF PROPOSAL The above prices scope of work and terms and conditions are hereby satisfactorily agreed upon LMP Inc has been authorized to perform the work as outlined and payment will be made as outlined above The above pricing does not include any unforeseen modifications to the said irrigation system that could not be reasonably accounted for prior to job start All plant material carries a one (1) year warranty provided LMP Inc is performing landscape maintenance services to the area installed or enhanced at the time of installation If not then there is no warranty on the plant material

OWNER AGENT

DATE

EXHIBIT 5

Independent Franchise Owner Job TBE8F300154 Terry Beamer 9266 Lazy Ln

Date 06012020

EXTERIOR PROPOSALEXTERIOR PROPOSALEXTERIOR PROPOSALEXTERIOR PROPOSAL Tampa FL 33614 813-936-9242

Fax 813 936-9172

1-800-462-3782

License PA2508

Full Workers Compensation Coverage$2000000 General Liability Insurance

DPFG Management amp Consulting LLC (Hawks Point) Raymond Lotito (SB) Hawks Point CDD Ruskin FL 33570 Phone 813-418-7473 Cell 813-220-6089 Email raymondlotitodpfgcom

Special Notes CERTAPRO PAINTERS WILL PAINT WALL FACING 19ST FROM 18TH-24TH

SPECIAL ATTENTION ADDRESSING STUCCO CRACKS USING CONCRETE AND MASONRY PATCH

SPECIAL ATTENTION PRESSURE WASHING LOOSE PEELING PAINT PRIOR TO PAINTING

CERTAPRO PAINTERS WILL ONLY PAINT STREET FACING SIDE- HOMEOWNERS SIDE EXCLUDED FROM PROPOSAL

CUSTOMER RESPONSIBILITIES Please cut back all shrubs bushes and palms away from wall

GENERAL DESCRIPTION Painting to Exterior Wall 18th-24th Facing 19th Ave

PREPARATION Washing To remove dirt mildew and loose paint so the new finish coat will adhere properly

Caulking To fill all cracks and gaps around windows and doorswood work to seal out moisture and drafts Stair step

cracks

Scraping Scrape all loose and peeling paint to ensure a firm base for the new paint

Masonry Repair to all cracks gaps and holes with elastemeric caulking or masonry patch as required

Sanding To degloss where necessary to promote adhesion of the top coat

Surface TypeArea Primer PurposePRIMING

Masonry Loxon sealerprimer Latex For propor top coat adhesion

Conditioner Loxon sealerprimer to all Latex For proper top coat adhesion

masonry surfaces

FINISH COATS

Surface Area

Exterior

ManufacturePaint Type

Sherwin Williams Resilience Ext Satin

Coats

1 primer-sealer 1 spray 1 backroll stucco

Color

Same As Existing

Clean Up Daily and upon completion

$1132900 All Labor Paint Materials

$1132900 TOTAL

Signature of Authorized Franchise Representative Date

Payment is due In Full upon Job Completion

(IWE HAVE READ THE TERMS STATED HEREIN THEY HAVE (IWE) HAVE EXAMINED THE JOB STATED HEREIN THEY EXPLAINED TO (MEUS) AND (IWE) FIND THEM TO BE HAVE SHOWN TO (MEUS) AND (IWE) FIND THE JOB TO SATISFACTORY AND HEREBY ACCEPT THEM BE SATISFACTORY AND HEREBY ACCEPT THE JOB AS

COMPLETE

SIGNATURE Date SIGNATURE Date

QUOTE

Shazam Construction LLC DATE MAY 13 2020

Shazam Hera 6773 Waterton Drive Riverview FL 33578 813-385-4591 ShazamConstructionLLCgmailcom Hawks Point CDD

TO Bill to Development Planning and Financing Group 15310 Amberly Drive Suite 175 Tampa FL 33647

QUANITY DESCRIPTION UNIT PRICE LINE TOTAL

Pressure wash the wall that parallels 19th avenue from 18th street to 24th street in Hawks Point CDD in Ruskin

$1270000

Repair any cracks with caulk or elastomeric as neededPrep for paint

Paint the wall that parallels 19th avenue from 18th street to 24th street in Hawks Point CDD in Ruskin

Paint using body trim and caps of exterior wall facing 19th avenue

Paint while matching existing colors

Paint using Sherwin Williams

All paint materials and labor is included

SUBTOTAL

SALES TAX

TOTAL $1270000

Make all checks payable to Shazam Construction LLC

THANK YOU FOR YOUR BUSINESS

EXHIBIT 6

Independent Franchise Owner Job TB443B00157 Terry Beamer 9266 Lazy Ln

Date 06052020

EXTERIOR PROPOSALEXTERIOR PROPOSALEXTERIOR PROPOSALEXTERIOR PROPOSAL Tampa FL 33614 813-936-9242

Fax 813 936-9172

1-800-462-3782

License PA2508

Full Workers Compensation Coverage$2000000 General Liability Insurance

DPFG Management amp Consulting LLC (Hawks Point) Raymond Lotito (SB) Hawks Point CDD Ruskin FL 33570 Phone 813-418-7473 Cell 813-220-6089 Email raymondlotitodpfgcom

Special Notes CERTAPRO PAINTERS PRESSURE WASHING PROPOSAL 18TH-24TH

CERTAPRO PAINTERS WILL PRESSURE WASH WALL FACING 19TH ST ONLY

GENERAL DESCRIPTION Painting to

PREPARATION Washing To remove dirt mildew and loose paint so the new finish coat will adhere properly

PRIMING Surface TypeArea Primer Purpose

Clean Up Daily and upon completion

All Labor Paint Materials

TOTAL

$195000

$195000

Signature of Authorized Franchise Representative Date

Payment is due In Full upon Job Completion

(IWE HAVE READ THE TERMS STATED HEREIN THEY HAVE (IWE) HAVE EXAMINED THE JOB STATED HEREIN THEY EXPLAINED TO (MEUS) AND (IWE) FIND THEM TO BE HAVE SHOWN TO (MEUS) AND (IWE) FIND THE JOB TO SATISFACTORY AND HEREBY ACCEPT THEM BE SATISFACTORY AND HEREBY ACCEPT THE JOB AS

COMPLETE

SIGNATURE Date SIGNATURE Date

QUOTE

Shazam Construction LLC DATE JUNE 5 2020

Shazam Hera 6773 Waterton Drive Riverview FL 33578 813-385-4591 ShazamConstructionLLCgmailcom Hawks Point CDD

TO Bill to Development Planning and Financing Group 15310 Amberly Drive Suite 175 Tampa FL 33647

QUANITY DESCRIPTION UNIT PRICE LINE TOTAL

Pressure wash the wall that parallels 19th avenue from 18th street to 24th street in Hawks Point CDD in Ruskin

$160000

All materials and labor is included

SUBTOTAL

SALES TAX

TOTAL $160000

Make all checks payable to Shazam Construction LLC

THANK YOU FOR YOUR BUSINESS

EXHIBIT 7

2019FORM 1 STATEMENT OF

Please print or type your name mailing FOR OFFICE USE ONLY FINANCIAL INTERESTS address agency name and position below

LAST NAME -- FIRST NAME -- MIDDLE NAME

MAILING ADDRESS

CITY ZIP COUNTY

NAME OF AGENCY

NAME OF OFFICE OR POSITION HELD OR SOUGHT

CHECK ONLY IF CANDIDATE OR NEW EMPLOYEE OR APPOINTEE

THIS SECTION MUST BE COMPLETED DISCLOSURE PERIOD THIS STATEMENT REFLECTS YOUR FINANCIAL INTERESTS FOR CALENDAR YEAR ENDING DECEMBER 31 2019

MANNER OF CALCULATING REPORTABLE INTERESTS FILERS HAVE THE OPTION OF USING REPORTING THRESHOLDS THAT ARE ABSOLUTE DOLLAR VALUES WHICH REQUIRES FEWER CALCULATIONS OR USING COMPARATIVE THRESHOLDS WHICH ARE USUALLY BASED ON PERCENTAGE VALUES (see instructions for further details) CHECK THE ONE YOU ARE USING (must check one)

COMPARATIVE (PERCENTAGE) THRESHOLDS OR DOLLAR VALUE THRESHOLDS

PART A -- PRIMARY SOURCES OF INCOME [Major sources of income to the reporting person - See instructions] (If you have nothing to report write none or na)

NAME OF SOURCE SOURCES DESCRIPTION OF THE SOURCES OF INCOME ADDRESS PRINCIPAL BUSINESS ACTIVITY

PART B -- SECONDARY SOURCES OF INCOME [Major customers clients and other sources of income to businesses owned by the reporting person - See instructions] (If you have nothing to report write none or na)

NAME OF NAME OF MAJOR SOURCES ADDRESS PRINCIPAL BUSINESS BUSINESS ENTITY OF BUSINESS INCOME OF SOURCE ACTIVITY OF SOURCE

PART C -- REAL PROPERTY [Land buildings owned by the reporting person - See instructions] You are not limited to the space on the (If you have nothing to report write none or na) lines on this form Attach additional

sheets if necessary

FILING INSTRUCTIONS for when and where to file this form are located at the bottom of page 2

INSTRUCTIONS on who must file this form and how to fill it out begin on page 3

CE FORM 1 - Effective January 1 2020 (Continued on reverse side) PAGE 1 Incorporated by reference in Rule 34-8202(1) FAC

FILING INSTRUCTIONS

IF ANY OF PARTS A THROUGH G ARE CONTINUED ON A SEPARATE SHEET PLEASE CHECK HERE

PART D mdash INTANGIBLE PERSONAL PROPERTY [Stocks bonds certificates of deposit etc - See instructions] (If you have nothing to report write none or na) TYPE OF INTANGIBLE BUSINESS ENTITY TO WHICH THE PROPERTY RELATES

PART E mdash LIABILITIES [Major debts - See instructions] (If you have nothing to report write none or na)

NAME OF CREDITOR ADDRESS OF CREDITOR

PART F mdash INTERESTS IN SPECIFIED BUSINESSES [Ownership or positions in certain types of businesses - See instructions] (If you have nothing to report write none or na)

BUSINESS ENTITY 1 BUSINESS ENTITY 2

NAME OF BUSINESS ENTITY

ADDRESS OF BUSINESS ENTITY

PRINCIPAL BUSINESS ACTIVITY

POSITION HELD WITH ENTITY

I OWN MORE THAN A 5 INTEREST IN THE BUSINESS

NATURE OF MY OWNERSHIP INTEREST

If you were mailed the form by the Commission on Ethics or a County Supervisor of Elections for your annual disclosure filing return the form to that location To determine what category your position falls under see page 3 of instructions Local officersemployees file with the Supervisor of Elections of the county in which they permanently reside (If you do not permanently reside in Florida file with the Supervisor of the county where your agency has its headquarters) Form 1 filers who file with the Supervisor of Elections may file by mail or email Contact your Supervisor of Elections for the mailing address or email address to use Do not email your form to the Commission on Ethics it will be returned State officers or specified state employees who file with the Commission on Ethics may file by mail or email To file by mail send the completed form to PO Drawer 15709 Tallahassee FL32317-5709 physical address 325 John Knox Rd Bldg E Ste 200 Tallahassee FL 32303 To file with the Commission by email scan your completed form and any attachments as a pdf (do not use any other format) send it to CEForm1legstateflus and retain a copy for your records Do not file by both mail and email Choose only one filing method Form 6s will not be accepted via email

Candidates file this form together with their filing papers MULTIPLE FILING UNNECESSARY A candidate who files a Form 1 with a qualifying officer is not required to file with the Commission or Supervisor of Elections WHEN TO FILE Initially each local officeremployee state officer and specified state employee must file within 30 days of the date of his or her appointment or of the beginning of employment Appointees who must be confirmed by the Senate must file prior to confirmation even if that is less than 30 days from the date of their appointment Candidates must file at the same time they file their qualifying papers Thereafter file by July 1 following each calendar year in which they hold their positions Finally file a final disclosure form (Form 1F) within 60 days of leaving office or employment Filing a CE Form 1F (Final Statement of Financial Interests) does not relieve the filer of filing a CE Form 1 if the filer was in his or her position on December 31 2019

SIGNATURE OF FILER Signature

____________________________________________

Date Signed

____________________________________________

CPA or ATTORNEY SIGNATURE ONLY If a certified public accountant licensed under Chapter 473 or attorney in good standing with the Florida Bar prepared this form for you he or she must complete the following statement

I _______________________________________ prepared the CE Form 1 in accordance with Section 1123145 Florida Statutes and the instructions to the form Upon my reasonable knowledge and belief the disclosure herein is true and correct

CPAAttorney Signature ______________________________

Date Signed _______________________________________

PART G mdash TRAINING For elected municipal officers required to complete annual ethics training pursuant to section 1123142 FS

I CERTIFY THAT I HAVE COMPLETED THE REQUIRED TRAINING

CE FORM 1 - Effective January 1 2020 PAGE 2 Incorporated by reference in Rule 34-8202(1) FAC

Examplesmdash You are the sole proprietor of a dry cleaning business fromwhich you received more than 10 of your gross incomemdashanamount that was more than $1500 If only one customer auniform rental company provided more than 10 of your drycleaning business you must list the name of the uniform rentalcompany its address and its principal business activity (uniform rentals) mdash You are a 20 partner in a partnership that owns a shopping mall and your partnership income exceeded the thresholds listed above You should list each tenant of the mall that provided more than 10 of the partnershiprsquos gross income and the tenantrsquos address and principal business activity

PART C mdash REAL PROPERTY[Required by s 1123145(3)(a)3 FS]In this part list the location or description of all real property in

Florida in which you owned directly or indirectly at any time during the disclosure period in excess of 5 of the propertyrsquos value You are not required to list your residences You should list any vacation homes if you derive income from them

Indirect ownership includes situations where you are abeneficiary of a trust that owns the property as well as situations where you own more than 5 of a partnership or corporation thatowns the property The value of the property may be determined by the most recently assessed value for tax purposes in the absence of a more current appraisal

The location or description of the property should be sufficient to enable anyone who looks at the form to identify the property Astreet address should be used if one exists PART D mdash INTANGIBLE PERSONAL PROPERTY

[Required by s 1123145(3)(a)3 FS]Describe any intangible personal property that at any time

during the disclosure period was worth more than 10 of your total assets and state the business entity to which the property related Intangible personal property includes things such as cash on hand stocks bonds certificates of deposit vehicle leases interests in businesses beneficial interests in trusts money owed you Deferred Retirement Option Program (DROP) accounts the Florida Prepaid College Plan and bank accounts Intangiblepersonal property also includes investment products held in IRAs brokerage accounts and the Florida College Investment Plan Note that the product contained in a brokerage account IRA or the Florida College Investment Plan is your assetmdashnot the account or plan itself Things like automobiles and houses you own jewelryand paintings are not intangible property Intangibles relating to the same business entity may be aggregated for example CDrsquos and savings accounts with the same bank

Calculations To determine whether the intangible property exceeds 10 of your total assets total the fair market value of all of your assets (including real property intangible property and tangible personal property such as jewelry furniture etc) When making this calculation do not subtract any liabilities (debts) that may relate to the property Multiply the total figure by 10 to arrive at the disclosure threshold List only the intangibles that exceed this threshold amount The value of a leased vehicle is the vehiclersquos present value minus the lease residual (a number which can be found on the lease document) Property that is only jointly owned property should be valued according to the percentage of your joint ownership Property owned as tenants by the entirety or as joint tenants with right of survivorship should be valued at 100 None of your calculations or the value of the property have to be disclosed on the form

Example You own 50 of the stock of a small corporation that is worth $100000 the estimated fair market value of your home and other property (bank accounts automobile furniture etc) is $200000 As your total assets are worth $250000 you must disclose intangibles worth over $25000 Since the value of the stock exceeds this threshold you should list ldquostockrdquo and the name of the corporation If your accounts with a particular bank exceed $25000 you should list ldquobank accountsrdquo and bankrsquos name

PART E mdash LIABILITIES[Required by s 1123145(3)(b)4 FS]List the name and address of each creditor to whom you owed

any amount that at any time during the disclosure period exceeded your net worth You are not required to list the amount of any debt or your net worth You do not have to disclose credit card and retail installment accounts taxes owed (unless reduced to a judgment) indebtedness on a life insurance policy owed to the company of issuance or contingent liabilities A ldquocontingent liabilityrdquo is one that will become an actual liability only when one or more future events occur or fail to occur such as where you are liable only as a guarantor surety or endorser on a promissory note If you are a ldquoco-makerrdquo and are jointly liable or jointly and severally liable it is not a contingent liability

Calculations To determine whether the debt exceeds your net worth total all of your liabilities (including promissory notes mortgages credit card debts judgments against you etc) Theamount of the liability of a vehicle lease is the sum of any past-due payments and all unpaid prospective lease payments Subtract the sum total of your liabilities from the value of all your assets as calculated above for Part D This is your ldquonet worthrdquo List each creditor to whom your debt exceeded this amount unless it is one of the types of indebtedness listed in the paragraph above (credit card and retail installment accounts etc) Joint liabilities with others for which you are ldquojointly and severally liablerdquo meaning that you may be liable for either your part or the whole of the obligation should be included in your calculations at 100 of the amount owed

Example You owe $15000 to a bank for student loans $5000 for credit card debts and $60000 (with spouse) to a savings and loan for a home mortgage Your home (owned by you and your spouse) is worth $80000 and your other property is worth $20000 Since your net worth is $20000 ($100000 minus $80000) you must report only the name and address of the savings and loan

PART F mdash INTERESTS IN SPECIFIED BUSINESSES[Required by s 1123145 FS]The types of businesses covered in this disclosure include

state and federally chartered banks state and federal savings and loan associations cemetery companies insurance companies mortgage companies credit unions small loan companies alcoholic beverage licensees pari-mutuel wagering companies utilitycompanies entities controlled by the Public Service Commission and entities granted a franchise to operate by either a city or acounty government

Disclose in this part the fact that you owned during the disclosure period an interest in or held any of certain positions with the types of businesses listed above You are required to make this disclosure if you own or owned (either directly orindirectly in the form of an equitable or beneficial interest) at any time during the disclosure period more than 5 of the total assets or capital stock of one of the types of business entities listed above You also must complete this part of the form for each of these types of businesses for which you are or were at any time during thedisclosure period an officer director partner proprietor or agent (other than a resident agent solely for service of process)

If you have or held such a position or ownership interest in one of these types of businesses list the name of the business its address and principal business activity and the position held with the business (if any) If you own(ed) more than a 5 interest in the business indicate that fact and describe the nature of your interest

PART G mdash TRAINING CERTIFICATION[Required by s 1123142 FS]If you are a Constitutional or elected municipal officer whose

service began before March 31 of the year for which you are filing you are required to complete four hours of ethics training which addresses Article II Section 8 of the Florida Constitution the Code of Ethics for Public Officers and Employees and the public records and open meetings laws of the state You are required to certify on this form that you have taken such training (End of Percentage Thresholds Instructions)

CE FORM 1 - Effective January 1 2020 Incorporated by reference in Rule 34-8202 FAC PAGE 6

NOTICE Annual Statements of Financial Interests are due July 1 If the annual form is not filed or postmarked by September 1 an automatic fine of $25 for each day late will be imposed up to a maximum penalty of $1500 Failure to file also can result in removal from public office or employment [s 1123145 FS]

In addition failure to make any required disclosure constitutes grounds for and may be punished by one or more of the following disqualification from being on the ballot impeachment removal or suspension from office or employment demotion reduction in salary reprimand or a civil penalty not exceeding $10000 [s 112317 FS]

WHO MUST FILE FORM 1 1) Elected public officials not serving in a political subdivision of the

state and any person appointed to fill a vacancy in such office unlessrequired to file full disclosure on Form 62) Appointed members of each board commission authority

or council having statewide jurisdiction excluding members of solelyadvisory bodies but including judicial nominating commission membersDirectors of Enterprise Florida Scripps Florida Funding Corporationand Career Source Florida and members of the Council on the Social Status of Black Men and Boys the Executive Director Governors and senior managers of Citizens Property Insurance CorporationGovernors and senior managers of Florida Workers Compensation JointUnderwriting Association board members of the Northeast Fla RegionalTransportation Commission board members of Triumph Gulf Coast Incboard members of Florida Is For Veterans Inc and members of the Technology Advisory Council within the Agency for State Technology3) The Commissioner of Education members of the State Board

of Education the Board of Governors the local Boards of Trustees and Presidents of state universities and the Florida Prepaid College Board 4) Persons elected to office in any political subdivision (such as

municipalities counties and special districts) and any person appointedto fill a vacancy in such office unless required to file Form 65) Appointed members of the following boards councils

commissions authorities or other bodies of county municipality schooldistrict independent special district or other political subdivision thegoverning body of the subdivision community college or junior collegedistrict boards of trustees boards having the power to enforce local codeprovisions boards of adjustment community redevelopment agenciesplanning or zoning boards having the power to recommend create ormodify land planning or zoning within a political subdivision except forcitizen advisory committees technical coordinating committees andsimilar groups who only have the power to make recommendationsto planning or zoning boards and except for representatives of a military installation acting on behalf of all military installations within thatjurisdiction pension or retirement boards empowered to invest pensionor retirement funds or determine entitlement to or amount of pensions orother retirement benefits and the Pinellas County Construction LicensingBoard 6) Any appointed member of a local government board who

is required to file a statement of financial interests by the appointingauthority or the enabling legislation ordinance or resolution creating theboard 7) Persons holding any of these positions in local government

mayor county or city manager chief administrative employee or finance

director of a county municipality or other political subdivision county or municipal attorney chief county or municipal building inspectorcounty or municipal water resources coordinator county or municipalpollution control director county or municipal environmental control director county or municipal administrator with power to grant or denya land development permit chief of police fire chief municipal clerkappointed district school superintendent community college presidentdistrict medical examiner purchasing agent (regardless of title) havingthe authority to make any purchase exceeding $35000 for the localgovernmental unit8) Officers and employees of entities serving as chief administrative

officer of a political subdivision9) Members of governing boards of charter schools operated by a

city or other public entity10) Employees in the office of the Governor or of a Cabinet member

who are exempt from the Career Service System excluding secretarialclerical and similar positions11) The following positions in each state department commission

board or council Secretary Assistant or Deputy Secretary ExecutiveDirector Assistant or Deputy Executive Director and anyone having thepower normally conferred upon such persons regardless of title12) The following positions in each state department or division

Director Assistant or Deputy Director Bureau Chief and any personhaving the power normally conferred upon such persons regardless oftitle 13) Assistant State Attorneys Assistant Public Defenders criminal

conflict and civil regional counsel and assistant criminal conflict and civilregional counsel Public Counsel full-time state employees serving ascounsel or assistant counsel to a state agency administrative law judgesand hearing officers14) The Superintendent or Director of a state mental health institute

established for training and research in the mental health field or anymajor state institution or facility established for corrections trainingtreatment or rehabilitation 15) State agency Business Managers Finance and Accounting

Directors Personnel Officers Grant Coordinators and purchasingagents (regardless of title) with power to make a purchase exceeding$35000 16) The following positions in legislative branch agencies each

employee (other than those employed in maintenance clerical secretarial or similar positions and legislative assistants exempted by the presiding officer of their house) and each employee of theCommission on Ethics

INSTRUCTIONS FOR COMPLETING FORM 1 INTRODUCTORY INFORMATION (Top of Form) If your name mailing address public agency and position are already printed on the form you do not need to provide this information unless it should be changed To change any of this information write the correct information on the form and contact your agencys financial disclosure coordinator You can find your coordinator on the Commission on Ethics website wwwethics stateflus NAME OF AGENCY The name of the governmental unit which you serve or served by which you are or were employed or for which you are a candidate DISCLOSURE PERIOD The ldquodisclosure periodrdquo for your report is the calendar year ending December 31 2019

OFFICE OR POSITION HELD OR SOUGHT The title of the office or position you hold are seeking or held during the disclosure period even if you have since left that position If you are a candidate for office or are a new employee or appointee check the appropriate box PUBLIC RECORD The disclosure form and everythingattached to it is a public record Your Social Security Number is not required and you should redact it from any documents you file If you are an active or former officer or employee listed in Section 119071 FS whose home address is exempt from disclosure the Commission will maintain that confidentiality if you submit a written request

CE FORM 1 - Effective January 1 2020 Incorporated by reference in Rule 34-8202 FAC PAGE 3

PART E mdash LIABILITIES[Required by s 1123145(3)(b)4 FS]List the name and address of each creditor to whom you owed more

than $10000 at any time during the disclosure period The amount of theliability of a vehicle lease is the sum of any past-due payments and allunpaid prospective lease payments You are not required to list the amountof any debt You do not have to disclose credit card and retail installmentaccounts taxes owed (unless reduced to a judgment) indebtedness ona life insurance policy owed to the company of issuance or contingentliabilities A ldquocontingent liabilityrdquo is one that will become an actual liabilityonly when one or more future events occur or fail to occur such as whereyou are liable only as a guarantor surety or endorser on a promissorynote If you are a ldquoco-makerrdquo and are jointly liable or jointly and severallyliable then it is not a contingent liability

PART F mdash INTERESTS IN SPECIFIED BUSINESSES[Required by s 1123145(6) FS]The types of businesses covered in this disclosure include state and

federally chartered banks state and federal savings and loan associationscemetery companies insurance companies mortgage companies creditunions small loan companies alcoholic beverage licensees pari-mutuelwagering companies utility companies entities controlled by the PublicService Commission and entities granted a franchise to operate by either acity or a county government

Disclose in this part the fact that you owned during the disclosure period aninterest in or held any of certain positions with the types of businesses listedabove You must make this disclosure if you own or owned (either directly orindirectly in the form of an equitable or beneficial interest) at any time duringthe disclosure period more than 5 of the total assets or capital stock ofone of the types of business entities listed above You also must completethis part of the form for each of these types of businesses for which youare or were at any time during the disclosure period an officer directorpartner proprietor or agent (other than a resident agent solely for service ofprocess)

If you have or held such a position or ownership interest in one ofthese types of businesses list the name of the business its address andprincipal business activity and the position held with the business (if any) Ifyou own(ed) more than a 5 interest in the business indicate that fact anddescribe the nature of your interest

PART G mdash TRAINING CERTIFICATION[Required by s 1123142 FS]If you are a Constitutional or elected municipal officer whose

service began before March 31 of the year for which you are filingyou are required to complete four hours of ethics training which addresses Article II Section 8 of the Florida Constitution the Codeof Ethics for Public Officers and Employees and the public recordsand open meetings laws of the state You are required to certify onthis form that you have taken such training

(End of Dollar Value Thresholds Instructions)

PART A mdash PRIMARY SOURCES OF INCOME[Required by s 1123145(3)(a)1 FS]Part A is intended to require the disclosure of your principal

sources of income during the disclosure period You do not haveto disclose any public salary or public position(s) but income from these public sources should be included when calculating your gross income for the disclosure period The income of your spouse need not be disclosed however if there is joint income to you and your spouse from property you own jointly (such as interest or dividends from a bank account or stocks) you should include all of that income when calculating your gross income and disclose the source of that income if it exceeded the threshold

Please list in this part of the form the name address and principal business activity of each source of your income whichexceeded 5 of the gross income received by you in your own name or by any other person for your benefit or use during the disclosure period

Gross income means the same as it does for income tax purposes even if the income is not actually taxable such as interest on tax-free bonds Examples include compensation for servicesincome from business gains from property dealings interest rents dividends pensions IRA distributions social security distributive share of partnership gross income and alimony but not child support

Examplesmdash If you were employed by a company that manufactures computers and received more than 5 of your gross income from the company list the name of the company its address and its principal business activity (computer manufacturing)mdash If you were a partner in a law firm and your distributive share of partnership gross income exceeded 5 of your gross income then list the name of the firm its address and its principal business activity (practice of law)mdash If you were the sole proprietor of a retail gift business andyour gross income from the business exceeded 5 of your total gross income list the name of the business its addressand its principal business activity (retail gift sales)mdash If you received income from investments in stocks and bonds list each individual company from which you derived

more than 5 of your gross income Do not aggregate all of your investment incomemdash If more than 5 of your gross income was gain from the sale of property (not just the selling price) list as a source of income the purchaserrsquos name address and principal business activityIf the purchasers identity is unknown such as where securities listed on an exchange are sold through a brokerage firm the source of income should be listed as sale of (name of company)stock for examplemdash If more than 5 of your gross income was in the form of interest from one particular financial institution (aggregatinginterest from all CDrsquos accounts etc at that institution) list the name of the institution its address and its principal business activity

PART B mdash SECONDARY SOURCES OF INCOME[Required by s 1123145(3)(a)2 FS]This part is intended to require the disclosure of major customers

clients and other sources of income to businesses in which you ownan interest It is not for reporting income from second jobs That kindof income should be reported in Part A Primary Sources of Incomeif it meets the reporting threshold You will not have anything to reportunless during the disclosure period

(1) You owned (either directly or indirectly in the form of anequitable or beneficial interest) more than 5 of the total assetsor capital stock of a business entity (a corporation partnershipLLC limited partnership proprietorship joint venture trust firmetc doing business in Florida) and(2) You received more than 10 of your gross income from thatbusiness entity and(3) You received more than $1500 in gross income from thatbusiness entity

If your interests and gross income exceeded these thresholds thenfor that business entity you must list every source of income to thebusiness entity which exceeded 10 of the business entityrsquos grossincome (computed on the basis of the business entityrsquos most recentlycompleted fiscal year) the sourcersquos address and the sourcersquosprincipal business activity

IF YOU HAVE CHOSEN COMPARATIVE (PERCENTAGE) THRESHOLDSTHE FOLLOWING INSTRUCTIONS APPLY

CE FORM 1 - Effective January 1 2020 Incorporated by reference in Rule 34-8202 FAC PAGE 5

MANNER OF CALCULATING REPORTABLE INTEREST Filers have the option of reporting based on either thresholds that are comparative (usually based on percentage values) or thresholds that are based on absolute dollar values The instructions on the following pages specifically describe the different thresholds Check the box that reflects the choice you have made You must use the type of threshold you have chosen for each part of the form In other words if you choose to report based on absolute dollar value thresholds you cannot use a percentage threshold on any part of the form

IF YOU HAVE CHOSEN DOLLAR VALUE THRESHOLDS THE FOLLOWING INSTRUCTIONS APPLY

PART A mdash PRIMARY SOURCES OF INCOME [Required by s 1123145(3)(b)1 FS] Part A is intended to require the disclosure of your principal

sources of income during the disclosure period You do not have todisclose any public salary or public position(s) The income of yourspouse need not be disclosed however if there is joint income toyou and your spouse from property you own jointly (such as interestor dividends from a bank account or stocks) you should disclose thesource of that income if it exceeded the threshold

Please list in this part of the form the name address andprincipal business activity of each source of your income whichexceeded $2500 of gross income received by you in your own name or by any other person for your use or benefit

Gross income means the same as it does for income tax purposes even if the income is not actually taxable such as interest on tax-free bonds Examples include compensation for servicesincome from business gains from property dealings interest rentsdividends pensions IRA distributions social security distributive share of partnership gross income and alimony but not child support

Examples mdash If you were employed by a company that manufacturescomputers and received more than $2500 list the name of thecompany its address and its principal business activity (computermanufacturing) mdash If you were a partner in a law firm and your distributive shareof partnership gross income exceeded $2500 list the name ofthe firm its address and its principal business activity (practice oflaw) mdash If you were the sole proprietor of a retail gift business and yourgross income from the business exceeded $2500 list the nameof the business its address and its principal business activity(retail gift sales) mdash If you received income from investments in stocks and bondslist each individual company from which you derived more than$2500 Do not aggregate all of your investment income mdash If more than $2500 of your gross income was gain from thesale of property (not just the selling price) list as a source ofincome the purchaserrsquos name address and principal businessactivity If the purchaserrsquos identity is unknown such as wheresecurities listed on an exchange are sold through a brokeragefirm the source of income should be listed as sale of (name of company) stock for example mdash If more than $2500 of your gross income was in the formof interest from one particular financial institution (aggregatinginterest from all CDrsquos accounts etc at that institution) list the name of the institution its address and its principal business activity

PART B mdash SECONDARY SOURCES OF INCOME [Required by s 1123145(3)(b)2 FS] This part is intended to require the disclosure of major customers

clients and other sources of income to businesses in which you own aninterest It is not for reporting income from second jobs That kind of incomeshould be reported in Part A Primary Sources of Income if it meets thereporting threshold You will not have anything to report unless during thedisclosure period

(1) You owned (either directly or indirectly in the form of an equitableor beneficial interest) more than 5 of the total assets or capitalstock of a business entity (a corporation partnership LLC limitedpartnership proprietorship joint venture trust firm etc doing business in Florida) and (2) You received more than $5000 of your gross income during thedisclosure period from that business entity

If your interests and gross income exceeded these thresholds then for thatbusiness entity you must list every source of income to the business entitywhich exceeded 10 of the business entityrsquos gross income (computed onthe basis of the business entitys most recently completed fiscal year) thesourcersquos address and the sources principal business activity

Examples mdash You are the sole proprietor of a dry cleaning business from whichyou received more than $5000 If only one customer a uniform rentalcompany provided more than 10 of your dry cleaning business youmust list the name of the uniform rental company its address and itsprincipal business activity (uniform rentals) mdash You are a 20 partner in a partnership that owns a shopping malland your partnership income exceeded the above thresholds List eachtenant of the mall that provided more than 10 of the partnershipsgross income and the tenants address and principal business activity

PART C mdash REAL PROPERTY [Required by s 1123145(3)(b)3 FS] In this part list the location or description of all real property in Florida

in which you owned directly or indirectly at any time during the disclosureperiod in excess of 5 of the propertyrsquos value You are not required to listyour residences You should list any vacation homes if you derive incomefrom them

Indirect ownership includes situations where you are a beneficiary of atrust that owns the property as well as situations where you own more than5 of a partnership or corporation that owns the property The value of theproperty may be determined by the most recently assessed value for taxpurposes in the absence of a more current appraisal

The location or description of the property should be sufficient toenable anyone who looks at the form to identify the property A streetaddress should be used if one exists

PART D mdash INTANGIBLE PERSONAL PROPERTY [Required by s 1123145(3)(b)3 FS] Describe any intangible personal property that at any time during the

disclosure period was worth more than $10000 and state the businessentity to which the property related Intangible personal property includesthings such as cash on hand stocks bonds certificates of deposit vehicleleases interests in businesses beneficial interests in trusts money owedyou Deferred Retirement Option Program (DROP) accounts the FloridaPrepaid College Plan and bank accounts Intangible personal propertyalso includes investment products held in IRAs brokerage accounts andthe Florida College Investment Plan Note that the product contained in a brokerage account IRA or the Florida College Investment Plan is yourassetmdashnot the account or plan itself Things like automobiles and housesyou own jewelry and paintings are not intangible property Intangiblesrelating to the same business entity may be aggregated for example CDsand savings accounts with the same bank Property owned as tenants bythe entirety or as joint tenants with right of survivorship should be valued at100 The value of a leased vehicle is the vehiclersquos present value minusthe lease residual (a number found on the lease document)

CE FORM 1 - Effective January 1 2020 Incorporated by reference in Rule 34-8202 FAC PAGE 4

PART A mdash PRIMARY SOURCES OF INCOME[Required by s 1123145(3)(b)1 FS]Part A is intended to require the disclosure of your principal

sources of income during the disclosure period You do not have todisclose any public salary or public position(s) The income of yourspouse need not be disclosed however if there is joint income t oyou and your spouse from property you own jointly (such as interestor dividends from a bank account or stocks) you should disclose thesource of that income if it exceeded the threshold

Please list in this part of the form the name address andprincipal business activity of each source of your income whichexceeded $2500 of gross income received by you in your own name or by any other person for your use or benefit

Gross income means the same as it does for income taxpurposes even if the income is not actually taxable such as intereston tax-free bonds Examples include compensation for servicesincome from business gains from property dealings interest rentsdividends pensions IRA distributions social security distributiveshare of partnership gross income and alimony but not child support

Examplesmdash If you were employed by a company that manufacturescomputers and received more than $2500 list the name of thecompany its address and its principal business activity (computermanufacturing)mdash If you were a partner in a law firm and your distributive shareof partnership gross income exceeded $2500 list the name ofthe firm its address and its principal business activity (practice oflaw)mdash If you were the sole proprietor of a retail gift business and yourgross income from the business exceeded $2500 list the nameof the business its address and its principal business activity(retail gift sales)mdash If you received income from investments in stocks and bondslist each individual company from which you derived more than$2500 Do not aggregate all of your investment incomemdash If more than $2500 of your gross income was gain from thesale of property (not just the selling price) list as a source o fincome the purchaserrsquos name address and principal businessactivity If the purchaserrsquos identity is unknown such as wheresecurities listed on an exchange are sold through a brokeragefirm the source of income should be listed as sale of (name of company) stock for examplemdash If more than $2500 of your gross income was in the formof interest from one particular financial institution (aggregatinginterest from all CDrsquos accounts etc at that institution) list thename of the institution its address and its principal business activity

PART B mdash SECONDARY SOURCES OF INCOME[Required by s 1123145(3)(b)2 FS]This part is intended to require the disclosure of major customers

clients and other sources of income to businesses in which you own aninterest It is not for reporting income from second jobs That kind of incomeshould be reported in Part A Primary Sources of Income if it meets thereporting threshold You will not have anything to report unless during thedisclosure period

(1) You owned (either directly or indirectly in the form of an equitableor beneficial interest) more than 5 of the total assets or capitalstock of a business entity (a corporation partnership LLC limitedpartnership proprietorship joint venture trust firm etc doing business in Florida) and(2) You received more than $5000 of your gross income during thedisclosure period from that business entity

If your interests and gross income exceeded these thresholds then for thatbusiness entity you must list every source of income to the business entitywhich exceeded 10 of the business entityrsquos gross income (computed onthe basis of the business entitys most recently completed fiscal year) thesourcersquos address and the sources principal business activity

Examplesmdash You are the sole proprietor of a dry cleaning business from whichyou received more than $5000 If only one customer a uniform rentalcompany provided more than 10 of your dry cleaning business youmust list the name of the uniform rental company its address and itsprincipal business activity (uniform rentals)mdash You are a 20 partner in a partnership that owns a shopping malland your partnership income exceeded the above thresholds List eachtenant of the mall that provided more than 10 of the partnershipsgross income and the tenants address and principal business activity

PART C mdash REAL PROPERTY[Required by s 1123145(3)(b)3 FS]In this part list the location or description of all real property in Florida

in which you owned directly or indirectly at any time during the disclosureperiod in excess of 5 of the propertyrsquos value You are not required to listyour residences You should list any vacation homes if you derive incomefrom them

Indirect ownership includes situations where you are a beneficiary of atrust that owns the property as well as situations where you own more than5 of a partnership or corporation that owns the property The value of theproperty may be determined by the most recently assessed value for taxpurposes in the absence of a more current appraisal

The location or description of the property should be sufficient toenable anyone who looks at the form to identify the property A streetaddress should be used if one exists

PART D mdash INTANGIBLE PERSONAL PROPERTY[Required by s 1123145(3)(b)3 FS]Describe any intangible personal property that at any time during the

disclosure period was worth more than $10000 and state the businessentity to which the property related Intangible personal property includesthings such as cash on hand stocks bonds certificates of deposit vehicleleases interests in businesses beneficial interests in trusts money owedyou Deferred Retirement Option Program (DROP) accounts the FloridaPrepaid College Plan and bank accounts Intangible personal propertyalso includes investment products held in IRAs brokerage accounts andthe Florida College Investment Plan Note that the product contained ina brokerage account IRA or the Florida College Investment Plan is yourassetmdashnot the account or plan itself Things like automobiles and housesyou own jewelry and paintings are not intangible property Intangiblesrelating to the same business entity may be aggregated for example CDsand savings accounts with the same bank Property owned as tenants bythe entirety or as joint tenants with right of survivorship should be valued at100 The value of a leased vehicle is the vehiclersquos present value minusthe lease residual (a number found on the lease document)

Filers have the option of reporting based on either thresholds that are comparative (usually based on percentage values) orthresholds that are based on absolute dollar values The instructions on the following pages specifically describe the differentthresholds Check the box that reflects the choice you have made You must use the type of threshold you have chosen for eachpart of the form In other words if you choose to report based on absolute dollar value thresholds you cannot use a percentagethreshold on any part of the form

MANNER OF CALCULATING REPORTABLE INTEREST

IF YOU HAVE CHOSEN DOLLAR VALUE THRESHOLDSTHE FOLLOWING INSTRUCTIONS APPLY

CE FORM 1 - Effective January 1 2020 Incorporated by reference in Rule 34-8202 FAC PAGE 4

PART E mdash LIABILITIES [Required by s 1123145(3)(b)4 FS] List the name and address of each creditor to whom you owed more

than $10000 at any time during the disclosure period The amount of theliability of a vehicle lease is the sum of any past-due payments and allunpaid prospective lease payments You are not required to list the amountof any debt You do not have to disclose credit card and retail installmentaccounts taxes owed (unless reduced to a judgment) indebtedness ona life insurance policy owed to the company of issuance or contingentliabilities A ldquocontingent liabilityrdquo is one that will become an actual liabilityonly when one or more future events occur or fail to occur such as whereyou are liable only as a guarantor surety or endorser on a promissorynote If you are a ldquoco-makerrdquo and are jointly liable or jointly and severallyliable then it is not a contingent liability

PART F mdash INTERESTS IN SPECIFIED BUSINESSES [Required by s 1123145(6) FS] The types of businesses covered in this disclosure include state and

federally chartered banks state and federal savings and loan associationscemetery companies insurance companies mortgage companies creditunions small loan companies alcoholic beverage licensees pari-mutuelwagering companies utility companies entities controlled by the PublicService Commission and entities granted a franchise to operate by either acity or a county government

Disclose in this part the fact that you owned during the disclosure period aninterest in or held any of certain positions with the types of businesses listedabove You must make this disclosure if you own or owned (either directly orindirectly in the form of an equitable or beneficial interest) at any time duringthe disclosure period more than 5 of the total assets or capital stock ofone of the types of business entities listed above You also must completethis part of the form for each of these types of businesses for which youare or were at any time during the disclosure period an officer directorpartner proprietor or agent (other than a resident agent solely for service ofprocess)

If you have or held such a position or ownership interest in one ofthese types of businesses list the name of the business its address andprincipal business activity and the position held with the business (if any) Ifyou own(ed) more than a 5 interest in the business indicate that fact anddescribe the nature of your interest

PART G mdash TRAINING CERTIFICATION [Required by s 1123142 FS] If you are a Constitutional or elected municipal officer whose

service began before March 31 of the year for which you are filingyou are required to complete four hours of ethics training which addresses Article II Section 8 of the Florida Constitution the Code of Ethics for Public Officers and Employees and the public recordsand open meetings laws of the state You are required to certify onthis form that you have taken such training

(End of Dollar Value Thresholds Instructions)

IF YOU HAVE CHOSEN COMPARATIVE (PERCENTAGE) THRESHOLDS THE FOLLOWING INSTRUCTIONS APPLY

PART A mdash PRIMARY SOURCES OF INCOME [Required by s 1123145(3)(a)1 FS] Part A is intended to require the disclosure of your principal

sources of income during the disclosure period You do not haveto disclose any public salary or public position(s) but income from these public sources should be included when calculating your gross income for the disclosure period The income of your spouse need not be disclosed however if there is joint income to you and your spouse from property you own jointly (such as interest or dividends from a bank account or stocks) you should include all of that income when calculating your gross income and disclose the source of that income if it exceeded the threshold

Please list in this part of the form the name address and principal business activity of each source of your income whichexceeded 5 of the gross income received by you in your own name or by any other person for your benefit or use during the disclosure period

Gross income means the same as it does for income tax purposes even if the income is not actually taxable such as interest on tax-free bonds Examples include compensation for servicesincome from business gains from property dealings interest rents dividends pensions IRA distributions social security distributive share of partnership gross income and alimony but not child support

Examples mdash If you were employed by a company that manufactures computers and received more than 5 of your gross income from the company list the name of the company its address and its principal business activity (computer manufacturing) mdash If you were a partner in a law firm and your distributive share of partnership gross income exceeded 5 of your gross income then list the name of the firm its address and its principal business activity (practice of law) mdash If you were the sole proprietor of a retail gift business andyour gross income from the business exceeded 5 of your total gross income list the name of the business its addressand its principal business activity (retail gift sales) mdash If you received income from investments in stocks and bonds list each individual company from which you derived

more than 5 of your gross income Do not aggregate all of your investment income mdash If more than 5 of your gross income was gain from the sale of property (not just the selling price) list as a source of income the purchaserrsquos name address and principal business activityIf the purchasers identity is unknown such as where securities listed on an exchange are sold through a brokerage firm the source of income should be listed as sale of (name of company)stock for example mdash If more than 5 of your gross income was in the form of interest from one particular financial institution (aggregatinginterest from all CDrsquos accounts etc at that institution) list the name of the institution its address and its principal business activity

PART B mdash SECONDARY SOURCES OF INCOME [Required by s 1123145(3)(a)2 FS] This part is intended to require the disclosure of major customers

clients and other sources of income to businesses in which you ownan interest It is not for reporting income from second jobs That kindof income should be reported in Part A Primary Sources of Incomeif it meets the reporting threshold You will not have anything to report unless during the disclosure period

(1) You owned (either directly or indirectly in the form of anequitable or beneficial interest) more than 5 of the total assetsor capital stock of a business entity (a corporation partnershipLLC limited partnership proprietorship joint venture trust firmetc doing business in Florida) and (2) You received more than 10 of your gross income from thatbusiness entity and (3) You received more than $1500 in gross income from thatbusiness entity

If your interests and gross income exceeded these thresholds thenfor that business entity you must list every source of income to thebusiness entity which exceeded 10 of the business entityrsquos grossincome (computed on the basis of the business entityrsquos most recentlycompleted fiscal year) the sourcersquos address and the sourcersquos principal business activity

CE FORM 1 - Effective January 1 2020 Incorporated by reference in Rule 34-8202 FAC PAGE 5

NOTICE Annual Statements of Financial Interests are due July 1 If the annual form is not filed or postmarked by September 1 an automatic fine of $25 for each day late will be imposed up to a maximum penalty of $1500 Failure to file also can result in removal from public office or employment [s 1123145 FS]

In addition failure to make any required disclosure constitutes grounds for and may be punished by one or more of the following disqualification from being on the ballot impeachment removal or suspension from office or employment demotion reduction in salary reprimand or a civil penalty not exceeding $10000 [s 112317 FS]

1) Elected public officials not serving in a political subdivision of thestate and any person appointed to fill a vacancy in such office unlessrequired to file full disclosure on Form 62) Appointed members of each board commission authority

or council having statewide jurisdiction excluding members of solelyadvisory bodies but including judicial nominating commission membersDirectors of Enterprise Florida Scripps Florida Funding Corporationand Career Source Florida and members of the Council on the SocialStatus of Black Men and Boys the Executive Director Governors and senior managers of Citizens Property Insurance CorporationGovernors and senior managers of Florida Workers Compensation JointUnderwriting Association board members of the Northeast Fla RegionalTransportation Commission board members of Triumph Gulf Coast Incboard members of Florida Is For Veterans Inc and members of theTechnology Advisory Council within the Agency for State Technology3) The Commissioner of Education members of the State Board

of Education the Board of Governors the local Boards of Trustees andPresidents of state universities and the Florida Prepaid College Board4) Persons elected to office in any political subdivision (such a s

municipalities counties and special districts) and any person appointedto fill a vacancy in such office unless required to file Form 65) Appointed members of the following boards councils

commissions authorities or other bodies of county municipality schooldistrict independent special district or other political subdivision thegoverning body of the subdivision community college or junior collegedistrict boards of trustees boards having the power to enforce local codeprovisions boards of adjustment community redevelopment agenciesplanning or zoning boards having the power to recommend create ormodify land planning or zoning within a political subdivision except forcitizen advisory committees technical coordinating committees andsimilar groups who only have the power to make recommendationsto planning or zoning boards and except for representatives of amilitary installation acting on behalf of all military installations within thatjurisdiction pension or retirement boards empowered to invest pensionor retirement funds or determine entitlement to or amount of pensions orother retirement benefits and the Pinellas County Construction LicensingBoard6) Any appointed member of a local government board who

is required to file a statement of financial interests by the appointingauthority or the enabling legislation ordinance or resolution creating theboard7) Persons holding any of these positions in local government

mayor county or city manager chief administrative employee or finance

director of a county municipality or other political subdivision countyor municipal attorney chief county or municipal building inspectorcounty or municipal water resources coordinator county or municipalpollution control director county or municipal environmental controldirector county or municipal administrator with power to grant or denya land development permit chief of police fire chief municipal clerkappointed district school superintendent community college presidentdistrict medical examiner purchasing agent (regardless of title) havingthe authority to make any purchase exceeding $35000 for the localgovernmental unit8) Officers and employees of entities serving as chief administrative

officer of a political subdivision9) Members of governing boards of charter schools operated by a

city or other public entity10) Employees in the office of the Governor or of a Cabinet member

who are exempt from the Career Service System excluding secretarialclerical and similar positions11) The following positions in each state department commission

board or council Secretary Assistant or Deputy Secretary ExecutiveDirector Assistant or Deputy Executive Director and anyone having thepower normally conferred upon such persons regardless of title12) The following positions in each state department or division

Director Assistant or Deputy Director Bureau Chief and any personhaving the power normally conferred upon such persons regardless oftitle13) Assistant State Attorneys Assistant Public Defenders criminal

conflict and civil regional counsel and assistant criminal conflict and civilregional counsel Public Counsel full-time state employees serving ascounsel or assistant counsel to a state agency administrative law judgesand hearing officers14) The Superintendent or Director of a state mental health institute

established for training and research in the mental health field or anymajor state institution or facility established for corrections trainingtreatment or rehabilitation15) State agency Business Managers Finance and Accounting

Directors Personnel Officers Grant Coordinators and purchasingagents (regardless of title) with power to make a purchase exceeding$3500016) The following positions in legislative branch agencies each

employee (other than those employed in maintenance clerical secretarial or similar positions and legislative assistants exemptedby the presiding officer of their house) and each employee of theCommission on Ethics

INSTRUCTIONS FOR COMPLETING FORM 1INTRODUCTORY INFORMATION (Top of Form) If your name mailing address public agency and position are already printed on the form you do not need to provide this information unless it should be changed To change any of this information write the correct information on the form and contact your agencys financial disclosure coordinator You can find your coordinator on the Commission on Ethics website wwwethicsstateflus NAME OF AGENCY The name of the governmental unit which you serve or served by which you are or were employed or for which you are a candidate DISCLOSURE PERIOD The ldquodisclosure periodrdquo for your report is the calendar year ending December 31 2019

OFFICE OR POSITION HELD OR SOUGHT The title of the office or position you hold are seeking or held during the disclosure period even if you have since left that position If you are a candidate for office or are a new employee or appointee check the appropriate boxPUBLIC RECORD The disclosure form and everythingattached to it is a public record Your Social Security Number is not required and you should redact it from any documents you file If you are an active or former officer or employee listed in Section 119071 FS whose home address is exempt from disclosure the Commission will maintain that confidentiality if you submit a written request

WHO MUST FILE FORM 1

CE FORM 1 - Effective January 1 2020 Incorporated by reference in Rule 34-8202 FAC PAGE 3

Examples PART E mdash LIABILITIES mdash You are the sole proprietor of a dry cleaning business from [Required by s 1123145(3)(b)4 FS]which you received more than 10 of your gross incomemdashan List the name and address of each creditor to whom you owed amount that was more than $1500 If only one customer a any amount that at any time during the disclosure period exceeded uniform rental company provided more than 10 of your dry your net worth You are not required to list the amount of any debt cleaning business you must list the name of the uniform rental or your net worth You do not have to disclose credit card and retail company its address and its principal business activity (uniform installment accounts taxes owed (unless reduced to a judgment) rentals) indebtedness on a life insurance policy owed to the company of mdash You are a 20 partner in a partnership that owns a shopping issuance or contingent liabilities A ldquocontingent liabilityrdquo is one mall and your partnership income exceeded the thresholds that will become an actual liability only when one or more future listed above You should list each tenant of the mall that events occur or fail to occur such as where you are liable only as provided more than 10 of the partnershiprsquos gross income and a guarantor surety or endorser on a promissory note If you are a the tenantrsquos address and principal business activity ldquoco-makerrdquo and are jointly liable or jointly and severally liable it is not

a contingent liability PART C mdash REAL PROPERTY Calculations To determine whether the debt exceeds your

[Required by s 1123145(3)(a)3 FS] net worth total all of your liabilities (including promissory notes mortgages credit card debts judgments against you etc) TheIn this part list the location or description of all real property in amount of the liability of a vehicle lease is the sum of any past-due Florida in which you owned directly or indirectly at any time during payments and all unpaid prospective lease payments Subtract the disclosure period in excess of 5 of the propertyrsquos value You the sum total of your liabilities from the value of all your assets are not required to list your residences You should list any vacation as calculated above for Part D This is your ldquonet worthrdquo List each homes if you derive income from them creditor to whom your debt exceeded this amount unless it is one of

Indirect ownership includes situations where you are a the types of indebtedness listed in the paragraph above (credit card beneficiary of a trust that owns the property as well as situations and retail installment accounts etc) Joint liabilities with others for where you own more than 5 of a partnership or corporation that which you are ldquojointly and severally liablerdquo meaning that you may owns the property The value of the property may be determined by be liable for either your part or the whole of the obligation should be the most recently assessed value for tax purposes in the absence included in your calculations at 100 of the amount owed of a more current appraisal

Example You owe $15000 to a bank for student loans $5000 The location or description of the property should be sufficient for credit card debts and $60000 (with spouse) to a savings to enable anyone who looks at the form to identify the property A and loan for a home mortgage Your home (owned by you and street address should be used if one exists your spouse) is worth $80000 and your other property is worth PART D mdash INTANGIBLE PERSONAL PROPERTY $20000 Since your net worth is $20000 ($100000 minus

$80000) you must report only the name and address of the [Required by s 1123145(3)(a)3 FS] savings and loan Describe any intangible personal property that at any time

during the disclosure period was worth more than 10 of your PART F mdash INTERESTS IN SPECIFIED BUSINESSES total assets and state the business entity to which the property [Required by s 1123145 FS] related Intangible personal property includes things such as cash on hand stocks bonds certificates of deposit vehicle leases The types of businesses covered in this disclosure include interests in businesses beneficial interests in trusts money owed state and federally chartered banks state and federal savings and you Deferred Retirement Option Program (DROP) accounts loan associations cemetery companies insurance companies the Florida Prepaid College Plan and bank accounts Intangible mortgage companies credit unions small loan companies alcoholic personal property also includes investment products held in IRAs beverage licensees pari-mutuel wagering companies utilitybrokerage accounts and the Florida College Investment Plan companies entities controlled by the Public Service Commission Note that the product contained in a brokerage account IRA or the and entities granted a franchise to operate by either a city or a Florida College Investment Plan is your assetmdashnot the account or county governmentplan itself Things like automobiles and houses you own jewelry Disclose in this part the fact that you owned during the and paintings are not intangible property Intangibles relating to the disclosure period an interest in or held any of certain positions same business entity may be aggregated for example CDrsquos and with the types of businesses listed above You are requiredsavings accounts with the same bank to make this disclosure if you own or owned (either directly or

Calculations To determine whether the intangible property indirectly in the form of an equitable or beneficial interest) at any exceeds 10 of your total assets total the fair market value of time during the disclosure period more than 5 of the total assets all of your assets (including real property intangible property and or capital stock of one of the types of business entities listed above tangible personal property such as jewelry furniture etc) When You also must complete this part of the form for each of these types making this calculation do not subtract any liabilities (debts) that of businesses for which you are or were at any time during themay relate to the property Multiply the total figure by 10 to arrive disclosure period an officer director partner proprietor or agent at the disclosure threshold List only the intangibles that exceed (other than a resident agent solely for service of process) this threshold amount The value of a leased vehicle is the vehiclersquos If you have or held such a position or ownership interest in present value minus the lease residual (a number which can be one of these types of businesses list the name of the business its found on the lease document) Property that is only jointly owned address and principal business activity and the position held with property should be valued according to the percentage of your the business (if any) If you own(ed) more than a 5 interest in the joint ownership Property owned as tenants by the entirety or as business indicate that fact and describe the nature of your interest joint tenants with right of survivorship should be valued at 100 None of your calculations or the value of the property have to be PART G mdash TRAINING CERTIFICATIONdisclosed on the form

[Required by s 1123142 FS] Example You own 50 of the stock of a small corporation that is worth $100000 the estimated fair market value of If you are a Constitutional or elected municipal officer whoseyour home and other property (bank accounts automobile service began before March 31 of the year for which you are filing furniture etc) is $200000 As your total assets are worth you are required to complete four hours of ethics training which $250000 you must disclose intangibles worth over $25000 addresses Article II Section 8 of the Florida Constitution the Code Since the value of the stock exceeds this threshold you of Ethics for Public Officers and Employees and the public records should list ldquostockrdquo and the name of the corporation If your and open meetings laws of the state You are required to certify on accounts with a particular bank exceed $25000 you should this form that you have taken such training list ldquobank accountsrdquo and bankrsquos name

(

End of Percentage Thresholds Instructions) CE FORM 1 - Effective January 1 2020 Incorporated by reference in Rule 34-8202 FAC PAGE 6

  • 0 HP Cover Page v2
  • 1 Hawks Point Meeting Invite Draft v2
  • 2 Agenda Draft v3
  • 3 EXHIBIT 1
  • 7 HP 05-19-2020 Meeting Minutes Approved
  • 6 EXHIBIT 2
  • 9 HP May FY20 Fin
  • 8 EXHIBIT 3
  • 4 Vacant Position Qualification Requirements for Hawks Point CDD
    • Vacant Position on the Board of Supervisors of the Hawkrsquos Point Community Development District
      • Qualification Requirements
      • Instructions for Interested Candidates
      • Additional Notes
          • 5 Shami Choon Vacant Position - updated 11-5-11 resume
            • 1803 Oak Pond Street Ruskin Fl 33570 E-mailchoons27gmailcom
              • PROFESSIONAL HISTORY
                • Operations Manager Florida Distribution 2002 ndash 2005
                • Operations Manager for Florida Branch Distribution 1999 ndash 2002
                • Warehouse Manager of Miami Distribution Center 1998 ndash 1999
                • Branch Manager of West Palm Beach 1994 ndash 1998
                • Assistant Branch Manager 1991 ndash 1994
                • Customer Service Agent 1990 ndash 1991
                  • 10 EXHIBIT 4
                  • 11 New Business - Hawks Point CDD - MI proposal
                  • 12 EXHIBIT 5
                  • 13 CertaPro Proposal to Paint Exterior Wall 18th to 24th Avenue
                  • 14 Shazam Construction Proposal to Paint Exterior Wall 18th to 24th Street
                    • QUOTE
                      • TO
                          • 15 Photo to accompany Shazam Proposal
                          • 16 EXHIBIT 6
                          • 17 CertaPro Proposal for Pressure Washing Exterior Wall 18th St to 24th Street
                          • 18 Shazam Construction Proposal for Pressure Washing Exterion Wall 18th Street to 24th Street
                            • QUOTE
                              • TO
                                  • 19 EXHIBIT 7
                                  • 20 Form 1_2019i
                                      1. LAST NAME
                                      2. FIRST NAME
                                      3. MIDDLE NAME
                                      4. MAILING ADDRESS ROW 1
                                      5. MAILING ADDRESS ROW 2
                                      6. CITY
                                      7. ZIP
                                      8. COUNTY
                                      9. NAME OF AGENCY
                                      10. NAME OF OFFICE OR POSITION HELD OR SOUGHT
                                      11. CANDIDATE Off
                                      12. NEW EMPLOYEE OR APPOINTEE Off
                                      13. COMPARATIVE (PERCENTAGE) THRESHOLDS Off
                                      14. DOLLAR VALUE THRESHOLDS Off
                                      15. NAME OF SOURCE INCOME ROW 1
                                      16. ADDRESS ROW 1
                                      17. DESCRIPTION OF THE SOURCES PRINCIPAL BUSINESS ACTIVITY ROW 1
                                      18. NAME OF SOURCE INCOME ROW 2
                                      19. ADDRESS ROW 2
                                      20. DESCRIPTION OF THE SOURCES PRINCIPAL BUSINESS ACTIVITY ROW 2
                                      21. NAME OF SOURCE INCOME ROW 3
                                      22. ADDRESS ROW 3
                                      23. DESCRIPTION OF THE SOURCES PRINCIPAL BUSINESS ACTIVITY ROW 3
                                      24. NAME OF SOURCE INCOME ROW 4
                                      25. ADDRESS ROW 4
                                      26. DESCRIPTION OF THE SOURCES PRINCIPAL BUSINESS ACTIVITY ROW 4
                                      27. NAME OF BUSINESS ENTITY ROW 1
                                      28. NAME OF MAJOR SOURCES OF BUSINESS INCOME ROW 1
                                      29. ADDRESS OF SOURCE ROW 1
                                      30. PRINCIPAL BUSINESS ACTIVITY OF SOURCE ROW 1
                                      31. NAME OF BUSINESS ENTITY ROW 2
                                      32. NAME OF MAJOR SOURCES OF BUSINESS INCOME ROW 2
                                      33. ADDRESS OF SOURCE ROW 2
                                      34. PRINCIPAL BUSINESS ACTIVITY OF SOURCE ROW 2
                                      35. NAME OF BUSINESS ENTITY ROW 3
                                      36. NAME OF MAJOR SOURCES OF BUSINESS INCOME ROW 3
                                      37. ADDRESS OF SOURCE ROW 3
                                      38. PRINCIPAL BUSINESS ACTIVITY OF SOURCE ROW 3
                                      39. REAL PROPERTY ROW 1
                                      40. REAL PROPERTY ROW 2
                                      41. REAL PROPERTY ROW 3
                                      42. REAL PROPERTY ROW 4
                                      43. TYPE OF INTANGIBLE ROW 1
                                      44. BUSINESS ENTITY TO WHICH THE PROPERTY RELATES ROW 1
                                      45. TYPE OF INTANGIBLE ROW 2
                                      46. BUSINESS ENTITY TO WHICH THE PROPERTY RELATES ROW 2
                                      47. NAME OF CREDITOR ROW 1
                                      48. ADDRESS OF CREDITOR ROW 1
                                      49. NAME OF CREDITOR ROW 2
                                      50. ADDRESS OF CREDITOR ROW 2
                                      51. ADDRESS OF BUSINESS ENTITY 1
                                      52. PRINCIPAL BUSINESS ACTIVITY 1
                                      53. POSITION HELD WITH ENTITY 1
                                      54. I OWN MORE THAN A 5 INTEREST IN THE BUSINESS 1
                                      55. NATURE OF MY OWNERSHIP INTEREST 1
                                      56. ADDRESS OF BUSINESS ENTITY 2
                                      57. PRINCIPAL BUSINESS ACTIVITY 2
                                      58. POSITION HELD WITH ENTITY 2
                                      59. I OWN MORE THAN A 5 INTEREST IN THE BUSINESS 2
                                      60. NATURE OF MY OWNERSHIP INTEREST 2
                                      61. FOR ELECTED MUNICIPAL OFFICERS REQUIRED TO COMPLETE ANNUAL ETHICS TRAINING PURSUANT TO SECTION 112
                                        1. 3142 F
                                          1. S Off
                                              1. IF ANY OF PARTS A THROUGH G ARE CONTINUED ON A SEPARATE SHEET PLEASE CHECK HERE Off
                                              2. SIGNATURE
                                              3. Date Signed
Page 10: HAWKS POINT COMMUNITY DEVELOPMENT …...2020/06/16  · Hawks Point Community Development District Board of Supervisors Meeting Tuesday, June 16th at 6:30 PM via Zoom All: We welcome

Hawks Point CDD May 19 2020

Regular Meeting Page 3 of 3

SIXTH ORDER OF BUSINESS ndash Staff Reports 77

A District Manager 78

There being none the next item followed 79

B District Counsel 80

Mr Babbar noted that District Engineering had recommended an irrigation specialist and that a 81 proposal from the specialist would be forthcoming 82

C District Engineer 83

There being none the next item followed 84

SEVENTH ORDER OF BUSINESS ndash Supervisors Requests 85

There being none the next item followed 86

EIGHTH ORDER OF BUSINESS ndash Audience Comments ndash New Business 87

A resident asked about the ownership of a conservation area at 18th and Hawks Island and Mr 88 Hathaway indicated that this was CDD property The resident noted that the conservation area 89 had been overgrown onto the sidewalk 90

NINTH ORDER OF BUSINESS ndash Adjournment 91

Mr Lotito asked for final questions comments or corrections before requesting a motion to 92 adjourn the meeting There being none Mr Hathaway made a motion to adjourn the meeting 93

On a MOTION by Mr Hathaway SECONDED by Ms Williams WITH ALL IN FAVOR the Board 94 adjourned the meeting for the Hawks Point Community Development District 95

Each person who decides to appeal any decision made by the Board with respect to any matter 96 considered at the meeting is advised that person may need to ensure that a verbatim record of the 97 proceedings is made including the testimony and evidence upon which such appeal is to be based 98

Meeting minutes were approved at a meeting by vote of the Board of Supervisors at a publicly noticed 99 meeting held on ________________________ 100

101

Signature Signature

102

Printed Name Printed Name

Title Secretary Assistant Secretary Title Chairman Vice Chairman 103

EXHIBIT 2

Hawks Point

Community Development District

Financial Statements

(Unaudited)

Period Ending

May 31 2020

DEBT

GENERAL SERVICE CONSOLIDATED

FUND SERIES 2017 TOTAL

1 ASSETS

2

3 CASH 66142$ -$ 66142$

4 MMK 456665 - 456665

5 INVESTMENTS

6 REVENUE FUND - 203538 203538

7 INTEREST FUNDS - 195 195

8 PRINCIPAL FUNDS - - -

9 SINKING FUNDS - 1 1

11 RESERVE - 266003 266003

12 ACCOUNTS RECEIVABLE 2588 - 2588

13 ASSESMENTS RECEIVABLE 2781 3237 6018

14 DUE FROM GF - 172 172

15 PREPAID ITEMS - - -

16 DEPOSITS 451 - 451

17 TOTAL ASSETS 528627$ 473145$ 1001772$

18

19 LIABILITIES

20

21 ACCOUNTS PAYABLE 537$ -$ 537$

22 DUE TO DEBT SERVICE SERIES 2017 172 - 172

23 ACCRUED INTEREST PAYABLE DS 2017 - - -

24 DEFERRED REVENUE 2781 3237 6018

26

27 FUND EQUITY

28

29 RESTRICTED FOR

30 DEBT SERVICE - 469908 469908

32 ASSIGNED 1 QTR OPER 71304 - 71304

33 ASSIGNED FY 2018 INC IN RESERVES 15650 - 15650

34 ASSIGNED FY 2019 INC IN RESERVES 22500 - 22500

35 UNASSIGNED 415683 - 415683 36

37 TOTAL LIABILITIES amp FUND EQUITY 528627$ 473145$ 1001772$

Hawks Point CDDBalance Sheet

May 31 2020

Note GASB 34 government wide financial statements are available in the annual independent audit of the District The audit is

available on the website and upon request

Page 2

FY2020 VARIANCE

ADOPTED BUDGET ACTUAL FAVORABLE

BUDGET YEAR-TO-DATE YEAR-TO-DATE (UNFAVORABLE)

1 REVENUE

2

3 ASSESSMENT ON ROLL (NET) 453615$ 453615$ 450924$ (2691)$

4 ASSESSMENT ON ROLL EXCESS FEES - - - -

5 INTEREST REVENUE - - 1594 1594

6 MISCELLANEOUS REVENUE - - - -

7 ELECTRICITY COST SHARE WITH THE HOA 1600 1067 2633 1566

8 TOTAL REVENUE 455215 454682 455152 470

9

10 EXPENDITURES

11

12 ADMINISTRATIVE

13 BOARD OF SUPERVISORS 12000 8000 5539 2461

14 PAYROLL TAXES 918 612 503 109

15 PAYROLL SERVICE FEE 625 417 392 25

16 MANAGEMENT CONSULTING SERVICES 40000 26667 26667 -

17 GENERAL ADMINISTRATIVE 4800 3200 3200 -

18 MISCELLANEOUS 500 333 - 333

19 AUDITING 3200 3200 - 3200

20 REGULATORY AND PERMIT FEES 175 175 175 -

21 LEGAL ADVERTISEMENTS 1500 1000 1386 (386)

22 ENGINEERING SERVICES 5000 3333 1896 1437

23 LEGAL SERVICES - GENERAL 7500 5000 2895 2105

24 WEBSITE ADMINISTRATION 2265 2165 1749 416

25 TOTAL ADMINISTRATIVE 78483 54102 44401 9701

26

27 INSURANCE

28 INSURANCE (Liability Property amp Casualty) 6050 6050 5638 412

29 TOTAL INSURANCE 6050 6050 5638 412

30

31 DEBT SERVICE ADMINISTRATION

32 DISSEMINATION AGENT 1000 1000 1000 -

33 TRUSTEE FEES 10500 - - -

34 TRUST FUND ACCOUNTING 1500 1000 1000 -

35 ARBITRAGE 650 - - -

36 ASSESSMENT ADMINISTRATION 5000 5000 5000 -

37 TOTAL DEBT SERVICE ADMINISTRATION 18650 7000 7000 -

38

39 UTILITIES

40 ELECTRICITY-IRRIGATION 2928 1952 1191 761

41 TOTAL UTILITIES 2928 1952 1191 761

42

43 FIELD OPERATIONS

44 IRRIGATION MAINTENANCE amp REPAIRS 10000 6667 3960 2706

45 POND MONITORING amp MAINTENANCE 17700 10325 10325 -

46 POND PLANTINGS 5000 5000 - 5000

47 WETLAND MONITORING 7120 5340 1780 3560

48 LANDSCAPE MAINTENANCE 129000 86000 88400 (2400)

49 LANDSCAPE REPLENISHMENT 119898 79932 6520 73412

50 TREE TRIMMING 16800 11200 - 11200

51 STREETLIGHTS 2000 1333 - 1333

52 MISCELLANEOUS FIELD EXPENSES 18586 12391 8886 3504

53 CAPITAL PROJECTS - WELL DRILLING amp PUMP INSTALL - - 18165 (18165)

54 RESERVE - PAINT PERIMITER WALL - - 6350 (6350)

55 TOTAL FIELD OPERATIONS 326104 218188 144386 73802

Hawks Point

General Fund

Statement of Revenues Expenditures and Changes in Fund Balance

For the period from October 1 2019 through April 30 2020

Preliminary

Page 3

FY2020 VARIANCE

ADOPTED BUDGET ACTUAL FAVORABLE

BUDGET YEAR-TO-DATE YEAR-TO-DATE (UNFAVORABLE)

Hawks Point

General Fund

Statement of Revenues Expenditures and Changes in Fund Balance

For the period from October 1 2019 through April 30 2020

Preliminary

56

57 TOTAL EXPENDITURES BEFORE RESERVES 432215 287292 202616 84675

58

59 INCREASE FOR RESERVES 23000 - - -

60 INCREASE IN FUND BALANCE - - - -

61

62

63 TOTAL EXPENDITURES AFTER RESERVE 455215 287292 202616 84675

64

65 EXCESS OF REVENUE OVER (UNDER) EXPENDITURES - 167390 252535 85145

66

67 FUND BALANCE - BEGINNING 269666 269666 272602 272602

68 DECREASE IN FUND BALANCE - - - -

69 INCREASE IN RESERVE 23000 - - -

70 FUND BALANCE - ENDING 292666$ 437056$ 525137$ 357747$

71

72

73 FY 2018FY 2019 - Irrigation System Grounding Phased 15544$

74 FY 2018 - Perimieter Wall Paint Applications 5815

75 FY 2019 - Reserve Study Update 1100

77 FY 2020 - Irrigation System-Clocks 6442

Total Replacement Expenses for Reserves 28901$

Reserve Expenditure Components

Page 4

FY 2020 VARIANCE

ADOPTED BUDGET ACTUAL FAVORABLE

BUDGET YEAR-TO-DATE YEAR-TO-DATE (UNFAVORABLE)

1 REVENUE

2 ASSESSMENTS - ON-ROLL (Gross) 561051$ 527388$ 524922$ (2466)$

3 ASSESSMENTS - ON-ROLL EXCESS FEES - - - -

4 FUND BALANCE FORWARD - - - -

5 INTEREST - INVESTMENT - - 3703 3703

6 DISCOUNT (22442) - - -

7 TOTAL REVENUE 538609 527388 528624 1236

8

9

10 EXPENDITURES

11

12 PRINCIPAL

13 512020 235000 - 235000 (235000)

14 INTEREST EXPENSE

15 1112019 - - 144238 (144238)

16 512020 144238 - 144238 (144238)

17 1112020 140075 - - -

18 COUNTY COLLECTION CHARGES 11221 - - -

19 TOTAL EXPENDITURES 530534 - 523475 (523475)

20

21 EXCESS OF REVENUE OVER (UNDER) EXPENDITURES 8075 527388 5149 (522239)

22

23 OTHER FINANCING SOURCES (USES)

24 TRANSFER IN - - - -

25 TRANSFER OUT (USES) - - - -

26 TOTAL OTHER FINANCING SOURCES (USES) - - - -

27

28 NET CHANGE IN FUND BALANCE 8075 527388 5149 (522239)

29

30 FUND BALANCE - BEGINNING - - 464759 464759

31 FUND BALANCE APPROPRIATED - - - -

32

33 FUND BALANCE - ENDING 8075$ 527388$ 469908$ (57480)$

Hawks Point CDD

Debt Service - Series 2017

Statement of Revenues Expenditures and Changes in Fund Balance

For the period from October 1 2019 through April 30 2020

Page 5

Bank United

Balance Per Bank Statement 7549415$

Plus Deposits in Transit -

Less Outstanding Checks (935250)

Adjusted Bank Balance 6614165$

Beginning Bank Balance Per Books 4251943$

Cash Receipts 5000350

Cash Disbursements (2638128)

Balance Per Books 6614165$

Hawks Point CDD

Bank Reconciliation (GF)

May 31 2020

Page 6

Date Num Name Memo Receipts Disbursements Balance

Bank United EOY Balance 9460943

10012019 9035 DPFG MANAGEMENT amp CONSULTING LLC CDD Mgmt - October 385833 9075110

10022019 Hawks Point West HOA 2019-245- HPW 18866 9093976

10082019 646 Hawks Point HOA 2019245 - HPA 21225 9115201

10082019 Hawks Point West HOA 201956 - HPW 208516 9323717

10082019 1115 Egis Insurance amp Risk Advisors Ins - FY 2020 563800 8759917

10112019 9036 JAYMAN ENTERPRISES LLC Replace Bulbs at Entrances Rcvd 10119 23000 8736917

10112019 9037 Landscape Maintenance Professionals Inc Landscape Maint - October 1105000 7631917

10162019 1116 FLORIDA DEPT OF ECONOMIC OPPORTUNIT Annual Filing FY 2020 17500 7614417

10182019 9041 TAMPA BAY TIMES Legal Ad - Meeting Schedule 55200 7559217

10212019 9038 DPFG MANAGEMENT amp CONSULTING LLC Special Assessment - FY 2020 Continuing Disclosure ADA Compliance 650000 6909217

10212019 9039 JAYMAN ENTERPRISES LLC Replace Bulbs 7000 6902217

10212019 9040 STANTEC CONSULTING SERVICES INC Lake amp Pond Maint - Sept 10500 6891717

10242019 ACH102419 TAMPA ELECTRIC 830-930 - 1416 Little Hawk Dr 7637 6884080

10242019 ACH1024192 TAMPA ELECTRIC 830-930 - 2160 Golden Falcon Dr 7083 6876997

10242019 000652 Hawks Point HOA 20197-HPA 4921 6881918

10252019 694003DD ANDREW HERON Bos Mtg - 101519 18470 6863448

10252019 ACH102519 Innovative Employer Soltuions Bos Mtg - 101519 17140 6846308

10252019 694005DD KAREN OBRIEN Bos Mtg - 101519 18470 6827838

10252019 694004DD SHERRI KEENE Bos Mtg - 101519 18470 6809368

10252019 694002DD WILLIAM J HATHAWAY Bos Mtg - 101519 18470 6790898

10312019 Bank United Interest 691 6791589

Bank United EOM Balance 254219 2923573 6791589

11012019 9042 DPFG MANAGEMENT amp CONSULTING LLC CDD Mgmt - November 385833 6405756

11012019 9043 STANTEC CONSULTING SERVICES INC Lake amp Pond Maint - Pond 201-19 amp 21 - Sept 274000 6131756

11012019 9044 STRALEY ROBIN VERICKER Legal Svcs thru 101519 65999 6065757

11122019 1117 HAWKS POINT CDD DS 2017 Tax Collection Share co Wells Fargo 762290 5303467

11152019 9045 Landscape Maintenance Professionals Inc Landscape Maint - November amp Irrigation Repairs 1229369 4074098

11152019 9046 STANTEC CONSULTING SERVICES INC Lake amp Pond Maint - Oct 333600 3740498

11202019 9048 TAMPA BAY TIMES Legal Ad - Audit Meeting 42050 3698448

11222019 9047 STANTEC CONSULTING SERVICES INC Lake amp Pond Maint - Pond 20 - Oct 10500 3687948

11252019 ACH1125191 TAMPA ELECTRIC 101-1030 - 1416 Little Hawk Dr 7431 3680517

11252019 ACH1125192 TAMPA ELECTRIC 101-1030 - 2160 Golden Falcon Dr 8753 3671764

11292019 703783DD ANDREW HERON Bos Mtg - 111919 18470 3653294

11292019 ACH112919 Innovative Employer Soltuions Bos Mtg - 111919 20200 3633094

11292019 703785DD KAREN OBRIEN Bos Mtg - 111919 18470 3614624

11292019 703781DD MARIE CHANTAL COPELAND Bos Mtg - 111919 18470 3596154

11292019 703784DD SHERRI KEENE Bos Mtg - 111919 18470 3577684

11292019 703782DD WILLIAM J HATHAWAY Bos Mtg - 111919 18470 3559214

11302019 Bank United Interest 450 3559664

Bank United EOM Balance 450 3232375 3559664

12022019 9049 DPFG MANAGEMENT amp CONSULTING LLC CDD Mgmt - December 385833 3173831

12042019 694 Hawks Point HOA 20198-HPA 5105 3178936

12042019 503 Hawks Point West HOA 20197-HPW amp 20198-HPW 7388 3186324

12042019 1118 Site Masters of Florida LLC Investigation of pipe discharge Townhome Yard Drain Blockage 150000 3036324

12112019 9050 Illuminations Holiday Lighting Electrical Fix Holiday Lights - Deposit 261250 2775074

12132019 Bank United Funds Transfer - MMK to Opt Acct 4500000 7275074

12132019 Bank United Funds Transfer - MMK to Opt Acct 50834407 58109481

12162019 9055 TAMPA BAY TIMES Legal Ad - RFP Auditing Svc 36100 58073381

12182019 9051 Flatwoods Environmental Cut amp Dispose Brazilian Pepper 396500 57676881

12182019 9052 Landscape Maintenance Professionals Inc Landscape Maint - December 1105000 56571881

12182019 9053 STANTEC CONSULTING SERVICES INC Misc Environmental Services 137000 56434881

12182019 9054 STRALEY ROBIN VERICKER Legal Svcs thru 111519 57500 56377381

12182019 1119 HAWKS POINT CDD DS 2017 Tax Collection Share co Wells Fargo 49544765 6832616

12182019 1120 Innersync ADA Compliant website 124942 6707674

12262019 ACH1226191 TAMPA ELECTRIC 1031-122 - 2160 Golden Falcon Dr 8771 6698903

12262019 ACH1226192 TAMPA ELECTRIC 1031-1202 - 1416 Little Hawk Dr 9315 6689588

12272019 711993DD ANDREW HERON Bos Mtg - 121719 18470 6671118

12272019 ACH122719 Innovative Employer Soltuions Bos Mtg - 121719 20200 6650918

12272019 711995DD KAREN OBRIEN Bos Mtg - 121719 18470 6632448

12272019 711991DD MARIE CHANTAL COPELAND Bos Mtg - 121719 18470 6613978

12272019 711994DD SHERRI KEENE Bos Mtg - 121719 18470 6595508

12272019 711992DD WILLIAM J HATHAWAY Bos Mtg - 121719 18470 6577038

12312019 Bank United Interest 3091 6580129

Bank United EOM Balance 55349991 52329526 6580129

01022020 9056 DPFG MANAGEMENT amp CONSULTING LLC CDD Mgmt - January 385833 6194296

01082020 9057 Landscape Maintenance Professionals Inc Station decoders 82908 6111388

01082020 9058 STRALEY ROBIN VERICKER Legal Svcs thru 121519 10000 6101388

01102020 9159 Landscape Maintenance Professionals Inc Landscape Maint - January 1105000 4996388

01102020 9160 Mike White LLC Entry Monument repair 54119 4942269

01132020 1121 HAWKS POINT CDD DS 2017 Tax Collection Share co Wells Fargo 868256 4074013

01172020 9161 Illuminations Holiday Lighting Holiday Lights - Balance Due 231250 3842763

01172020 000534 Hawks Point West HOA 20201-HPW 4493 3847256

01272020 1122 STANTEC CONSULTING SERVICES INC Pond Maint - December Engineering Svcs thru 122719 353400 3493856

01272020 ACH012720 TAMPA ELECTRIC 123-1231 - 2160 Golden Falcon Dr 8116 3485740

01272020 ACH0127202 TAMPA ELECTRIC 1203-1231 - 1416 Little Hawk Dr 6682 3479058

01312020 072704 Innovative Employer Soltuions Bos Mtg - 12120 17140 3461918

01312020 721948DD KAREN OBRIEN Bos Mtg - 12120 18470 3443448

01312020 721945DD MARIE CHANTAL COPELAND Bos Mtg - 12120 18470 3424978

01312020 721947DD SHERRI KEENE Bos Mtg - 12120 18470 3406508

01312020 721946DD WILLIAM J HATHAWAY Bos Mtg - 12120 18470 3388038

01312020 Bank United Interest 1406 3389444

Bank United EOM Balance 5899 3196584 3389444

02052020 1124 DPFG MANAGEMENT amp CONSULTING LLC CDD Mgmt - February 385833 3003611

02052020 1125 Landscape Maintenance Professionals Inc Landscape Maint - February 1105000 1898611

02052020 1126 TAMPA ELECTRIC 101-1030 - 1416 Little Hawk Dr 308 1898303

02252020 1127 Landscape Maintenance Professionals Inc Landscape Maint - March 1105000 793303

02252020 02252020ACH TAMPA ELECTRIC 11-130 - 1416 Little Hawk Dr 7840 785463

02252020 02252020ACH TAMPA ELECTRIC 11-130 - 2160 Golden Falcon Dr 9092 776371

02282020 02182020ACH Innovative Employer Soltuions Bos Mtg - 21820 14080 762291

02282020 730271DD MARIE CHANTAL COPELAND Bos Mtg - 21820 18470 743821

02282020 730273DD SHERRI KEENE Bos Mtg - 21820 18470 725351

02282020 7302272DD WILLIAM J HATHAWAY Bos Mtg - 21820 18470 706881

02292020 Bank United Interest 203 707084

HAWKS POINT CDDCASH REGISTER

FY 2020

Page 7

Date Num Name Memo Receipts Disbursements Balance

HAWKS POINT CDDCASH REGISTER

FY 2020

Bank United EOM Balance 203 2682563 707084

03042020 1128 DPFG MANAGEMENT amp CONSULTING LLC CDD Mgmt - March 385833 321251

03122020 1129 STANTEC CONSULTING SERVICES INC Engineering Svcs thru 012420 73950 247301

03122020 ACH032520 TAMPA ELECTRIC 13120 - 22820 - 2160 Golden Falcon Dr 8527 238774

03122020 ACH0325202 TAMPA ELECTRIC 013120 - 22820 - 1416 Little Hawk Dr 6592 232182

03192020 BankUnited Funds Transfer 5000000 5232182

03192020 1130 HAWKS POINT CDD DS 2017 Tax Collection Share co Wells Fargo thru 030420 1437199 3794983

03242020 1131 Landscape Maintenance Professionals Inc Pencil Pruning of Crape Myrtles Landscape Maint -042020 1360500 2434483

03242020 1132 STANTEC CONSULTING SERVICES INC Pond Maint - January Feb 295000 2139483

03242020 1133 STRALEY ROBIN VERICKER Legal Svcs thru 021520 23250 2116233

03272020 1134 DPFG MANAGEMENT amp CONSULTING LLC CDD Mgmt - April 2020 385833 1730400

03272020 1135 Landscape Maintenance Professionals Inc Irrigation Inspection repairs 74858 1655542

03312020 BankUnited Interest 200 1655742

Bank United EOM Balance 5000200 4051542 1655742

04082020 1136 Accurate Drilling Solutions Service call - 032520 - Replacement for Controller on pump 4 60234 1595508

04082020 1137 STANTEC CONSULTING SERVICES INC Engineering Svcs thru 032020 61250 1534258

04082020 1138 STRALEY ROBIN VERICKER Legal Svcs thru 031520 93270 1440988

04082020 1139 TAMPA ELECTRIC 229-330 - Electricity 16915 1424073

04162020 1140 HAWKS POINT CDD DS 2017 Tax Collection Share co Wells Fargo thru 041320 298431 1125642

04232020 BankUnited Funds Transfer 5000000 6125642

04232020 1141 Accurate Drilling Solutions Well Drilling and new pump system installation 1816480 4309162

04282020 1142 STRALEY ROBIN VERICKER Legal Svcs thru 041520 57460 4251702

04302020 BankUnited Interest 241 4251943

Bank United EOM Balance 5000241 2404040 4251943

05012020 1143 DPFG MANAGEMENT amp CONSULTING LLC CDD Mgmt - May 2020 385833 3866110

05012020 ACH050120 Innovative Employer Soltuions Bos Mtg - 42120 14080 3852030

05012020 747666DD MARIE CHANTAL COPELAND Bos Mtg - 42120 18470 3833560

05012020 747667DD WILLIAM J HATHAWAY Bos Mtg - 42120 18470 3815090

05012020 747668DD SHERRI KEENE Bos Mtg - 42120 18470 3796620

05082020 ACH050820 Innovative Employer Soltuions Bos Mtg - 42120 8620 3788000

05082020 1 Caryn Williams BOS 04212020 18470 3769530

05112020 1144 Landscape Maintenance Professionals Inc Landscape Maint -052020 1105000 2664530

05112020 1145 STANTEC CONSULTING SERVICES INC Engineering Svcs thru 042420 25400 2639130

05112020 1146 TAMPA ELECTRIC 330-429 - Electricity 19915 2619215

05212020 1147 BUSINESS OBSERVER Legal Ad - Notice of Qualifying Period 51520 5250 2613965

05212020 1148 CertaPro Painters Paint exterior wall 24th to 30th Street 635000 1978965

05212020 1149 STANTEC CONSULTING SERVICES INC Pond Maint - March-April 295000 1683965

05292020 BankUnited Funds Transfer 5000000 6683965

05292020 755486DD Caryn Williams Bos Mtg - 51920 18470 6665495

05292020 ACH052920 Innovative Employer Soltuions Bos Mtg - 51920 14740 6650755

05292020 755485DD SHERRI KEENE Bos Mtg - 51920 18470 6632285

05292020 755484DD WILLIAM J HATHAWAY Bos Mtg - 51920 18470 6613815

05312020 BankUnited Interest 350 6614165

Bank United EOM Balance 5000350 2638128 6614165

Page 8

EXHIBIT 3

Vacant Position on the Board of Supervisors of the Hawkrsquos Point Community Development District The Hawkrsquos Point Community Development District (CDD) is soliciting interested candidates to fill a vacant position on the Board of Supervisors of the CDD (Board) The CDD is a local unit of special-purpose government which is created pursuant to Chapter 190 Florida Statutes The Board is comprised of 5 members who are public officials who are normally elected on the November General Elections who serve in staggered terms The vacancy is a result of a resignation of a board member due to a relocation The remaining term of the vacant supervisorrsquos seat is through November 2022

Qualification Requirements

1 Resident of the CDD

2 At least 18 years of age

3 Citizen of the United States

4 Legal resident of Florida and of the CDD

5 Registered to vote with the Hillsborough County Supervisor of Elections

Instructions for Interested Candidates

Interested candidates must submit a letter of interest and resume to Raymondlotitodpfgcom by 4 pm on Friday June 5 2020 The subject line in the email should read ldquoVacant Position on the Board of Supervisors of the Hawkrsquos Point CDDrdquo

The Letter of Interest must contain

1 A statement stating why you believe you are well suited for the position

2 Your vision for the CDD and what you would like to see the Community evolve into Please be specific

The Resume must contain

1 Your academic background and professional experience

2 Previous and current experience with governmental agencies and governing boards

Interested candidates should attend the Board meeting on Tuesday June 16 2020 at 630 pm and present a brief presentation about themselves and be prepared for a brief question and answer period with the current Board members

Additional Notes

The current Board members will discuss the candidates and may make an appointment at the June meeting If the Board cannot come to a consensus on one candidate or if they determine to not appoint any candidate to the vacant seat they may revisit the vacancy at a future meeting or leave the seat vacant until the November 2022 General Election

Please note that the person appointed to serve in the vacant seat will be required to submit a financial disclosure statement to the State and will be subject to Floridarsquos Government in the Sunshine Laws Public Records laws and Ethics laws

1

Sookdeo (Shami) Choon Phone number (813) 731-5564 1803 Oak Pond Street Ruskin Fl 33570 E-mailchoons27gmailcom

PROFESSIONAL HISTORY Firkins GroupGarber Nissan December 2013 to Present Commercial Vehicle Sales ManagerFinance Manager Auto Nation From January 2006 to December 2013 Sales 2006- 2007 Finance Manager 2007- 2008 Sales Manager Training Manager 2008-2009 Sales Finance 2009- 2011 Commercial Sales Manager Finance Manager 2011- 2020 Parts Depot Inc From 1990 to 2005 ___________________________________________________________________________________________ Operations Manager Florida Distribution 2002 ndash 2005 bull Responsible for total inventory control of all Florida warehouses frac12 of the corporationrsquos revenue bull Directed top management to complete acquisition consolidations which resulted in the corporationrsquos

expansion bull Managed all Florida branch warehouse managers and employees totaling 200 employees bull Increased productivity and shipping efficiency in all departments developed new delivery logistics

improved product availability to all customers as well a hired and efficiently trained employees bull Reviewed all customer service statistics daily and contacted customer directly on all issues bull Reviewed PampLrsquos for all units monthly bull Presented weekly productivity and financial reports to senior management bull Directed DOT monthly guidelines maintained driver files in accordance with DOT regulations and

implemented loss prevention programs Operations Manager for Florida Branch Distribution 1999 ndash 2002 bull Improved customer service by increasing product availability to customers by implementing new

delivery logistics bull Developed employee training implemented safety awareness and monthly safety programs Warehouse Manager of Miami Distribution Center 1998 ndash 1999 bull Developed and implemented productivity guidelines implemented delivery cost saving programs

and improved product availability to the corporationrsquos customers Branch Manager of West Palm Beach 1994 ndash 1998 bull Responsible for the opening of this new branch set the building layout as well as the delivery and

logistics systems

2

bull Increased sales by 80 over budget and kept operating cost as of sales Implemented new customer service department Hired and trained all employees

Assistant Branch Manager 1991 ndash 1994 bull Increased productivity by 20 and improved delivery service Customer Service Agent 1990 ndash 1991 bull Created and implemented customer service guidelines Wingate Automotive Group 1987ndash 1990 Trinidad amp Tobago Government National Security 1984- 1987 Field Operation

EXHIBIT 4

PO Box 267 Seffner FL 33583 O 813-757-6500 F 813-757-6501 Estimate

Submitted To Hawks Point CDD 250 International Parkway Suite 280 Lake Mary FL 32746

CDD - controller 4 - zones 1 and 2

Date 5232020

Estimate 66077

LMP REPRESENTATIVE

DG-TI

PO

W ork Order

DESCRIPTION QTY COST TOTAL

Controller 4 34 inch poly pipe 34 inch poly pipe clamps Labor 2 men $ 8500 per hour

Irrigation inspection repairs needed Repair 6 - 34 inch poly pipe line leaks

6 12 05

072 129

8500

432 1548 4250

TERMS AND CONDITIONS TOTAL $6230

LMP reserves the right to withdraw this proposal if not accepted within 30 days of the date listed above Any alteration or deviation to scope of work involving additional costs must be agreed upon in writing as a separate proposal or change order to this proposal Periodic invoices may be submitted if job is substantial in nature with final invoice being submitted at completion of project Any work performed requiring more than 5 days to complete is subject to progressive payments as portions of the work are completed No finance charge will be imposed if the total of said work is paid in full within 30 days of invoice date If not paid in full within 30 days then customer is subject to finance charges on the balance of the work from the invoice date at a rate of 15 per month until paid LMP shall have the right to stop work under this contract until all outstanding amounts including finance charges are paid in full Payments will be applied to the oldest invoices

ACCEPTANCE OF PROPOSAL The above prices scope of work and terms and conditions are hereby satisfactorily agreed upon LMP Inc has been authorized to perform the work as outlined and payment will be made as outlined above The above pricing does not include any unforeseen modifications to the said irrigation system that could not be reasonably accounted for prior to job start All plant material carries a one (1) year warranty provided LMP Inc is performing landscape maintenance services to the area installed or enhanced at the time of installation If not then there is no warranty on the plant material

OWNER AGENT

DATE

EXHIBIT 5

Independent Franchise Owner Job TBE8F300154 Terry Beamer 9266 Lazy Ln

Date 06012020

EXTERIOR PROPOSALEXTERIOR PROPOSALEXTERIOR PROPOSALEXTERIOR PROPOSAL Tampa FL 33614 813-936-9242

Fax 813 936-9172

1-800-462-3782

License PA2508

Full Workers Compensation Coverage$2000000 General Liability Insurance

DPFG Management amp Consulting LLC (Hawks Point) Raymond Lotito (SB) Hawks Point CDD Ruskin FL 33570 Phone 813-418-7473 Cell 813-220-6089 Email raymondlotitodpfgcom

Special Notes CERTAPRO PAINTERS WILL PAINT WALL FACING 19ST FROM 18TH-24TH

SPECIAL ATTENTION ADDRESSING STUCCO CRACKS USING CONCRETE AND MASONRY PATCH

SPECIAL ATTENTION PRESSURE WASHING LOOSE PEELING PAINT PRIOR TO PAINTING

CERTAPRO PAINTERS WILL ONLY PAINT STREET FACING SIDE- HOMEOWNERS SIDE EXCLUDED FROM PROPOSAL

CUSTOMER RESPONSIBILITIES Please cut back all shrubs bushes and palms away from wall

GENERAL DESCRIPTION Painting to Exterior Wall 18th-24th Facing 19th Ave

PREPARATION Washing To remove dirt mildew and loose paint so the new finish coat will adhere properly

Caulking To fill all cracks and gaps around windows and doorswood work to seal out moisture and drafts Stair step

cracks

Scraping Scrape all loose and peeling paint to ensure a firm base for the new paint

Masonry Repair to all cracks gaps and holes with elastemeric caulking or masonry patch as required

Sanding To degloss where necessary to promote adhesion of the top coat

Surface TypeArea Primer PurposePRIMING

Masonry Loxon sealerprimer Latex For propor top coat adhesion

Conditioner Loxon sealerprimer to all Latex For proper top coat adhesion

masonry surfaces

FINISH COATS

Surface Area

Exterior

ManufacturePaint Type

Sherwin Williams Resilience Ext Satin

Coats

1 primer-sealer 1 spray 1 backroll stucco

Color

Same As Existing

Clean Up Daily and upon completion

$1132900 All Labor Paint Materials

$1132900 TOTAL

Signature of Authorized Franchise Representative Date

Payment is due In Full upon Job Completion

(IWE HAVE READ THE TERMS STATED HEREIN THEY HAVE (IWE) HAVE EXAMINED THE JOB STATED HEREIN THEY EXPLAINED TO (MEUS) AND (IWE) FIND THEM TO BE HAVE SHOWN TO (MEUS) AND (IWE) FIND THE JOB TO SATISFACTORY AND HEREBY ACCEPT THEM BE SATISFACTORY AND HEREBY ACCEPT THE JOB AS

COMPLETE

SIGNATURE Date SIGNATURE Date

QUOTE

Shazam Construction LLC DATE MAY 13 2020

Shazam Hera 6773 Waterton Drive Riverview FL 33578 813-385-4591 ShazamConstructionLLCgmailcom Hawks Point CDD

TO Bill to Development Planning and Financing Group 15310 Amberly Drive Suite 175 Tampa FL 33647

QUANITY DESCRIPTION UNIT PRICE LINE TOTAL

Pressure wash the wall that parallels 19th avenue from 18th street to 24th street in Hawks Point CDD in Ruskin

$1270000

Repair any cracks with caulk or elastomeric as neededPrep for paint

Paint the wall that parallels 19th avenue from 18th street to 24th street in Hawks Point CDD in Ruskin

Paint using body trim and caps of exterior wall facing 19th avenue

Paint while matching existing colors

Paint using Sherwin Williams

All paint materials and labor is included

SUBTOTAL

SALES TAX

TOTAL $1270000

Make all checks payable to Shazam Construction LLC

THANK YOU FOR YOUR BUSINESS

EXHIBIT 6

Independent Franchise Owner Job TB443B00157 Terry Beamer 9266 Lazy Ln

Date 06052020

EXTERIOR PROPOSALEXTERIOR PROPOSALEXTERIOR PROPOSALEXTERIOR PROPOSAL Tampa FL 33614 813-936-9242

Fax 813 936-9172

1-800-462-3782

License PA2508

Full Workers Compensation Coverage$2000000 General Liability Insurance

DPFG Management amp Consulting LLC (Hawks Point) Raymond Lotito (SB) Hawks Point CDD Ruskin FL 33570 Phone 813-418-7473 Cell 813-220-6089 Email raymondlotitodpfgcom

Special Notes CERTAPRO PAINTERS PRESSURE WASHING PROPOSAL 18TH-24TH

CERTAPRO PAINTERS WILL PRESSURE WASH WALL FACING 19TH ST ONLY

GENERAL DESCRIPTION Painting to

PREPARATION Washing To remove dirt mildew and loose paint so the new finish coat will adhere properly

PRIMING Surface TypeArea Primer Purpose

Clean Up Daily and upon completion

All Labor Paint Materials

TOTAL

$195000

$195000

Signature of Authorized Franchise Representative Date

Payment is due In Full upon Job Completion

(IWE HAVE READ THE TERMS STATED HEREIN THEY HAVE (IWE) HAVE EXAMINED THE JOB STATED HEREIN THEY EXPLAINED TO (MEUS) AND (IWE) FIND THEM TO BE HAVE SHOWN TO (MEUS) AND (IWE) FIND THE JOB TO SATISFACTORY AND HEREBY ACCEPT THEM BE SATISFACTORY AND HEREBY ACCEPT THE JOB AS

COMPLETE

SIGNATURE Date SIGNATURE Date

QUOTE

Shazam Construction LLC DATE JUNE 5 2020

Shazam Hera 6773 Waterton Drive Riverview FL 33578 813-385-4591 ShazamConstructionLLCgmailcom Hawks Point CDD

TO Bill to Development Planning and Financing Group 15310 Amberly Drive Suite 175 Tampa FL 33647

QUANITY DESCRIPTION UNIT PRICE LINE TOTAL

Pressure wash the wall that parallels 19th avenue from 18th street to 24th street in Hawks Point CDD in Ruskin

$160000

All materials and labor is included

SUBTOTAL

SALES TAX

TOTAL $160000

Make all checks payable to Shazam Construction LLC

THANK YOU FOR YOUR BUSINESS

EXHIBIT 7

2019FORM 1 STATEMENT OF

Please print or type your name mailing FOR OFFICE USE ONLY FINANCIAL INTERESTS address agency name and position below

LAST NAME -- FIRST NAME -- MIDDLE NAME

MAILING ADDRESS

CITY ZIP COUNTY

NAME OF AGENCY

NAME OF OFFICE OR POSITION HELD OR SOUGHT

CHECK ONLY IF CANDIDATE OR NEW EMPLOYEE OR APPOINTEE

THIS SECTION MUST BE COMPLETED DISCLOSURE PERIOD THIS STATEMENT REFLECTS YOUR FINANCIAL INTERESTS FOR CALENDAR YEAR ENDING DECEMBER 31 2019

MANNER OF CALCULATING REPORTABLE INTERESTS FILERS HAVE THE OPTION OF USING REPORTING THRESHOLDS THAT ARE ABSOLUTE DOLLAR VALUES WHICH REQUIRES FEWER CALCULATIONS OR USING COMPARATIVE THRESHOLDS WHICH ARE USUALLY BASED ON PERCENTAGE VALUES (see instructions for further details) CHECK THE ONE YOU ARE USING (must check one)

COMPARATIVE (PERCENTAGE) THRESHOLDS OR DOLLAR VALUE THRESHOLDS

PART A -- PRIMARY SOURCES OF INCOME [Major sources of income to the reporting person - See instructions] (If you have nothing to report write none or na)

NAME OF SOURCE SOURCES DESCRIPTION OF THE SOURCES OF INCOME ADDRESS PRINCIPAL BUSINESS ACTIVITY

PART B -- SECONDARY SOURCES OF INCOME [Major customers clients and other sources of income to businesses owned by the reporting person - See instructions] (If you have nothing to report write none or na)

NAME OF NAME OF MAJOR SOURCES ADDRESS PRINCIPAL BUSINESS BUSINESS ENTITY OF BUSINESS INCOME OF SOURCE ACTIVITY OF SOURCE

PART C -- REAL PROPERTY [Land buildings owned by the reporting person - See instructions] You are not limited to the space on the (If you have nothing to report write none or na) lines on this form Attach additional

sheets if necessary

FILING INSTRUCTIONS for when and where to file this form are located at the bottom of page 2

INSTRUCTIONS on who must file this form and how to fill it out begin on page 3

CE FORM 1 - Effective January 1 2020 (Continued on reverse side) PAGE 1 Incorporated by reference in Rule 34-8202(1) FAC

FILING INSTRUCTIONS

IF ANY OF PARTS A THROUGH G ARE CONTINUED ON A SEPARATE SHEET PLEASE CHECK HERE

PART D mdash INTANGIBLE PERSONAL PROPERTY [Stocks bonds certificates of deposit etc - See instructions] (If you have nothing to report write none or na) TYPE OF INTANGIBLE BUSINESS ENTITY TO WHICH THE PROPERTY RELATES

PART E mdash LIABILITIES [Major debts - See instructions] (If you have nothing to report write none or na)

NAME OF CREDITOR ADDRESS OF CREDITOR

PART F mdash INTERESTS IN SPECIFIED BUSINESSES [Ownership or positions in certain types of businesses - See instructions] (If you have nothing to report write none or na)

BUSINESS ENTITY 1 BUSINESS ENTITY 2

NAME OF BUSINESS ENTITY

ADDRESS OF BUSINESS ENTITY

PRINCIPAL BUSINESS ACTIVITY

POSITION HELD WITH ENTITY

I OWN MORE THAN A 5 INTEREST IN THE BUSINESS

NATURE OF MY OWNERSHIP INTEREST

If you were mailed the form by the Commission on Ethics or a County Supervisor of Elections for your annual disclosure filing return the form to that location To determine what category your position falls under see page 3 of instructions Local officersemployees file with the Supervisor of Elections of the county in which they permanently reside (If you do not permanently reside in Florida file with the Supervisor of the county where your agency has its headquarters) Form 1 filers who file with the Supervisor of Elections may file by mail or email Contact your Supervisor of Elections for the mailing address or email address to use Do not email your form to the Commission on Ethics it will be returned State officers or specified state employees who file with the Commission on Ethics may file by mail or email To file by mail send the completed form to PO Drawer 15709 Tallahassee FL32317-5709 physical address 325 John Knox Rd Bldg E Ste 200 Tallahassee FL 32303 To file with the Commission by email scan your completed form and any attachments as a pdf (do not use any other format) send it to CEForm1legstateflus and retain a copy for your records Do not file by both mail and email Choose only one filing method Form 6s will not be accepted via email

Candidates file this form together with their filing papers MULTIPLE FILING UNNECESSARY A candidate who files a Form 1 with a qualifying officer is not required to file with the Commission or Supervisor of Elections WHEN TO FILE Initially each local officeremployee state officer and specified state employee must file within 30 days of the date of his or her appointment or of the beginning of employment Appointees who must be confirmed by the Senate must file prior to confirmation even if that is less than 30 days from the date of their appointment Candidates must file at the same time they file their qualifying papers Thereafter file by July 1 following each calendar year in which they hold their positions Finally file a final disclosure form (Form 1F) within 60 days of leaving office or employment Filing a CE Form 1F (Final Statement of Financial Interests) does not relieve the filer of filing a CE Form 1 if the filer was in his or her position on December 31 2019

SIGNATURE OF FILER Signature

____________________________________________

Date Signed

____________________________________________

CPA or ATTORNEY SIGNATURE ONLY If a certified public accountant licensed under Chapter 473 or attorney in good standing with the Florida Bar prepared this form for you he or she must complete the following statement

I _______________________________________ prepared the CE Form 1 in accordance with Section 1123145 Florida Statutes and the instructions to the form Upon my reasonable knowledge and belief the disclosure herein is true and correct

CPAAttorney Signature ______________________________

Date Signed _______________________________________

PART G mdash TRAINING For elected municipal officers required to complete annual ethics training pursuant to section 1123142 FS

I CERTIFY THAT I HAVE COMPLETED THE REQUIRED TRAINING

CE FORM 1 - Effective January 1 2020 PAGE 2 Incorporated by reference in Rule 34-8202(1) FAC

Examplesmdash You are the sole proprietor of a dry cleaning business fromwhich you received more than 10 of your gross incomemdashanamount that was more than $1500 If only one customer auniform rental company provided more than 10 of your drycleaning business you must list the name of the uniform rentalcompany its address and its principal business activity (uniform rentals) mdash You are a 20 partner in a partnership that owns a shopping mall and your partnership income exceeded the thresholds listed above You should list each tenant of the mall that provided more than 10 of the partnershiprsquos gross income and the tenantrsquos address and principal business activity

PART C mdash REAL PROPERTY[Required by s 1123145(3)(a)3 FS]In this part list the location or description of all real property in

Florida in which you owned directly or indirectly at any time during the disclosure period in excess of 5 of the propertyrsquos value You are not required to list your residences You should list any vacation homes if you derive income from them

Indirect ownership includes situations where you are abeneficiary of a trust that owns the property as well as situations where you own more than 5 of a partnership or corporation thatowns the property The value of the property may be determined by the most recently assessed value for tax purposes in the absence of a more current appraisal

The location or description of the property should be sufficient to enable anyone who looks at the form to identify the property Astreet address should be used if one exists PART D mdash INTANGIBLE PERSONAL PROPERTY

[Required by s 1123145(3)(a)3 FS]Describe any intangible personal property that at any time

during the disclosure period was worth more than 10 of your total assets and state the business entity to which the property related Intangible personal property includes things such as cash on hand stocks bonds certificates of deposit vehicle leases interests in businesses beneficial interests in trusts money owed you Deferred Retirement Option Program (DROP) accounts the Florida Prepaid College Plan and bank accounts Intangiblepersonal property also includes investment products held in IRAs brokerage accounts and the Florida College Investment Plan Note that the product contained in a brokerage account IRA or the Florida College Investment Plan is your assetmdashnot the account or plan itself Things like automobiles and houses you own jewelryand paintings are not intangible property Intangibles relating to the same business entity may be aggregated for example CDrsquos and savings accounts with the same bank

Calculations To determine whether the intangible property exceeds 10 of your total assets total the fair market value of all of your assets (including real property intangible property and tangible personal property such as jewelry furniture etc) When making this calculation do not subtract any liabilities (debts) that may relate to the property Multiply the total figure by 10 to arrive at the disclosure threshold List only the intangibles that exceed this threshold amount The value of a leased vehicle is the vehiclersquos present value minus the lease residual (a number which can be found on the lease document) Property that is only jointly owned property should be valued according to the percentage of your joint ownership Property owned as tenants by the entirety or as joint tenants with right of survivorship should be valued at 100 None of your calculations or the value of the property have to be disclosed on the form

Example You own 50 of the stock of a small corporation that is worth $100000 the estimated fair market value of your home and other property (bank accounts automobile furniture etc) is $200000 As your total assets are worth $250000 you must disclose intangibles worth over $25000 Since the value of the stock exceeds this threshold you should list ldquostockrdquo and the name of the corporation If your accounts with a particular bank exceed $25000 you should list ldquobank accountsrdquo and bankrsquos name

PART E mdash LIABILITIES[Required by s 1123145(3)(b)4 FS]List the name and address of each creditor to whom you owed

any amount that at any time during the disclosure period exceeded your net worth You are not required to list the amount of any debt or your net worth You do not have to disclose credit card and retail installment accounts taxes owed (unless reduced to a judgment) indebtedness on a life insurance policy owed to the company of issuance or contingent liabilities A ldquocontingent liabilityrdquo is one that will become an actual liability only when one or more future events occur or fail to occur such as where you are liable only as a guarantor surety or endorser on a promissory note If you are a ldquoco-makerrdquo and are jointly liable or jointly and severally liable it is not a contingent liability

Calculations To determine whether the debt exceeds your net worth total all of your liabilities (including promissory notes mortgages credit card debts judgments against you etc) Theamount of the liability of a vehicle lease is the sum of any past-due payments and all unpaid prospective lease payments Subtract the sum total of your liabilities from the value of all your assets as calculated above for Part D This is your ldquonet worthrdquo List each creditor to whom your debt exceeded this amount unless it is one of the types of indebtedness listed in the paragraph above (credit card and retail installment accounts etc) Joint liabilities with others for which you are ldquojointly and severally liablerdquo meaning that you may be liable for either your part or the whole of the obligation should be included in your calculations at 100 of the amount owed

Example You owe $15000 to a bank for student loans $5000 for credit card debts and $60000 (with spouse) to a savings and loan for a home mortgage Your home (owned by you and your spouse) is worth $80000 and your other property is worth $20000 Since your net worth is $20000 ($100000 minus $80000) you must report only the name and address of the savings and loan

PART F mdash INTERESTS IN SPECIFIED BUSINESSES[Required by s 1123145 FS]The types of businesses covered in this disclosure include

state and federally chartered banks state and federal savings and loan associations cemetery companies insurance companies mortgage companies credit unions small loan companies alcoholic beverage licensees pari-mutuel wagering companies utilitycompanies entities controlled by the Public Service Commission and entities granted a franchise to operate by either a city or acounty government

Disclose in this part the fact that you owned during the disclosure period an interest in or held any of certain positions with the types of businesses listed above You are required to make this disclosure if you own or owned (either directly orindirectly in the form of an equitable or beneficial interest) at any time during the disclosure period more than 5 of the total assets or capital stock of one of the types of business entities listed above You also must complete this part of the form for each of these types of businesses for which you are or were at any time during thedisclosure period an officer director partner proprietor or agent (other than a resident agent solely for service of process)

If you have or held such a position or ownership interest in one of these types of businesses list the name of the business its address and principal business activity and the position held with the business (if any) If you own(ed) more than a 5 interest in the business indicate that fact and describe the nature of your interest

PART G mdash TRAINING CERTIFICATION[Required by s 1123142 FS]If you are a Constitutional or elected municipal officer whose

service began before March 31 of the year for which you are filing you are required to complete four hours of ethics training which addresses Article II Section 8 of the Florida Constitution the Code of Ethics for Public Officers and Employees and the public records and open meetings laws of the state You are required to certify on this form that you have taken such training (End of Percentage Thresholds Instructions)

CE FORM 1 - Effective January 1 2020 Incorporated by reference in Rule 34-8202 FAC PAGE 6

NOTICE Annual Statements of Financial Interests are due July 1 If the annual form is not filed or postmarked by September 1 an automatic fine of $25 for each day late will be imposed up to a maximum penalty of $1500 Failure to file also can result in removal from public office or employment [s 1123145 FS]

In addition failure to make any required disclosure constitutes grounds for and may be punished by one or more of the following disqualification from being on the ballot impeachment removal or suspension from office or employment demotion reduction in salary reprimand or a civil penalty not exceeding $10000 [s 112317 FS]

WHO MUST FILE FORM 1 1) Elected public officials not serving in a political subdivision of the

state and any person appointed to fill a vacancy in such office unlessrequired to file full disclosure on Form 62) Appointed members of each board commission authority

or council having statewide jurisdiction excluding members of solelyadvisory bodies but including judicial nominating commission membersDirectors of Enterprise Florida Scripps Florida Funding Corporationand Career Source Florida and members of the Council on the Social Status of Black Men and Boys the Executive Director Governors and senior managers of Citizens Property Insurance CorporationGovernors and senior managers of Florida Workers Compensation JointUnderwriting Association board members of the Northeast Fla RegionalTransportation Commission board members of Triumph Gulf Coast Incboard members of Florida Is For Veterans Inc and members of the Technology Advisory Council within the Agency for State Technology3) The Commissioner of Education members of the State Board

of Education the Board of Governors the local Boards of Trustees and Presidents of state universities and the Florida Prepaid College Board 4) Persons elected to office in any political subdivision (such as

municipalities counties and special districts) and any person appointedto fill a vacancy in such office unless required to file Form 65) Appointed members of the following boards councils

commissions authorities or other bodies of county municipality schooldistrict independent special district or other political subdivision thegoverning body of the subdivision community college or junior collegedistrict boards of trustees boards having the power to enforce local codeprovisions boards of adjustment community redevelopment agenciesplanning or zoning boards having the power to recommend create ormodify land planning or zoning within a political subdivision except forcitizen advisory committees technical coordinating committees andsimilar groups who only have the power to make recommendationsto planning or zoning boards and except for representatives of a military installation acting on behalf of all military installations within thatjurisdiction pension or retirement boards empowered to invest pensionor retirement funds or determine entitlement to or amount of pensions orother retirement benefits and the Pinellas County Construction LicensingBoard 6) Any appointed member of a local government board who

is required to file a statement of financial interests by the appointingauthority or the enabling legislation ordinance or resolution creating theboard 7) Persons holding any of these positions in local government

mayor county or city manager chief administrative employee or finance

director of a county municipality or other political subdivision county or municipal attorney chief county or municipal building inspectorcounty or municipal water resources coordinator county or municipalpollution control director county or municipal environmental control director county or municipal administrator with power to grant or denya land development permit chief of police fire chief municipal clerkappointed district school superintendent community college presidentdistrict medical examiner purchasing agent (regardless of title) havingthe authority to make any purchase exceeding $35000 for the localgovernmental unit8) Officers and employees of entities serving as chief administrative

officer of a political subdivision9) Members of governing boards of charter schools operated by a

city or other public entity10) Employees in the office of the Governor or of a Cabinet member

who are exempt from the Career Service System excluding secretarialclerical and similar positions11) The following positions in each state department commission

board or council Secretary Assistant or Deputy Secretary ExecutiveDirector Assistant or Deputy Executive Director and anyone having thepower normally conferred upon such persons regardless of title12) The following positions in each state department or division

Director Assistant or Deputy Director Bureau Chief and any personhaving the power normally conferred upon such persons regardless oftitle 13) Assistant State Attorneys Assistant Public Defenders criminal

conflict and civil regional counsel and assistant criminal conflict and civilregional counsel Public Counsel full-time state employees serving ascounsel or assistant counsel to a state agency administrative law judgesand hearing officers14) The Superintendent or Director of a state mental health institute

established for training and research in the mental health field or anymajor state institution or facility established for corrections trainingtreatment or rehabilitation 15) State agency Business Managers Finance and Accounting

Directors Personnel Officers Grant Coordinators and purchasingagents (regardless of title) with power to make a purchase exceeding$35000 16) The following positions in legislative branch agencies each

employee (other than those employed in maintenance clerical secretarial or similar positions and legislative assistants exempted by the presiding officer of their house) and each employee of theCommission on Ethics

INSTRUCTIONS FOR COMPLETING FORM 1 INTRODUCTORY INFORMATION (Top of Form) If your name mailing address public agency and position are already printed on the form you do not need to provide this information unless it should be changed To change any of this information write the correct information on the form and contact your agencys financial disclosure coordinator You can find your coordinator on the Commission on Ethics website wwwethics stateflus NAME OF AGENCY The name of the governmental unit which you serve or served by which you are or were employed or for which you are a candidate DISCLOSURE PERIOD The ldquodisclosure periodrdquo for your report is the calendar year ending December 31 2019

OFFICE OR POSITION HELD OR SOUGHT The title of the office or position you hold are seeking or held during the disclosure period even if you have since left that position If you are a candidate for office or are a new employee or appointee check the appropriate box PUBLIC RECORD The disclosure form and everythingattached to it is a public record Your Social Security Number is not required and you should redact it from any documents you file If you are an active or former officer or employee listed in Section 119071 FS whose home address is exempt from disclosure the Commission will maintain that confidentiality if you submit a written request

CE FORM 1 - Effective January 1 2020 Incorporated by reference in Rule 34-8202 FAC PAGE 3

PART E mdash LIABILITIES[Required by s 1123145(3)(b)4 FS]List the name and address of each creditor to whom you owed more

than $10000 at any time during the disclosure period The amount of theliability of a vehicle lease is the sum of any past-due payments and allunpaid prospective lease payments You are not required to list the amountof any debt You do not have to disclose credit card and retail installmentaccounts taxes owed (unless reduced to a judgment) indebtedness ona life insurance policy owed to the company of issuance or contingentliabilities A ldquocontingent liabilityrdquo is one that will become an actual liabilityonly when one or more future events occur or fail to occur such as whereyou are liable only as a guarantor surety or endorser on a promissorynote If you are a ldquoco-makerrdquo and are jointly liable or jointly and severallyliable then it is not a contingent liability

PART F mdash INTERESTS IN SPECIFIED BUSINESSES[Required by s 1123145(6) FS]The types of businesses covered in this disclosure include state and

federally chartered banks state and federal savings and loan associationscemetery companies insurance companies mortgage companies creditunions small loan companies alcoholic beverage licensees pari-mutuelwagering companies utility companies entities controlled by the PublicService Commission and entities granted a franchise to operate by either acity or a county government

Disclose in this part the fact that you owned during the disclosure period aninterest in or held any of certain positions with the types of businesses listedabove You must make this disclosure if you own or owned (either directly orindirectly in the form of an equitable or beneficial interest) at any time duringthe disclosure period more than 5 of the total assets or capital stock ofone of the types of business entities listed above You also must completethis part of the form for each of these types of businesses for which youare or were at any time during the disclosure period an officer directorpartner proprietor or agent (other than a resident agent solely for service ofprocess)

If you have or held such a position or ownership interest in one ofthese types of businesses list the name of the business its address andprincipal business activity and the position held with the business (if any) Ifyou own(ed) more than a 5 interest in the business indicate that fact anddescribe the nature of your interest

PART G mdash TRAINING CERTIFICATION[Required by s 1123142 FS]If you are a Constitutional or elected municipal officer whose

service began before March 31 of the year for which you are filingyou are required to complete four hours of ethics training which addresses Article II Section 8 of the Florida Constitution the Codeof Ethics for Public Officers and Employees and the public recordsand open meetings laws of the state You are required to certify onthis form that you have taken such training

(End of Dollar Value Thresholds Instructions)

PART A mdash PRIMARY SOURCES OF INCOME[Required by s 1123145(3)(a)1 FS]Part A is intended to require the disclosure of your principal

sources of income during the disclosure period You do not haveto disclose any public salary or public position(s) but income from these public sources should be included when calculating your gross income for the disclosure period The income of your spouse need not be disclosed however if there is joint income to you and your spouse from property you own jointly (such as interest or dividends from a bank account or stocks) you should include all of that income when calculating your gross income and disclose the source of that income if it exceeded the threshold

Please list in this part of the form the name address and principal business activity of each source of your income whichexceeded 5 of the gross income received by you in your own name or by any other person for your benefit or use during the disclosure period

Gross income means the same as it does for income tax purposes even if the income is not actually taxable such as interest on tax-free bonds Examples include compensation for servicesincome from business gains from property dealings interest rents dividends pensions IRA distributions social security distributive share of partnership gross income and alimony but not child support

Examplesmdash If you were employed by a company that manufactures computers and received more than 5 of your gross income from the company list the name of the company its address and its principal business activity (computer manufacturing)mdash If you were a partner in a law firm and your distributive share of partnership gross income exceeded 5 of your gross income then list the name of the firm its address and its principal business activity (practice of law)mdash If you were the sole proprietor of a retail gift business andyour gross income from the business exceeded 5 of your total gross income list the name of the business its addressand its principal business activity (retail gift sales)mdash If you received income from investments in stocks and bonds list each individual company from which you derived

more than 5 of your gross income Do not aggregate all of your investment incomemdash If more than 5 of your gross income was gain from the sale of property (not just the selling price) list as a source of income the purchaserrsquos name address and principal business activityIf the purchasers identity is unknown such as where securities listed on an exchange are sold through a brokerage firm the source of income should be listed as sale of (name of company)stock for examplemdash If more than 5 of your gross income was in the form of interest from one particular financial institution (aggregatinginterest from all CDrsquos accounts etc at that institution) list the name of the institution its address and its principal business activity

PART B mdash SECONDARY SOURCES OF INCOME[Required by s 1123145(3)(a)2 FS]This part is intended to require the disclosure of major customers

clients and other sources of income to businesses in which you ownan interest It is not for reporting income from second jobs That kindof income should be reported in Part A Primary Sources of Incomeif it meets the reporting threshold You will not have anything to reportunless during the disclosure period

(1) You owned (either directly or indirectly in the form of anequitable or beneficial interest) more than 5 of the total assetsor capital stock of a business entity (a corporation partnershipLLC limited partnership proprietorship joint venture trust firmetc doing business in Florida) and(2) You received more than 10 of your gross income from thatbusiness entity and(3) You received more than $1500 in gross income from thatbusiness entity

If your interests and gross income exceeded these thresholds thenfor that business entity you must list every source of income to thebusiness entity which exceeded 10 of the business entityrsquos grossincome (computed on the basis of the business entityrsquos most recentlycompleted fiscal year) the sourcersquos address and the sourcersquosprincipal business activity

IF YOU HAVE CHOSEN COMPARATIVE (PERCENTAGE) THRESHOLDSTHE FOLLOWING INSTRUCTIONS APPLY

CE FORM 1 - Effective January 1 2020 Incorporated by reference in Rule 34-8202 FAC PAGE 5

MANNER OF CALCULATING REPORTABLE INTEREST Filers have the option of reporting based on either thresholds that are comparative (usually based on percentage values) or thresholds that are based on absolute dollar values The instructions on the following pages specifically describe the different thresholds Check the box that reflects the choice you have made You must use the type of threshold you have chosen for each part of the form In other words if you choose to report based on absolute dollar value thresholds you cannot use a percentage threshold on any part of the form

IF YOU HAVE CHOSEN DOLLAR VALUE THRESHOLDS THE FOLLOWING INSTRUCTIONS APPLY

PART A mdash PRIMARY SOURCES OF INCOME [Required by s 1123145(3)(b)1 FS] Part A is intended to require the disclosure of your principal

sources of income during the disclosure period You do not have todisclose any public salary or public position(s) The income of yourspouse need not be disclosed however if there is joint income toyou and your spouse from property you own jointly (such as interestor dividends from a bank account or stocks) you should disclose thesource of that income if it exceeded the threshold

Please list in this part of the form the name address andprincipal business activity of each source of your income whichexceeded $2500 of gross income received by you in your own name or by any other person for your use or benefit

Gross income means the same as it does for income tax purposes even if the income is not actually taxable such as interest on tax-free bonds Examples include compensation for servicesincome from business gains from property dealings interest rentsdividends pensions IRA distributions social security distributive share of partnership gross income and alimony but not child support

Examples mdash If you were employed by a company that manufacturescomputers and received more than $2500 list the name of thecompany its address and its principal business activity (computermanufacturing) mdash If you were a partner in a law firm and your distributive shareof partnership gross income exceeded $2500 list the name ofthe firm its address and its principal business activity (practice oflaw) mdash If you were the sole proprietor of a retail gift business and yourgross income from the business exceeded $2500 list the nameof the business its address and its principal business activity(retail gift sales) mdash If you received income from investments in stocks and bondslist each individual company from which you derived more than$2500 Do not aggregate all of your investment income mdash If more than $2500 of your gross income was gain from thesale of property (not just the selling price) list as a source ofincome the purchaserrsquos name address and principal businessactivity If the purchaserrsquos identity is unknown such as wheresecurities listed on an exchange are sold through a brokeragefirm the source of income should be listed as sale of (name of company) stock for example mdash If more than $2500 of your gross income was in the formof interest from one particular financial institution (aggregatinginterest from all CDrsquos accounts etc at that institution) list the name of the institution its address and its principal business activity

PART B mdash SECONDARY SOURCES OF INCOME [Required by s 1123145(3)(b)2 FS] This part is intended to require the disclosure of major customers

clients and other sources of income to businesses in which you own aninterest It is not for reporting income from second jobs That kind of incomeshould be reported in Part A Primary Sources of Income if it meets thereporting threshold You will not have anything to report unless during thedisclosure period

(1) You owned (either directly or indirectly in the form of an equitableor beneficial interest) more than 5 of the total assets or capitalstock of a business entity (a corporation partnership LLC limitedpartnership proprietorship joint venture trust firm etc doing business in Florida) and (2) You received more than $5000 of your gross income during thedisclosure period from that business entity

If your interests and gross income exceeded these thresholds then for thatbusiness entity you must list every source of income to the business entitywhich exceeded 10 of the business entityrsquos gross income (computed onthe basis of the business entitys most recently completed fiscal year) thesourcersquos address and the sources principal business activity

Examples mdash You are the sole proprietor of a dry cleaning business from whichyou received more than $5000 If only one customer a uniform rentalcompany provided more than 10 of your dry cleaning business youmust list the name of the uniform rental company its address and itsprincipal business activity (uniform rentals) mdash You are a 20 partner in a partnership that owns a shopping malland your partnership income exceeded the above thresholds List eachtenant of the mall that provided more than 10 of the partnershipsgross income and the tenants address and principal business activity

PART C mdash REAL PROPERTY [Required by s 1123145(3)(b)3 FS] In this part list the location or description of all real property in Florida

in which you owned directly or indirectly at any time during the disclosureperiod in excess of 5 of the propertyrsquos value You are not required to listyour residences You should list any vacation homes if you derive incomefrom them

Indirect ownership includes situations where you are a beneficiary of atrust that owns the property as well as situations where you own more than5 of a partnership or corporation that owns the property The value of theproperty may be determined by the most recently assessed value for taxpurposes in the absence of a more current appraisal

The location or description of the property should be sufficient toenable anyone who looks at the form to identify the property A streetaddress should be used if one exists

PART D mdash INTANGIBLE PERSONAL PROPERTY [Required by s 1123145(3)(b)3 FS] Describe any intangible personal property that at any time during the

disclosure period was worth more than $10000 and state the businessentity to which the property related Intangible personal property includesthings such as cash on hand stocks bonds certificates of deposit vehicleleases interests in businesses beneficial interests in trusts money owedyou Deferred Retirement Option Program (DROP) accounts the FloridaPrepaid College Plan and bank accounts Intangible personal propertyalso includes investment products held in IRAs brokerage accounts andthe Florida College Investment Plan Note that the product contained in a brokerage account IRA or the Florida College Investment Plan is yourassetmdashnot the account or plan itself Things like automobiles and housesyou own jewelry and paintings are not intangible property Intangiblesrelating to the same business entity may be aggregated for example CDsand savings accounts with the same bank Property owned as tenants bythe entirety or as joint tenants with right of survivorship should be valued at100 The value of a leased vehicle is the vehiclersquos present value minusthe lease residual (a number found on the lease document)

CE FORM 1 - Effective January 1 2020 Incorporated by reference in Rule 34-8202 FAC PAGE 4

PART A mdash PRIMARY SOURCES OF INCOME[Required by s 1123145(3)(b)1 FS]Part A is intended to require the disclosure of your principal

sources of income during the disclosure period You do not have todisclose any public salary or public position(s) The income of yourspouse need not be disclosed however if there is joint income t oyou and your spouse from property you own jointly (such as interestor dividends from a bank account or stocks) you should disclose thesource of that income if it exceeded the threshold

Please list in this part of the form the name address andprincipal business activity of each source of your income whichexceeded $2500 of gross income received by you in your own name or by any other person for your use or benefit

Gross income means the same as it does for income taxpurposes even if the income is not actually taxable such as intereston tax-free bonds Examples include compensation for servicesincome from business gains from property dealings interest rentsdividends pensions IRA distributions social security distributiveshare of partnership gross income and alimony but not child support

Examplesmdash If you were employed by a company that manufacturescomputers and received more than $2500 list the name of thecompany its address and its principal business activity (computermanufacturing)mdash If you were a partner in a law firm and your distributive shareof partnership gross income exceeded $2500 list the name ofthe firm its address and its principal business activity (practice oflaw)mdash If you were the sole proprietor of a retail gift business and yourgross income from the business exceeded $2500 list the nameof the business its address and its principal business activity(retail gift sales)mdash If you received income from investments in stocks and bondslist each individual company from which you derived more than$2500 Do not aggregate all of your investment incomemdash If more than $2500 of your gross income was gain from thesale of property (not just the selling price) list as a source o fincome the purchaserrsquos name address and principal businessactivity If the purchaserrsquos identity is unknown such as wheresecurities listed on an exchange are sold through a brokeragefirm the source of income should be listed as sale of (name of company) stock for examplemdash If more than $2500 of your gross income was in the formof interest from one particular financial institution (aggregatinginterest from all CDrsquos accounts etc at that institution) list thename of the institution its address and its principal business activity

PART B mdash SECONDARY SOURCES OF INCOME[Required by s 1123145(3)(b)2 FS]This part is intended to require the disclosure of major customers

clients and other sources of income to businesses in which you own aninterest It is not for reporting income from second jobs That kind of incomeshould be reported in Part A Primary Sources of Income if it meets thereporting threshold You will not have anything to report unless during thedisclosure period

(1) You owned (either directly or indirectly in the form of an equitableor beneficial interest) more than 5 of the total assets or capitalstock of a business entity (a corporation partnership LLC limitedpartnership proprietorship joint venture trust firm etc doing business in Florida) and(2) You received more than $5000 of your gross income during thedisclosure period from that business entity

If your interests and gross income exceeded these thresholds then for thatbusiness entity you must list every source of income to the business entitywhich exceeded 10 of the business entityrsquos gross income (computed onthe basis of the business entitys most recently completed fiscal year) thesourcersquos address and the sources principal business activity

Examplesmdash You are the sole proprietor of a dry cleaning business from whichyou received more than $5000 If only one customer a uniform rentalcompany provided more than 10 of your dry cleaning business youmust list the name of the uniform rental company its address and itsprincipal business activity (uniform rentals)mdash You are a 20 partner in a partnership that owns a shopping malland your partnership income exceeded the above thresholds List eachtenant of the mall that provided more than 10 of the partnershipsgross income and the tenants address and principal business activity

PART C mdash REAL PROPERTY[Required by s 1123145(3)(b)3 FS]In this part list the location or description of all real property in Florida

in which you owned directly or indirectly at any time during the disclosureperiod in excess of 5 of the propertyrsquos value You are not required to listyour residences You should list any vacation homes if you derive incomefrom them

Indirect ownership includes situations where you are a beneficiary of atrust that owns the property as well as situations where you own more than5 of a partnership or corporation that owns the property The value of theproperty may be determined by the most recently assessed value for taxpurposes in the absence of a more current appraisal

The location or description of the property should be sufficient toenable anyone who looks at the form to identify the property A streetaddress should be used if one exists

PART D mdash INTANGIBLE PERSONAL PROPERTY[Required by s 1123145(3)(b)3 FS]Describe any intangible personal property that at any time during the

disclosure period was worth more than $10000 and state the businessentity to which the property related Intangible personal property includesthings such as cash on hand stocks bonds certificates of deposit vehicleleases interests in businesses beneficial interests in trusts money owedyou Deferred Retirement Option Program (DROP) accounts the FloridaPrepaid College Plan and bank accounts Intangible personal propertyalso includes investment products held in IRAs brokerage accounts andthe Florida College Investment Plan Note that the product contained ina brokerage account IRA or the Florida College Investment Plan is yourassetmdashnot the account or plan itself Things like automobiles and housesyou own jewelry and paintings are not intangible property Intangiblesrelating to the same business entity may be aggregated for example CDsand savings accounts with the same bank Property owned as tenants bythe entirety or as joint tenants with right of survivorship should be valued at100 The value of a leased vehicle is the vehiclersquos present value minusthe lease residual (a number found on the lease document)

Filers have the option of reporting based on either thresholds that are comparative (usually based on percentage values) orthresholds that are based on absolute dollar values The instructions on the following pages specifically describe the differentthresholds Check the box that reflects the choice you have made You must use the type of threshold you have chosen for eachpart of the form In other words if you choose to report based on absolute dollar value thresholds you cannot use a percentagethreshold on any part of the form

MANNER OF CALCULATING REPORTABLE INTEREST

IF YOU HAVE CHOSEN DOLLAR VALUE THRESHOLDSTHE FOLLOWING INSTRUCTIONS APPLY

CE FORM 1 - Effective January 1 2020 Incorporated by reference in Rule 34-8202 FAC PAGE 4

PART E mdash LIABILITIES [Required by s 1123145(3)(b)4 FS] List the name and address of each creditor to whom you owed more

than $10000 at any time during the disclosure period The amount of theliability of a vehicle lease is the sum of any past-due payments and allunpaid prospective lease payments You are not required to list the amountof any debt You do not have to disclose credit card and retail installmentaccounts taxes owed (unless reduced to a judgment) indebtedness ona life insurance policy owed to the company of issuance or contingentliabilities A ldquocontingent liabilityrdquo is one that will become an actual liabilityonly when one or more future events occur or fail to occur such as whereyou are liable only as a guarantor surety or endorser on a promissorynote If you are a ldquoco-makerrdquo and are jointly liable or jointly and severallyliable then it is not a contingent liability

PART F mdash INTERESTS IN SPECIFIED BUSINESSES [Required by s 1123145(6) FS] The types of businesses covered in this disclosure include state and

federally chartered banks state and federal savings and loan associationscemetery companies insurance companies mortgage companies creditunions small loan companies alcoholic beverage licensees pari-mutuelwagering companies utility companies entities controlled by the PublicService Commission and entities granted a franchise to operate by either acity or a county government

Disclose in this part the fact that you owned during the disclosure period aninterest in or held any of certain positions with the types of businesses listedabove You must make this disclosure if you own or owned (either directly orindirectly in the form of an equitable or beneficial interest) at any time duringthe disclosure period more than 5 of the total assets or capital stock ofone of the types of business entities listed above You also must completethis part of the form for each of these types of businesses for which youare or were at any time during the disclosure period an officer directorpartner proprietor or agent (other than a resident agent solely for service ofprocess)

If you have or held such a position or ownership interest in one ofthese types of businesses list the name of the business its address andprincipal business activity and the position held with the business (if any) Ifyou own(ed) more than a 5 interest in the business indicate that fact anddescribe the nature of your interest

PART G mdash TRAINING CERTIFICATION [Required by s 1123142 FS] If you are a Constitutional or elected municipal officer whose

service began before March 31 of the year for which you are filingyou are required to complete four hours of ethics training which addresses Article II Section 8 of the Florida Constitution the Code of Ethics for Public Officers and Employees and the public recordsand open meetings laws of the state You are required to certify onthis form that you have taken such training

(End of Dollar Value Thresholds Instructions)

IF YOU HAVE CHOSEN COMPARATIVE (PERCENTAGE) THRESHOLDS THE FOLLOWING INSTRUCTIONS APPLY

PART A mdash PRIMARY SOURCES OF INCOME [Required by s 1123145(3)(a)1 FS] Part A is intended to require the disclosure of your principal

sources of income during the disclosure period You do not haveto disclose any public salary or public position(s) but income from these public sources should be included when calculating your gross income for the disclosure period The income of your spouse need not be disclosed however if there is joint income to you and your spouse from property you own jointly (such as interest or dividends from a bank account or stocks) you should include all of that income when calculating your gross income and disclose the source of that income if it exceeded the threshold

Please list in this part of the form the name address and principal business activity of each source of your income whichexceeded 5 of the gross income received by you in your own name or by any other person for your benefit or use during the disclosure period

Gross income means the same as it does for income tax purposes even if the income is not actually taxable such as interest on tax-free bonds Examples include compensation for servicesincome from business gains from property dealings interest rents dividends pensions IRA distributions social security distributive share of partnership gross income and alimony but not child support

Examples mdash If you were employed by a company that manufactures computers and received more than 5 of your gross income from the company list the name of the company its address and its principal business activity (computer manufacturing) mdash If you were a partner in a law firm and your distributive share of partnership gross income exceeded 5 of your gross income then list the name of the firm its address and its principal business activity (practice of law) mdash If you were the sole proprietor of a retail gift business andyour gross income from the business exceeded 5 of your total gross income list the name of the business its addressand its principal business activity (retail gift sales) mdash If you received income from investments in stocks and bonds list each individual company from which you derived

more than 5 of your gross income Do not aggregate all of your investment income mdash If more than 5 of your gross income was gain from the sale of property (not just the selling price) list as a source of income the purchaserrsquos name address and principal business activityIf the purchasers identity is unknown such as where securities listed on an exchange are sold through a brokerage firm the source of income should be listed as sale of (name of company)stock for example mdash If more than 5 of your gross income was in the form of interest from one particular financial institution (aggregatinginterest from all CDrsquos accounts etc at that institution) list the name of the institution its address and its principal business activity

PART B mdash SECONDARY SOURCES OF INCOME [Required by s 1123145(3)(a)2 FS] This part is intended to require the disclosure of major customers

clients and other sources of income to businesses in which you ownan interest It is not for reporting income from second jobs That kindof income should be reported in Part A Primary Sources of Incomeif it meets the reporting threshold You will not have anything to report unless during the disclosure period

(1) You owned (either directly or indirectly in the form of anequitable or beneficial interest) more than 5 of the total assetsor capital stock of a business entity (a corporation partnershipLLC limited partnership proprietorship joint venture trust firmetc doing business in Florida) and (2) You received more than 10 of your gross income from thatbusiness entity and (3) You received more than $1500 in gross income from thatbusiness entity

If your interests and gross income exceeded these thresholds thenfor that business entity you must list every source of income to thebusiness entity which exceeded 10 of the business entityrsquos grossincome (computed on the basis of the business entityrsquos most recentlycompleted fiscal year) the sourcersquos address and the sourcersquos principal business activity

CE FORM 1 - Effective January 1 2020 Incorporated by reference in Rule 34-8202 FAC PAGE 5

NOTICE Annual Statements of Financial Interests are due July 1 If the annual form is not filed or postmarked by September 1 an automatic fine of $25 for each day late will be imposed up to a maximum penalty of $1500 Failure to file also can result in removal from public office or employment [s 1123145 FS]

In addition failure to make any required disclosure constitutes grounds for and may be punished by one or more of the following disqualification from being on the ballot impeachment removal or suspension from office or employment demotion reduction in salary reprimand or a civil penalty not exceeding $10000 [s 112317 FS]

1) Elected public officials not serving in a political subdivision of thestate and any person appointed to fill a vacancy in such office unlessrequired to file full disclosure on Form 62) Appointed members of each board commission authority

or council having statewide jurisdiction excluding members of solelyadvisory bodies but including judicial nominating commission membersDirectors of Enterprise Florida Scripps Florida Funding Corporationand Career Source Florida and members of the Council on the SocialStatus of Black Men and Boys the Executive Director Governors and senior managers of Citizens Property Insurance CorporationGovernors and senior managers of Florida Workers Compensation JointUnderwriting Association board members of the Northeast Fla RegionalTransportation Commission board members of Triumph Gulf Coast Incboard members of Florida Is For Veterans Inc and members of theTechnology Advisory Council within the Agency for State Technology3) The Commissioner of Education members of the State Board

of Education the Board of Governors the local Boards of Trustees andPresidents of state universities and the Florida Prepaid College Board4) Persons elected to office in any political subdivision (such a s

municipalities counties and special districts) and any person appointedto fill a vacancy in such office unless required to file Form 65) Appointed members of the following boards councils

commissions authorities or other bodies of county municipality schooldistrict independent special district or other political subdivision thegoverning body of the subdivision community college or junior collegedistrict boards of trustees boards having the power to enforce local codeprovisions boards of adjustment community redevelopment agenciesplanning or zoning boards having the power to recommend create ormodify land planning or zoning within a political subdivision except forcitizen advisory committees technical coordinating committees andsimilar groups who only have the power to make recommendationsto planning or zoning boards and except for representatives of amilitary installation acting on behalf of all military installations within thatjurisdiction pension or retirement boards empowered to invest pensionor retirement funds or determine entitlement to or amount of pensions orother retirement benefits and the Pinellas County Construction LicensingBoard6) Any appointed member of a local government board who

is required to file a statement of financial interests by the appointingauthority or the enabling legislation ordinance or resolution creating theboard7) Persons holding any of these positions in local government

mayor county or city manager chief administrative employee or finance

director of a county municipality or other political subdivision countyor municipal attorney chief county or municipal building inspectorcounty or municipal water resources coordinator county or municipalpollution control director county or municipal environmental controldirector county or municipal administrator with power to grant or denya land development permit chief of police fire chief municipal clerkappointed district school superintendent community college presidentdistrict medical examiner purchasing agent (regardless of title) havingthe authority to make any purchase exceeding $35000 for the localgovernmental unit8) Officers and employees of entities serving as chief administrative

officer of a political subdivision9) Members of governing boards of charter schools operated by a

city or other public entity10) Employees in the office of the Governor or of a Cabinet member

who are exempt from the Career Service System excluding secretarialclerical and similar positions11) The following positions in each state department commission

board or council Secretary Assistant or Deputy Secretary ExecutiveDirector Assistant or Deputy Executive Director and anyone having thepower normally conferred upon such persons regardless of title12) The following positions in each state department or division

Director Assistant or Deputy Director Bureau Chief and any personhaving the power normally conferred upon such persons regardless oftitle13) Assistant State Attorneys Assistant Public Defenders criminal

conflict and civil regional counsel and assistant criminal conflict and civilregional counsel Public Counsel full-time state employees serving ascounsel or assistant counsel to a state agency administrative law judgesand hearing officers14) The Superintendent or Director of a state mental health institute

established for training and research in the mental health field or anymajor state institution or facility established for corrections trainingtreatment or rehabilitation15) State agency Business Managers Finance and Accounting

Directors Personnel Officers Grant Coordinators and purchasingagents (regardless of title) with power to make a purchase exceeding$3500016) The following positions in legislative branch agencies each

employee (other than those employed in maintenance clerical secretarial or similar positions and legislative assistants exemptedby the presiding officer of their house) and each employee of theCommission on Ethics

INSTRUCTIONS FOR COMPLETING FORM 1INTRODUCTORY INFORMATION (Top of Form) If your name mailing address public agency and position are already printed on the form you do not need to provide this information unless it should be changed To change any of this information write the correct information on the form and contact your agencys financial disclosure coordinator You can find your coordinator on the Commission on Ethics website wwwethicsstateflus NAME OF AGENCY The name of the governmental unit which you serve or served by which you are or were employed or for which you are a candidate DISCLOSURE PERIOD The ldquodisclosure periodrdquo for your report is the calendar year ending December 31 2019

OFFICE OR POSITION HELD OR SOUGHT The title of the office or position you hold are seeking or held during the disclosure period even if you have since left that position If you are a candidate for office or are a new employee or appointee check the appropriate boxPUBLIC RECORD The disclosure form and everythingattached to it is a public record Your Social Security Number is not required and you should redact it from any documents you file If you are an active or former officer or employee listed in Section 119071 FS whose home address is exempt from disclosure the Commission will maintain that confidentiality if you submit a written request

WHO MUST FILE FORM 1

CE FORM 1 - Effective January 1 2020 Incorporated by reference in Rule 34-8202 FAC PAGE 3

Examples PART E mdash LIABILITIES mdash You are the sole proprietor of a dry cleaning business from [Required by s 1123145(3)(b)4 FS]which you received more than 10 of your gross incomemdashan List the name and address of each creditor to whom you owed amount that was more than $1500 If only one customer a any amount that at any time during the disclosure period exceeded uniform rental company provided more than 10 of your dry your net worth You are not required to list the amount of any debt cleaning business you must list the name of the uniform rental or your net worth You do not have to disclose credit card and retail company its address and its principal business activity (uniform installment accounts taxes owed (unless reduced to a judgment) rentals) indebtedness on a life insurance policy owed to the company of mdash You are a 20 partner in a partnership that owns a shopping issuance or contingent liabilities A ldquocontingent liabilityrdquo is one mall and your partnership income exceeded the thresholds that will become an actual liability only when one or more future listed above You should list each tenant of the mall that events occur or fail to occur such as where you are liable only as provided more than 10 of the partnershiprsquos gross income and a guarantor surety or endorser on a promissory note If you are a the tenantrsquos address and principal business activity ldquoco-makerrdquo and are jointly liable or jointly and severally liable it is not

a contingent liability PART C mdash REAL PROPERTY Calculations To determine whether the debt exceeds your

[Required by s 1123145(3)(a)3 FS] net worth total all of your liabilities (including promissory notes mortgages credit card debts judgments against you etc) TheIn this part list the location or description of all real property in amount of the liability of a vehicle lease is the sum of any past-due Florida in which you owned directly or indirectly at any time during payments and all unpaid prospective lease payments Subtract the disclosure period in excess of 5 of the propertyrsquos value You the sum total of your liabilities from the value of all your assets are not required to list your residences You should list any vacation as calculated above for Part D This is your ldquonet worthrdquo List each homes if you derive income from them creditor to whom your debt exceeded this amount unless it is one of

Indirect ownership includes situations where you are a the types of indebtedness listed in the paragraph above (credit card beneficiary of a trust that owns the property as well as situations and retail installment accounts etc) Joint liabilities with others for where you own more than 5 of a partnership or corporation that which you are ldquojointly and severally liablerdquo meaning that you may owns the property The value of the property may be determined by be liable for either your part or the whole of the obligation should be the most recently assessed value for tax purposes in the absence included in your calculations at 100 of the amount owed of a more current appraisal

Example You owe $15000 to a bank for student loans $5000 The location or description of the property should be sufficient for credit card debts and $60000 (with spouse) to a savings to enable anyone who looks at the form to identify the property A and loan for a home mortgage Your home (owned by you and street address should be used if one exists your spouse) is worth $80000 and your other property is worth PART D mdash INTANGIBLE PERSONAL PROPERTY $20000 Since your net worth is $20000 ($100000 minus

$80000) you must report only the name and address of the [Required by s 1123145(3)(a)3 FS] savings and loan Describe any intangible personal property that at any time

during the disclosure period was worth more than 10 of your PART F mdash INTERESTS IN SPECIFIED BUSINESSES total assets and state the business entity to which the property [Required by s 1123145 FS] related Intangible personal property includes things such as cash on hand stocks bonds certificates of deposit vehicle leases The types of businesses covered in this disclosure include interests in businesses beneficial interests in trusts money owed state and federally chartered banks state and federal savings and you Deferred Retirement Option Program (DROP) accounts loan associations cemetery companies insurance companies the Florida Prepaid College Plan and bank accounts Intangible mortgage companies credit unions small loan companies alcoholic personal property also includes investment products held in IRAs beverage licensees pari-mutuel wagering companies utilitybrokerage accounts and the Florida College Investment Plan companies entities controlled by the Public Service Commission Note that the product contained in a brokerage account IRA or the and entities granted a franchise to operate by either a city or a Florida College Investment Plan is your assetmdashnot the account or county governmentplan itself Things like automobiles and houses you own jewelry Disclose in this part the fact that you owned during the and paintings are not intangible property Intangibles relating to the disclosure period an interest in or held any of certain positions same business entity may be aggregated for example CDrsquos and with the types of businesses listed above You are requiredsavings accounts with the same bank to make this disclosure if you own or owned (either directly or

Calculations To determine whether the intangible property indirectly in the form of an equitable or beneficial interest) at any exceeds 10 of your total assets total the fair market value of time during the disclosure period more than 5 of the total assets all of your assets (including real property intangible property and or capital stock of one of the types of business entities listed above tangible personal property such as jewelry furniture etc) When You also must complete this part of the form for each of these types making this calculation do not subtract any liabilities (debts) that of businesses for which you are or were at any time during themay relate to the property Multiply the total figure by 10 to arrive disclosure period an officer director partner proprietor or agent at the disclosure threshold List only the intangibles that exceed (other than a resident agent solely for service of process) this threshold amount The value of a leased vehicle is the vehiclersquos If you have or held such a position or ownership interest in present value minus the lease residual (a number which can be one of these types of businesses list the name of the business its found on the lease document) Property that is only jointly owned address and principal business activity and the position held with property should be valued according to the percentage of your the business (if any) If you own(ed) more than a 5 interest in the joint ownership Property owned as tenants by the entirety or as business indicate that fact and describe the nature of your interest joint tenants with right of survivorship should be valued at 100 None of your calculations or the value of the property have to be PART G mdash TRAINING CERTIFICATIONdisclosed on the form

[Required by s 1123142 FS] Example You own 50 of the stock of a small corporation that is worth $100000 the estimated fair market value of If you are a Constitutional or elected municipal officer whoseyour home and other property (bank accounts automobile service began before March 31 of the year for which you are filing furniture etc) is $200000 As your total assets are worth you are required to complete four hours of ethics training which $250000 you must disclose intangibles worth over $25000 addresses Article II Section 8 of the Florida Constitution the Code Since the value of the stock exceeds this threshold you of Ethics for Public Officers and Employees and the public records should list ldquostockrdquo and the name of the corporation If your and open meetings laws of the state You are required to certify on accounts with a particular bank exceed $25000 you should this form that you have taken such training list ldquobank accountsrdquo and bankrsquos name

(

End of Percentage Thresholds Instructions) CE FORM 1 - Effective January 1 2020 Incorporated by reference in Rule 34-8202 FAC PAGE 6

  • 0 HP Cover Page v2
  • 1 Hawks Point Meeting Invite Draft v2
  • 2 Agenda Draft v3
  • 3 EXHIBIT 1
  • 7 HP 05-19-2020 Meeting Minutes Approved
  • 6 EXHIBIT 2
  • 9 HP May FY20 Fin
  • 8 EXHIBIT 3
  • 4 Vacant Position Qualification Requirements for Hawks Point CDD
    • Vacant Position on the Board of Supervisors of the Hawkrsquos Point Community Development District
      • Qualification Requirements
      • Instructions for Interested Candidates
      • Additional Notes
          • 5 Shami Choon Vacant Position - updated 11-5-11 resume
            • 1803 Oak Pond Street Ruskin Fl 33570 E-mailchoons27gmailcom
              • PROFESSIONAL HISTORY
                • Operations Manager Florida Distribution 2002 ndash 2005
                • Operations Manager for Florida Branch Distribution 1999 ndash 2002
                • Warehouse Manager of Miami Distribution Center 1998 ndash 1999
                • Branch Manager of West Palm Beach 1994 ndash 1998
                • Assistant Branch Manager 1991 ndash 1994
                • Customer Service Agent 1990 ndash 1991
                  • 10 EXHIBIT 4
                  • 11 New Business - Hawks Point CDD - MI proposal
                  • 12 EXHIBIT 5
                  • 13 CertaPro Proposal to Paint Exterior Wall 18th to 24th Avenue
                  • 14 Shazam Construction Proposal to Paint Exterior Wall 18th to 24th Street
                    • QUOTE
                      • TO
                          • 15 Photo to accompany Shazam Proposal
                          • 16 EXHIBIT 6
                          • 17 CertaPro Proposal for Pressure Washing Exterior Wall 18th St to 24th Street
                          • 18 Shazam Construction Proposal for Pressure Washing Exterion Wall 18th Street to 24th Street
                            • QUOTE
                              • TO
                                  • 19 EXHIBIT 7
                                  • 20 Form 1_2019i
                                      1. LAST NAME
                                      2. FIRST NAME
                                      3. MIDDLE NAME
                                      4. MAILING ADDRESS ROW 1
                                      5. MAILING ADDRESS ROW 2
                                      6. CITY
                                      7. ZIP
                                      8. COUNTY
                                      9. NAME OF AGENCY
                                      10. NAME OF OFFICE OR POSITION HELD OR SOUGHT
                                      11. CANDIDATE Off
                                      12. NEW EMPLOYEE OR APPOINTEE Off
                                      13. COMPARATIVE (PERCENTAGE) THRESHOLDS Off
                                      14. DOLLAR VALUE THRESHOLDS Off
                                      15. NAME OF SOURCE INCOME ROW 1
                                      16. ADDRESS ROW 1
                                      17. DESCRIPTION OF THE SOURCES PRINCIPAL BUSINESS ACTIVITY ROW 1
                                      18. NAME OF SOURCE INCOME ROW 2
                                      19. ADDRESS ROW 2
                                      20. DESCRIPTION OF THE SOURCES PRINCIPAL BUSINESS ACTIVITY ROW 2
                                      21. NAME OF SOURCE INCOME ROW 3
                                      22. ADDRESS ROW 3
                                      23. DESCRIPTION OF THE SOURCES PRINCIPAL BUSINESS ACTIVITY ROW 3
                                      24. NAME OF SOURCE INCOME ROW 4
                                      25. ADDRESS ROW 4
                                      26. DESCRIPTION OF THE SOURCES PRINCIPAL BUSINESS ACTIVITY ROW 4
                                      27. NAME OF BUSINESS ENTITY ROW 1
                                      28. NAME OF MAJOR SOURCES OF BUSINESS INCOME ROW 1
                                      29. ADDRESS OF SOURCE ROW 1
                                      30. PRINCIPAL BUSINESS ACTIVITY OF SOURCE ROW 1
                                      31. NAME OF BUSINESS ENTITY ROW 2
                                      32. NAME OF MAJOR SOURCES OF BUSINESS INCOME ROW 2
                                      33. ADDRESS OF SOURCE ROW 2
                                      34. PRINCIPAL BUSINESS ACTIVITY OF SOURCE ROW 2
                                      35. NAME OF BUSINESS ENTITY ROW 3
                                      36. NAME OF MAJOR SOURCES OF BUSINESS INCOME ROW 3
                                      37. ADDRESS OF SOURCE ROW 3
                                      38. PRINCIPAL BUSINESS ACTIVITY OF SOURCE ROW 3
                                      39. REAL PROPERTY ROW 1
                                      40. REAL PROPERTY ROW 2
                                      41. REAL PROPERTY ROW 3
                                      42. REAL PROPERTY ROW 4
                                      43. TYPE OF INTANGIBLE ROW 1
                                      44. BUSINESS ENTITY TO WHICH THE PROPERTY RELATES ROW 1
                                      45. TYPE OF INTANGIBLE ROW 2
                                      46. BUSINESS ENTITY TO WHICH THE PROPERTY RELATES ROW 2
                                      47. NAME OF CREDITOR ROW 1
                                      48. ADDRESS OF CREDITOR ROW 1
                                      49. NAME OF CREDITOR ROW 2
                                      50. ADDRESS OF CREDITOR ROW 2
                                      51. ADDRESS OF BUSINESS ENTITY 1
                                      52. PRINCIPAL BUSINESS ACTIVITY 1
                                      53. POSITION HELD WITH ENTITY 1
                                      54. I OWN MORE THAN A 5 INTEREST IN THE BUSINESS 1
                                      55. NATURE OF MY OWNERSHIP INTEREST 1
                                      56. ADDRESS OF BUSINESS ENTITY 2
                                      57. PRINCIPAL BUSINESS ACTIVITY 2
                                      58. POSITION HELD WITH ENTITY 2
                                      59. I OWN MORE THAN A 5 INTEREST IN THE BUSINESS 2
                                      60. NATURE OF MY OWNERSHIP INTEREST 2
                                      61. FOR ELECTED MUNICIPAL OFFICERS REQUIRED TO COMPLETE ANNUAL ETHICS TRAINING PURSUANT TO SECTION 112
                                        1. 3142 F
                                          1. S Off
                                              1. IF ANY OF PARTS A THROUGH G ARE CONTINUED ON A SEPARATE SHEET PLEASE CHECK HERE Off
                                              2. SIGNATURE
                                              3. Date Signed
Page 11: HAWKS POINT COMMUNITY DEVELOPMENT …...2020/06/16  · Hawks Point Community Development District Board of Supervisors Meeting Tuesday, June 16th at 6:30 PM via Zoom All: We welcome

EXHIBIT 2

Hawks Point

Community Development District

Financial Statements

(Unaudited)

Period Ending

May 31 2020

DEBT

GENERAL SERVICE CONSOLIDATED

FUND SERIES 2017 TOTAL

1 ASSETS

2

3 CASH 66142$ -$ 66142$

4 MMK 456665 - 456665

5 INVESTMENTS

6 REVENUE FUND - 203538 203538

7 INTEREST FUNDS - 195 195

8 PRINCIPAL FUNDS - - -

9 SINKING FUNDS - 1 1

11 RESERVE - 266003 266003

12 ACCOUNTS RECEIVABLE 2588 - 2588

13 ASSESMENTS RECEIVABLE 2781 3237 6018

14 DUE FROM GF - 172 172

15 PREPAID ITEMS - - -

16 DEPOSITS 451 - 451

17 TOTAL ASSETS 528627$ 473145$ 1001772$

18

19 LIABILITIES

20

21 ACCOUNTS PAYABLE 537$ -$ 537$

22 DUE TO DEBT SERVICE SERIES 2017 172 - 172

23 ACCRUED INTEREST PAYABLE DS 2017 - - -

24 DEFERRED REVENUE 2781 3237 6018

26

27 FUND EQUITY

28

29 RESTRICTED FOR

30 DEBT SERVICE - 469908 469908

32 ASSIGNED 1 QTR OPER 71304 - 71304

33 ASSIGNED FY 2018 INC IN RESERVES 15650 - 15650

34 ASSIGNED FY 2019 INC IN RESERVES 22500 - 22500

35 UNASSIGNED 415683 - 415683 36

37 TOTAL LIABILITIES amp FUND EQUITY 528627$ 473145$ 1001772$

Hawks Point CDDBalance Sheet

May 31 2020

Note GASB 34 government wide financial statements are available in the annual independent audit of the District The audit is

available on the website and upon request

Page 2

FY2020 VARIANCE

ADOPTED BUDGET ACTUAL FAVORABLE

BUDGET YEAR-TO-DATE YEAR-TO-DATE (UNFAVORABLE)

1 REVENUE

2

3 ASSESSMENT ON ROLL (NET) 453615$ 453615$ 450924$ (2691)$

4 ASSESSMENT ON ROLL EXCESS FEES - - - -

5 INTEREST REVENUE - - 1594 1594

6 MISCELLANEOUS REVENUE - - - -

7 ELECTRICITY COST SHARE WITH THE HOA 1600 1067 2633 1566

8 TOTAL REVENUE 455215 454682 455152 470

9

10 EXPENDITURES

11

12 ADMINISTRATIVE

13 BOARD OF SUPERVISORS 12000 8000 5539 2461

14 PAYROLL TAXES 918 612 503 109

15 PAYROLL SERVICE FEE 625 417 392 25

16 MANAGEMENT CONSULTING SERVICES 40000 26667 26667 -

17 GENERAL ADMINISTRATIVE 4800 3200 3200 -

18 MISCELLANEOUS 500 333 - 333

19 AUDITING 3200 3200 - 3200

20 REGULATORY AND PERMIT FEES 175 175 175 -

21 LEGAL ADVERTISEMENTS 1500 1000 1386 (386)

22 ENGINEERING SERVICES 5000 3333 1896 1437

23 LEGAL SERVICES - GENERAL 7500 5000 2895 2105

24 WEBSITE ADMINISTRATION 2265 2165 1749 416

25 TOTAL ADMINISTRATIVE 78483 54102 44401 9701

26

27 INSURANCE

28 INSURANCE (Liability Property amp Casualty) 6050 6050 5638 412

29 TOTAL INSURANCE 6050 6050 5638 412

30

31 DEBT SERVICE ADMINISTRATION

32 DISSEMINATION AGENT 1000 1000 1000 -

33 TRUSTEE FEES 10500 - - -

34 TRUST FUND ACCOUNTING 1500 1000 1000 -

35 ARBITRAGE 650 - - -

36 ASSESSMENT ADMINISTRATION 5000 5000 5000 -

37 TOTAL DEBT SERVICE ADMINISTRATION 18650 7000 7000 -

38

39 UTILITIES

40 ELECTRICITY-IRRIGATION 2928 1952 1191 761

41 TOTAL UTILITIES 2928 1952 1191 761

42

43 FIELD OPERATIONS

44 IRRIGATION MAINTENANCE amp REPAIRS 10000 6667 3960 2706

45 POND MONITORING amp MAINTENANCE 17700 10325 10325 -

46 POND PLANTINGS 5000 5000 - 5000

47 WETLAND MONITORING 7120 5340 1780 3560

48 LANDSCAPE MAINTENANCE 129000 86000 88400 (2400)

49 LANDSCAPE REPLENISHMENT 119898 79932 6520 73412

50 TREE TRIMMING 16800 11200 - 11200

51 STREETLIGHTS 2000 1333 - 1333

52 MISCELLANEOUS FIELD EXPENSES 18586 12391 8886 3504

53 CAPITAL PROJECTS - WELL DRILLING amp PUMP INSTALL - - 18165 (18165)

54 RESERVE - PAINT PERIMITER WALL - - 6350 (6350)

55 TOTAL FIELD OPERATIONS 326104 218188 144386 73802

Hawks Point

General Fund

Statement of Revenues Expenditures and Changes in Fund Balance

For the period from October 1 2019 through April 30 2020

Preliminary

Page 3

FY2020 VARIANCE

ADOPTED BUDGET ACTUAL FAVORABLE

BUDGET YEAR-TO-DATE YEAR-TO-DATE (UNFAVORABLE)

Hawks Point

General Fund

Statement of Revenues Expenditures and Changes in Fund Balance

For the period from October 1 2019 through April 30 2020

Preliminary

56

57 TOTAL EXPENDITURES BEFORE RESERVES 432215 287292 202616 84675

58

59 INCREASE FOR RESERVES 23000 - - -

60 INCREASE IN FUND BALANCE - - - -

61

62

63 TOTAL EXPENDITURES AFTER RESERVE 455215 287292 202616 84675

64

65 EXCESS OF REVENUE OVER (UNDER) EXPENDITURES - 167390 252535 85145

66

67 FUND BALANCE - BEGINNING 269666 269666 272602 272602

68 DECREASE IN FUND BALANCE - - - -

69 INCREASE IN RESERVE 23000 - - -

70 FUND BALANCE - ENDING 292666$ 437056$ 525137$ 357747$

71

72

73 FY 2018FY 2019 - Irrigation System Grounding Phased 15544$

74 FY 2018 - Perimieter Wall Paint Applications 5815

75 FY 2019 - Reserve Study Update 1100

77 FY 2020 - Irrigation System-Clocks 6442

Total Replacement Expenses for Reserves 28901$

Reserve Expenditure Components

Page 4

FY 2020 VARIANCE

ADOPTED BUDGET ACTUAL FAVORABLE

BUDGET YEAR-TO-DATE YEAR-TO-DATE (UNFAVORABLE)

1 REVENUE

2 ASSESSMENTS - ON-ROLL (Gross) 561051$ 527388$ 524922$ (2466)$

3 ASSESSMENTS - ON-ROLL EXCESS FEES - - - -

4 FUND BALANCE FORWARD - - - -

5 INTEREST - INVESTMENT - - 3703 3703

6 DISCOUNT (22442) - - -

7 TOTAL REVENUE 538609 527388 528624 1236

8

9

10 EXPENDITURES

11

12 PRINCIPAL

13 512020 235000 - 235000 (235000)

14 INTEREST EXPENSE

15 1112019 - - 144238 (144238)

16 512020 144238 - 144238 (144238)

17 1112020 140075 - - -

18 COUNTY COLLECTION CHARGES 11221 - - -

19 TOTAL EXPENDITURES 530534 - 523475 (523475)

20

21 EXCESS OF REVENUE OVER (UNDER) EXPENDITURES 8075 527388 5149 (522239)

22

23 OTHER FINANCING SOURCES (USES)

24 TRANSFER IN - - - -

25 TRANSFER OUT (USES) - - - -

26 TOTAL OTHER FINANCING SOURCES (USES) - - - -

27

28 NET CHANGE IN FUND BALANCE 8075 527388 5149 (522239)

29

30 FUND BALANCE - BEGINNING - - 464759 464759

31 FUND BALANCE APPROPRIATED - - - -

32

33 FUND BALANCE - ENDING 8075$ 527388$ 469908$ (57480)$

Hawks Point CDD

Debt Service - Series 2017

Statement of Revenues Expenditures and Changes in Fund Balance

For the period from October 1 2019 through April 30 2020

Page 5

Bank United

Balance Per Bank Statement 7549415$

Plus Deposits in Transit -

Less Outstanding Checks (935250)

Adjusted Bank Balance 6614165$

Beginning Bank Balance Per Books 4251943$

Cash Receipts 5000350

Cash Disbursements (2638128)

Balance Per Books 6614165$

Hawks Point CDD

Bank Reconciliation (GF)

May 31 2020

Page 6

Date Num Name Memo Receipts Disbursements Balance

Bank United EOY Balance 9460943

10012019 9035 DPFG MANAGEMENT amp CONSULTING LLC CDD Mgmt - October 385833 9075110

10022019 Hawks Point West HOA 2019-245- HPW 18866 9093976

10082019 646 Hawks Point HOA 2019245 - HPA 21225 9115201

10082019 Hawks Point West HOA 201956 - HPW 208516 9323717

10082019 1115 Egis Insurance amp Risk Advisors Ins - FY 2020 563800 8759917

10112019 9036 JAYMAN ENTERPRISES LLC Replace Bulbs at Entrances Rcvd 10119 23000 8736917

10112019 9037 Landscape Maintenance Professionals Inc Landscape Maint - October 1105000 7631917

10162019 1116 FLORIDA DEPT OF ECONOMIC OPPORTUNIT Annual Filing FY 2020 17500 7614417

10182019 9041 TAMPA BAY TIMES Legal Ad - Meeting Schedule 55200 7559217

10212019 9038 DPFG MANAGEMENT amp CONSULTING LLC Special Assessment - FY 2020 Continuing Disclosure ADA Compliance 650000 6909217

10212019 9039 JAYMAN ENTERPRISES LLC Replace Bulbs 7000 6902217

10212019 9040 STANTEC CONSULTING SERVICES INC Lake amp Pond Maint - Sept 10500 6891717

10242019 ACH102419 TAMPA ELECTRIC 830-930 - 1416 Little Hawk Dr 7637 6884080

10242019 ACH1024192 TAMPA ELECTRIC 830-930 - 2160 Golden Falcon Dr 7083 6876997

10242019 000652 Hawks Point HOA 20197-HPA 4921 6881918

10252019 694003DD ANDREW HERON Bos Mtg - 101519 18470 6863448

10252019 ACH102519 Innovative Employer Soltuions Bos Mtg - 101519 17140 6846308

10252019 694005DD KAREN OBRIEN Bos Mtg - 101519 18470 6827838

10252019 694004DD SHERRI KEENE Bos Mtg - 101519 18470 6809368

10252019 694002DD WILLIAM J HATHAWAY Bos Mtg - 101519 18470 6790898

10312019 Bank United Interest 691 6791589

Bank United EOM Balance 254219 2923573 6791589

11012019 9042 DPFG MANAGEMENT amp CONSULTING LLC CDD Mgmt - November 385833 6405756

11012019 9043 STANTEC CONSULTING SERVICES INC Lake amp Pond Maint - Pond 201-19 amp 21 - Sept 274000 6131756

11012019 9044 STRALEY ROBIN VERICKER Legal Svcs thru 101519 65999 6065757

11122019 1117 HAWKS POINT CDD DS 2017 Tax Collection Share co Wells Fargo 762290 5303467

11152019 9045 Landscape Maintenance Professionals Inc Landscape Maint - November amp Irrigation Repairs 1229369 4074098

11152019 9046 STANTEC CONSULTING SERVICES INC Lake amp Pond Maint - Oct 333600 3740498

11202019 9048 TAMPA BAY TIMES Legal Ad - Audit Meeting 42050 3698448

11222019 9047 STANTEC CONSULTING SERVICES INC Lake amp Pond Maint - Pond 20 - Oct 10500 3687948

11252019 ACH1125191 TAMPA ELECTRIC 101-1030 - 1416 Little Hawk Dr 7431 3680517

11252019 ACH1125192 TAMPA ELECTRIC 101-1030 - 2160 Golden Falcon Dr 8753 3671764

11292019 703783DD ANDREW HERON Bos Mtg - 111919 18470 3653294

11292019 ACH112919 Innovative Employer Soltuions Bos Mtg - 111919 20200 3633094

11292019 703785DD KAREN OBRIEN Bos Mtg - 111919 18470 3614624

11292019 703781DD MARIE CHANTAL COPELAND Bos Mtg - 111919 18470 3596154

11292019 703784DD SHERRI KEENE Bos Mtg - 111919 18470 3577684

11292019 703782DD WILLIAM J HATHAWAY Bos Mtg - 111919 18470 3559214

11302019 Bank United Interest 450 3559664

Bank United EOM Balance 450 3232375 3559664

12022019 9049 DPFG MANAGEMENT amp CONSULTING LLC CDD Mgmt - December 385833 3173831

12042019 694 Hawks Point HOA 20198-HPA 5105 3178936

12042019 503 Hawks Point West HOA 20197-HPW amp 20198-HPW 7388 3186324

12042019 1118 Site Masters of Florida LLC Investigation of pipe discharge Townhome Yard Drain Blockage 150000 3036324

12112019 9050 Illuminations Holiday Lighting Electrical Fix Holiday Lights - Deposit 261250 2775074

12132019 Bank United Funds Transfer - MMK to Opt Acct 4500000 7275074

12132019 Bank United Funds Transfer - MMK to Opt Acct 50834407 58109481

12162019 9055 TAMPA BAY TIMES Legal Ad - RFP Auditing Svc 36100 58073381

12182019 9051 Flatwoods Environmental Cut amp Dispose Brazilian Pepper 396500 57676881

12182019 9052 Landscape Maintenance Professionals Inc Landscape Maint - December 1105000 56571881

12182019 9053 STANTEC CONSULTING SERVICES INC Misc Environmental Services 137000 56434881

12182019 9054 STRALEY ROBIN VERICKER Legal Svcs thru 111519 57500 56377381

12182019 1119 HAWKS POINT CDD DS 2017 Tax Collection Share co Wells Fargo 49544765 6832616

12182019 1120 Innersync ADA Compliant website 124942 6707674

12262019 ACH1226191 TAMPA ELECTRIC 1031-122 - 2160 Golden Falcon Dr 8771 6698903

12262019 ACH1226192 TAMPA ELECTRIC 1031-1202 - 1416 Little Hawk Dr 9315 6689588

12272019 711993DD ANDREW HERON Bos Mtg - 121719 18470 6671118

12272019 ACH122719 Innovative Employer Soltuions Bos Mtg - 121719 20200 6650918

12272019 711995DD KAREN OBRIEN Bos Mtg - 121719 18470 6632448

12272019 711991DD MARIE CHANTAL COPELAND Bos Mtg - 121719 18470 6613978

12272019 711994DD SHERRI KEENE Bos Mtg - 121719 18470 6595508

12272019 711992DD WILLIAM J HATHAWAY Bos Mtg - 121719 18470 6577038

12312019 Bank United Interest 3091 6580129

Bank United EOM Balance 55349991 52329526 6580129

01022020 9056 DPFG MANAGEMENT amp CONSULTING LLC CDD Mgmt - January 385833 6194296

01082020 9057 Landscape Maintenance Professionals Inc Station decoders 82908 6111388

01082020 9058 STRALEY ROBIN VERICKER Legal Svcs thru 121519 10000 6101388

01102020 9159 Landscape Maintenance Professionals Inc Landscape Maint - January 1105000 4996388

01102020 9160 Mike White LLC Entry Monument repair 54119 4942269

01132020 1121 HAWKS POINT CDD DS 2017 Tax Collection Share co Wells Fargo 868256 4074013

01172020 9161 Illuminations Holiday Lighting Holiday Lights - Balance Due 231250 3842763

01172020 000534 Hawks Point West HOA 20201-HPW 4493 3847256

01272020 1122 STANTEC CONSULTING SERVICES INC Pond Maint - December Engineering Svcs thru 122719 353400 3493856

01272020 ACH012720 TAMPA ELECTRIC 123-1231 - 2160 Golden Falcon Dr 8116 3485740

01272020 ACH0127202 TAMPA ELECTRIC 1203-1231 - 1416 Little Hawk Dr 6682 3479058

01312020 072704 Innovative Employer Soltuions Bos Mtg - 12120 17140 3461918

01312020 721948DD KAREN OBRIEN Bos Mtg - 12120 18470 3443448

01312020 721945DD MARIE CHANTAL COPELAND Bos Mtg - 12120 18470 3424978

01312020 721947DD SHERRI KEENE Bos Mtg - 12120 18470 3406508

01312020 721946DD WILLIAM J HATHAWAY Bos Mtg - 12120 18470 3388038

01312020 Bank United Interest 1406 3389444

Bank United EOM Balance 5899 3196584 3389444

02052020 1124 DPFG MANAGEMENT amp CONSULTING LLC CDD Mgmt - February 385833 3003611

02052020 1125 Landscape Maintenance Professionals Inc Landscape Maint - February 1105000 1898611

02052020 1126 TAMPA ELECTRIC 101-1030 - 1416 Little Hawk Dr 308 1898303

02252020 1127 Landscape Maintenance Professionals Inc Landscape Maint - March 1105000 793303

02252020 02252020ACH TAMPA ELECTRIC 11-130 - 1416 Little Hawk Dr 7840 785463

02252020 02252020ACH TAMPA ELECTRIC 11-130 - 2160 Golden Falcon Dr 9092 776371

02282020 02182020ACH Innovative Employer Soltuions Bos Mtg - 21820 14080 762291

02282020 730271DD MARIE CHANTAL COPELAND Bos Mtg - 21820 18470 743821

02282020 730273DD SHERRI KEENE Bos Mtg - 21820 18470 725351

02282020 7302272DD WILLIAM J HATHAWAY Bos Mtg - 21820 18470 706881

02292020 Bank United Interest 203 707084

HAWKS POINT CDDCASH REGISTER

FY 2020

Page 7

Date Num Name Memo Receipts Disbursements Balance

HAWKS POINT CDDCASH REGISTER

FY 2020

Bank United EOM Balance 203 2682563 707084

03042020 1128 DPFG MANAGEMENT amp CONSULTING LLC CDD Mgmt - March 385833 321251

03122020 1129 STANTEC CONSULTING SERVICES INC Engineering Svcs thru 012420 73950 247301

03122020 ACH032520 TAMPA ELECTRIC 13120 - 22820 - 2160 Golden Falcon Dr 8527 238774

03122020 ACH0325202 TAMPA ELECTRIC 013120 - 22820 - 1416 Little Hawk Dr 6592 232182

03192020 BankUnited Funds Transfer 5000000 5232182

03192020 1130 HAWKS POINT CDD DS 2017 Tax Collection Share co Wells Fargo thru 030420 1437199 3794983

03242020 1131 Landscape Maintenance Professionals Inc Pencil Pruning of Crape Myrtles Landscape Maint -042020 1360500 2434483

03242020 1132 STANTEC CONSULTING SERVICES INC Pond Maint - January Feb 295000 2139483

03242020 1133 STRALEY ROBIN VERICKER Legal Svcs thru 021520 23250 2116233

03272020 1134 DPFG MANAGEMENT amp CONSULTING LLC CDD Mgmt - April 2020 385833 1730400

03272020 1135 Landscape Maintenance Professionals Inc Irrigation Inspection repairs 74858 1655542

03312020 BankUnited Interest 200 1655742

Bank United EOM Balance 5000200 4051542 1655742

04082020 1136 Accurate Drilling Solutions Service call - 032520 - Replacement for Controller on pump 4 60234 1595508

04082020 1137 STANTEC CONSULTING SERVICES INC Engineering Svcs thru 032020 61250 1534258

04082020 1138 STRALEY ROBIN VERICKER Legal Svcs thru 031520 93270 1440988

04082020 1139 TAMPA ELECTRIC 229-330 - Electricity 16915 1424073

04162020 1140 HAWKS POINT CDD DS 2017 Tax Collection Share co Wells Fargo thru 041320 298431 1125642

04232020 BankUnited Funds Transfer 5000000 6125642

04232020 1141 Accurate Drilling Solutions Well Drilling and new pump system installation 1816480 4309162

04282020 1142 STRALEY ROBIN VERICKER Legal Svcs thru 041520 57460 4251702

04302020 BankUnited Interest 241 4251943

Bank United EOM Balance 5000241 2404040 4251943

05012020 1143 DPFG MANAGEMENT amp CONSULTING LLC CDD Mgmt - May 2020 385833 3866110

05012020 ACH050120 Innovative Employer Soltuions Bos Mtg - 42120 14080 3852030

05012020 747666DD MARIE CHANTAL COPELAND Bos Mtg - 42120 18470 3833560

05012020 747667DD WILLIAM J HATHAWAY Bos Mtg - 42120 18470 3815090

05012020 747668DD SHERRI KEENE Bos Mtg - 42120 18470 3796620

05082020 ACH050820 Innovative Employer Soltuions Bos Mtg - 42120 8620 3788000

05082020 1 Caryn Williams BOS 04212020 18470 3769530

05112020 1144 Landscape Maintenance Professionals Inc Landscape Maint -052020 1105000 2664530

05112020 1145 STANTEC CONSULTING SERVICES INC Engineering Svcs thru 042420 25400 2639130

05112020 1146 TAMPA ELECTRIC 330-429 - Electricity 19915 2619215

05212020 1147 BUSINESS OBSERVER Legal Ad - Notice of Qualifying Period 51520 5250 2613965

05212020 1148 CertaPro Painters Paint exterior wall 24th to 30th Street 635000 1978965

05212020 1149 STANTEC CONSULTING SERVICES INC Pond Maint - March-April 295000 1683965

05292020 BankUnited Funds Transfer 5000000 6683965

05292020 755486DD Caryn Williams Bos Mtg - 51920 18470 6665495

05292020 ACH052920 Innovative Employer Soltuions Bos Mtg - 51920 14740 6650755

05292020 755485DD SHERRI KEENE Bos Mtg - 51920 18470 6632285

05292020 755484DD WILLIAM J HATHAWAY Bos Mtg - 51920 18470 6613815

05312020 BankUnited Interest 350 6614165

Bank United EOM Balance 5000350 2638128 6614165

Page 8

EXHIBIT 3

Vacant Position on the Board of Supervisors of the Hawkrsquos Point Community Development District The Hawkrsquos Point Community Development District (CDD) is soliciting interested candidates to fill a vacant position on the Board of Supervisors of the CDD (Board) The CDD is a local unit of special-purpose government which is created pursuant to Chapter 190 Florida Statutes The Board is comprised of 5 members who are public officials who are normally elected on the November General Elections who serve in staggered terms The vacancy is a result of a resignation of a board member due to a relocation The remaining term of the vacant supervisorrsquos seat is through November 2022

Qualification Requirements

1 Resident of the CDD

2 At least 18 years of age

3 Citizen of the United States

4 Legal resident of Florida and of the CDD

5 Registered to vote with the Hillsborough County Supervisor of Elections

Instructions for Interested Candidates

Interested candidates must submit a letter of interest and resume to Raymondlotitodpfgcom by 4 pm on Friday June 5 2020 The subject line in the email should read ldquoVacant Position on the Board of Supervisors of the Hawkrsquos Point CDDrdquo

The Letter of Interest must contain

1 A statement stating why you believe you are well suited for the position

2 Your vision for the CDD and what you would like to see the Community evolve into Please be specific

The Resume must contain

1 Your academic background and professional experience

2 Previous and current experience with governmental agencies and governing boards

Interested candidates should attend the Board meeting on Tuesday June 16 2020 at 630 pm and present a brief presentation about themselves and be prepared for a brief question and answer period with the current Board members

Additional Notes

The current Board members will discuss the candidates and may make an appointment at the June meeting If the Board cannot come to a consensus on one candidate or if they determine to not appoint any candidate to the vacant seat they may revisit the vacancy at a future meeting or leave the seat vacant until the November 2022 General Election

Please note that the person appointed to serve in the vacant seat will be required to submit a financial disclosure statement to the State and will be subject to Floridarsquos Government in the Sunshine Laws Public Records laws and Ethics laws

1

Sookdeo (Shami) Choon Phone number (813) 731-5564 1803 Oak Pond Street Ruskin Fl 33570 E-mailchoons27gmailcom

PROFESSIONAL HISTORY Firkins GroupGarber Nissan December 2013 to Present Commercial Vehicle Sales ManagerFinance Manager Auto Nation From January 2006 to December 2013 Sales 2006- 2007 Finance Manager 2007- 2008 Sales Manager Training Manager 2008-2009 Sales Finance 2009- 2011 Commercial Sales Manager Finance Manager 2011- 2020 Parts Depot Inc From 1990 to 2005 ___________________________________________________________________________________________ Operations Manager Florida Distribution 2002 ndash 2005 bull Responsible for total inventory control of all Florida warehouses frac12 of the corporationrsquos revenue bull Directed top management to complete acquisition consolidations which resulted in the corporationrsquos

expansion bull Managed all Florida branch warehouse managers and employees totaling 200 employees bull Increased productivity and shipping efficiency in all departments developed new delivery logistics

improved product availability to all customers as well a hired and efficiently trained employees bull Reviewed all customer service statistics daily and contacted customer directly on all issues bull Reviewed PampLrsquos for all units monthly bull Presented weekly productivity and financial reports to senior management bull Directed DOT monthly guidelines maintained driver files in accordance with DOT regulations and

implemented loss prevention programs Operations Manager for Florida Branch Distribution 1999 ndash 2002 bull Improved customer service by increasing product availability to customers by implementing new

delivery logistics bull Developed employee training implemented safety awareness and monthly safety programs Warehouse Manager of Miami Distribution Center 1998 ndash 1999 bull Developed and implemented productivity guidelines implemented delivery cost saving programs

and improved product availability to the corporationrsquos customers Branch Manager of West Palm Beach 1994 ndash 1998 bull Responsible for the opening of this new branch set the building layout as well as the delivery and

logistics systems

2

bull Increased sales by 80 over budget and kept operating cost as of sales Implemented new customer service department Hired and trained all employees

Assistant Branch Manager 1991 ndash 1994 bull Increased productivity by 20 and improved delivery service Customer Service Agent 1990 ndash 1991 bull Created and implemented customer service guidelines Wingate Automotive Group 1987ndash 1990 Trinidad amp Tobago Government National Security 1984- 1987 Field Operation

EXHIBIT 4

PO Box 267 Seffner FL 33583 O 813-757-6500 F 813-757-6501 Estimate

Submitted To Hawks Point CDD 250 International Parkway Suite 280 Lake Mary FL 32746

CDD - controller 4 - zones 1 and 2

Date 5232020

Estimate 66077

LMP REPRESENTATIVE

DG-TI

PO

W ork Order

DESCRIPTION QTY COST TOTAL

Controller 4 34 inch poly pipe 34 inch poly pipe clamps Labor 2 men $ 8500 per hour

Irrigation inspection repairs needed Repair 6 - 34 inch poly pipe line leaks

6 12 05

072 129

8500

432 1548 4250

TERMS AND CONDITIONS TOTAL $6230

LMP reserves the right to withdraw this proposal if not accepted within 30 days of the date listed above Any alteration or deviation to scope of work involving additional costs must be agreed upon in writing as a separate proposal or change order to this proposal Periodic invoices may be submitted if job is substantial in nature with final invoice being submitted at completion of project Any work performed requiring more than 5 days to complete is subject to progressive payments as portions of the work are completed No finance charge will be imposed if the total of said work is paid in full within 30 days of invoice date If not paid in full within 30 days then customer is subject to finance charges on the balance of the work from the invoice date at a rate of 15 per month until paid LMP shall have the right to stop work under this contract until all outstanding amounts including finance charges are paid in full Payments will be applied to the oldest invoices

ACCEPTANCE OF PROPOSAL The above prices scope of work and terms and conditions are hereby satisfactorily agreed upon LMP Inc has been authorized to perform the work as outlined and payment will be made as outlined above The above pricing does not include any unforeseen modifications to the said irrigation system that could not be reasonably accounted for prior to job start All plant material carries a one (1) year warranty provided LMP Inc is performing landscape maintenance services to the area installed or enhanced at the time of installation If not then there is no warranty on the plant material

OWNER AGENT

DATE

EXHIBIT 5

Independent Franchise Owner Job TBE8F300154 Terry Beamer 9266 Lazy Ln

Date 06012020

EXTERIOR PROPOSALEXTERIOR PROPOSALEXTERIOR PROPOSALEXTERIOR PROPOSAL Tampa FL 33614 813-936-9242

Fax 813 936-9172

1-800-462-3782

License PA2508

Full Workers Compensation Coverage$2000000 General Liability Insurance

DPFG Management amp Consulting LLC (Hawks Point) Raymond Lotito (SB) Hawks Point CDD Ruskin FL 33570 Phone 813-418-7473 Cell 813-220-6089 Email raymondlotitodpfgcom

Special Notes CERTAPRO PAINTERS WILL PAINT WALL FACING 19ST FROM 18TH-24TH

SPECIAL ATTENTION ADDRESSING STUCCO CRACKS USING CONCRETE AND MASONRY PATCH

SPECIAL ATTENTION PRESSURE WASHING LOOSE PEELING PAINT PRIOR TO PAINTING

CERTAPRO PAINTERS WILL ONLY PAINT STREET FACING SIDE- HOMEOWNERS SIDE EXCLUDED FROM PROPOSAL

CUSTOMER RESPONSIBILITIES Please cut back all shrubs bushes and palms away from wall

GENERAL DESCRIPTION Painting to Exterior Wall 18th-24th Facing 19th Ave

PREPARATION Washing To remove dirt mildew and loose paint so the new finish coat will adhere properly

Caulking To fill all cracks and gaps around windows and doorswood work to seal out moisture and drafts Stair step

cracks

Scraping Scrape all loose and peeling paint to ensure a firm base for the new paint

Masonry Repair to all cracks gaps and holes with elastemeric caulking or masonry patch as required

Sanding To degloss where necessary to promote adhesion of the top coat

Surface TypeArea Primer PurposePRIMING

Masonry Loxon sealerprimer Latex For propor top coat adhesion

Conditioner Loxon sealerprimer to all Latex For proper top coat adhesion

masonry surfaces

FINISH COATS

Surface Area

Exterior

ManufacturePaint Type

Sherwin Williams Resilience Ext Satin

Coats

1 primer-sealer 1 spray 1 backroll stucco

Color

Same As Existing

Clean Up Daily and upon completion

$1132900 All Labor Paint Materials

$1132900 TOTAL

Signature of Authorized Franchise Representative Date

Payment is due In Full upon Job Completion

(IWE HAVE READ THE TERMS STATED HEREIN THEY HAVE (IWE) HAVE EXAMINED THE JOB STATED HEREIN THEY EXPLAINED TO (MEUS) AND (IWE) FIND THEM TO BE HAVE SHOWN TO (MEUS) AND (IWE) FIND THE JOB TO SATISFACTORY AND HEREBY ACCEPT THEM BE SATISFACTORY AND HEREBY ACCEPT THE JOB AS

COMPLETE

SIGNATURE Date SIGNATURE Date

QUOTE

Shazam Construction LLC DATE MAY 13 2020

Shazam Hera 6773 Waterton Drive Riverview FL 33578 813-385-4591 ShazamConstructionLLCgmailcom Hawks Point CDD

TO Bill to Development Planning and Financing Group 15310 Amberly Drive Suite 175 Tampa FL 33647

QUANITY DESCRIPTION UNIT PRICE LINE TOTAL

Pressure wash the wall that parallels 19th avenue from 18th street to 24th street in Hawks Point CDD in Ruskin

$1270000

Repair any cracks with caulk or elastomeric as neededPrep for paint

Paint the wall that parallels 19th avenue from 18th street to 24th street in Hawks Point CDD in Ruskin

Paint using body trim and caps of exterior wall facing 19th avenue

Paint while matching existing colors

Paint using Sherwin Williams

All paint materials and labor is included

SUBTOTAL

SALES TAX

TOTAL $1270000

Make all checks payable to Shazam Construction LLC

THANK YOU FOR YOUR BUSINESS

EXHIBIT 6

Independent Franchise Owner Job TB443B00157 Terry Beamer 9266 Lazy Ln

Date 06052020

EXTERIOR PROPOSALEXTERIOR PROPOSALEXTERIOR PROPOSALEXTERIOR PROPOSAL Tampa FL 33614 813-936-9242

Fax 813 936-9172

1-800-462-3782

License PA2508

Full Workers Compensation Coverage$2000000 General Liability Insurance

DPFG Management amp Consulting LLC (Hawks Point) Raymond Lotito (SB) Hawks Point CDD Ruskin FL 33570 Phone 813-418-7473 Cell 813-220-6089 Email raymondlotitodpfgcom

Special Notes CERTAPRO PAINTERS PRESSURE WASHING PROPOSAL 18TH-24TH

CERTAPRO PAINTERS WILL PRESSURE WASH WALL FACING 19TH ST ONLY

GENERAL DESCRIPTION Painting to

PREPARATION Washing To remove dirt mildew and loose paint so the new finish coat will adhere properly

PRIMING Surface TypeArea Primer Purpose

Clean Up Daily and upon completion

All Labor Paint Materials

TOTAL

$195000

$195000

Signature of Authorized Franchise Representative Date

Payment is due In Full upon Job Completion

(IWE HAVE READ THE TERMS STATED HEREIN THEY HAVE (IWE) HAVE EXAMINED THE JOB STATED HEREIN THEY EXPLAINED TO (MEUS) AND (IWE) FIND THEM TO BE HAVE SHOWN TO (MEUS) AND (IWE) FIND THE JOB TO SATISFACTORY AND HEREBY ACCEPT THEM BE SATISFACTORY AND HEREBY ACCEPT THE JOB AS

COMPLETE

SIGNATURE Date SIGNATURE Date

QUOTE

Shazam Construction LLC DATE JUNE 5 2020

Shazam Hera 6773 Waterton Drive Riverview FL 33578 813-385-4591 ShazamConstructionLLCgmailcom Hawks Point CDD

TO Bill to Development Planning and Financing Group 15310 Amberly Drive Suite 175 Tampa FL 33647

QUANITY DESCRIPTION UNIT PRICE LINE TOTAL

Pressure wash the wall that parallels 19th avenue from 18th street to 24th street in Hawks Point CDD in Ruskin

$160000

All materials and labor is included

SUBTOTAL

SALES TAX

TOTAL $160000

Make all checks payable to Shazam Construction LLC

THANK YOU FOR YOUR BUSINESS

EXHIBIT 7

2019FORM 1 STATEMENT OF

Please print or type your name mailing FOR OFFICE USE ONLY FINANCIAL INTERESTS address agency name and position below

LAST NAME -- FIRST NAME -- MIDDLE NAME

MAILING ADDRESS

CITY ZIP COUNTY

NAME OF AGENCY

NAME OF OFFICE OR POSITION HELD OR SOUGHT

CHECK ONLY IF CANDIDATE OR NEW EMPLOYEE OR APPOINTEE

THIS SECTION MUST BE COMPLETED DISCLOSURE PERIOD THIS STATEMENT REFLECTS YOUR FINANCIAL INTERESTS FOR CALENDAR YEAR ENDING DECEMBER 31 2019

MANNER OF CALCULATING REPORTABLE INTERESTS FILERS HAVE THE OPTION OF USING REPORTING THRESHOLDS THAT ARE ABSOLUTE DOLLAR VALUES WHICH REQUIRES FEWER CALCULATIONS OR USING COMPARATIVE THRESHOLDS WHICH ARE USUALLY BASED ON PERCENTAGE VALUES (see instructions for further details) CHECK THE ONE YOU ARE USING (must check one)

COMPARATIVE (PERCENTAGE) THRESHOLDS OR DOLLAR VALUE THRESHOLDS

PART A -- PRIMARY SOURCES OF INCOME [Major sources of income to the reporting person - See instructions] (If you have nothing to report write none or na)

NAME OF SOURCE SOURCES DESCRIPTION OF THE SOURCES OF INCOME ADDRESS PRINCIPAL BUSINESS ACTIVITY

PART B -- SECONDARY SOURCES OF INCOME [Major customers clients and other sources of income to businesses owned by the reporting person - See instructions] (If you have nothing to report write none or na)

NAME OF NAME OF MAJOR SOURCES ADDRESS PRINCIPAL BUSINESS BUSINESS ENTITY OF BUSINESS INCOME OF SOURCE ACTIVITY OF SOURCE

PART C -- REAL PROPERTY [Land buildings owned by the reporting person - See instructions] You are not limited to the space on the (If you have nothing to report write none or na) lines on this form Attach additional

sheets if necessary

FILING INSTRUCTIONS for when and where to file this form are located at the bottom of page 2

INSTRUCTIONS on who must file this form and how to fill it out begin on page 3

CE FORM 1 - Effective January 1 2020 (Continued on reverse side) PAGE 1 Incorporated by reference in Rule 34-8202(1) FAC

FILING INSTRUCTIONS

IF ANY OF PARTS A THROUGH G ARE CONTINUED ON A SEPARATE SHEET PLEASE CHECK HERE

PART D mdash INTANGIBLE PERSONAL PROPERTY [Stocks bonds certificates of deposit etc - See instructions] (If you have nothing to report write none or na) TYPE OF INTANGIBLE BUSINESS ENTITY TO WHICH THE PROPERTY RELATES

PART E mdash LIABILITIES [Major debts - See instructions] (If you have nothing to report write none or na)

NAME OF CREDITOR ADDRESS OF CREDITOR

PART F mdash INTERESTS IN SPECIFIED BUSINESSES [Ownership or positions in certain types of businesses - See instructions] (If you have nothing to report write none or na)

BUSINESS ENTITY 1 BUSINESS ENTITY 2

NAME OF BUSINESS ENTITY

ADDRESS OF BUSINESS ENTITY

PRINCIPAL BUSINESS ACTIVITY

POSITION HELD WITH ENTITY

I OWN MORE THAN A 5 INTEREST IN THE BUSINESS

NATURE OF MY OWNERSHIP INTEREST

If you were mailed the form by the Commission on Ethics or a County Supervisor of Elections for your annual disclosure filing return the form to that location To determine what category your position falls under see page 3 of instructions Local officersemployees file with the Supervisor of Elections of the county in which they permanently reside (If you do not permanently reside in Florida file with the Supervisor of the county where your agency has its headquarters) Form 1 filers who file with the Supervisor of Elections may file by mail or email Contact your Supervisor of Elections for the mailing address or email address to use Do not email your form to the Commission on Ethics it will be returned State officers or specified state employees who file with the Commission on Ethics may file by mail or email To file by mail send the completed form to PO Drawer 15709 Tallahassee FL32317-5709 physical address 325 John Knox Rd Bldg E Ste 200 Tallahassee FL 32303 To file with the Commission by email scan your completed form and any attachments as a pdf (do not use any other format) send it to CEForm1legstateflus and retain a copy for your records Do not file by both mail and email Choose only one filing method Form 6s will not be accepted via email

Candidates file this form together with their filing papers MULTIPLE FILING UNNECESSARY A candidate who files a Form 1 with a qualifying officer is not required to file with the Commission or Supervisor of Elections WHEN TO FILE Initially each local officeremployee state officer and specified state employee must file within 30 days of the date of his or her appointment or of the beginning of employment Appointees who must be confirmed by the Senate must file prior to confirmation even if that is less than 30 days from the date of their appointment Candidates must file at the same time they file their qualifying papers Thereafter file by July 1 following each calendar year in which they hold their positions Finally file a final disclosure form (Form 1F) within 60 days of leaving office or employment Filing a CE Form 1F (Final Statement of Financial Interests) does not relieve the filer of filing a CE Form 1 if the filer was in his or her position on December 31 2019

SIGNATURE OF FILER Signature

____________________________________________

Date Signed

____________________________________________

CPA or ATTORNEY SIGNATURE ONLY If a certified public accountant licensed under Chapter 473 or attorney in good standing with the Florida Bar prepared this form for you he or she must complete the following statement

I _______________________________________ prepared the CE Form 1 in accordance with Section 1123145 Florida Statutes and the instructions to the form Upon my reasonable knowledge and belief the disclosure herein is true and correct

CPAAttorney Signature ______________________________

Date Signed _______________________________________

PART G mdash TRAINING For elected municipal officers required to complete annual ethics training pursuant to section 1123142 FS

I CERTIFY THAT I HAVE COMPLETED THE REQUIRED TRAINING

CE FORM 1 - Effective January 1 2020 PAGE 2 Incorporated by reference in Rule 34-8202(1) FAC

Examplesmdash You are the sole proprietor of a dry cleaning business fromwhich you received more than 10 of your gross incomemdashanamount that was more than $1500 If only one customer auniform rental company provided more than 10 of your drycleaning business you must list the name of the uniform rentalcompany its address and its principal business activity (uniform rentals) mdash You are a 20 partner in a partnership that owns a shopping mall and your partnership income exceeded the thresholds listed above You should list each tenant of the mall that provided more than 10 of the partnershiprsquos gross income and the tenantrsquos address and principal business activity

PART C mdash REAL PROPERTY[Required by s 1123145(3)(a)3 FS]In this part list the location or description of all real property in

Florida in which you owned directly or indirectly at any time during the disclosure period in excess of 5 of the propertyrsquos value You are not required to list your residences You should list any vacation homes if you derive income from them

Indirect ownership includes situations where you are abeneficiary of a trust that owns the property as well as situations where you own more than 5 of a partnership or corporation thatowns the property The value of the property may be determined by the most recently assessed value for tax purposes in the absence of a more current appraisal

The location or description of the property should be sufficient to enable anyone who looks at the form to identify the property Astreet address should be used if one exists PART D mdash INTANGIBLE PERSONAL PROPERTY

[Required by s 1123145(3)(a)3 FS]Describe any intangible personal property that at any time

during the disclosure period was worth more than 10 of your total assets and state the business entity to which the property related Intangible personal property includes things such as cash on hand stocks bonds certificates of deposit vehicle leases interests in businesses beneficial interests in trusts money owed you Deferred Retirement Option Program (DROP) accounts the Florida Prepaid College Plan and bank accounts Intangiblepersonal property also includes investment products held in IRAs brokerage accounts and the Florida College Investment Plan Note that the product contained in a brokerage account IRA or the Florida College Investment Plan is your assetmdashnot the account or plan itself Things like automobiles and houses you own jewelryand paintings are not intangible property Intangibles relating to the same business entity may be aggregated for example CDrsquos and savings accounts with the same bank

Calculations To determine whether the intangible property exceeds 10 of your total assets total the fair market value of all of your assets (including real property intangible property and tangible personal property such as jewelry furniture etc) When making this calculation do not subtract any liabilities (debts) that may relate to the property Multiply the total figure by 10 to arrive at the disclosure threshold List only the intangibles that exceed this threshold amount The value of a leased vehicle is the vehiclersquos present value minus the lease residual (a number which can be found on the lease document) Property that is only jointly owned property should be valued according to the percentage of your joint ownership Property owned as tenants by the entirety or as joint tenants with right of survivorship should be valued at 100 None of your calculations or the value of the property have to be disclosed on the form

Example You own 50 of the stock of a small corporation that is worth $100000 the estimated fair market value of your home and other property (bank accounts automobile furniture etc) is $200000 As your total assets are worth $250000 you must disclose intangibles worth over $25000 Since the value of the stock exceeds this threshold you should list ldquostockrdquo and the name of the corporation If your accounts with a particular bank exceed $25000 you should list ldquobank accountsrdquo and bankrsquos name

PART E mdash LIABILITIES[Required by s 1123145(3)(b)4 FS]List the name and address of each creditor to whom you owed

any amount that at any time during the disclosure period exceeded your net worth You are not required to list the amount of any debt or your net worth You do not have to disclose credit card and retail installment accounts taxes owed (unless reduced to a judgment) indebtedness on a life insurance policy owed to the company of issuance or contingent liabilities A ldquocontingent liabilityrdquo is one that will become an actual liability only when one or more future events occur or fail to occur such as where you are liable only as a guarantor surety or endorser on a promissory note If you are a ldquoco-makerrdquo and are jointly liable or jointly and severally liable it is not a contingent liability

Calculations To determine whether the debt exceeds your net worth total all of your liabilities (including promissory notes mortgages credit card debts judgments against you etc) Theamount of the liability of a vehicle lease is the sum of any past-due payments and all unpaid prospective lease payments Subtract the sum total of your liabilities from the value of all your assets as calculated above for Part D This is your ldquonet worthrdquo List each creditor to whom your debt exceeded this amount unless it is one of the types of indebtedness listed in the paragraph above (credit card and retail installment accounts etc) Joint liabilities with others for which you are ldquojointly and severally liablerdquo meaning that you may be liable for either your part or the whole of the obligation should be included in your calculations at 100 of the amount owed

Example You owe $15000 to a bank for student loans $5000 for credit card debts and $60000 (with spouse) to a savings and loan for a home mortgage Your home (owned by you and your spouse) is worth $80000 and your other property is worth $20000 Since your net worth is $20000 ($100000 minus $80000) you must report only the name and address of the savings and loan

PART F mdash INTERESTS IN SPECIFIED BUSINESSES[Required by s 1123145 FS]The types of businesses covered in this disclosure include

state and federally chartered banks state and federal savings and loan associations cemetery companies insurance companies mortgage companies credit unions small loan companies alcoholic beverage licensees pari-mutuel wagering companies utilitycompanies entities controlled by the Public Service Commission and entities granted a franchise to operate by either a city or acounty government

Disclose in this part the fact that you owned during the disclosure period an interest in or held any of certain positions with the types of businesses listed above You are required to make this disclosure if you own or owned (either directly orindirectly in the form of an equitable or beneficial interest) at any time during the disclosure period more than 5 of the total assets or capital stock of one of the types of business entities listed above You also must complete this part of the form for each of these types of businesses for which you are or were at any time during thedisclosure period an officer director partner proprietor or agent (other than a resident agent solely for service of process)

If you have or held such a position or ownership interest in one of these types of businesses list the name of the business its address and principal business activity and the position held with the business (if any) If you own(ed) more than a 5 interest in the business indicate that fact and describe the nature of your interest

PART G mdash TRAINING CERTIFICATION[Required by s 1123142 FS]If you are a Constitutional or elected municipal officer whose

service began before March 31 of the year for which you are filing you are required to complete four hours of ethics training which addresses Article II Section 8 of the Florida Constitution the Code of Ethics for Public Officers and Employees and the public records and open meetings laws of the state You are required to certify on this form that you have taken such training (End of Percentage Thresholds Instructions)

CE FORM 1 - Effective January 1 2020 Incorporated by reference in Rule 34-8202 FAC PAGE 6

NOTICE Annual Statements of Financial Interests are due July 1 If the annual form is not filed or postmarked by September 1 an automatic fine of $25 for each day late will be imposed up to a maximum penalty of $1500 Failure to file also can result in removal from public office or employment [s 1123145 FS]

In addition failure to make any required disclosure constitutes grounds for and may be punished by one or more of the following disqualification from being on the ballot impeachment removal or suspension from office or employment demotion reduction in salary reprimand or a civil penalty not exceeding $10000 [s 112317 FS]

WHO MUST FILE FORM 1 1) Elected public officials not serving in a political subdivision of the

state and any person appointed to fill a vacancy in such office unlessrequired to file full disclosure on Form 62) Appointed members of each board commission authority

or council having statewide jurisdiction excluding members of solelyadvisory bodies but including judicial nominating commission membersDirectors of Enterprise Florida Scripps Florida Funding Corporationand Career Source Florida and members of the Council on the Social Status of Black Men and Boys the Executive Director Governors and senior managers of Citizens Property Insurance CorporationGovernors and senior managers of Florida Workers Compensation JointUnderwriting Association board members of the Northeast Fla RegionalTransportation Commission board members of Triumph Gulf Coast Incboard members of Florida Is For Veterans Inc and members of the Technology Advisory Council within the Agency for State Technology3) The Commissioner of Education members of the State Board

of Education the Board of Governors the local Boards of Trustees and Presidents of state universities and the Florida Prepaid College Board 4) Persons elected to office in any political subdivision (such as

municipalities counties and special districts) and any person appointedto fill a vacancy in such office unless required to file Form 65) Appointed members of the following boards councils

commissions authorities or other bodies of county municipality schooldistrict independent special district or other political subdivision thegoverning body of the subdivision community college or junior collegedistrict boards of trustees boards having the power to enforce local codeprovisions boards of adjustment community redevelopment agenciesplanning or zoning boards having the power to recommend create ormodify land planning or zoning within a political subdivision except forcitizen advisory committees technical coordinating committees andsimilar groups who only have the power to make recommendationsto planning or zoning boards and except for representatives of a military installation acting on behalf of all military installations within thatjurisdiction pension or retirement boards empowered to invest pensionor retirement funds or determine entitlement to or amount of pensions orother retirement benefits and the Pinellas County Construction LicensingBoard 6) Any appointed member of a local government board who

is required to file a statement of financial interests by the appointingauthority or the enabling legislation ordinance or resolution creating theboard 7) Persons holding any of these positions in local government

mayor county or city manager chief administrative employee or finance

director of a county municipality or other political subdivision county or municipal attorney chief county or municipal building inspectorcounty or municipal water resources coordinator county or municipalpollution control director county or municipal environmental control director county or municipal administrator with power to grant or denya land development permit chief of police fire chief municipal clerkappointed district school superintendent community college presidentdistrict medical examiner purchasing agent (regardless of title) havingthe authority to make any purchase exceeding $35000 for the localgovernmental unit8) Officers and employees of entities serving as chief administrative

officer of a political subdivision9) Members of governing boards of charter schools operated by a

city or other public entity10) Employees in the office of the Governor or of a Cabinet member

who are exempt from the Career Service System excluding secretarialclerical and similar positions11) The following positions in each state department commission

board or council Secretary Assistant or Deputy Secretary ExecutiveDirector Assistant or Deputy Executive Director and anyone having thepower normally conferred upon such persons regardless of title12) The following positions in each state department or division

Director Assistant or Deputy Director Bureau Chief and any personhaving the power normally conferred upon such persons regardless oftitle 13) Assistant State Attorneys Assistant Public Defenders criminal

conflict and civil regional counsel and assistant criminal conflict and civilregional counsel Public Counsel full-time state employees serving ascounsel or assistant counsel to a state agency administrative law judgesand hearing officers14) The Superintendent or Director of a state mental health institute

established for training and research in the mental health field or anymajor state institution or facility established for corrections trainingtreatment or rehabilitation 15) State agency Business Managers Finance and Accounting

Directors Personnel Officers Grant Coordinators and purchasingagents (regardless of title) with power to make a purchase exceeding$35000 16) The following positions in legislative branch agencies each

employee (other than those employed in maintenance clerical secretarial or similar positions and legislative assistants exempted by the presiding officer of their house) and each employee of theCommission on Ethics

INSTRUCTIONS FOR COMPLETING FORM 1 INTRODUCTORY INFORMATION (Top of Form) If your name mailing address public agency and position are already printed on the form you do not need to provide this information unless it should be changed To change any of this information write the correct information on the form and contact your agencys financial disclosure coordinator You can find your coordinator on the Commission on Ethics website wwwethics stateflus NAME OF AGENCY The name of the governmental unit which you serve or served by which you are or were employed or for which you are a candidate DISCLOSURE PERIOD The ldquodisclosure periodrdquo for your report is the calendar year ending December 31 2019

OFFICE OR POSITION HELD OR SOUGHT The title of the office or position you hold are seeking or held during the disclosure period even if you have since left that position If you are a candidate for office or are a new employee or appointee check the appropriate box PUBLIC RECORD The disclosure form and everythingattached to it is a public record Your Social Security Number is not required and you should redact it from any documents you file If you are an active or former officer or employee listed in Section 119071 FS whose home address is exempt from disclosure the Commission will maintain that confidentiality if you submit a written request

CE FORM 1 - Effective January 1 2020 Incorporated by reference in Rule 34-8202 FAC PAGE 3

PART E mdash LIABILITIES[Required by s 1123145(3)(b)4 FS]List the name and address of each creditor to whom you owed more

than $10000 at any time during the disclosure period The amount of theliability of a vehicle lease is the sum of any past-due payments and allunpaid prospective lease payments You are not required to list the amountof any debt You do not have to disclose credit card and retail installmentaccounts taxes owed (unless reduced to a judgment) indebtedness ona life insurance policy owed to the company of issuance or contingentliabilities A ldquocontingent liabilityrdquo is one that will become an actual liabilityonly when one or more future events occur or fail to occur such as whereyou are liable only as a guarantor surety or endorser on a promissorynote If you are a ldquoco-makerrdquo and are jointly liable or jointly and severallyliable then it is not a contingent liability

PART F mdash INTERESTS IN SPECIFIED BUSINESSES[Required by s 1123145(6) FS]The types of businesses covered in this disclosure include state and

federally chartered banks state and federal savings and loan associationscemetery companies insurance companies mortgage companies creditunions small loan companies alcoholic beverage licensees pari-mutuelwagering companies utility companies entities controlled by the PublicService Commission and entities granted a franchise to operate by either acity or a county government

Disclose in this part the fact that you owned during the disclosure period aninterest in or held any of certain positions with the types of businesses listedabove You must make this disclosure if you own or owned (either directly orindirectly in the form of an equitable or beneficial interest) at any time duringthe disclosure period more than 5 of the total assets or capital stock ofone of the types of business entities listed above You also must completethis part of the form for each of these types of businesses for which youare or were at any time during the disclosure period an officer directorpartner proprietor or agent (other than a resident agent solely for service ofprocess)

If you have or held such a position or ownership interest in one ofthese types of businesses list the name of the business its address andprincipal business activity and the position held with the business (if any) Ifyou own(ed) more than a 5 interest in the business indicate that fact anddescribe the nature of your interest

PART G mdash TRAINING CERTIFICATION[Required by s 1123142 FS]If you are a Constitutional or elected municipal officer whose

service began before March 31 of the year for which you are filingyou are required to complete four hours of ethics training which addresses Article II Section 8 of the Florida Constitution the Codeof Ethics for Public Officers and Employees and the public recordsand open meetings laws of the state You are required to certify onthis form that you have taken such training

(End of Dollar Value Thresholds Instructions)

PART A mdash PRIMARY SOURCES OF INCOME[Required by s 1123145(3)(a)1 FS]Part A is intended to require the disclosure of your principal

sources of income during the disclosure period You do not haveto disclose any public salary or public position(s) but income from these public sources should be included when calculating your gross income for the disclosure period The income of your spouse need not be disclosed however if there is joint income to you and your spouse from property you own jointly (such as interest or dividends from a bank account or stocks) you should include all of that income when calculating your gross income and disclose the source of that income if it exceeded the threshold

Please list in this part of the form the name address and principal business activity of each source of your income whichexceeded 5 of the gross income received by you in your own name or by any other person for your benefit or use during the disclosure period

Gross income means the same as it does for income tax purposes even if the income is not actually taxable such as interest on tax-free bonds Examples include compensation for servicesincome from business gains from property dealings interest rents dividends pensions IRA distributions social security distributive share of partnership gross income and alimony but not child support

Examplesmdash If you were employed by a company that manufactures computers and received more than 5 of your gross income from the company list the name of the company its address and its principal business activity (computer manufacturing)mdash If you were a partner in a law firm and your distributive share of partnership gross income exceeded 5 of your gross income then list the name of the firm its address and its principal business activity (practice of law)mdash If you were the sole proprietor of a retail gift business andyour gross income from the business exceeded 5 of your total gross income list the name of the business its addressand its principal business activity (retail gift sales)mdash If you received income from investments in stocks and bonds list each individual company from which you derived

more than 5 of your gross income Do not aggregate all of your investment incomemdash If more than 5 of your gross income was gain from the sale of property (not just the selling price) list as a source of income the purchaserrsquos name address and principal business activityIf the purchasers identity is unknown such as where securities listed on an exchange are sold through a brokerage firm the source of income should be listed as sale of (name of company)stock for examplemdash If more than 5 of your gross income was in the form of interest from one particular financial institution (aggregatinginterest from all CDrsquos accounts etc at that institution) list the name of the institution its address and its principal business activity

PART B mdash SECONDARY SOURCES OF INCOME[Required by s 1123145(3)(a)2 FS]This part is intended to require the disclosure of major customers

clients and other sources of income to businesses in which you ownan interest It is not for reporting income from second jobs That kindof income should be reported in Part A Primary Sources of Incomeif it meets the reporting threshold You will not have anything to reportunless during the disclosure period

(1) You owned (either directly or indirectly in the form of anequitable or beneficial interest) more than 5 of the total assetsor capital stock of a business entity (a corporation partnershipLLC limited partnership proprietorship joint venture trust firmetc doing business in Florida) and(2) You received more than 10 of your gross income from thatbusiness entity and(3) You received more than $1500 in gross income from thatbusiness entity

If your interests and gross income exceeded these thresholds thenfor that business entity you must list every source of income to thebusiness entity which exceeded 10 of the business entityrsquos grossincome (computed on the basis of the business entityrsquos most recentlycompleted fiscal year) the sourcersquos address and the sourcersquosprincipal business activity

IF YOU HAVE CHOSEN COMPARATIVE (PERCENTAGE) THRESHOLDSTHE FOLLOWING INSTRUCTIONS APPLY

CE FORM 1 - Effective January 1 2020 Incorporated by reference in Rule 34-8202 FAC PAGE 5

MANNER OF CALCULATING REPORTABLE INTEREST Filers have the option of reporting based on either thresholds that are comparative (usually based on percentage values) or thresholds that are based on absolute dollar values The instructions on the following pages specifically describe the different thresholds Check the box that reflects the choice you have made You must use the type of threshold you have chosen for each part of the form In other words if you choose to report based on absolute dollar value thresholds you cannot use a percentage threshold on any part of the form

IF YOU HAVE CHOSEN DOLLAR VALUE THRESHOLDS THE FOLLOWING INSTRUCTIONS APPLY

PART A mdash PRIMARY SOURCES OF INCOME [Required by s 1123145(3)(b)1 FS] Part A is intended to require the disclosure of your principal

sources of income during the disclosure period You do not have todisclose any public salary or public position(s) The income of yourspouse need not be disclosed however if there is joint income toyou and your spouse from property you own jointly (such as interestor dividends from a bank account or stocks) you should disclose thesource of that income if it exceeded the threshold

Please list in this part of the form the name address andprincipal business activity of each source of your income whichexceeded $2500 of gross income received by you in your own name or by any other person for your use or benefit

Gross income means the same as it does for income tax purposes even if the income is not actually taxable such as interest on tax-free bonds Examples include compensation for servicesincome from business gains from property dealings interest rentsdividends pensions IRA distributions social security distributive share of partnership gross income and alimony but not child support

Examples mdash If you were employed by a company that manufacturescomputers and received more than $2500 list the name of thecompany its address and its principal business activity (computermanufacturing) mdash If you were a partner in a law firm and your distributive shareof partnership gross income exceeded $2500 list the name ofthe firm its address and its principal business activity (practice oflaw) mdash If you were the sole proprietor of a retail gift business and yourgross income from the business exceeded $2500 list the nameof the business its address and its principal business activity(retail gift sales) mdash If you received income from investments in stocks and bondslist each individual company from which you derived more than$2500 Do not aggregate all of your investment income mdash If more than $2500 of your gross income was gain from thesale of property (not just the selling price) list as a source ofincome the purchaserrsquos name address and principal businessactivity If the purchaserrsquos identity is unknown such as wheresecurities listed on an exchange are sold through a brokeragefirm the source of income should be listed as sale of (name of company) stock for example mdash If more than $2500 of your gross income was in the formof interest from one particular financial institution (aggregatinginterest from all CDrsquos accounts etc at that institution) list the name of the institution its address and its principal business activity

PART B mdash SECONDARY SOURCES OF INCOME [Required by s 1123145(3)(b)2 FS] This part is intended to require the disclosure of major customers

clients and other sources of income to businesses in which you own aninterest It is not for reporting income from second jobs That kind of incomeshould be reported in Part A Primary Sources of Income if it meets thereporting threshold You will not have anything to report unless during thedisclosure period

(1) You owned (either directly or indirectly in the form of an equitableor beneficial interest) more than 5 of the total assets or capitalstock of a business entity (a corporation partnership LLC limitedpartnership proprietorship joint venture trust firm etc doing business in Florida) and (2) You received more than $5000 of your gross income during thedisclosure period from that business entity

If your interests and gross income exceeded these thresholds then for thatbusiness entity you must list every source of income to the business entitywhich exceeded 10 of the business entityrsquos gross income (computed onthe basis of the business entitys most recently completed fiscal year) thesourcersquos address and the sources principal business activity

Examples mdash You are the sole proprietor of a dry cleaning business from whichyou received more than $5000 If only one customer a uniform rentalcompany provided more than 10 of your dry cleaning business youmust list the name of the uniform rental company its address and itsprincipal business activity (uniform rentals) mdash You are a 20 partner in a partnership that owns a shopping malland your partnership income exceeded the above thresholds List eachtenant of the mall that provided more than 10 of the partnershipsgross income and the tenants address and principal business activity

PART C mdash REAL PROPERTY [Required by s 1123145(3)(b)3 FS] In this part list the location or description of all real property in Florida

in which you owned directly or indirectly at any time during the disclosureperiod in excess of 5 of the propertyrsquos value You are not required to listyour residences You should list any vacation homes if you derive incomefrom them

Indirect ownership includes situations where you are a beneficiary of atrust that owns the property as well as situations where you own more than5 of a partnership or corporation that owns the property The value of theproperty may be determined by the most recently assessed value for taxpurposes in the absence of a more current appraisal

The location or description of the property should be sufficient toenable anyone who looks at the form to identify the property A streetaddress should be used if one exists

PART D mdash INTANGIBLE PERSONAL PROPERTY [Required by s 1123145(3)(b)3 FS] Describe any intangible personal property that at any time during the

disclosure period was worth more than $10000 and state the businessentity to which the property related Intangible personal property includesthings such as cash on hand stocks bonds certificates of deposit vehicleleases interests in businesses beneficial interests in trusts money owedyou Deferred Retirement Option Program (DROP) accounts the FloridaPrepaid College Plan and bank accounts Intangible personal propertyalso includes investment products held in IRAs brokerage accounts andthe Florida College Investment Plan Note that the product contained in a brokerage account IRA or the Florida College Investment Plan is yourassetmdashnot the account or plan itself Things like automobiles and housesyou own jewelry and paintings are not intangible property Intangiblesrelating to the same business entity may be aggregated for example CDsand savings accounts with the same bank Property owned as tenants bythe entirety or as joint tenants with right of survivorship should be valued at100 The value of a leased vehicle is the vehiclersquos present value minusthe lease residual (a number found on the lease document)

CE FORM 1 - Effective January 1 2020 Incorporated by reference in Rule 34-8202 FAC PAGE 4

PART A mdash PRIMARY SOURCES OF INCOME[Required by s 1123145(3)(b)1 FS]Part A is intended to require the disclosure of your principal

sources of income during the disclosure period You do not have todisclose any public salary or public position(s) The income of yourspouse need not be disclosed however if there is joint income t oyou and your spouse from property you own jointly (such as interestor dividends from a bank account or stocks) you should disclose thesource of that income if it exceeded the threshold

Please list in this part of the form the name address andprincipal business activity of each source of your income whichexceeded $2500 of gross income received by you in your own name or by any other person for your use or benefit

Gross income means the same as it does for income taxpurposes even if the income is not actually taxable such as intereston tax-free bonds Examples include compensation for servicesincome from business gains from property dealings interest rentsdividends pensions IRA distributions social security distributiveshare of partnership gross income and alimony but not child support

Examplesmdash If you were employed by a company that manufacturescomputers and received more than $2500 list the name of thecompany its address and its principal business activity (computermanufacturing)mdash If you were a partner in a law firm and your distributive shareof partnership gross income exceeded $2500 list the name ofthe firm its address and its principal business activity (practice oflaw)mdash If you were the sole proprietor of a retail gift business and yourgross income from the business exceeded $2500 list the nameof the business its address and its principal business activity(retail gift sales)mdash If you received income from investments in stocks and bondslist each individual company from which you derived more than$2500 Do not aggregate all of your investment incomemdash If more than $2500 of your gross income was gain from thesale of property (not just the selling price) list as a source o fincome the purchaserrsquos name address and principal businessactivity If the purchaserrsquos identity is unknown such as wheresecurities listed on an exchange are sold through a brokeragefirm the source of income should be listed as sale of (name of company) stock for examplemdash If more than $2500 of your gross income was in the formof interest from one particular financial institution (aggregatinginterest from all CDrsquos accounts etc at that institution) list thename of the institution its address and its principal business activity

PART B mdash SECONDARY SOURCES OF INCOME[Required by s 1123145(3)(b)2 FS]This part is intended to require the disclosure of major customers

clients and other sources of income to businesses in which you own aninterest It is not for reporting income from second jobs That kind of incomeshould be reported in Part A Primary Sources of Income if it meets thereporting threshold You will not have anything to report unless during thedisclosure period

(1) You owned (either directly or indirectly in the form of an equitableor beneficial interest) more than 5 of the total assets or capitalstock of a business entity (a corporation partnership LLC limitedpartnership proprietorship joint venture trust firm etc doing business in Florida) and(2) You received more than $5000 of your gross income during thedisclosure period from that business entity

If your interests and gross income exceeded these thresholds then for thatbusiness entity you must list every source of income to the business entitywhich exceeded 10 of the business entityrsquos gross income (computed onthe basis of the business entitys most recently completed fiscal year) thesourcersquos address and the sources principal business activity

Examplesmdash You are the sole proprietor of a dry cleaning business from whichyou received more than $5000 If only one customer a uniform rentalcompany provided more than 10 of your dry cleaning business youmust list the name of the uniform rental company its address and itsprincipal business activity (uniform rentals)mdash You are a 20 partner in a partnership that owns a shopping malland your partnership income exceeded the above thresholds List eachtenant of the mall that provided more than 10 of the partnershipsgross income and the tenants address and principal business activity

PART C mdash REAL PROPERTY[Required by s 1123145(3)(b)3 FS]In this part list the location or description of all real property in Florida

in which you owned directly or indirectly at any time during the disclosureperiod in excess of 5 of the propertyrsquos value You are not required to listyour residences You should list any vacation homes if you derive incomefrom them

Indirect ownership includes situations where you are a beneficiary of atrust that owns the property as well as situations where you own more than5 of a partnership or corporation that owns the property The value of theproperty may be determined by the most recently assessed value for taxpurposes in the absence of a more current appraisal

The location or description of the property should be sufficient toenable anyone who looks at the form to identify the property A streetaddress should be used if one exists

PART D mdash INTANGIBLE PERSONAL PROPERTY[Required by s 1123145(3)(b)3 FS]Describe any intangible personal property that at any time during the

disclosure period was worth more than $10000 and state the businessentity to which the property related Intangible personal property includesthings such as cash on hand stocks bonds certificates of deposit vehicleleases interests in businesses beneficial interests in trusts money owedyou Deferred Retirement Option Program (DROP) accounts the FloridaPrepaid College Plan and bank accounts Intangible personal propertyalso includes investment products held in IRAs brokerage accounts andthe Florida College Investment Plan Note that the product contained ina brokerage account IRA or the Florida College Investment Plan is yourassetmdashnot the account or plan itself Things like automobiles and housesyou own jewelry and paintings are not intangible property Intangiblesrelating to the same business entity may be aggregated for example CDsand savings accounts with the same bank Property owned as tenants bythe entirety or as joint tenants with right of survivorship should be valued at100 The value of a leased vehicle is the vehiclersquos present value minusthe lease residual (a number found on the lease document)

Filers have the option of reporting based on either thresholds that are comparative (usually based on percentage values) orthresholds that are based on absolute dollar values The instructions on the following pages specifically describe the differentthresholds Check the box that reflects the choice you have made You must use the type of threshold you have chosen for eachpart of the form In other words if you choose to report based on absolute dollar value thresholds you cannot use a percentagethreshold on any part of the form

MANNER OF CALCULATING REPORTABLE INTEREST

IF YOU HAVE CHOSEN DOLLAR VALUE THRESHOLDSTHE FOLLOWING INSTRUCTIONS APPLY

CE FORM 1 - Effective January 1 2020 Incorporated by reference in Rule 34-8202 FAC PAGE 4

PART E mdash LIABILITIES [Required by s 1123145(3)(b)4 FS] List the name and address of each creditor to whom you owed more

than $10000 at any time during the disclosure period The amount of theliability of a vehicle lease is the sum of any past-due payments and allunpaid prospective lease payments You are not required to list the amountof any debt You do not have to disclose credit card and retail installmentaccounts taxes owed (unless reduced to a judgment) indebtedness ona life insurance policy owed to the company of issuance or contingentliabilities A ldquocontingent liabilityrdquo is one that will become an actual liabilityonly when one or more future events occur or fail to occur such as whereyou are liable only as a guarantor surety or endorser on a promissorynote If you are a ldquoco-makerrdquo and are jointly liable or jointly and severallyliable then it is not a contingent liability

PART F mdash INTERESTS IN SPECIFIED BUSINESSES [Required by s 1123145(6) FS] The types of businesses covered in this disclosure include state and

federally chartered banks state and federal savings and loan associationscemetery companies insurance companies mortgage companies creditunions small loan companies alcoholic beverage licensees pari-mutuelwagering companies utility companies entities controlled by the PublicService Commission and entities granted a franchise to operate by either acity or a county government

Disclose in this part the fact that you owned during the disclosure period aninterest in or held any of certain positions with the types of businesses listedabove You must make this disclosure if you own or owned (either directly orindirectly in the form of an equitable or beneficial interest) at any time duringthe disclosure period more than 5 of the total assets or capital stock ofone of the types of business entities listed above You also must completethis part of the form for each of these types of businesses for which youare or were at any time during the disclosure period an officer directorpartner proprietor or agent (other than a resident agent solely for service ofprocess)

If you have or held such a position or ownership interest in one ofthese types of businesses list the name of the business its address andprincipal business activity and the position held with the business (if any) Ifyou own(ed) more than a 5 interest in the business indicate that fact anddescribe the nature of your interest

PART G mdash TRAINING CERTIFICATION [Required by s 1123142 FS] If you are a Constitutional or elected municipal officer whose

service began before March 31 of the year for which you are filingyou are required to complete four hours of ethics training which addresses Article II Section 8 of the Florida Constitution the Code of Ethics for Public Officers and Employees and the public recordsand open meetings laws of the state You are required to certify onthis form that you have taken such training

(End of Dollar Value Thresholds Instructions)

IF YOU HAVE CHOSEN COMPARATIVE (PERCENTAGE) THRESHOLDS THE FOLLOWING INSTRUCTIONS APPLY

PART A mdash PRIMARY SOURCES OF INCOME [Required by s 1123145(3)(a)1 FS] Part A is intended to require the disclosure of your principal

sources of income during the disclosure period You do not haveto disclose any public salary or public position(s) but income from these public sources should be included when calculating your gross income for the disclosure period The income of your spouse need not be disclosed however if there is joint income to you and your spouse from property you own jointly (such as interest or dividends from a bank account or stocks) you should include all of that income when calculating your gross income and disclose the source of that income if it exceeded the threshold

Please list in this part of the form the name address and principal business activity of each source of your income whichexceeded 5 of the gross income received by you in your own name or by any other person for your benefit or use during the disclosure period

Gross income means the same as it does for income tax purposes even if the income is not actually taxable such as interest on tax-free bonds Examples include compensation for servicesincome from business gains from property dealings interest rents dividends pensions IRA distributions social security distributive share of partnership gross income and alimony but not child support

Examples mdash If you were employed by a company that manufactures computers and received more than 5 of your gross income from the company list the name of the company its address and its principal business activity (computer manufacturing) mdash If you were a partner in a law firm and your distributive share of partnership gross income exceeded 5 of your gross income then list the name of the firm its address and its principal business activity (practice of law) mdash If you were the sole proprietor of a retail gift business andyour gross income from the business exceeded 5 of your total gross income list the name of the business its addressand its principal business activity (retail gift sales) mdash If you received income from investments in stocks and bonds list each individual company from which you derived

more than 5 of your gross income Do not aggregate all of your investment income mdash If more than 5 of your gross income was gain from the sale of property (not just the selling price) list as a source of income the purchaserrsquos name address and principal business activityIf the purchasers identity is unknown such as where securities listed on an exchange are sold through a brokerage firm the source of income should be listed as sale of (name of company)stock for example mdash If more than 5 of your gross income was in the form of interest from one particular financial institution (aggregatinginterest from all CDrsquos accounts etc at that institution) list the name of the institution its address and its principal business activity

PART B mdash SECONDARY SOURCES OF INCOME [Required by s 1123145(3)(a)2 FS] This part is intended to require the disclosure of major customers

clients and other sources of income to businesses in which you ownan interest It is not for reporting income from second jobs That kindof income should be reported in Part A Primary Sources of Incomeif it meets the reporting threshold You will not have anything to report unless during the disclosure period

(1) You owned (either directly or indirectly in the form of anequitable or beneficial interest) more than 5 of the total assetsor capital stock of a business entity (a corporation partnershipLLC limited partnership proprietorship joint venture trust firmetc doing business in Florida) and (2) You received more than 10 of your gross income from thatbusiness entity and (3) You received more than $1500 in gross income from thatbusiness entity

If your interests and gross income exceeded these thresholds thenfor that business entity you must list every source of income to thebusiness entity which exceeded 10 of the business entityrsquos grossincome (computed on the basis of the business entityrsquos most recentlycompleted fiscal year) the sourcersquos address and the sourcersquos principal business activity

CE FORM 1 - Effective January 1 2020 Incorporated by reference in Rule 34-8202 FAC PAGE 5

NOTICE Annual Statements of Financial Interests are due July 1 If the annual form is not filed or postmarked by September 1 an automatic fine of $25 for each day late will be imposed up to a maximum penalty of $1500 Failure to file also can result in removal from public office or employment [s 1123145 FS]

In addition failure to make any required disclosure constitutes grounds for and may be punished by one or more of the following disqualification from being on the ballot impeachment removal or suspension from office or employment demotion reduction in salary reprimand or a civil penalty not exceeding $10000 [s 112317 FS]

1) Elected public officials not serving in a political subdivision of thestate and any person appointed to fill a vacancy in such office unlessrequired to file full disclosure on Form 62) Appointed members of each board commission authority

or council having statewide jurisdiction excluding members of solelyadvisory bodies but including judicial nominating commission membersDirectors of Enterprise Florida Scripps Florida Funding Corporationand Career Source Florida and members of the Council on the SocialStatus of Black Men and Boys the Executive Director Governors and senior managers of Citizens Property Insurance CorporationGovernors and senior managers of Florida Workers Compensation JointUnderwriting Association board members of the Northeast Fla RegionalTransportation Commission board members of Triumph Gulf Coast Incboard members of Florida Is For Veterans Inc and members of theTechnology Advisory Council within the Agency for State Technology3) The Commissioner of Education members of the State Board

of Education the Board of Governors the local Boards of Trustees andPresidents of state universities and the Florida Prepaid College Board4) Persons elected to office in any political subdivision (such a s

municipalities counties and special districts) and any person appointedto fill a vacancy in such office unless required to file Form 65) Appointed members of the following boards councils

commissions authorities or other bodies of county municipality schooldistrict independent special district or other political subdivision thegoverning body of the subdivision community college or junior collegedistrict boards of trustees boards having the power to enforce local codeprovisions boards of adjustment community redevelopment agenciesplanning or zoning boards having the power to recommend create ormodify land planning or zoning within a political subdivision except forcitizen advisory committees technical coordinating committees andsimilar groups who only have the power to make recommendationsto planning or zoning boards and except for representatives of amilitary installation acting on behalf of all military installations within thatjurisdiction pension or retirement boards empowered to invest pensionor retirement funds or determine entitlement to or amount of pensions orother retirement benefits and the Pinellas County Construction LicensingBoard6) Any appointed member of a local government board who

is required to file a statement of financial interests by the appointingauthority or the enabling legislation ordinance or resolution creating theboard7) Persons holding any of these positions in local government

mayor county or city manager chief administrative employee or finance

director of a county municipality or other political subdivision countyor municipal attorney chief county or municipal building inspectorcounty or municipal water resources coordinator county or municipalpollution control director county or municipal environmental controldirector county or municipal administrator with power to grant or denya land development permit chief of police fire chief municipal clerkappointed district school superintendent community college presidentdistrict medical examiner purchasing agent (regardless of title) havingthe authority to make any purchase exceeding $35000 for the localgovernmental unit8) Officers and employees of entities serving as chief administrative

officer of a political subdivision9) Members of governing boards of charter schools operated by a

city or other public entity10) Employees in the office of the Governor or of a Cabinet member

who are exempt from the Career Service System excluding secretarialclerical and similar positions11) The following positions in each state department commission

board or council Secretary Assistant or Deputy Secretary ExecutiveDirector Assistant or Deputy Executive Director and anyone having thepower normally conferred upon such persons regardless of title12) The following positions in each state department or division

Director Assistant or Deputy Director Bureau Chief and any personhaving the power normally conferred upon such persons regardless oftitle13) Assistant State Attorneys Assistant Public Defenders criminal

conflict and civil regional counsel and assistant criminal conflict and civilregional counsel Public Counsel full-time state employees serving ascounsel or assistant counsel to a state agency administrative law judgesand hearing officers14) The Superintendent or Director of a state mental health institute

established for training and research in the mental health field or anymajor state institution or facility established for corrections trainingtreatment or rehabilitation15) State agency Business Managers Finance and Accounting

Directors Personnel Officers Grant Coordinators and purchasingagents (regardless of title) with power to make a purchase exceeding$3500016) The following positions in legislative branch agencies each

employee (other than those employed in maintenance clerical secretarial or similar positions and legislative assistants exemptedby the presiding officer of their house) and each employee of theCommission on Ethics

INSTRUCTIONS FOR COMPLETING FORM 1INTRODUCTORY INFORMATION (Top of Form) If your name mailing address public agency and position are already printed on the form you do not need to provide this information unless it should be changed To change any of this information write the correct information on the form and contact your agencys financial disclosure coordinator You can find your coordinator on the Commission on Ethics website wwwethicsstateflus NAME OF AGENCY The name of the governmental unit which you serve or served by which you are or were employed or for which you are a candidate DISCLOSURE PERIOD The ldquodisclosure periodrdquo for your report is the calendar year ending December 31 2019

OFFICE OR POSITION HELD OR SOUGHT The title of the office or position you hold are seeking or held during the disclosure period even if you have since left that position If you are a candidate for office or are a new employee or appointee check the appropriate boxPUBLIC RECORD The disclosure form and everythingattached to it is a public record Your Social Security Number is not required and you should redact it from any documents you file If you are an active or former officer or employee listed in Section 119071 FS whose home address is exempt from disclosure the Commission will maintain that confidentiality if you submit a written request

WHO MUST FILE FORM 1

CE FORM 1 - Effective January 1 2020 Incorporated by reference in Rule 34-8202 FAC PAGE 3

Examples PART E mdash LIABILITIES mdash You are the sole proprietor of a dry cleaning business from [Required by s 1123145(3)(b)4 FS]which you received more than 10 of your gross incomemdashan List the name and address of each creditor to whom you owed amount that was more than $1500 If only one customer a any amount that at any time during the disclosure period exceeded uniform rental company provided more than 10 of your dry your net worth You are not required to list the amount of any debt cleaning business you must list the name of the uniform rental or your net worth You do not have to disclose credit card and retail company its address and its principal business activity (uniform installment accounts taxes owed (unless reduced to a judgment) rentals) indebtedness on a life insurance policy owed to the company of mdash You are a 20 partner in a partnership that owns a shopping issuance or contingent liabilities A ldquocontingent liabilityrdquo is one mall and your partnership income exceeded the thresholds that will become an actual liability only when one or more future listed above You should list each tenant of the mall that events occur or fail to occur such as where you are liable only as provided more than 10 of the partnershiprsquos gross income and a guarantor surety or endorser on a promissory note If you are a the tenantrsquos address and principal business activity ldquoco-makerrdquo and are jointly liable or jointly and severally liable it is not

a contingent liability PART C mdash REAL PROPERTY Calculations To determine whether the debt exceeds your

[Required by s 1123145(3)(a)3 FS] net worth total all of your liabilities (including promissory notes mortgages credit card debts judgments against you etc) TheIn this part list the location or description of all real property in amount of the liability of a vehicle lease is the sum of any past-due Florida in which you owned directly or indirectly at any time during payments and all unpaid prospective lease payments Subtract the disclosure period in excess of 5 of the propertyrsquos value You the sum total of your liabilities from the value of all your assets are not required to list your residences You should list any vacation as calculated above for Part D This is your ldquonet worthrdquo List each homes if you derive income from them creditor to whom your debt exceeded this amount unless it is one of

Indirect ownership includes situations where you are a the types of indebtedness listed in the paragraph above (credit card beneficiary of a trust that owns the property as well as situations and retail installment accounts etc) Joint liabilities with others for where you own more than 5 of a partnership or corporation that which you are ldquojointly and severally liablerdquo meaning that you may owns the property The value of the property may be determined by be liable for either your part or the whole of the obligation should be the most recently assessed value for tax purposes in the absence included in your calculations at 100 of the amount owed of a more current appraisal

Example You owe $15000 to a bank for student loans $5000 The location or description of the property should be sufficient for credit card debts and $60000 (with spouse) to a savings to enable anyone who looks at the form to identify the property A and loan for a home mortgage Your home (owned by you and street address should be used if one exists your spouse) is worth $80000 and your other property is worth PART D mdash INTANGIBLE PERSONAL PROPERTY $20000 Since your net worth is $20000 ($100000 minus

$80000) you must report only the name and address of the [Required by s 1123145(3)(a)3 FS] savings and loan Describe any intangible personal property that at any time

during the disclosure period was worth more than 10 of your PART F mdash INTERESTS IN SPECIFIED BUSINESSES total assets and state the business entity to which the property [Required by s 1123145 FS] related Intangible personal property includes things such as cash on hand stocks bonds certificates of deposit vehicle leases The types of businesses covered in this disclosure include interests in businesses beneficial interests in trusts money owed state and federally chartered banks state and federal savings and you Deferred Retirement Option Program (DROP) accounts loan associations cemetery companies insurance companies the Florida Prepaid College Plan and bank accounts Intangible mortgage companies credit unions small loan companies alcoholic personal property also includes investment products held in IRAs beverage licensees pari-mutuel wagering companies utilitybrokerage accounts and the Florida College Investment Plan companies entities controlled by the Public Service Commission Note that the product contained in a brokerage account IRA or the and entities granted a franchise to operate by either a city or a Florida College Investment Plan is your assetmdashnot the account or county governmentplan itself Things like automobiles and houses you own jewelry Disclose in this part the fact that you owned during the and paintings are not intangible property Intangibles relating to the disclosure period an interest in or held any of certain positions same business entity may be aggregated for example CDrsquos and with the types of businesses listed above You are requiredsavings accounts with the same bank to make this disclosure if you own or owned (either directly or

Calculations To determine whether the intangible property indirectly in the form of an equitable or beneficial interest) at any exceeds 10 of your total assets total the fair market value of time during the disclosure period more than 5 of the total assets all of your assets (including real property intangible property and or capital stock of one of the types of business entities listed above tangible personal property such as jewelry furniture etc) When You also must complete this part of the form for each of these types making this calculation do not subtract any liabilities (debts) that of businesses for which you are or were at any time during themay relate to the property Multiply the total figure by 10 to arrive disclosure period an officer director partner proprietor or agent at the disclosure threshold List only the intangibles that exceed (other than a resident agent solely for service of process) this threshold amount The value of a leased vehicle is the vehiclersquos If you have or held such a position or ownership interest in present value minus the lease residual (a number which can be one of these types of businesses list the name of the business its found on the lease document) Property that is only jointly owned address and principal business activity and the position held with property should be valued according to the percentage of your the business (if any) If you own(ed) more than a 5 interest in the joint ownership Property owned as tenants by the entirety or as business indicate that fact and describe the nature of your interest joint tenants with right of survivorship should be valued at 100 None of your calculations or the value of the property have to be PART G mdash TRAINING CERTIFICATIONdisclosed on the form

[Required by s 1123142 FS] Example You own 50 of the stock of a small corporation that is worth $100000 the estimated fair market value of If you are a Constitutional or elected municipal officer whoseyour home and other property (bank accounts automobile service began before March 31 of the year for which you are filing furniture etc) is $200000 As your total assets are worth you are required to complete four hours of ethics training which $250000 you must disclose intangibles worth over $25000 addresses Article II Section 8 of the Florida Constitution the Code Since the value of the stock exceeds this threshold you of Ethics for Public Officers and Employees and the public records should list ldquostockrdquo and the name of the corporation If your and open meetings laws of the state You are required to certify on accounts with a particular bank exceed $25000 you should this form that you have taken such training list ldquobank accountsrdquo and bankrsquos name

(

End of Percentage Thresholds Instructions) CE FORM 1 - Effective January 1 2020 Incorporated by reference in Rule 34-8202 FAC PAGE 6

  • 0 HP Cover Page v2
  • 1 Hawks Point Meeting Invite Draft v2
  • 2 Agenda Draft v3
  • 3 EXHIBIT 1
  • 7 HP 05-19-2020 Meeting Minutes Approved
  • 6 EXHIBIT 2
  • 9 HP May FY20 Fin
  • 8 EXHIBIT 3
  • 4 Vacant Position Qualification Requirements for Hawks Point CDD
    • Vacant Position on the Board of Supervisors of the Hawkrsquos Point Community Development District
      • Qualification Requirements
      • Instructions for Interested Candidates
      • Additional Notes
          • 5 Shami Choon Vacant Position - updated 11-5-11 resume
            • 1803 Oak Pond Street Ruskin Fl 33570 E-mailchoons27gmailcom
              • PROFESSIONAL HISTORY
                • Operations Manager Florida Distribution 2002 ndash 2005
                • Operations Manager for Florida Branch Distribution 1999 ndash 2002
                • Warehouse Manager of Miami Distribution Center 1998 ndash 1999
                • Branch Manager of West Palm Beach 1994 ndash 1998
                • Assistant Branch Manager 1991 ndash 1994
                • Customer Service Agent 1990 ndash 1991
                  • 10 EXHIBIT 4
                  • 11 New Business - Hawks Point CDD - MI proposal
                  • 12 EXHIBIT 5
                  • 13 CertaPro Proposal to Paint Exterior Wall 18th to 24th Avenue
                  • 14 Shazam Construction Proposal to Paint Exterior Wall 18th to 24th Street
                    • QUOTE
                      • TO
                          • 15 Photo to accompany Shazam Proposal
                          • 16 EXHIBIT 6
                          • 17 CertaPro Proposal for Pressure Washing Exterior Wall 18th St to 24th Street
                          • 18 Shazam Construction Proposal for Pressure Washing Exterion Wall 18th Street to 24th Street
                            • QUOTE
                              • TO
                                  • 19 EXHIBIT 7
                                  • 20 Form 1_2019i
                                      1. LAST NAME
                                      2. FIRST NAME
                                      3. MIDDLE NAME
                                      4. MAILING ADDRESS ROW 1
                                      5. MAILING ADDRESS ROW 2
                                      6. CITY
                                      7. ZIP
                                      8. COUNTY
                                      9. NAME OF AGENCY
                                      10. NAME OF OFFICE OR POSITION HELD OR SOUGHT
                                      11. CANDIDATE Off
                                      12. NEW EMPLOYEE OR APPOINTEE Off
                                      13. COMPARATIVE (PERCENTAGE) THRESHOLDS Off
                                      14. DOLLAR VALUE THRESHOLDS Off
                                      15. NAME OF SOURCE INCOME ROW 1
                                      16. ADDRESS ROW 1
                                      17. DESCRIPTION OF THE SOURCES PRINCIPAL BUSINESS ACTIVITY ROW 1
                                      18. NAME OF SOURCE INCOME ROW 2
                                      19. ADDRESS ROW 2
                                      20. DESCRIPTION OF THE SOURCES PRINCIPAL BUSINESS ACTIVITY ROW 2
                                      21. NAME OF SOURCE INCOME ROW 3
                                      22. ADDRESS ROW 3
                                      23. DESCRIPTION OF THE SOURCES PRINCIPAL BUSINESS ACTIVITY ROW 3
                                      24. NAME OF SOURCE INCOME ROW 4
                                      25. ADDRESS ROW 4
                                      26. DESCRIPTION OF THE SOURCES PRINCIPAL BUSINESS ACTIVITY ROW 4
                                      27. NAME OF BUSINESS ENTITY ROW 1
                                      28. NAME OF MAJOR SOURCES OF BUSINESS INCOME ROW 1
                                      29. ADDRESS OF SOURCE ROW 1
                                      30. PRINCIPAL BUSINESS ACTIVITY OF SOURCE ROW 1
                                      31. NAME OF BUSINESS ENTITY ROW 2
                                      32. NAME OF MAJOR SOURCES OF BUSINESS INCOME ROW 2
                                      33. ADDRESS OF SOURCE ROW 2
                                      34. PRINCIPAL BUSINESS ACTIVITY OF SOURCE ROW 2
                                      35. NAME OF BUSINESS ENTITY ROW 3
                                      36. NAME OF MAJOR SOURCES OF BUSINESS INCOME ROW 3
                                      37. ADDRESS OF SOURCE ROW 3
                                      38. PRINCIPAL BUSINESS ACTIVITY OF SOURCE ROW 3
                                      39. REAL PROPERTY ROW 1
                                      40. REAL PROPERTY ROW 2
                                      41. REAL PROPERTY ROW 3
                                      42. REAL PROPERTY ROW 4
                                      43. TYPE OF INTANGIBLE ROW 1
                                      44. BUSINESS ENTITY TO WHICH THE PROPERTY RELATES ROW 1
                                      45. TYPE OF INTANGIBLE ROW 2
                                      46. BUSINESS ENTITY TO WHICH THE PROPERTY RELATES ROW 2
                                      47. NAME OF CREDITOR ROW 1
                                      48. ADDRESS OF CREDITOR ROW 1
                                      49. NAME OF CREDITOR ROW 2
                                      50. ADDRESS OF CREDITOR ROW 2
                                      51. ADDRESS OF BUSINESS ENTITY 1
                                      52. PRINCIPAL BUSINESS ACTIVITY 1
                                      53. POSITION HELD WITH ENTITY 1
                                      54. I OWN MORE THAN A 5 INTEREST IN THE BUSINESS 1
                                      55. NATURE OF MY OWNERSHIP INTEREST 1
                                      56. ADDRESS OF BUSINESS ENTITY 2
                                      57. PRINCIPAL BUSINESS ACTIVITY 2
                                      58. POSITION HELD WITH ENTITY 2
                                      59. I OWN MORE THAN A 5 INTEREST IN THE BUSINESS 2
                                      60. NATURE OF MY OWNERSHIP INTEREST 2
                                      61. FOR ELECTED MUNICIPAL OFFICERS REQUIRED TO COMPLETE ANNUAL ETHICS TRAINING PURSUANT TO SECTION 112
                                        1. 3142 F
                                          1. S Off
                                              1. IF ANY OF PARTS A THROUGH G ARE CONTINUED ON A SEPARATE SHEET PLEASE CHECK HERE Off
                                              2. SIGNATURE
                                              3. Date Signed
Page 12: HAWKS POINT COMMUNITY DEVELOPMENT …...2020/06/16  · Hawks Point Community Development District Board of Supervisors Meeting Tuesday, June 16th at 6:30 PM via Zoom All: We welcome

Hawks Point

Community Development District

Financial Statements

(Unaudited)

Period Ending

May 31 2020

DEBT

GENERAL SERVICE CONSOLIDATED

FUND SERIES 2017 TOTAL

1 ASSETS

2

3 CASH 66142$ -$ 66142$

4 MMK 456665 - 456665

5 INVESTMENTS

6 REVENUE FUND - 203538 203538

7 INTEREST FUNDS - 195 195

8 PRINCIPAL FUNDS - - -

9 SINKING FUNDS - 1 1

11 RESERVE - 266003 266003

12 ACCOUNTS RECEIVABLE 2588 - 2588

13 ASSESMENTS RECEIVABLE 2781 3237 6018

14 DUE FROM GF - 172 172

15 PREPAID ITEMS - - -

16 DEPOSITS 451 - 451

17 TOTAL ASSETS 528627$ 473145$ 1001772$

18

19 LIABILITIES

20

21 ACCOUNTS PAYABLE 537$ -$ 537$

22 DUE TO DEBT SERVICE SERIES 2017 172 - 172

23 ACCRUED INTEREST PAYABLE DS 2017 - - -

24 DEFERRED REVENUE 2781 3237 6018

26

27 FUND EQUITY

28

29 RESTRICTED FOR

30 DEBT SERVICE - 469908 469908

32 ASSIGNED 1 QTR OPER 71304 - 71304

33 ASSIGNED FY 2018 INC IN RESERVES 15650 - 15650

34 ASSIGNED FY 2019 INC IN RESERVES 22500 - 22500

35 UNASSIGNED 415683 - 415683 36

37 TOTAL LIABILITIES amp FUND EQUITY 528627$ 473145$ 1001772$

Hawks Point CDDBalance Sheet

May 31 2020

Note GASB 34 government wide financial statements are available in the annual independent audit of the District The audit is

available on the website and upon request

Page 2

FY2020 VARIANCE

ADOPTED BUDGET ACTUAL FAVORABLE

BUDGET YEAR-TO-DATE YEAR-TO-DATE (UNFAVORABLE)

1 REVENUE

2

3 ASSESSMENT ON ROLL (NET) 453615$ 453615$ 450924$ (2691)$

4 ASSESSMENT ON ROLL EXCESS FEES - - - -

5 INTEREST REVENUE - - 1594 1594

6 MISCELLANEOUS REVENUE - - - -

7 ELECTRICITY COST SHARE WITH THE HOA 1600 1067 2633 1566

8 TOTAL REVENUE 455215 454682 455152 470

9

10 EXPENDITURES

11

12 ADMINISTRATIVE

13 BOARD OF SUPERVISORS 12000 8000 5539 2461

14 PAYROLL TAXES 918 612 503 109

15 PAYROLL SERVICE FEE 625 417 392 25

16 MANAGEMENT CONSULTING SERVICES 40000 26667 26667 -

17 GENERAL ADMINISTRATIVE 4800 3200 3200 -

18 MISCELLANEOUS 500 333 - 333

19 AUDITING 3200 3200 - 3200

20 REGULATORY AND PERMIT FEES 175 175 175 -

21 LEGAL ADVERTISEMENTS 1500 1000 1386 (386)

22 ENGINEERING SERVICES 5000 3333 1896 1437

23 LEGAL SERVICES - GENERAL 7500 5000 2895 2105

24 WEBSITE ADMINISTRATION 2265 2165 1749 416

25 TOTAL ADMINISTRATIVE 78483 54102 44401 9701

26

27 INSURANCE

28 INSURANCE (Liability Property amp Casualty) 6050 6050 5638 412

29 TOTAL INSURANCE 6050 6050 5638 412

30

31 DEBT SERVICE ADMINISTRATION

32 DISSEMINATION AGENT 1000 1000 1000 -

33 TRUSTEE FEES 10500 - - -

34 TRUST FUND ACCOUNTING 1500 1000 1000 -

35 ARBITRAGE 650 - - -

36 ASSESSMENT ADMINISTRATION 5000 5000 5000 -

37 TOTAL DEBT SERVICE ADMINISTRATION 18650 7000 7000 -

38

39 UTILITIES

40 ELECTRICITY-IRRIGATION 2928 1952 1191 761

41 TOTAL UTILITIES 2928 1952 1191 761

42

43 FIELD OPERATIONS

44 IRRIGATION MAINTENANCE amp REPAIRS 10000 6667 3960 2706

45 POND MONITORING amp MAINTENANCE 17700 10325 10325 -

46 POND PLANTINGS 5000 5000 - 5000

47 WETLAND MONITORING 7120 5340 1780 3560

48 LANDSCAPE MAINTENANCE 129000 86000 88400 (2400)

49 LANDSCAPE REPLENISHMENT 119898 79932 6520 73412

50 TREE TRIMMING 16800 11200 - 11200

51 STREETLIGHTS 2000 1333 - 1333

52 MISCELLANEOUS FIELD EXPENSES 18586 12391 8886 3504

53 CAPITAL PROJECTS - WELL DRILLING amp PUMP INSTALL - - 18165 (18165)

54 RESERVE - PAINT PERIMITER WALL - - 6350 (6350)

55 TOTAL FIELD OPERATIONS 326104 218188 144386 73802

Hawks Point

General Fund

Statement of Revenues Expenditures and Changes in Fund Balance

For the period from October 1 2019 through April 30 2020

Preliminary

Page 3

FY2020 VARIANCE

ADOPTED BUDGET ACTUAL FAVORABLE

BUDGET YEAR-TO-DATE YEAR-TO-DATE (UNFAVORABLE)

Hawks Point

General Fund

Statement of Revenues Expenditures and Changes in Fund Balance

For the period from October 1 2019 through April 30 2020

Preliminary

56

57 TOTAL EXPENDITURES BEFORE RESERVES 432215 287292 202616 84675

58

59 INCREASE FOR RESERVES 23000 - - -

60 INCREASE IN FUND BALANCE - - - -

61

62

63 TOTAL EXPENDITURES AFTER RESERVE 455215 287292 202616 84675

64

65 EXCESS OF REVENUE OVER (UNDER) EXPENDITURES - 167390 252535 85145

66

67 FUND BALANCE - BEGINNING 269666 269666 272602 272602

68 DECREASE IN FUND BALANCE - - - -

69 INCREASE IN RESERVE 23000 - - -

70 FUND BALANCE - ENDING 292666$ 437056$ 525137$ 357747$

71

72

73 FY 2018FY 2019 - Irrigation System Grounding Phased 15544$

74 FY 2018 - Perimieter Wall Paint Applications 5815

75 FY 2019 - Reserve Study Update 1100

77 FY 2020 - Irrigation System-Clocks 6442

Total Replacement Expenses for Reserves 28901$

Reserve Expenditure Components

Page 4

FY 2020 VARIANCE

ADOPTED BUDGET ACTUAL FAVORABLE

BUDGET YEAR-TO-DATE YEAR-TO-DATE (UNFAVORABLE)

1 REVENUE

2 ASSESSMENTS - ON-ROLL (Gross) 561051$ 527388$ 524922$ (2466)$

3 ASSESSMENTS - ON-ROLL EXCESS FEES - - - -

4 FUND BALANCE FORWARD - - - -

5 INTEREST - INVESTMENT - - 3703 3703

6 DISCOUNT (22442) - - -

7 TOTAL REVENUE 538609 527388 528624 1236

8

9

10 EXPENDITURES

11

12 PRINCIPAL

13 512020 235000 - 235000 (235000)

14 INTEREST EXPENSE

15 1112019 - - 144238 (144238)

16 512020 144238 - 144238 (144238)

17 1112020 140075 - - -

18 COUNTY COLLECTION CHARGES 11221 - - -

19 TOTAL EXPENDITURES 530534 - 523475 (523475)

20

21 EXCESS OF REVENUE OVER (UNDER) EXPENDITURES 8075 527388 5149 (522239)

22

23 OTHER FINANCING SOURCES (USES)

24 TRANSFER IN - - - -

25 TRANSFER OUT (USES) - - - -

26 TOTAL OTHER FINANCING SOURCES (USES) - - - -

27

28 NET CHANGE IN FUND BALANCE 8075 527388 5149 (522239)

29

30 FUND BALANCE - BEGINNING - - 464759 464759

31 FUND BALANCE APPROPRIATED - - - -

32

33 FUND BALANCE - ENDING 8075$ 527388$ 469908$ (57480)$

Hawks Point CDD

Debt Service - Series 2017

Statement of Revenues Expenditures and Changes in Fund Balance

For the period from October 1 2019 through April 30 2020

Page 5

Bank United

Balance Per Bank Statement 7549415$

Plus Deposits in Transit -

Less Outstanding Checks (935250)

Adjusted Bank Balance 6614165$

Beginning Bank Balance Per Books 4251943$

Cash Receipts 5000350

Cash Disbursements (2638128)

Balance Per Books 6614165$

Hawks Point CDD

Bank Reconciliation (GF)

May 31 2020

Page 6

Date Num Name Memo Receipts Disbursements Balance

Bank United EOY Balance 9460943

10012019 9035 DPFG MANAGEMENT amp CONSULTING LLC CDD Mgmt - October 385833 9075110

10022019 Hawks Point West HOA 2019-245- HPW 18866 9093976

10082019 646 Hawks Point HOA 2019245 - HPA 21225 9115201

10082019 Hawks Point West HOA 201956 - HPW 208516 9323717

10082019 1115 Egis Insurance amp Risk Advisors Ins - FY 2020 563800 8759917

10112019 9036 JAYMAN ENTERPRISES LLC Replace Bulbs at Entrances Rcvd 10119 23000 8736917

10112019 9037 Landscape Maintenance Professionals Inc Landscape Maint - October 1105000 7631917

10162019 1116 FLORIDA DEPT OF ECONOMIC OPPORTUNIT Annual Filing FY 2020 17500 7614417

10182019 9041 TAMPA BAY TIMES Legal Ad - Meeting Schedule 55200 7559217

10212019 9038 DPFG MANAGEMENT amp CONSULTING LLC Special Assessment - FY 2020 Continuing Disclosure ADA Compliance 650000 6909217

10212019 9039 JAYMAN ENTERPRISES LLC Replace Bulbs 7000 6902217

10212019 9040 STANTEC CONSULTING SERVICES INC Lake amp Pond Maint - Sept 10500 6891717

10242019 ACH102419 TAMPA ELECTRIC 830-930 - 1416 Little Hawk Dr 7637 6884080

10242019 ACH1024192 TAMPA ELECTRIC 830-930 - 2160 Golden Falcon Dr 7083 6876997

10242019 000652 Hawks Point HOA 20197-HPA 4921 6881918

10252019 694003DD ANDREW HERON Bos Mtg - 101519 18470 6863448

10252019 ACH102519 Innovative Employer Soltuions Bos Mtg - 101519 17140 6846308

10252019 694005DD KAREN OBRIEN Bos Mtg - 101519 18470 6827838

10252019 694004DD SHERRI KEENE Bos Mtg - 101519 18470 6809368

10252019 694002DD WILLIAM J HATHAWAY Bos Mtg - 101519 18470 6790898

10312019 Bank United Interest 691 6791589

Bank United EOM Balance 254219 2923573 6791589

11012019 9042 DPFG MANAGEMENT amp CONSULTING LLC CDD Mgmt - November 385833 6405756

11012019 9043 STANTEC CONSULTING SERVICES INC Lake amp Pond Maint - Pond 201-19 amp 21 - Sept 274000 6131756

11012019 9044 STRALEY ROBIN VERICKER Legal Svcs thru 101519 65999 6065757

11122019 1117 HAWKS POINT CDD DS 2017 Tax Collection Share co Wells Fargo 762290 5303467

11152019 9045 Landscape Maintenance Professionals Inc Landscape Maint - November amp Irrigation Repairs 1229369 4074098

11152019 9046 STANTEC CONSULTING SERVICES INC Lake amp Pond Maint - Oct 333600 3740498

11202019 9048 TAMPA BAY TIMES Legal Ad - Audit Meeting 42050 3698448

11222019 9047 STANTEC CONSULTING SERVICES INC Lake amp Pond Maint - Pond 20 - Oct 10500 3687948

11252019 ACH1125191 TAMPA ELECTRIC 101-1030 - 1416 Little Hawk Dr 7431 3680517

11252019 ACH1125192 TAMPA ELECTRIC 101-1030 - 2160 Golden Falcon Dr 8753 3671764

11292019 703783DD ANDREW HERON Bos Mtg - 111919 18470 3653294

11292019 ACH112919 Innovative Employer Soltuions Bos Mtg - 111919 20200 3633094

11292019 703785DD KAREN OBRIEN Bos Mtg - 111919 18470 3614624

11292019 703781DD MARIE CHANTAL COPELAND Bos Mtg - 111919 18470 3596154

11292019 703784DD SHERRI KEENE Bos Mtg - 111919 18470 3577684

11292019 703782DD WILLIAM J HATHAWAY Bos Mtg - 111919 18470 3559214

11302019 Bank United Interest 450 3559664

Bank United EOM Balance 450 3232375 3559664

12022019 9049 DPFG MANAGEMENT amp CONSULTING LLC CDD Mgmt - December 385833 3173831

12042019 694 Hawks Point HOA 20198-HPA 5105 3178936

12042019 503 Hawks Point West HOA 20197-HPW amp 20198-HPW 7388 3186324

12042019 1118 Site Masters of Florida LLC Investigation of pipe discharge Townhome Yard Drain Blockage 150000 3036324

12112019 9050 Illuminations Holiday Lighting Electrical Fix Holiday Lights - Deposit 261250 2775074

12132019 Bank United Funds Transfer - MMK to Opt Acct 4500000 7275074

12132019 Bank United Funds Transfer - MMK to Opt Acct 50834407 58109481

12162019 9055 TAMPA BAY TIMES Legal Ad - RFP Auditing Svc 36100 58073381

12182019 9051 Flatwoods Environmental Cut amp Dispose Brazilian Pepper 396500 57676881

12182019 9052 Landscape Maintenance Professionals Inc Landscape Maint - December 1105000 56571881

12182019 9053 STANTEC CONSULTING SERVICES INC Misc Environmental Services 137000 56434881

12182019 9054 STRALEY ROBIN VERICKER Legal Svcs thru 111519 57500 56377381

12182019 1119 HAWKS POINT CDD DS 2017 Tax Collection Share co Wells Fargo 49544765 6832616

12182019 1120 Innersync ADA Compliant website 124942 6707674

12262019 ACH1226191 TAMPA ELECTRIC 1031-122 - 2160 Golden Falcon Dr 8771 6698903

12262019 ACH1226192 TAMPA ELECTRIC 1031-1202 - 1416 Little Hawk Dr 9315 6689588

12272019 711993DD ANDREW HERON Bos Mtg - 121719 18470 6671118

12272019 ACH122719 Innovative Employer Soltuions Bos Mtg - 121719 20200 6650918

12272019 711995DD KAREN OBRIEN Bos Mtg - 121719 18470 6632448

12272019 711991DD MARIE CHANTAL COPELAND Bos Mtg - 121719 18470 6613978

12272019 711994DD SHERRI KEENE Bos Mtg - 121719 18470 6595508

12272019 711992DD WILLIAM J HATHAWAY Bos Mtg - 121719 18470 6577038

12312019 Bank United Interest 3091 6580129

Bank United EOM Balance 55349991 52329526 6580129

01022020 9056 DPFG MANAGEMENT amp CONSULTING LLC CDD Mgmt - January 385833 6194296

01082020 9057 Landscape Maintenance Professionals Inc Station decoders 82908 6111388

01082020 9058 STRALEY ROBIN VERICKER Legal Svcs thru 121519 10000 6101388

01102020 9159 Landscape Maintenance Professionals Inc Landscape Maint - January 1105000 4996388

01102020 9160 Mike White LLC Entry Monument repair 54119 4942269

01132020 1121 HAWKS POINT CDD DS 2017 Tax Collection Share co Wells Fargo 868256 4074013

01172020 9161 Illuminations Holiday Lighting Holiday Lights - Balance Due 231250 3842763

01172020 000534 Hawks Point West HOA 20201-HPW 4493 3847256

01272020 1122 STANTEC CONSULTING SERVICES INC Pond Maint - December Engineering Svcs thru 122719 353400 3493856

01272020 ACH012720 TAMPA ELECTRIC 123-1231 - 2160 Golden Falcon Dr 8116 3485740

01272020 ACH0127202 TAMPA ELECTRIC 1203-1231 - 1416 Little Hawk Dr 6682 3479058

01312020 072704 Innovative Employer Soltuions Bos Mtg - 12120 17140 3461918

01312020 721948DD KAREN OBRIEN Bos Mtg - 12120 18470 3443448

01312020 721945DD MARIE CHANTAL COPELAND Bos Mtg - 12120 18470 3424978

01312020 721947DD SHERRI KEENE Bos Mtg - 12120 18470 3406508

01312020 721946DD WILLIAM J HATHAWAY Bos Mtg - 12120 18470 3388038

01312020 Bank United Interest 1406 3389444

Bank United EOM Balance 5899 3196584 3389444

02052020 1124 DPFG MANAGEMENT amp CONSULTING LLC CDD Mgmt - February 385833 3003611

02052020 1125 Landscape Maintenance Professionals Inc Landscape Maint - February 1105000 1898611

02052020 1126 TAMPA ELECTRIC 101-1030 - 1416 Little Hawk Dr 308 1898303

02252020 1127 Landscape Maintenance Professionals Inc Landscape Maint - March 1105000 793303

02252020 02252020ACH TAMPA ELECTRIC 11-130 - 1416 Little Hawk Dr 7840 785463

02252020 02252020ACH TAMPA ELECTRIC 11-130 - 2160 Golden Falcon Dr 9092 776371

02282020 02182020ACH Innovative Employer Soltuions Bos Mtg - 21820 14080 762291

02282020 730271DD MARIE CHANTAL COPELAND Bos Mtg - 21820 18470 743821

02282020 730273DD SHERRI KEENE Bos Mtg - 21820 18470 725351

02282020 7302272DD WILLIAM J HATHAWAY Bos Mtg - 21820 18470 706881

02292020 Bank United Interest 203 707084

HAWKS POINT CDDCASH REGISTER

FY 2020

Page 7

Date Num Name Memo Receipts Disbursements Balance

HAWKS POINT CDDCASH REGISTER

FY 2020

Bank United EOM Balance 203 2682563 707084

03042020 1128 DPFG MANAGEMENT amp CONSULTING LLC CDD Mgmt - March 385833 321251

03122020 1129 STANTEC CONSULTING SERVICES INC Engineering Svcs thru 012420 73950 247301

03122020 ACH032520 TAMPA ELECTRIC 13120 - 22820 - 2160 Golden Falcon Dr 8527 238774

03122020 ACH0325202 TAMPA ELECTRIC 013120 - 22820 - 1416 Little Hawk Dr 6592 232182

03192020 BankUnited Funds Transfer 5000000 5232182

03192020 1130 HAWKS POINT CDD DS 2017 Tax Collection Share co Wells Fargo thru 030420 1437199 3794983

03242020 1131 Landscape Maintenance Professionals Inc Pencil Pruning of Crape Myrtles Landscape Maint -042020 1360500 2434483

03242020 1132 STANTEC CONSULTING SERVICES INC Pond Maint - January Feb 295000 2139483

03242020 1133 STRALEY ROBIN VERICKER Legal Svcs thru 021520 23250 2116233

03272020 1134 DPFG MANAGEMENT amp CONSULTING LLC CDD Mgmt - April 2020 385833 1730400

03272020 1135 Landscape Maintenance Professionals Inc Irrigation Inspection repairs 74858 1655542

03312020 BankUnited Interest 200 1655742

Bank United EOM Balance 5000200 4051542 1655742

04082020 1136 Accurate Drilling Solutions Service call - 032520 - Replacement for Controller on pump 4 60234 1595508

04082020 1137 STANTEC CONSULTING SERVICES INC Engineering Svcs thru 032020 61250 1534258

04082020 1138 STRALEY ROBIN VERICKER Legal Svcs thru 031520 93270 1440988

04082020 1139 TAMPA ELECTRIC 229-330 - Electricity 16915 1424073

04162020 1140 HAWKS POINT CDD DS 2017 Tax Collection Share co Wells Fargo thru 041320 298431 1125642

04232020 BankUnited Funds Transfer 5000000 6125642

04232020 1141 Accurate Drilling Solutions Well Drilling and new pump system installation 1816480 4309162

04282020 1142 STRALEY ROBIN VERICKER Legal Svcs thru 041520 57460 4251702

04302020 BankUnited Interest 241 4251943

Bank United EOM Balance 5000241 2404040 4251943

05012020 1143 DPFG MANAGEMENT amp CONSULTING LLC CDD Mgmt - May 2020 385833 3866110

05012020 ACH050120 Innovative Employer Soltuions Bos Mtg - 42120 14080 3852030

05012020 747666DD MARIE CHANTAL COPELAND Bos Mtg - 42120 18470 3833560

05012020 747667DD WILLIAM J HATHAWAY Bos Mtg - 42120 18470 3815090

05012020 747668DD SHERRI KEENE Bos Mtg - 42120 18470 3796620

05082020 ACH050820 Innovative Employer Soltuions Bos Mtg - 42120 8620 3788000

05082020 1 Caryn Williams BOS 04212020 18470 3769530

05112020 1144 Landscape Maintenance Professionals Inc Landscape Maint -052020 1105000 2664530

05112020 1145 STANTEC CONSULTING SERVICES INC Engineering Svcs thru 042420 25400 2639130

05112020 1146 TAMPA ELECTRIC 330-429 - Electricity 19915 2619215

05212020 1147 BUSINESS OBSERVER Legal Ad - Notice of Qualifying Period 51520 5250 2613965

05212020 1148 CertaPro Painters Paint exterior wall 24th to 30th Street 635000 1978965

05212020 1149 STANTEC CONSULTING SERVICES INC Pond Maint - March-April 295000 1683965

05292020 BankUnited Funds Transfer 5000000 6683965

05292020 755486DD Caryn Williams Bos Mtg - 51920 18470 6665495

05292020 ACH052920 Innovative Employer Soltuions Bos Mtg - 51920 14740 6650755

05292020 755485DD SHERRI KEENE Bos Mtg - 51920 18470 6632285

05292020 755484DD WILLIAM J HATHAWAY Bos Mtg - 51920 18470 6613815

05312020 BankUnited Interest 350 6614165

Bank United EOM Balance 5000350 2638128 6614165

Page 8

EXHIBIT 3

Vacant Position on the Board of Supervisors of the Hawkrsquos Point Community Development District The Hawkrsquos Point Community Development District (CDD) is soliciting interested candidates to fill a vacant position on the Board of Supervisors of the CDD (Board) The CDD is a local unit of special-purpose government which is created pursuant to Chapter 190 Florida Statutes The Board is comprised of 5 members who are public officials who are normally elected on the November General Elections who serve in staggered terms The vacancy is a result of a resignation of a board member due to a relocation The remaining term of the vacant supervisorrsquos seat is through November 2022

Qualification Requirements

1 Resident of the CDD

2 At least 18 years of age

3 Citizen of the United States

4 Legal resident of Florida and of the CDD

5 Registered to vote with the Hillsborough County Supervisor of Elections

Instructions for Interested Candidates

Interested candidates must submit a letter of interest and resume to Raymondlotitodpfgcom by 4 pm on Friday June 5 2020 The subject line in the email should read ldquoVacant Position on the Board of Supervisors of the Hawkrsquos Point CDDrdquo

The Letter of Interest must contain

1 A statement stating why you believe you are well suited for the position

2 Your vision for the CDD and what you would like to see the Community evolve into Please be specific

The Resume must contain

1 Your academic background and professional experience

2 Previous and current experience with governmental agencies and governing boards

Interested candidates should attend the Board meeting on Tuesday June 16 2020 at 630 pm and present a brief presentation about themselves and be prepared for a brief question and answer period with the current Board members

Additional Notes

The current Board members will discuss the candidates and may make an appointment at the June meeting If the Board cannot come to a consensus on one candidate or if they determine to not appoint any candidate to the vacant seat they may revisit the vacancy at a future meeting or leave the seat vacant until the November 2022 General Election

Please note that the person appointed to serve in the vacant seat will be required to submit a financial disclosure statement to the State and will be subject to Floridarsquos Government in the Sunshine Laws Public Records laws and Ethics laws

1

Sookdeo (Shami) Choon Phone number (813) 731-5564 1803 Oak Pond Street Ruskin Fl 33570 E-mailchoons27gmailcom

PROFESSIONAL HISTORY Firkins GroupGarber Nissan December 2013 to Present Commercial Vehicle Sales ManagerFinance Manager Auto Nation From January 2006 to December 2013 Sales 2006- 2007 Finance Manager 2007- 2008 Sales Manager Training Manager 2008-2009 Sales Finance 2009- 2011 Commercial Sales Manager Finance Manager 2011- 2020 Parts Depot Inc From 1990 to 2005 ___________________________________________________________________________________________ Operations Manager Florida Distribution 2002 ndash 2005 bull Responsible for total inventory control of all Florida warehouses frac12 of the corporationrsquos revenue bull Directed top management to complete acquisition consolidations which resulted in the corporationrsquos

expansion bull Managed all Florida branch warehouse managers and employees totaling 200 employees bull Increased productivity and shipping efficiency in all departments developed new delivery logistics

improved product availability to all customers as well a hired and efficiently trained employees bull Reviewed all customer service statistics daily and contacted customer directly on all issues bull Reviewed PampLrsquos for all units monthly bull Presented weekly productivity and financial reports to senior management bull Directed DOT monthly guidelines maintained driver files in accordance with DOT regulations and

implemented loss prevention programs Operations Manager for Florida Branch Distribution 1999 ndash 2002 bull Improved customer service by increasing product availability to customers by implementing new

delivery logistics bull Developed employee training implemented safety awareness and monthly safety programs Warehouse Manager of Miami Distribution Center 1998 ndash 1999 bull Developed and implemented productivity guidelines implemented delivery cost saving programs

and improved product availability to the corporationrsquos customers Branch Manager of West Palm Beach 1994 ndash 1998 bull Responsible for the opening of this new branch set the building layout as well as the delivery and

logistics systems

2

bull Increased sales by 80 over budget and kept operating cost as of sales Implemented new customer service department Hired and trained all employees

Assistant Branch Manager 1991 ndash 1994 bull Increased productivity by 20 and improved delivery service Customer Service Agent 1990 ndash 1991 bull Created and implemented customer service guidelines Wingate Automotive Group 1987ndash 1990 Trinidad amp Tobago Government National Security 1984- 1987 Field Operation

EXHIBIT 4

PO Box 267 Seffner FL 33583 O 813-757-6500 F 813-757-6501 Estimate

Submitted To Hawks Point CDD 250 International Parkway Suite 280 Lake Mary FL 32746

CDD - controller 4 - zones 1 and 2

Date 5232020

Estimate 66077

LMP REPRESENTATIVE

DG-TI

PO

W ork Order

DESCRIPTION QTY COST TOTAL

Controller 4 34 inch poly pipe 34 inch poly pipe clamps Labor 2 men $ 8500 per hour

Irrigation inspection repairs needed Repair 6 - 34 inch poly pipe line leaks

6 12 05

072 129

8500

432 1548 4250

TERMS AND CONDITIONS TOTAL $6230

LMP reserves the right to withdraw this proposal if not accepted within 30 days of the date listed above Any alteration or deviation to scope of work involving additional costs must be agreed upon in writing as a separate proposal or change order to this proposal Periodic invoices may be submitted if job is substantial in nature with final invoice being submitted at completion of project Any work performed requiring more than 5 days to complete is subject to progressive payments as portions of the work are completed No finance charge will be imposed if the total of said work is paid in full within 30 days of invoice date If not paid in full within 30 days then customer is subject to finance charges on the balance of the work from the invoice date at a rate of 15 per month until paid LMP shall have the right to stop work under this contract until all outstanding amounts including finance charges are paid in full Payments will be applied to the oldest invoices

ACCEPTANCE OF PROPOSAL The above prices scope of work and terms and conditions are hereby satisfactorily agreed upon LMP Inc has been authorized to perform the work as outlined and payment will be made as outlined above The above pricing does not include any unforeseen modifications to the said irrigation system that could not be reasonably accounted for prior to job start All plant material carries a one (1) year warranty provided LMP Inc is performing landscape maintenance services to the area installed or enhanced at the time of installation If not then there is no warranty on the plant material

OWNER AGENT

DATE

EXHIBIT 5

Independent Franchise Owner Job TBE8F300154 Terry Beamer 9266 Lazy Ln

Date 06012020

EXTERIOR PROPOSALEXTERIOR PROPOSALEXTERIOR PROPOSALEXTERIOR PROPOSAL Tampa FL 33614 813-936-9242

Fax 813 936-9172

1-800-462-3782

License PA2508

Full Workers Compensation Coverage$2000000 General Liability Insurance

DPFG Management amp Consulting LLC (Hawks Point) Raymond Lotito (SB) Hawks Point CDD Ruskin FL 33570 Phone 813-418-7473 Cell 813-220-6089 Email raymondlotitodpfgcom

Special Notes CERTAPRO PAINTERS WILL PAINT WALL FACING 19ST FROM 18TH-24TH

SPECIAL ATTENTION ADDRESSING STUCCO CRACKS USING CONCRETE AND MASONRY PATCH

SPECIAL ATTENTION PRESSURE WASHING LOOSE PEELING PAINT PRIOR TO PAINTING

CERTAPRO PAINTERS WILL ONLY PAINT STREET FACING SIDE- HOMEOWNERS SIDE EXCLUDED FROM PROPOSAL

CUSTOMER RESPONSIBILITIES Please cut back all shrubs bushes and palms away from wall

GENERAL DESCRIPTION Painting to Exterior Wall 18th-24th Facing 19th Ave

PREPARATION Washing To remove dirt mildew and loose paint so the new finish coat will adhere properly

Caulking To fill all cracks and gaps around windows and doorswood work to seal out moisture and drafts Stair step

cracks

Scraping Scrape all loose and peeling paint to ensure a firm base for the new paint

Masonry Repair to all cracks gaps and holes with elastemeric caulking or masonry patch as required

Sanding To degloss where necessary to promote adhesion of the top coat

Surface TypeArea Primer PurposePRIMING

Masonry Loxon sealerprimer Latex For propor top coat adhesion

Conditioner Loxon sealerprimer to all Latex For proper top coat adhesion

masonry surfaces

FINISH COATS

Surface Area

Exterior

ManufacturePaint Type

Sherwin Williams Resilience Ext Satin

Coats

1 primer-sealer 1 spray 1 backroll stucco

Color

Same As Existing

Clean Up Daily and upon completion

$1132900 All Labor Paint Materials

$1132900 TOTAL

Signature of Authorized Franchise Representative Date

Payment is due In Full upon Job Completion

(IWE HAVE READ THE TERMS STATED HEREIN THEY HAVE (IWE) HAVE EXAMINED THE JOB STATED HEREIN THEY EXPLAINED TO (MEUS) AND (IWE) FIND THEM TO BE HAVE SHOWN TO (MEUS) AND (IWE) FIND THE JOB TO SATISFACTORY AND HEREBY ACCEPT THEM BE SATISFACTORY AND HEREBY ACCEPT THE JOB AS

COMPLETE

SIGNATURE Date SIGNATURE Date

QUOTE

Shazam Construction LLC DATE MAY 13 2020

Shazam Hera 6773 Waterton Drive Riverview FL 33578 813-385-4591 ShazamConstructionLLCgmailcom Hawks Point CDD

TO Bill to Development Planning and Financing Group 15310 Amberly Drive Suite 175 Tampa FL 33647

QUANITY DESCRIPTION UNIT PRICE LINE TOTAL

Pressure wash the wall that parallels 19th avenue from 18th street to 24th street in Hawks Point CDD in Ruskin

$1270000

Repair any cracks with caulk or elastomeric as neededPrep for paint

Paint the wall that parallels 19th avenue from 18th street to 24th street in Hawks Point CDD in Ruskin

Paint using body trim and caps of exterior wall facing 19th avenue

Paint while matching existing colors

Paint using Sherwin Williams

All paint materials and labor is included

SUBTOTAL

SALES TAX

TOTAL $1270000

Make all checks payable to Shazam Construction LLC

THANK YOU FOR YOUR BUSINESS

EXHIBIT 6

Independent Franchise Owner Job TB443B00157 Terry Beamer 9266 Lazy Ln

Date 06052020

EXTERIOR PROPOSALEXTERIOR PROPOSALEXTERIOR PROPOSALEXTERIOR PROPOSAL Tampa FL 33614 813-936-9242

Fax 813 936-9172

1-800-462-3782

License PA2508

Full Workers Compensation Coverage$2000000 General Liability Insurance

DPFG Management amp Consulting LLC (Hawks Point) Raymond Lotito (SB) Hawks Point CDD Ruskin FL 33570 Phone 813-418-7473 Cell 813-220-6089 Email raymondlotitodpfgcom

Special Notes CERTAPRO PAINTERS PRESSURE WASHING PROPOSAL 18TH-24TH

CERTAPRO PAINTERS WILL PRESSURE WASH WALL FACING 19TH ST ONLY

GENERAL DESCRIPTION Painting to

PREPARATION Washing To remove dirt mildew and loose paint so the new finish coat will adhere properly

PRIMING Surface TypeArea Primer Purpose

Clean Up Daily and upon completion

All Labor Paint Materials

TOTAL

$195000

$195000

Signature of Authorized Franchise Representative Date

Payment is due In Full upon Job Completion

(IWE HAVE READ THE TERMS STATED HEREIN THEY HAVE (IWE) HAVE EXAMINED THE JOB STATED HEREIN THEY EXPLAINED TO (MEUS) AND (IWE) FIND THEM TO BE HAVE SHOWN TO (MEUS) AND (IWE) FIND THE JOB TO SATISFACTORY AND HEREBY ACCEPT THEM BE SATISFACTORY AND HEREBY ACCEPT THE JOB AS

COMPLETE

SIGNATURE Date SIGNATURE Date

QUOTE

Shazam Construction LLC DATE JUNE 5 2020

Shazam Hera 6773 Waterton Drive Riverview FL 33578 813-385-4591 ShazamConstructionLLCgmailcom Hawks Point CDD

TO Bill to Development Planning and Financing Group 15310 Amberly Drive Suite 175 Tampa FL 33647

QUANITY DESCRIPTION UNIT PRICE LINE TOTAL

Pressure wash the wall that parallels 19th avenue from 18th street to 24th street in Hawks Point CDD in Ruskin

$160000

All materials and labor is included

SUBTOTAL

SALES TAX

TOTAL $160000

Make all checks payable to Shazam Construction LLC

THANK YOU FOR YOUR BUSINESS

EXHIBIT 7

2019FORM 1 STATEMENT OF

Please print or type your name mailing FOR OFFICE USE ONLY FINANCIAL INTERESTS address agency name and position below

LAST NAME -- FIRST NAME -- MIDDLE NAME

MAILING ADDRESS

CITY ZIP COUNTY

NAME OF AGENCY

NAME OF OFFICE OR POSITION HELD OR SOUGHT

CHECK ONLY IF CANDIDATE OR NEW EMPLOYEE OR APPOINTEE

THIS SECTION MUST BE COMPLETED DISCLOSURE PERIOD THIS STATEMENT REFLECTS YOUR FINANCIAL INTERESTS FOR CALENDAR YEAR ENDING DECEMBER 31 2019

MANNER OF CALCULATING REPORTABLE INTERESTS FILERS HAVE THE OPTION OF USING REPORTING THRESHOLDS THAT ARE ABSOLUTE DOLLAR VALUES WHICH REQUIRES FEWER CALCULATIONS OR USING COMPARATIVE THRESHOLDS WHICH ARE USUALLY BASED ON PERCENTAGE VALUES (see instructions for further details) CHECK THE ONE YOU ARE USING (must check one)

COMPARATIVE (PERCENTAGE) THRESHOLDS OR DOLLAR VALUE THRESHOLDS

PART A -- PRIMARY SOURCES OF INCOME [Major sources of income to the reporting person - See instructions] (If you have nothing to report write none or na)

NAME OF SOURCE SOURCES DESCRIPTION OF THE SOURCES OF INCOME ADDRESS PRINCIPAL BUSINESS ACTIVITY

PART B -- SECONDARY SOURCES OF INCOME [Major customers clients and other sources of income to businesses owned by the reporting person - See instructions] (If you have nothing to report write none or na)

NAME OF NAME OF MAJOR SOURCES ADDRESS PRINCIPAL BUSINESS BUSINESS ENTITY OF BUSINESS INCOME OF SOURCE ACTIVITY OF SOURCE

PART C -- REAL PROPERTY [Land buildings owned by the reporting person - See instructions] You are not limited to the space on the (If you have nothing to report write none or na) lines on this form Attach additional

sheets if necessary

FILING INSTRUCTIONS for when and where to file this form are located at the bottom of page 2

INSTRUCTIONS on who must file this form and how to fill it out begin on page 3

CE FORM 1 - Effective January 1 2020 (Continued on reverse side) PAGE 1 Incorporated by reference in Rule 34-8202(1) FAC

FILING INSTRUCTIONS

IF ANY OF PARTS A THROUGH G ARE CONTINUED ON A SEPARATE SHEET PLEASE CHECK HERE

PART D mdash INTANGIBLE PERSONAL PROPERTY [Stocks bonds certificates of deposit etc - See instructions] (If you have nothing to report write none or na) TYPE OF INTANGIBLE BUSINESS ENTITY TO WHICH THE PROPERTY RELATES

PART E mdash LIABILITIES [Major debts - See instructions] (If you have nothing to report write none or na)

NAME OF CREDITOR ADDRESS OF CREDITOR

PART F mdash INTERESTS IN SPECIFIED BUSINESSES [Ownership or positions in certain types of businesses - See instructions] (If you have nothing to report write none or na)

BUSINESS ENTITY 1 BUSINESS ENTITY 2

NAME OF BUSINESS ENTITY

ADDRESS OF BUSINESS ENTITY

PRINCIPAL BUSINESS ACTIVITY

POSITION HELD WITH ENTITY

I OWN MORE THAN A 5 INTEREST IN THE BUSINESS

NATURE OF MY OWNERSHIP INTEREST

If you were mailed the form by the Commission on Ethics or a County Supervisor of Elections for your annual disclosure filing return the form to that location To determine what category your position falls under see page 3 of instructions Local officersemployees file with the Supervisor of Elections of the county in which they permanently reside (If you do not permanently reside in Florida file with the Supervisor of the county where your agency has its headquarters) Form 1 filers who file with the Supervisor of Elections may file by mail or email Contact your Supervisor of Elections for the mailing address or email address to use Do not email your form to the Commission on Ethics it will be returned State officers or specified state employees who file with the Commission on Ethics may file by mail or email To file by mail send the completed form to PO Drawer 15709 Tallahassee FL32317-5709 physical address 325 John Knox Rd Bldg E Ste 200 Tallahassee FL 32303 To file with the Commission by email scan your completed form and any attachments as a pdf (do not use any other format) send it to CEForm1legstateflus and retain a copy for your records Do not file by both mail and email Choose only one filing method Form 6s will not be accepted via email

Candidates file this form together with their filing papers MULTIPLE FILING UNNECESSARY A candidate who files a Form 1 with a qualifying officer is not required to file with the Commission or Supervisor of Elections WHEN TO FILE Initially each local officeremployee state officer and specified state employee must file within 30 days of the date of his or her appointment or of the beginning of employment Appointees who must be confirmed by the Senate must file prior to confirmation even if that is less than 30 days from the date of their appointment Candidates must file at the same time they file their qualifying papers Thereafter file by July 1 following each calendar year in which they hold their positions Finally file a final disclosure form (Form 1F) within 60 days of leaving office or employment Filing a CE Form 1F (Final Statement of Financial Interests) does not relieve the filer of filing a CE Form 1 if the filer was in his or her position on December 31 2019

SIGNATURE OF FILER Signature

____________________________________________

Date Signed

____________________________________________

CPA or ATTORNEY SIGNATURE ONLY If a certified public accountant licensed under Chapter 473 or attorney in good standing with the Florida Bar prepared this form for you he or she must complete the following statement

I _______________________________________ prepared the CE Form 1 in accordance with Section 1123145 Florida Statutes and the instructions to the form Upon my reasonable knowledge and belief the disclosure herein is true and correct

CPAAttorney Signature ______________________________

Date Signed _______________________________________

PART G mdash TRAINING For elected municipal officers required to complete annual ethics training pursuant to section 1123142 FS

I CERTIFY THAT I HAVE COMPLETED THE REQUIRED TRAINING

CE FORM 1 - Effective January 1 2020 PAGE 2 Incorporated by reference in Rule 34-8202(1) FAC

Examplesmdash You are the sole proprietor of a dry cleaning business fromwhich you received more than 10 of your gross incomemdashanamount that was more than $1500 If only one customer auniform rental company provided more than 10 of your drycleaning business you must list the name of the uniform rentalcompany its address and its principal business activity (uniform rentals) mdash You are a 20 partner in a partnership that owns a shopping mall and your partnership income exceeded the thresholds listed above You should list each tenant of the mall that provided more than 10 of the partnershiprsquos gross income and the tenantrsquos address and principal business activity

PART C mdash REAL PROPERTY[Required by s 1123145(3)(a)3 FS]In this part list the location or description of all real property in

Florida in which you owned directly or indirectly at any time during the disclosure period in excess of 5 of the propertyrsquos value You are not required to list your residences You should list any vacation homes if you derive income from them

Indirect ownership includes situations where you are abeneficiary of a trust that owns the property as well as situations where you own more than 5 of a partnership or corporation thatowns the property The value of the property may be determined by the most recently assessed value for tax purposes in the absence of a more current appraisal

The location or description of the property should be sufficient to enable anyone who looks at the form to identify the property Astreet address should be used if one exists PART D mdash INTANGIBLE PERSONAL PROPERTY

[Required by s 1123145(3)(a)3 FS]Describe any intangible personal property that at any time

during the disclosure period was worth more than 10 of your total assets and state the business entity to which the property related Intangible personal property includes things such as cash on hand stocks bonds certificates of deposit vehicle leases interests in businesses beneficial interests in trusts money owed you Deferred Retirement Option Program (DROP) accounts the Florida Prepaid College Plan and bank accounts Intangiblepersonal property also includes investment products held in IRAs brokerage accounts and the Florida College Investment Plan Note that the product contained in a brokerage account IRA or the Florida College Investment Plan is your assetmdashnot the account or plan itself Things like automobiles and houses you own jewelryand paintings are not intangible property Intangibles relating to the same business entity may be aggregated for example CDrsquos and savings accounts with the same bank

Calculations To determine whether the intangible property exceeds 10 of your total assets total the fair market value of all of your assets (including real property intangible property and tangible personal property such as jewelry furniture etc) When making this calculation do not subtract any liabilities (debts) that may relate to the property Multiply the total figure by 10 to arrive at the disclosure threshold List only the intangibles that exceed this threshold amount The value of a leased vehicle is the vehiclersquos present value minus the lease residual (a number which can be found on the lease document) Property that is only jointly owned property should be valued according to the percentage of your joint ownership Property owned as tenants by the entirety or as joint tenants with right of survivorship should be valued at 100 None of your calculations or the value of the property have to be disclosed on the form

Example You own 50 of the stock of a small corporation that is worth $100000 the estimated fair market value of your home and other property (bank accounts automobile furniture etc) is $200000 As your total assets are worth $250000 you must disclose intangibles worth over $25000 Since the value of the stock exceeds this threshold you should list ldquostockrdquo and the name of the corporation If your accounts with a particular bank exceed $25000 you should list ldquobank accountsrdquo and bankrsquos name

PART E mdash LIABILITIES[Required by s 1123145(3)(b)4 FS]List the name and address of each creditor to whom you owed

any amount that at any time during the disclosure period exceeded your net worth You are not required to list the amount of any debt or your net worth You do not have to disclose credit card and retail installment accounts taxes owed (unless reduced to a judgment) indebtedness on a life insurance policy owed to the company of issuance or contingent liabilities A ldquocontingent liabilityrdquo is one that will become an actual liability only when one or more future events occur or fail to occur such as where you are liable only as a guarantor surety or endorser on a promissory note If you are a ldquoco-makerrdquo and are jointly liable or jointly and severally liable it is not a contingent liability

Calculations To determine whether the debt exceeds your net worth total all of your liabilities (including promissory notes mortgages credit card debts judgments against you etc) Theamount of the liability of a vehicle lease is the sum of any past-due payments and all unpaid prospective lease payments Subtract the sum total of your liabilities from the value of all your assets as calculated above for Part D This is your ldquonet worthrdquo List each creditor to whom your debt exceeded this amount unless it is one of the types of indebtedness listed in the paragraph above (credit card and retail installment accounts etc) Joint liabilities with others for which you are ldquojointly and severally liablerdquo meaning that you may be liable for either your part or the whole of the obligation should be included in your calculations at 100 of the amount owed

Example You owe $15000 to a bank for student loans $5000 for credit card debts and $60000 (with spouse) to a savings and loan for a home mortgage Your home (owned by you and your spouse) is worth $80000 and your other property is worth $20000 Since your net worth is $20000 ($100000 minus $80000) you must report only the name and address of the savings and loan

PART F mdash INTERESTS IN SPECIFIED BUSINESSES[Required by s 1123145 FS]The types of businesses covered in this disclosure include

state and federally chartered banks state and federal savings and loan associations cemetery companies insurance companies mortgage companies credit unions small loan companies alcoholic beverage licensees pari-mutuel wagering companies utilitycompanies entities controlled by the Public Service Commission and entities granted a franchise to operate by either a city or acounty government

Disclose in this part the fact that you owned during the disclosure period an interest in or held any of certain positions with the types of businesses listed above You are required to make this disclosure if you own or owned (either directly orindirectly in the form of an equitable or beneficial interest) at any time during the disclosure period more than 5 of the total assets or capital stock of one of the types of business entities listed above You also must complete this part of the form for each of these types of businesses for which you are or were at any time during thedisclosure period an officer director partner proprietor or agent (other than a resident agent solely for service of process)

If you have or held such a position or ownership interest in one of these types of businesses list the name of the business its address and principal business activity and the position held with the business (if any) If you own(ed) more than a 5 interest in the business indicate that fact and describe the nature of your interest

PART G mdash TRAINING CERTIFICATION[Required by s 1123142 FS]If you are a Constitutional or elected municipal officer whose

service began before March 31 of the year for which you are filing you are required to complete four hours of ethics training which addresses Article II Section 8 of the Florida Constitution the Code of Ethics for Public Officers and Employees and the public records and open meetings laws of the state You are required to certify on this form that you have taken such training (End of Percentage Thresholds Instructions)

CE FORM 1 - Effective January 1 2020 Incorporated by reference in Rule 34-8202 FAC PAGE 6

NOTICE Annual Statements of Financial Interests are due July 1 If the annual form is not filed or postmarked by September 1 an automatic fine of $25 for each day late will be imposed up to a maximum penalty of $1500 Failure to file also can result in removal from public office or employment [s 1123145 FS]

In addition failure to make any required disclosure constitutes grounds for and may be punished by one or more of the following disqualification from being on the ballot impeachment removal or suspension from office or employment demotion reduction in salary reprimand or a civil penalty not exceeding $10000 [s 112317 FS]

WHO MUST FILE FORM 1 1) Elected public officials not serving in a political subdivision of the

state and any person appointed to fill a vacancy in such office unlessrequired to file full disclosure on Form 62) Appointed members of each board commission authority

or council having statewide jurisdiction excluding members of solelyadvisory bodies but including judicial nominating commission membersDirectors of Enterprise Florida Scripps Florida Funding Corporationand Career Source Florida and members of the Council on the Social Status of Black Men and Boys the Executive Director Governors and senior managers of Citizens Property Insurance CorporationGovernors and senior managers of Florida Workers Compensation JointUnderwriting Association board members of the Northeast Fla RegionalTransportation Commission board members of Triumph Gulf Coast Incboard members of Florida Is For Veterans Inc and members of the Technology Advisory Council within the Agency for State Technology3) The Commissioner of Education members of the State Board

of Education the Board of Governors the local Boards of Trustees and Presidents of state universities and the Florida Prepaid College Board 4) Persons elected to office in any political subdivision (such as

municipalities counties and special districts) and any person appointedto fill a vacancy in such office unless required to file Form 65) Appointed members of the following boards councils

commissions authorities or other bodies of county municipality schooldistrict independent special district or other political subdivision thegoverning body of the subdivision community college or junior collegedistrict boards of trustees boards having the power to enforce local codeprovisions boards of adjustment community redevelopment agenciesplanning or zoning boards having the power to recommend create ormodify land planning or zoning within a political subdivision except forcitizen advisory committees technical coordinating committees andsimilar groups who only have the power to make recommendationsto planning or zoning boards and except for representatives of a military installation acting on behalf of all military installations within thatjurisdiction pension or retirement boards empowered to invest pensionor retirement funds or determine entitlement to or amount of pensions orother retirement benefits and the Pinellas County Construction LicensingBoard 6) Any appointed member of a local government board who

is required to file a statement of financial interests by the appointingauthority or the enabling legislation ordinance or resolution creating theboard 7) Persons holding any of these positions in local government

mayor county or city manager chief administrative employee or finance

director of a county municipality or other political subdivision county or municipal attorney chief county or municipal building inspectorcounty or municipal water resources coordinator county or municipalpollution control director county or municipal environmental control director county or municipal administrator with power to grant or denya land development permit chief of police fire chief municipal clerkappointed district school superintendent community college presidentdistrict medical examiner purchasing agent (regardless of title) havingthe authority to make any purchase exceeding $35000 for the localgovernmental unit8) Officers and employees of entities serving as chief administrative

officer of a political subdivision9) Members of governing boards of charter schools operated by a

city or other public entity10) Employees in the office of the Governor or of a Cabinet member

who are exempt from the Career Service System excluding secretarialclerical and similar positions11) The following positions in each state department commission

board or council Secretary Assistant or Deputy Secretary ExecutiveDirector Assistant or Deputy Executive Director and anyone having thepower normally conferred upon such persons regardless of title12) The following positions in each state department or division

Director Assistant or Deputy Director Bureau Chief and any personhaving the power normally conferred upon such persons regardless oftitle 13) Assistant State Attorneys Assistant Public Defenders criminal

conflict and civil regional counsel and assistant criminal conflict and civilregional counsel Public Counsel full-time state employees serving ascounsel or assistant counsel to a state agency administrative law judgesand hearing officers14) The Superintendent or Director of a state mental health institute

established for training and research in the mental health field or anymajor state institution or facility established for corrections trainingtreatment or rehabilitation 15) State agency Business Managers Finance and Accounting

Directors Personnel Officers Grant Coordinators and purchasingagents (regardless of title) with power to make a purchase exceeding$35000 16) The following positions in legislative branch agencies each

employee (other than those employed in maintenance clerical secretarial or similar positions and legislative assistants exempted by the presiding officer of their house) and each employee of theCommission on Ethics

INSTRUCTIONS FOR COMPLETING FORM 1 INTRODUCTORY INFORMATION (Top of Form) If your name mailing address public agency and position are already printed on the form you do not need to provide this information unless it should be changed To change any of this information write the correct information on the form and contact your agencys financial disclosure coordinator You can find your coordinator on the Commission on Ethics website wwwethics stateflus NAME OF AGENCY The name of the governmental unit which you serve or served by which you are or were employed or for which you are a candidate DISCLOSURE PERIOD The ldquodisclosure periodrdquo for your report is the calendar year ending December 31 2019

OFFICE OR POSITION HELD OR SOUGHT The title of the office or position you hold are seeking or held during the disclosure period even if you have since left that position If you are a candidate for office or are a new employee or appointee check the appropriate box PUBLIC RECORD The disclosure form and everythingattached to it is a public record Your Social Security Number is not required and you should redact it from any documents you file If you are an active or former officer or employee listed in Section 119071 FS whose home address is exempt from disclosure the Commission will maintain that confidentiality if you submit a written request

CE FORM 1 - Effective January 1 2020 Incorporated by reference in Rule 34-8202 FAC PAGE 3

PART E mdash LIABILITIES[Required by s 1123145(3)(b)4 FS]List the name and address of each creditor to whom you owed more

than $10000 at any time during the disclosure period The amount of theliability of a vehicle lease is the sum of any past-due payments and allunpaid prospective lease payments You are not required to list the amountof any debt You do not have to disclose credit card and retail installmentaccounts taxes owed (unless reduced to a judgment) indebtedness ona life insurance policy owed to the company of issuance or contingentliabilities A ldquocontingent liabilityrdquo is one that will become an actual liabilityonly when one or more future events occur or fail to occur such as whereyou are liable only as a guarantor surety or endorser on a promissorynote If you are a ldquoco-makerrdquo and are jointly liable or jointly and severallyliable then it is not a contingent liability

PART F mdash INTERESTS IN SPECIFIED BUSINESSES[Required by s 1123145(6) FS]The types of businesses covered in this disclosure include state and

federally chartered banks state and federal savings and loan associationscemetery companies insurance companies mortgage companies creditunions small loan companies alcoholic beverage licensees pari-mutuelwagering companies utility companies entities controlled by the PublicService Commission and entities granted a franchise to operate by either acity or a county government

Disclose in this part the fact that you owned during the disclosure period aninterest in or held any of certain positions with the types of businesses listedabove You must make this disclosure if you own or owned (either directly orindirectly in the form of an equitable or beneficial interest) at any time duringthe disclosure period more than 5 of the total assets or capital stock ofone of the types of business entities listed above You also must completethis part of the form for each of these types of businesses for which youare or were at any time during the disclosure period an officer directorpartner proprietor or agent (other than a resident agent solely for service ofprocess)

If you have or held such a position or ownership interest in one ofthese types of businesses list the name of the business its address andprincipal business activity and the position held with the business (if any) Ifyou own(ed) more than a 5 interest in the business indicate that fact anddescribe the nature of your interest

PART G mdash TRAINING CERTIFICATION[Required by s 1123142 FS]If you are a Constitutional or elected municipal officer whose

service began before March 31 of the year for which you are filingyou are required to complete four hours of ethics training which addresses Article II Section 8 of the Florida Constitution the Codeof Ethics for Public Officers and Employees and the public recordsand open meetings laws of the state You are required to certify onthis form that you have taken such training

(End of Dollar Value Thresholds Instructions)

PART A mdash PRIMARY SOURCES OF INCOME[Required by s 1123145(3)(a)1 FS]Part A is intended to require the disclosure of your principal

sources of income during the disclosure period You do not haveto disclose any public salary or public position(s) but income from these public sources should be included when calculating your gross income for the disclosure period The income of your spouse need not be disclosed however if there is joint income to you and your spouse from property you own jointly (such as interest or dividends from a bank account or stocks) you should include all of that income when calculating your gross income and disclose the source of that income if it exceeded the threshold

Please list in this part of the form the name address and principal business activity of each source of your income whichexceeded 5 of the gross income received by you in your own name or by any other person for your benefit or use during the disclosure period

Gross income means the same as it does for income tax purposes even if the income is not actually taxable such as interest on tax-free bonds Examples include compensation for servicesincome from business gains from property dealings interest rents dividends pensions IRA distributions social security distributive share of partnership gross income and alimony but not child support

Examplesmdash If you were employed by a company that manufactures computers and received more than 5 of your gross income from the company list the name of the company its address and its principal business activity (computer manufacturing)mdash If you were a partner in a law firm and your distributive share of partnership gross income exceeded 5 of your gross income then list the name of the firm its address and its principal business activity (practice of law)mdash If you were the sole proprietor of a retail gift business andyour gross income from the business exceeded 5 of your total gross income list the name of the business its addressand its principal business activity (retail gift sales)mdash If you received income from investments in stocks and bonds list each individual company from which you derived

more than 5 of your gross income Do not aggregate all of your investment incomemdash If more than 5 of your gross income was gain from the sale of property (not just the selling price) list as a source of income the purchaserrsquos name address and principal business activityIf the purchasers identity is unknown such as where securities listed on an exchange are sold through a brokerage firm the source of income should be listed as sale of (name of company)stock for examplemdash If more than 5 of your gross income was in the form of interest from one particular financial institution (aggregatinginterest from all CDrsquos accounts etc at that institution) list the name of the institution its address and its principal business activity

PART B mdash SECONDARY SOURCES OF INCOME[Required by s 1123145(3)(a)2 FS]This part is intended to require the disclosure of major customers

clients and other sources of income to businesses in which you ownan interest It is not for reporting income from second jobs That kindof income should be reported in Part A Primary Sources of Incomeif it meets the reporting threshold You will not have anything to reportunless during the disclosure period

(1) You owned (either directly or indirectly in the form of anequitable or beneficial interest) more than 5 of the total assetsor capital stock of a business entity (a corporation partnershipLLC limited partnership proprietorship joint venture trust firmetc doing business in Florida) and(2) You received more than 10 of your gross income from thatbusiness entity and(3) You received more than $1500 in gross income from thatbusiness entity

If your interests and gross income exceeded these thresholds thenfor that business entity you must list every source of income to thebusiness entity which exceeded 10 of the business entityrsquos grossincome (computed on the basis of the business entityrsquos most recentlycompleted fiscal year) the sourcersquos address and the sourcersquosprincipal business activity

IF YOU HAVE CHOSEN COMPARATIVE (PERCENTAGE) THRESHOLDSTHE FOLLOWING INSTRUCTIONS APPLY

CE FORM 1 - Effective January 1 2020 Incorporated by reference in Rule 34-8202 FAC PAGE 5

MANNER OF CALCULATING REPORTABLE INTEREST Filers have the option of reporting based on either thresholds that are comparative (usually based on percentage values) or thresholds that are based on absolute dollar values The instructions on the following pages specifically describe the different thresholds Check the box that reflects the choice you have made You must use the type of threshold you have chosen for each part of the form In other words if you choose to report based on absolute dollar value thresholds you cannot use a percentage threshold on any part of the form

IF YOU HAVE CHOSEN DOLLAR VALUE THRESHOLDS THE FOLLOWING INSTRUCTIONS APPLY

PART A mdash PRIMARY SOURCES OF INCOME [Required by s 1123145(3)(b)1 FS] Part A is intended to require the disclosure of your principal

sources of income during the disclosure period You do not have todisclose any public salary or public position(s) The income of yourspouse need not be disclosed however if there is joint income toyou and your spouse from property you own jointly (such as interestor dividends from a bank account or stocks) you should disclose thesource of that income if it exceeded the threshold

Please list in this part of the form the name address andprincipal business activity of each source of your income whichexceeded $2500 of gross income received by you in your own name or by any other person for your use or benefit

Gross income means the same as it does for income tax purposes even if the income is not actually taxable such as interest on tax-free bonds Examples include compensation for servicesincome from business gains from property dealings interest rentsdividends pensions IRA distributions social security distributive share of partnership gross income and alimony but not child support

Examples mdash If you were employed by a company that manufacturescomputers and received more than $2500 list the name of thecompany its address and its principal business activity (computermanufacturing) mdash If you were a partner in a law firm and your distributive shareof partnership gross income exceeded $2500 list the name ofthe firm its address and its principal business activity (practice oflaw) mdash If you were the sole proprietor of a retail gift business and yourgross income from the business exceeded $2500 list the nameof the business its address and its principal business activity(retail gift sales) mdash If you received income from investments in stocks and bondslist each individual company from which you derived more than$2500 Do not aggregate all of your investment income mdash If more than $2500 of your gross income was gain from thesale of property (not just the selling price) list as a source ofincome the purchaserrsquos name address and principal businessactivity If the purchaserrsquos identity is unknown such as wheresecurities listed on an exchange are sold through a brokeragefirm the source of income should be listed as sale of (name of company) stock for example mdash If more than $2500 of your gross income was in the formof interest from one particular financial institution (aggregatinginterest from all CDrsquos accounts etc at that institution) list the name of the institution its address and its principal business activity

PART B mdash SECONDARY SOURCES OF INCOME [Required by s 1123145(3)(b)2 FS] This part is intended to require the disclosure of major customers

clients and other sources of income to businesses in which you own aninterest It is not for reporting income from second jobs That kind of incomeshould be reported in Part A Primary Sources of Income if it meets thereporting threshold You will not have anything to report unless during thedisclosure period

(1) You owned (either directly or indirectly in the form of an equitableor beneficial interest) more than 5 of the total assets or capitalstock of a business entity (a corporation partnership LLC limitedpartnership proprietorship joint venture trust firm etc doing business in Florida) and (2) You received more than $5000 of your gross income during thedisclosure period from that business entity

If your interests and gross income exceeded these thresholds then for thatbusiness entity you must list every source of income to the business entitywhich exceeded 10 of the business entityrsquos gross income (computed onthe basis of the business entitys most recently completed fiscal year) thesourcersquos address and the sources principal business activity

Examples mdash You are the sole proprietor of a dry cleaning business from whichyou received more than $5000 If only one customer a uniform rentalcompany provided more than 10 of your dry cleaning business youmust list the name of the uniform rental company its address and itsprincipal business activity (uniform rentals) mdash You are a 20 partner in a partnership that owns a shopping malland your partnership income exceeded the above thresholds List eachtenant of the mall that provided more than 10 of the partnershipsgross income and the tenants address and principal business activity

PART C mdash REAL PROPERTY [Required by s 1123145(3)(b)3 FS] In this part list the location or description of all real property in Florida

in which you owned directly or indirectly at any time during the disclosureperiod in excess of 5 of the propertyrsquos value You are not required to listyour residences You should list any vacation homes if you derive incomefrom them

Indirect ownership includes situations where you are a beneficiary of atrust that owns the property as well as situations where you own more than5 of a partnership or corporation that owns the property The value of theproperty may be determined by the most recently assessed value for taxpurposes in the absence of a more current appraisal

The location or description of the property should be sufficient toenable anyone who looks at the form to identify the property A streetaddress should be used if one exists

PART D mdash INTANGIBLE PERSONAL PROPERTY [Required by s 1123145(3)(b)3 FS] Describe any intangible personal property that at any time during the

disclosure period was worth more than $10000 and state the businessentity to which the property related Intangible personal property includesthings such as cash on hand stocks bonds certificates of deposit vehicleleases interests in businesses beneficial interests in trusts money owedyou Deferred Retirement Option Program (DROP) accounts the FloridaPrepaid College Plan and bank accounts Intangible personal propertyalso includes investment products held in IRAs brokerage accounts andthe Florida College Investment Plan Note that the product contained in a brokerage account IRA or the Florida College Investment Plan is yourassetmdashnot the account or plan itself Things like automobiles and housesyou own jewelry and paintings are not intangible property Intangiblesrelating to the same business entity may be aggregated for example CDsand savings accounts with the same bank Property owned as tenants bythe entirety or as joint tenants with right of survivorship should be valued at100 The value of a leased vehicle is the vehiclersquos present value minusthe lease residual (a number found on the lease document)

CE FORM 1 - Effective January 1 2020 Incorporated by reference in Rule 34-8202 FAC PAGE 4

PART A mdash PRIMARY SOURCES OF INCOME[Required by s 1123145(3)(b)1 FS]Part A is intended to require the disclosure of your principal

sources of income during the disclosure period You do not have todisclose any public salary or public position(s) The income of yourspouse need not be disclosed however if there is joint income t oyou and your spouse from property you own jointly (such as interestor dividends from a bank account or stocks) you should disclose thesource of that income if it exceeded the threshold

Please list in this part of the form the name address andprincipal business activity of each source of your income whichexceeded $2500 of gross income received by you in your own name or by any other person for your use or benefit

Gross income means the same as it does for income taxpurposes even if the income is not actually taxable such as intereston tax-free bonds Examples include compensation for servicesincome from business gains from property dealings interest rentsdividends pensions IRA distributions social security distributiveshare of partnership gross income and alimony but not child support

Examplesmdash If you were employed by a company that manufacturescomputers and received more than $2500 list the name of thecompany its address and its principal business activity (computermanufacturing)mdash If you were a partner in a law firm and your distributive shareof partnership gross income exceeded $2500 list the name ofthe firm its address and its principal business activity (practice oflaw)mdash If you were the sole proprietor of a retail gift business and yourgross income from the business exceeded $2500 list the nameof the business its address and its principal business activity(retail gift sales)mdash If you received income from investments in stocks and bondslist each individual company from which you derived more than$2500 Do not aggregate all of your investment incomemdash If more than $2500 of your gross income was gain from thesale of property (not just the selling price) list as a source o fincome the purchaserrsquos name address and principal businessactivity If the purchaserrsquos identity is unknown such as wheresecurities listed on an exchange are sold through a brokeragefirm the source of income should be listed as sale of (name of company) stock for examplemdash If more than $2500 of your gross income was in the formof interest from one particular financial institution (aggregatinginterest from all CDrsquos accounts etc at that institution) list thename of the institution its address and its principal business activity

PART B mdash SECONDARY SOURCES OF INCOME[Required by s 1123145(3)(b)2 FS]This part is intended to require the disclosure of major customers

clients and other sources of income to businesses in which you own aninterest It is not for reporting income from second jobs That kind of incomeshould be reported in Part A Primary Sources of Income if it meets thereporting threshold You will not have anything to report unless during thedisclosure period

(1) You owned (either directly or indirectly in the form of an equitableor beneficial interest) more than 5 of the total assets or capitalstock of a business entity (a corporation partnership LLC limitedpartnership proprietorship joint venture trust firm etc doing business in Florida) and(2) You received more than $5000 of your gross income during thedisclosure period from that business entity

If your interests and gross income exceeded these thresholds then for thatbusiness entity you must list every source of income to the business entitywhich exceeded 10 of the business entityrsquos gross income (computed onthe basis of the business entitys most recently completed fiscal year) thesourcersquos address and the sources principal business activity

Examplesmdash You are the sole proprietor of a dry cleaning business from whichyou received more than $5000 If only one customer a uniform rentalcompany provided more than 10 of your dry cleaning business youmust list the name of the uniform rental company its address and itsprincipal business activity (uniform rentals)mdash You are a 20 partner in a partnership that owns a shopping malland your partnership income exceeded the above thresholds List eachtenant of the mall that provided more than 10 of the partnershipsgross income and the tenants address and principal business activity

PART C mdash REAL PROPERTY[Required by s 1123145(3)(b)3 FS]In this part list the location or description of all real property in Florida

in which you owned directly or indirectly at any time during the disclosureperiod in excess of 5 of the propertyrsquos value You are not required to listyour residences You should list any vacation homes if you derive incomefrom them

Indirect ownership includes situations where you are a beneficiary of atrust that owns the property as well as situations where you own more than5 of a partnership or corporation that owns the property The value of theproperty may be determined by the most recently assessed value for taxpurposes in the absence of a more current appraisal

The location or description of the property should be sufficient toenable anyone who looks at the form to identify the property A streetaddress should be used if one exists

PART D mdash INTANGIBLE PERSONAL PROPERTY[Required by s 1123145(3)(b)3 FS]Describe any intangible personal property that at any time during the

disclosure period was worth more than $10000 and state the businessentity to which the property related Intangible personal property includesthings such as cash on hand stocks bonds certificates of deposit vehicleleases interests in businesses beneficial interests in trusts money owedyou Deferred Retirement Option Program (DROP) accounts the FloridaPrepaid College Plan and bank accounts Intangible personal propertyalso includes investment products held in IRAs brokerage accounts andthe Florida College Investment Plan Note that the product contained ina brokerage account IRA or the Florida College Investment Plan is yourassetmdashnot the account or plan itself Things like automobiles and housesyou own jewelry and paintings are not intangible property Intangiblesrelating to the same business entity may be aggregated for example CDsand savings accounts with the same bank Property owned as tenants bythe entirety or as joint tenants with right of survivorship should be valued at100 The value of a leased vehicle is the vehiclersquos present value minusthe lease residual (a number found on the lease document)

Filers have the option of reporting based on either thresholds that are comparative (usually based on percentage values) orthresholds that are based on absolute dollar values The instructions on the following pages specifically describe the differentthresholds Check the box that reflects the choice you have made You must use the type of threshold you have chosen for eachpart of the form In other words if you choose to report based on absolute dollar value thresholds you cannot use a percentagethreshold on any part of the form

MANNER OF CALCULATING REPORTABLE INTEREST

IF YOU HAVE CHOSEN DOLLAR VALUE THRESHOLDSTHE FOLLOWING INSTRUCTIONS APPLY

CE FORM 1 - Effective January 1 2020 Incorporated by reference in Rule 34-8202 FAC PAGE 4

PART E mdash LIABILITIES [Required by s 1123145(3)(b)4 FS] List the name and address of each creditor to whom you owed more

than $10000 at any time during the disclosure period The amount of theliability of a vehicle lease is the sum of any past-due payments and allunpaid prospective lease payments You are not required to list the amountof any debt You do not have to disclose credit card and retail installmentaccounts taxes owed (unless reduced to a judgment) indebtedness ona life insurance policy owed to the company of issuance or contingentliabilities A ldquocontingent liabilityrdquo is one that will become an actual liabilityonly when one or more future events occur or fail to occur such as whereyou are liable only as a guarantor surety or endorser on a promissorynote If you are a ldquoco-makerrdquo and are jointly liable or jointly and severallyliable then it is not a contingent liability

PART F mdash INTERESTS IN SPECIFIED BUSINESSES [Required by s 1123145(6) FS] The types of businesses covered in this disclosure include state and

federally chartered banks state and federal savings and loan associationscemetery companies insurance companies mortgage companies creditunions small loan companies alcoholic beverage licensees pari-mutuelwagering companies utility companies entities controlled by the PublicService Commission and entities granted a franchise to operate by either acity or a county government

Disclose in this part the fact that you owned during the disclosure period aninterest in or held any of certain positions with the types of businesses listedabove You must make this disclosure if you own or owned (either directly orindirectly in the form of an equitable or beneficial interest) at any time duringthe disclosure period more than 5 of the total assets or capital stock ofone of the types of business entities listed above You also must completethis part of the form for each of these types of businesses for which youare or were at any time during the disclosure period an officer directorpartner proprietor or agent (other than a resident agent solely for service ofprocess)

If you have or held such a position or ownership interest in one ofthese types of businesses list the name of the business its address andprincipal business activity and the position held with the business (if any) Ifyou own(ed) more than a 5 interest in the business indicate that fact anddescribe the nature of your interest

PART G mdash TRAINING CERTIFICATION [Required by s 1123142 FS] If you are a Constitutional or elected municipal officer whose

service began before March 31 of the year for which you are filingyou are required to complete four hours of ethics training which addresses Article II Section 8 of the Florida Constitution the Code of Ethics for Public Officers and Employees and the public recordsand open meetings laws of the state You are required to certify onthis form that you have taken such training

(End of Dollar Value Thresholds Instructions)

IF YOU HAVE CHOSEN COMPARATIVE (PERCENTAGE) THRESHOLDS THE FOLLOWING INSTRUCTIONS APPLY

PART A mdash PRIMARY SOURCES OF INCOME [Required by s 1123145(3)(a)1 FS] Part A is intended to require the disclosure of your principal

sources of income during the disclosure period You do not haveto disclose any public salary or public position(s) but income from these public sources should be included when calculating your gross income for the disclosure period The income of your spouse need not be disclosed however if there is joint income to you and your spouse from property you own jointly (such as interest or dividends from a bank account or stocks) you should include all of that income when calculating your gross income and disclose the source of that income if it exceeded the threshold

Please list in this part of the form the name address and principal business activity of each source of your income whichexceeded 5 of the gross income received by you in your own name or by any other person for your benefit or use during the disclosure period

Gross income means the same as it does for income tax purposes even if the income is not actually taxable such as interest on tax-free bonds Examples include compensation for servicesincome from business gains from property dealings interest rents dividends pensions IRA distributions social security distributive share of partnership gross income and alimony but not child support

Examples mdash If you were employed by a company that manufactures computers and received more than 5 of your gross income from the company list the name of the company its address and its principal business activity (computer manufacturing) mdash If you were a partner in a law firm and your distributive share of partnership gross income exceeded 5 of your gross income then list the name of the firm its address and its principal business activity (practice of law) mdash If you were the sole proprietor of a retail gift business andyour gross income from the business exceeded 5 of your total gross income list the name of the business its addressand its principal business activity (retail gift sales) mdash If you received income from investments in stocks and bonds list each individual company from which you derived

more than 5 of your gross income Do not aggregate all of your investment income mdash If more than 5 of your gross income was gain from the sale of property (not just the selling price) list as a source of income the purchaserrsquos name address and principal business activityIf the purchasers identity is unknown such as where securities listed on an exchange are sold through a brokerage firm the source of income should be listed as sale of (name of company)stock for example mdash If more than 5 of your gross income was in the form of interest from one particular financial institution (aggregatinginterest from all CDrsquos accounts etc at that institution) list the name of the institution its address and its principal business activity

PART B mdash SECONDARY SOURCES OF INCOME [Required by s 1123145(3)(a)2 FS] This part is intended to require the disclosure of major customers

clients and other sources of income to businesses in which you ownan interest It is not for reporting income from second jobs That kindof income should be reported in Part A Primary Sources of Incomeif it meets the reporting threshold You will not have anything to report unless during the disclosure period

(1) You owned (either directly or indirectly in the form of anequitable or beneficial interest) more than 5 of the total assetsor capital stock of a business entity (a corporation partnershipLLC limited partnership proprietorship joint venture trust firmetc doing business in Florida) and (2) You received more than 10 of your gross income from thatbusiness entity and (3) You received more than $1500 in gross income from thatbusiness entity

If your interests and gross income exceeded these thresholds thenfor that business entity you must list every source of income to thebusiness entity which exceeded 10 of the business entityrsquos grossincome (computed on the basis of the business entityrsquos most recentlycompleted fiscal year) the sourcersquos address and the sourcersquos principal business activity

CE FORM 1 - Effective January 1 2020 Incorporated by reference in Rule 34-8202 FAC PAGE 5

NOTICE Annual Statements of Financial Interests are due July 1 If the annual form is not filed or postmarked by September 1 an automatic fine of $25 for each day late will be imposed up to a maximum penalty of $1500 Failure to file also can result in removal from public office or employment [s 1123145 FS]

In addition failure to make any required disclosure constitutes grounds for and may be punished by one or more of the following disqualification from being on the ballot impeachment removal or suspension from office or employment demotion reduction in salary reprimand or a civil penalty not exceeding $10000 [s 112317 FS]

1) Elected public officials not serving in a political subdivision of thestate and any person appointed to fill a vacancy in such office unlessrequired to file full disclosure on Form 62) Appointed members of each board commission authority

or council having statewide jurisdiction excluding members of solelyadvisory bodies but including judicial nominating commission membersDirectors of Enterprise Florida Scripps Florida Funding Corporationand Career Source Florida and members of the Council on the SocialStatus of Black Men and Boys the Executive Director Governors and senior managers of Citizens Property Insurance CorporationGovernors and senior managers of Florida Workers Compensation JointUnderwriting Association board members of the Northeast Fla RegionalTransportation Commission board members of Triumph Gulf Coast Incboard members of Florida Is For Veterans Inc and members of theTechnology Advisory Council within the Agency for State Technology3) The Commissioner of Education members of the State Board

of Education the Board of Governors the local Boards of Trustees andPresidents of state universities and the Florida Prepaid College Board4) Persons elected to office in any political subdivision (such a s

municipalities counties and special districts) and any person appointedto fill a vacancy in such office unless required to file Form 65) Appointed members of the following boards councils

commissions authorities or other bodies of county municipality schooldistrict independent special district or other political subdivision thegoverning body of the subdivision community college or junior collegedistrict boards of trustees boards having the power to enforce local codeprovisions boards of adjustment community redevelopment agenciesplanning or zoning boards having the power to recommend create ormodify land planning or zoning within a political subdivision except forcitizen advisory committees technical coordinating committees andsimilar groups who only have the power to make recommendationsto planning or zoning boards and except for representatives of amilitary installation acting on behalf of all military installations within thatjurisdiction pension or retirement boards empowered to invest pensionor retirement funds or determine entitlement to or amount of pensions orother retirement benefits and the Pinellas County Construction LicensingBoard6) Any appointed member of a local government board who

is required to file a statement of financial interests by the appointingauthority or the enabling legislation ordinance or resolution creating theboard7) Persons holding any of these positions in local government

mayor county or city manager chief administrative employee or finance

director of a county municipality or other political subdivision countyor municipal attorney chief county or municipal building inspectorcounty or municipal water resources coordinator county or municipalpollution control director county or municipal environmental controldirector county or municipal administrator with power to grant or denya land development permit chief of police fire chief municipal clerkappointed district school superintendent community college presidentdistrict medical examiner purchasing agent (regardless of title) havingthe authority to make any purchase exceeding $35000 for the localgovernmental unit8) Officers and employees of entities serving as chief administrative

officer of a political subdivision9) Members of governing boards of charter schools operated by a

city or other public entity10) Employees in the office of the Governor or of a Cabinet member

who are exempt from the Career Service System excluding secretarialclerical and similar positions11) The following positions in each state department commission

board or council Secretary Assistant or Deputy Secretary ExecutiveDirector Assistant or Deputy Executive Director and anyone having thepower normally conferred upon such persons regardless of title12) The following positions in each state department or division

Director Assistant or Deputy Director Bureau Chief and any personhaving the power normally conferred upon such persons regardless oftitle13) Assistant State Attorneys Assistant Public Defenders criminal

conflict and civil regional counsel and assistant criminal conflict and civilregional counsel Public Counsel full-time state employees serving ascounsel or assistant counsel to a state agency administrative law judgesand hearing officers14) The Superintendent or Director of a state mental health institute

established for training and research in the mental health field or anymajor state institution or facility established for corrections trainingtreatment or rehabilitation15) State agency Business Managers Finance and Accounting

Directors Personnel Officers Grant Coordinators and purchasingagents (regardless of title) with power to make a purchase exceeding$3500016) The following positions in legislative branch agencies each

employee (other than those employed in maintenance clerical secretarial or similar positions and legislative assistants exemptedby the presiding officer of their house) and each employee of theCommission on Ethics

INSTRUCTIONS FOR COMPLETING FORM 1INTRODUCTORY INFORMATION (Top of Form) If your name mailing address public agency and position are already printed on the form you do not need to provide this information unless it should be changed To change any of this information write the correct information on the form and contact your agencys financial disclosure coordinator You can find your coordinator on the Commission on Ethics website wwwethicsstateflus NAME OF AGENCY The name of the governmental unit which you serve or served by which you are or were employed or for which you are a candidate DISCLOSURE PERIOD The ldquodisclosure periodrdquo for your report is the calendar year ending December 31 2019

OFFICE OR POSITION HELD OR SOUGHT The title of the office or position you hold are seeking or held during the disclosure period even if you have since left that position If you are a candidate for office or are a new employee or appointee check the appropriate boxPUBLIC RECORD The disclosure form and everythingattached to it is a public record Your Social Security Number is not required and you should redact it from any documents you file If you are an active or former officer or employee listed in Section 119071 FS whose home address is exempt from disclosure the Commission will maintain that confidentiality if you submit a written request

WHO MUST FILE FORM 1

CE FORM 1 - Effective January 1 2020 Incorporated by reference in Rule 34-8202 FAC PAGE 3

Examples PART E mdash LIABILITIES mdash You are the sole proprietor of a dry cleaning business from [Required by s 1123145(3)(b)4 FS]which you received more than 10 of your gross incomemdashan List the name and address of each creditor to whom you owed amount that was more than $1500 If only one customer a any amount that at any time during the disclosure period exceeded uniform rental company provided more than 10 of your dry your net worth You are not required to list the amount of any debt cleaning business you must list the name of the uniform rental or your net worth You do not have to disclose credit card and retail company its address and its principal business activity (uniform installment accounts taxes owed (unless reduced to a judgment) rentals) indebtedness on a life insurance policy owed to the company of mdash You are a 20 partner in a partnership that owns a shopping issuance or contingent liabilities A ldquocontingent liabilityrdquo is one mall and your partnership income exceeded the thresholds that will become an actual liability only when one or more future listed above You should list each tenant of the mall that events occur or fail to occur such as where you are liable only as provided more than 10 of the partnershiprsquos gross income and a guarantor surety or endorser on a promissory note If you are a the tenantrsquos address and principal business activity ldquoco-makerrdquo and are jointly liable or jointly and severally liable it is not

a contingent liability PART C mdash REAL PROPERTY Calculations To determine whether the debt exceeds your

[Required by s 1123145(3)(a)3 FS] net worth total all of your liabilities (including promissory notes mortgages credit card debts judgments against you etc) TheIn this part list the location or description of all real property in amount of the liability of a vehicle lease is the sum of any past-due Florida in which you owned directly or indirectly at any time during payments and all unpaid prospective lease payments Subtract the disclosure period in excess of 5 of the propertyrsquos value You the sum total of your liabilities from the value of all your assets are not required to list your residences You should list any vacation as calculated above for Part D This is your ldquonet worthrdquo List each homes if you derive income from them creditor to whom your debt exceeded this amount unless it is one of

Indirect ownership includes situations where you are a the types of indebtedness listed in the paragraph above (credit card beneficiary of a trust that owns the property as well as situations and retail installment accounts etc) Joint liabilities with others for where you own more than 5 of a partnership or corporation that which you are ldquojointly and severally liablerdquo meaning that you may owns the property The value of the property may be determined by be liable for either your part or the whole of the obligation should be the most recently assessed value for tax purposes in the absence included in your calculations at 100 of the amount owed of a more current appraisal

Example You owe $15000 to a bank for student loans $5000 The location or description of the property should be sufficient for credit card debts and $60000 (with spouse) to a savings to enable anyone who looks at the form to identify the property A and loan for a home mortgage Your home (owned by you and street address should be used if one exists your spouse) is worth $80000 and your other property is worth PART D mdash INTANGIBLE PERSONAL PROPERTY $20000 Since your net worth is $20000 ($100000 minus

$80000) you must report only the name and address of the [Required by s 1123145(3)(a)3 FS] savings and loan Describe any intangible personal property that at any time

during the disclosure period was worth more than 10 of your PART F mdash INTERESTS IN SPECIFIED BUSINESSES total assets and state the business entity to which the property [Required by s 1123145 FS] related Intangible personal property includes things such as cash on hand stocks bonds certificates of deposit vehicle leases The types of businesses covered in this disclosure include interests in businesses beneficial interests in trusts money owed state and federally chartered banks state and federal savings and you Deferred Retirement Option Program (DROP) accounts loan associations cemetery companies insurance companies the Florida Prepaid College Plan and bank accounts Intangible mortgage companies credit unions small loan companies alcoholic personal property also includes investment products held in IRAs beverage licensees pari-mutuel wagering companies utilitybrokerage accounts and the Florida College Investment Plan companies entities controlled by the Public Service Commission Note that the product contained in a brokerage account IRA or the and entities granted a franchise to operate by either a city or a Florida College Investment Plan is your assetmdashnot the account or county governmentplan itself Things like automobiles and houses you own jewelry Disclose in this part the fact that you owned during the and paintings are not intangible property Intangibles relating to the disclosure period an interest in or held any of certain positions same business entity may be aggregated for example CDrsquos and with the types of businesses listed above You are requiredsavings accounts with the same bank to make this disclosure if you own or owned (either directly or

Calculations To determine whether the intangible property indirectly in the form of an equitable or beneficial interest) at any exceeds 10 of your total assets total the fair market value of time during the disclosure period more than 5 of the total assets all of your assets (including real property intangible property and or capital stock of one of the types of business entities listed above tangible personal property such as jewelry furniture etc) When You also must complete this part of the form for each of these types making this calculation do not subtract any liabilities (debts) that of businesses for which you are or were at any time during themay relate to the property Multiply the total figure by 10 to arrive disclosure period an officer director partner proprietor or agent at the disclosure threshold List only the intangibles that exceed (other than a resident agent solely for service of process) this threshold amount The value of a leased vehicle is the vehiclersquos If you have or held such a position or ownership interest in present value minus the lease residual (a number which can be one of these types of businesses list the name of the business its found on the lease document) Property that is only jointly owned address and principal business activity and the position held with property should be valued according to the percentage of your the business (if any) If you own(ed) more than a 5 interest in the joint ownership Property owned as tenants by the entirety or as business indicate that fact and describe the nature of your interest joint tenants with right of survivorship should be valued at 100 None of your calculations or the value of the property have to be PART G mdash TRAINING CERTIFICATIONdisclosed on the form

[Required by s 1123142 FS] Example You own 50 of the stock of a small corporation that is worth $100000 the estimated fair market value of If you are a Constitutional or elected municipal officer whoseyour home and other property (bank accounts automobile service began before March 31 of the year for which you are filing furniture etc) is $200000 As your total assets are worth you are required to complete four hours of ethics training which $250000 you must disclose intangibles worth over $25000 addresses Article II Section 8 of the Florida Constitution the Code Since the value of the stock exceeds this threshold you of Ethics for Public Officers and Employees and the public records should list ldquostockrdquo and the name of the corporation If your and open meetings laws of the state You are required to certify on accounts with a particular bank exceed $25000 you should this form that you have taken such training list ldquobank accountsrdquo and bankrsquos name

(

End of Percentage Thresholds Instructions) CE FORM 1 - Effective January 1 2020 Incorporated by reference in Rule 34-8202 FAC PAGE 6

  • 0 HP Cover Page v2
  • 1 Hawks Point Meeting Invite Draft v2
  • 2 Agenda Draft v3
  • 3 EXHIBIT 1
  • 7 HP 05-19-2020 Meeting Minutes Approved
  • 6 EXHIBIT 2
  • 9 HP May FY20 Fin
  • 8 EXHIBIT 3
  • 4 Vacant Position Qualification Requirements for Hawks Point CDD
    • Vacant Position on the Board of Supervisors of the Hawkrsquos Point Community Development District
      • Qualification Requirements
      • Instructions for Interested Candidates
      • Additional Notes
          • 5 Shami Choon Vacant Position - updated 11-5-11 resume
            • 1803 Oak Pond Street Ruskin Fl 33570 E-mailchoons27gmailcom
              • PROFESSIONAL HISTORY
                • Operations Manager Florida Distribution 2002 ndash 2005
                • Operations Manager for Florida Branch Distribution 1999 ndash 2002
                • Warehouse Manager of Miami Distribution Center 1998 ndash 1999
                • Branch Manager of West Palm Beach 1994 ndash 1998
                • Assistant Branch Manager 1991 ndash 1994
                • Customer Service Agent 1990 ndash 1991
                  • 10 EXHIBIT 4
                  • 11 New Business - Hawks Point CDD - MI proposal
                  • 12 EXHIBIT 5
                  • 13 CertaPro Proposal to Paint Exterior Wall 18th to 24th Avenue
                  • 14 Shazam Construction Proposal to Paint Exterior Wall 18th to 24th Street
                    • QUOTE
                      • TO
                          • 15 Photo to accompany Shazam Proposal
                          • 16 EXHIBIT 6
                          • 17 CertaPro Proposal for Pressure Washing Exterior Wall 18th St to 24th Street
                          • 18 Shazam Construction Proposal for Pressure Washing Exterion Wall 18th Street to 24th Street
                            • QUOTE
                              • TO
                                  • 19 EXHIBIT 7
                                  • 20 Form 1_2019i
                                      1. LAST NAME
                                      2. FIRST NAME
                                      3. MIDDLE NAME
                                      4. MAILING ADDRESS ROW 1
                                      5. MAILING ADDRESS ROW 2
                                      6. CITY
                                      7. ZIP
                                      8. COUNTY
                                      9. NAME OF AGENCY
                                      10. NAME OF OFFICE OR POSITION HELD OR SOUGHT
                                      11. CANDIDATE Off
                                      12. NEW EMPLOYEE OR APPOINTEE Off
                                      13. COMPARATIVE (PERCENTAGE) THRESHOLDS Off
                                      14. DOLLAR VALUE THRESHOLDS Off
                                      15. NAME OF SOURCE INCOME ROW 1
                                      16. ADDRESS ROW 1
                                      17. DESCRIPTION OF THE SOURCES PRINCIPAL BUSINESS ACTIVITY ROW 1
                                      18. NAME OF SOURCE INCOME ROW 2
                                      19. ADDRESS ROW 2
                                      20. DESCRIPTION OF THE SOURCES PRINCIPAL BUSINESS ACTIVITY ROW 2
                                      21. NAME OF SOURCE INCOME ROW 3
                                      22. ADDRESS ROW 3
                                      23. DESCRIPTION OF THE SOURCES PRINCIPAL BUSINESS ACTIVITY ROW 3
                                      24. NAME OF SOURCE INCOME ROW 4
                                      25. ADDRESS ROW 4
                                      26. DESCRIPTION OF THE SOURCES PRINCIPAL BUSINESS ACTIVITY ROW 4
                                      27. NAME OF BUSINESS ENTITY ROW 1
                                      28. NAME OF MAJOR SOURCES OF BUSINESS INCOME ROW 1
                                      29. ADDRESS OF SOURCE ROW 1
                                      30. PRINCIPAL BUSINESS ACTIVITY OF SOURCE ROW 1
                                      31. NAME OF BUSINESS ENTITY ROW 2
                                      32. NAME OF MAJOR SOURCES OF BUSINESS INCOME ROW 2
                                      33. ADDRESS OF SOURCE ROW 2
                                      34. PRINCIPAL BUSINESS ACTIVITY OF SOURCE ROW 2
                                      35. NAME OF BUSINESS ENTITY ROW 3
                                      36. NAME OF MAJOR SOURCES OF BUSINESS INCOME ROW 3
                                      37. ADDRESS OF SOURCE ROW 3
                                      38. PRINCIPAL BUSINESS ACTIVITY OF SOURCE ROW 3
                                      39. REAL PROPERTY ROW 1
                                      40. REAL PROPERTY ROW 2
                                      41. REAL PROPERTY ROW 3
                                      42. REAL PROPERTY ROW 4
                                      43. TYPE OF INTANGIBLE ROW 1
                                      44. BUSINESS ENTITY TO WHICH THE PROPERTY RELATES ROW 1
                                      45. TYPE OF INTANGIBLE ROW 2
                                      46. BUSINESS ENTITY TO WHICH THE PROPERTY RELATES ROW 2
                                      47. NAME OF CREDITOR ROW 1
                                      48. ADDRESS OF CREDITOR ROW 1
                                      49. NAME OF CREDITOR ROW 2
                                      50. ADDRESS OF CREDITOR ROW 2
                                      51. ADDRESS OF BUSINESS ENTITY 1
                                      52. PRINCIPAL BUSINESS ACTIVITY 1
                                      53. POSITION HELD WITH ENTITY 1
                                      54. I OWN MORE THAN A 5 INTEREST IN THE BUSINESS 1
                                      55. NATURE OF MY OWNERSHIP INTEREST 1
                                      56. ADDRESS OF BUSINESS ENTITY 2
                                      57. PRINCIPAL BUSINESS ACTIVITY 2
                                      58. POSITION HELD WITH ENTITY 2
                                      59. I OWN MORE THAN A 5 INTEREST IN THE BUSINESS 2
                                      60. NATURE OF MY OWNERSHIP INTEREST 2
                                      61. FOR ELECTED MUNICIPAL OFFICERS REQUIRED TO COMPLETE ANNUAL ETHICS TRAINING PURSUANT TO SECTION 112
                                        1. 3142 F
                                          1. S Off
                                              1. IF ANY OF PARTS A THROUGH G ARE CONTINUED ON A SEPARATE SHEET PLEASE CHECK HERE Off
                                              2. SIGNATURE
                                              3. Date Signed
Page 13: HAWKS POINT COMMUNITY DEVELOPMENT …...2020/06/16  · Hawks Point Community Development District Board of Supervisors Meeting Tuesday, June 16th at 6:30 PM via Zoom All: We welcome

DEBT

GENERAL SERVICE CONSOLIDATED

FUND SERIES 2017 TOTAL

1 ASSETS

2

3 CASH 66142$ -$ 66142$

4 MMK 456665 - 456665

5 INVESTMENTS

6 REVENUE FUND - 203538 203538

7 INTEREST FUNDS - 195 195

8 PRINCIPAL FUNDS - - -

9 SINKING FUNDS - 1 1

11 RESERVE - 266003 266003

12 ACCOUNTS RECEIVABLE 2588 - 2588

13 ASSESMENTS RECEIVABLE 2781 3237 6018

14 DUE FROM GF - 172 172

15 PREPAID ITEMS - - -

16 DEPOSITS 451 - 451

17 TOTAL ASSETS 528627$ 473145$ 1001772$

18

19 LIABILITIES

20

21 ACCOUNTS PAYABLE 537$ -$ 537$

22 DUE TO DEBT SERVICE SERIES 2017 172 - 172

23 ACCRUED INTEREST PAYABLE DS 2017 - - -

24 DEFERRED REVENUE 2781 3237 6018

26

27 FUND EQUITY

28

29 RESTRICTED FOR

30 DEBT SERVICE - 469908 469908

32 ASSIGNED 1 QTR OPER 71304 - 71304

33 ASSIGNED FY 2018 INC IN RESERVES 15650 - 15650

34 ASSIGNED FY 2019 INC IN RESERVES 22500 - 22500

35 UNASSIGNED 415683 - 415683 36

37 TOTAL LIABILITIES amp FUND EQUITY 528627$ 473145$ 1001772$

Hawks Point CDDBalance Sheet

May 31 2020

Note GASB 34 government wide financial statements are available in the annual independent audit of the District The audit is

available on the website and upon request

Page 2

FY2020 VARIANCE

ADOPTED BUDGET ACTUAL FAVORABLE

BUDGET YEAR-TO-DATE YEAR-TO-DATE (UNFAVORABLE)

1 REVENUE

2

3 ASSESSMENT ON ROLL (NET) 453615$ 453615$ 450924$ (2691)$

4 ASSESSMENT ON ROLL EXCESS FEES - - - -

5 INTEREST REVENUE - - 1594 1594

6 MISCELLANEOUS REVENUE - - - -

7 ELECTRICITY COST SHARE WITH THE HOA 1600 1067 2633 1566

8 TOTAL REVENUE 455215 454682 455152 470

9

10 EXPENDITURES

11

12 ADMINISTRATIVE

13 BOARD OF SUPERVISORS 12000 8000 5539 2461

14 PAYROLL TAXES 918 612 503 109

15 PAYROLL SERVICE FEE 625 417 392 25

16 MANAGEMENT CONSULTING SERVICES 40000 26667 26667 -

17 GENERAL ADMINISTRATIVE 4800 3200 3200 -

18 MISCELLANEOUS 500 333 - 333

19 AUDITING 3200 3200 - 3200

20 REGULATORY AND PERMIT FEES 175 175 175 -

21 LEGAL ADVERTISEMENTS 1500 1000 1386 (386)

22 ENGINEERING SERVICES 5000 3333 1896 1437

23 LEGAL SERVICES - GENERAL 7500 5000 2895 2105

24 WEBSITE ADMINISTRATION 2265 2165 1749 416

25 TOTAL ADMINISTRATIVE 78483 54102 44401 9701

26

27 INSURANCE

28 INSURANCE (Liability Property amp Casualty) 6050 6050 5638 412

29 TOTAL INSURANCE 6050 6050 5638 412

30

31 DEBT SERVICE ADMINISTRATION

32 DISSEMINATION AGENT 1000 1000 1000 -

33 TRUSTEE FEES 10500 - - -

34 TRUST FUND ACCOUNTING 1500 1000 1000 -

35 ARBITRAGE 650 - - -

36 ASSESSMENT ADMINISTRATION 5000 5000 5000 -

37 TOTAL DEBT SERVICE ADMINISTRATION 18650 7000 7000 -

38

39 UTILITIES

40 ELECTRICITY-IRRIGATION 2928 1952 1191 761

41 TOTAL UTILITIES 2928 1952 1191 761

42

43 FIELD OPERATIONS

44 IRRIGATION MAINTENANCE amp REPAIRS 10000 6667 3960 2706

45 POND MONITORING amp MAINTENANCE 17700 10325 10325 -

46 POND PLANTINGS 5000 5000 - 5000

47 WETLAND MONITORING 7120 5340 1780 3560

48 LANDSCAPE MAINTENANCE 129000 86000 88400 (2400)

49 LANDSCAPE REPLENISHMENT 119898 79932 6520 73412

50 TREE TRIMMING 16800 11200 - 11200

51 STREETLIGHTS 2000 1333 - 1333

52 MISCELLANEOUS FIELD EXPENSES 18586 12391 8886 3504

53 CAPITAL PROJECTS - WELL DRILLING amp PUMP INSTALL - - 18165 (18165)

54 RESERVE - PAINT PERIMITER WALL - - 6350 (6350)

55 TOTAL FIELD OPERATIONS 326104 218188 144386 73802

Hawks Point

General Fund

Statement of Revenues Expenditures and Changes in Fund Balance

For the period from October 1 2019 through April 30 2020

Preliminary

Page 3

FY2020 VARIANCE

ADOPTED BUDGET ACTUAL FAVORABLE

BUDGET YEAR-TO-DATE YEAR-TO-DATE (UNFAVORABLE)

Hawks Point

General Fund

Statement of Revenues Expenditures and Changes in Fund Balance

For the period from October 1 2019 through April 30 2020

Preliminary

56

57 TOTAL EXPENDITURES BEFORE RESERVES 432215 287292 202616 84675

58

59 INCREASE FOR RESERVES 23000 - - -

60 INCREASE IN FUND BALANCE - - - -

61

62

63 TOTAL EXPENDITURES AFTER RESERVE 455215 287292 202616 84675

64

65 EXCESS OF REVENUE OVER (UNDER) EXPENDITURES - 167390 252535 85145

66

67 FUND BALANCE - BEGINNING 269666 269666 272602 272602

68 DECREASE IN FUND BALANCE - - - -

69 INCREASE IN RESERVE 23000 - - -

70 FUND BALANCE - ENDING 292666$ 437056$ 525137$ 357747$

71

72

73 FY 2018FY 2019 - Irrigation System Grounding Phased 15544$

74 FY 2018 - Perimieter Wall Paint Applications 5815

75 FY 2019 - Reserve Study Update 1100

77 FY 2020 - Irrigation System-Clocks 6442

Total Replacement Expenses for Reserves 28901$

Reserve Expenditure Components

Page 4

FY 2020 VARIANCE

ADOPTED BUDGET ACTUAL FAVORABLE

BUDGET YEAR-TO-DATE YEAR-TO-DATE (UNFAVORABLE)

1 REVENUE

2 ASSESSMENTS - ON-ROLL (Gross) 561051$ 527388$ 524922$ (2466)$

3 ASSESSMENTS - ON-ROLL EXCESS FEES - - - -

4 FUND BALANCE FORWARD - - - -

5 INTEREST - INVESTMENT - - 3703 3703

6 DISCOUNT (22442) - - -

7 TOTAL REVENUE 538609 527388 528624 1236

8

9

10 EXPENDITURES

11

12 PRINCIPAL

13 512020 235000 - 235000 (235000)

14 INTEREST EXPENSE

15 1112019 - - 144238 (144238)

16 512020 144238 - 144238 (144238)

17 1112020 140075 - - -

18 COUNTY COLLECTION CHARGES 11221 - - -

19 TOTAL EXPENDITURES 530534 - 523475 (523475)

20

21 EXCESS OF REVENUE OVER (UNDER) EXPENDITURES 8075 527388 5149 (522239)

22

23 OTHER FINANCING SOURCES (USES)

24 TRANSFER IN - - - -

25 TRANSFER OUT (USES) - - - -

26 TOTAL OTHER FINANCING SOURCES (USES) - - - -

27

28 NET CHANGE IN FUND BALANCE 8075 527388 5149 (522239)

29

30 FUND BALANCE - BEGINNING - - 464759 464759

31 FUND BALANCE APPROPRIATED - - - -

32

33 FUND BALANCE - ENDING 8075$ 527388$ 469908$ (57480)$

Hawks Point CDD

Debt Service - Series 2017

Statement of Revenues Expenditures and Changes in Fund Balance

For the period from October 1 2019 through April 30 2020

Page 5

Bank United

Balance Per Bank Statement 7549415$

Plus Deposits in Transit -

Less Outstanding Checks (935250)

Adjusted Bank Balance 6614165$

Beginning Bank Balance Per Books 4251943$

Cash Receipts 5000350

Cash Disbursements (2638128)

Balance Per Books 6614165$

Hawks Point CDD

Bank Reconciliation (GF)

May 31 2020

Page 6

Date Num Name Memo Receipts Disbursements Balance

Bank United EOY Balance 9460943

10012019 9035 DPFG MANAGEMENT amp CONSULTING LLC CDD Mgmt - October 385833 9075110

10022019 Hawks Point West HOA 2019-245- HPW 18866 9093976

10082019 646 Hawks Point HOA 2019245 - HPA 21225 9115201

10082019 Hawks Point West HOA 201956 - HPW 208516 9323717

10082019 1115 Egis Insurance amp Risk Advisors Ins - FY 2020 563800 8759917

10112019 9036 JAYMAN ENTERPRISES LLC Replace Bulbs at Entrances Rcvd 10119 23000 8736917

10112019 9037 Landscape Maintenance Professionals Inc Landscape Maint - October 1105000 7631917

10162019 1116 FLORIDA DEPT OF ECONOMIC OPPORTUNIT Annual Filing FY 2020 17500 7614417

10182019 9041 TAMPA BAY TIMES Legal Ad - Meeting Schedule 55200 7559217

10212019 9038 DPFG MANAGEMENT amp CONSULTING LLC Special Assessment - FY 2020 Continuing Disclosure ADA Compliance 650000 6909217

10212019 9039 JAYMAN ENTERPRISES LLC Replace Bulbs 7000 6902217

10212019 9040 STANTEC CONSULTING SERVICES INC Lake amp Pond Maint - Sept 10500 6891717

10242019 ACH102419 TAMPA ELECTRIC 830-930 - 1416 Little Hawk Dr 7637 6884080

10242019 ACH1024192 TAMPA ELECTRIC 830-930 - 2160 Golden Falcon Dr 7083 6876997

10242019 000652 Hawks Point HOA 20197-HPA 4921 6881918

10252019 694003DD ANDREW HERON Bos Mtg - 101519 18470 6863448

10252019 ACH102519 Innovative Employer Soltuions Bos Mtg - 101519 17140 6846308

10252019 694005DD KAREN OBRIEN Bos Mtg - 101519 18470 6827838

10252019 694004DD SHERRI KEENE Bos Mtg - 101519 18470 6809368

10252019 694002DD WILLIAM J HATHAWAY Bos Mtg - 101519 18470 6790898

10312019 Bank United Interest 691 6791589

Bank United EOM Balance 254219 2923573 6791589

11012019 9042 DPFG MANAGEMENT amp CONSULTING LLC CDD Mgmt - November 385833 6405756

11012019 9043 STANTEC CONSULTING SERVICES INC Lake amp Pond Maint - Pond 201-19 amp 21 - Sept 274000 6131756

11012019 9044 STRALEY ROBIN VERICKER Legal Svcs thru 101519 65999 6065757

11122019 1117 HAWKS POINT CDD DS 2017 Tax Collection Share co Wells Fargo 762290 5303467

11152019 9045 Landscape Maintenance Professionals Inc Landscape Maint - November amp Irrigation Repairs 1229369 4074098

11152019 9046 STANTEC CONSULTING SERVICES INC Lake amp Pond Maint - Oct 333600 3740498

11202019 9048 TAMPA BAY TIMES Legal Ad - Audit Meeting 42050 3698448

11222019 9047 STANTEC CONSULTING SERVICES INC Lake amp Pond Maint - Pond 20 - Oct 10500 3687948

11252019 ACH1125191 TAMPA ELECTRIC 101-1030 - 1416 Little Hawk Dr 7431 3680517

11252019 ACH1125192 TAMPA ELECTRIC 101-1030 - 2160 Golden Falcon Dr 8753 3671764

11292019 703783DD ANDREW HERON Bos Mtg - 111919 18470 3653294

11292019 ACH112919 Innovative Employer Soltuions Bos Mtg - 111919 20200 3633094

11292019 703785DD KAREN OBRIEN Bos Mtg - 111919 18470 3614624

11292019 703781DD MARIE CHANTAL COPELAND Bos Mtg - 111919 18470 3596154

11292019 703784DD SHERRI KEENE Bos Mtg - 111919 18470 3577684

11292019 703782DD WILLIAM J HATHAWAY Bos Mtg - 111919 18470 3559214

11302019 Bank United Interest 450 3559664

Bank United EOM Balance 450 3232375 3559664

12022019 9049 DPFG MANAGEMENT amp CONSULTING LLC CDD Mgmt - December 385833 3173831

12042019 694 Hawks Point HOA 20198-HPA 5105 3178936

12042019 503 Hawks Point West HOA 20197-HPW amp 20198-HPW 7388 3186324

12042019 1118 Site Masters of Florida LLC Investigation of pipe discharge Townhome Yard Drain Blockage 150000 3036324

12112019 9050 Illuminations Holiday Lighting Electrical Fix Holiday Lights - Deposit 261250 2775074

12132019 Bank United Funds Transfer - MMK to Opt Acct 4500000 7275074

12132019 Bank United Funds Transfer - MMK to Opt Acct 50834407 58109481

12162019 9055 TAMPA BAY TIMES Legal Ad - RFP Auditing Svc 36100 58073381

12182019 9051 Flatwoods Environmental Cut amp Dispose Brazilian Pepper 396500 57676881

12182019 9052 Landscape Maintenance Professionals Inc Landscape Maint - December 1105000 56571881

12182019 9053 STANTEC CONSULTING SERVICES INC Misc Environmental Services 137000 56434881

12182019 9054 STRALEY ROBIN VERICKER Legal Svcs thru 111519 57500 56377381

12182019 1119 HAWKS POINT CDD DS 2017 Tax Collection Share co Wells Fargo 49544765 6832616

12182019 1120 Innersync ADA Compliant website 124942 6707674

12262019 ACH1226191 TAMPA ELECTRIC 1031-122 - 2160 Golden Falcon Dr 8771 6698903

12262019 ACH1226192 TAMPA ELECTRIC 1031-1202 - 1416 Little Hawk Dr 9315 6689588

12272019 711993DD ANDREW HERON Bos Mtg - 121719 18470 6671118

12272019 ACH122719 Innovative Employer Soltuions Bos Mtg - 121719 20200 6650918

12272019 711995DD KAREN OBRIEN Bos Mtg - 121719 18470 6632448

12272019 711991DD MARIE CHANTAL COPELAND Bos Mtg - 121719 18470 6613978

12272019 711994DD SHERRI KEENE Bos Mtg - 121719 18470 6595508

12272019 711992DD WILLIAM J HATHAWAY Bos Mtg - 121719 18470 6577038

12312019 Bank United Interest 3091 6580129

Bank United EOM Balance 55349991 52329526 6580129

01022020 9056 DPFG MANAGEMENT amp CONSULTING LLC CDD Mgmt - January 385833 6194296

01082020 9057 Landscape Maintenance Professionals Inc Station decoders 82908 6111388

01082020 9058 STRALEY ROBIN VERICKER Legal Svcs thru 121519 10000 6101388

01102020 9159 Landscape Maintenance Professionals Inc Landscape Maint - January 1105000 4996388

01102020 9160 Mike White LLC Entry Monument repair 54119 4942269

01132020 1121 HAWKS POINT CDD DS 2017 Tax Collection Share co Wells Fargo 868256 4074013

01172020 9161 Illuminations Holiday Lighting Holiday Lights - Balance Due 231250 3842763

01172020 000534 Hawks Point West HOA 20201-HPW 4493 3847256

01272020 1122 STANTEC CONSULTING SERVICES INC Pond Maint - December Engineering Svcs thru 122719 353400 3493856

01272020 ACH012720 TAMPA ELECTRIC 123-1231 - 2160 Golden Falcon Dr 8116 3485740

01272020 ACH0127202 TAMPA ELECTRIC 1203-1231 - 1416 Little Hawk Dr 6682 3479058

01312020 072704 Innovative Employer Soltuions Bos Mtg - 12120 17140 3461918

01312020 721948DD KAREN OBRIEN Bos Mtg - 12120 18470 3443448

01312020 721945DD MARIE CHANTAL COPELAND Bos Mtg - 12120 18470 3424978

01312020 721947DD SHERRI KEENE Bos Mtg - 12120 18470 3406508

01312020 721946DD WILLIAM J HATHAWAY Bos Mtg - 12120 18470 3388038

01312020 Bank United Interest 1406 3389444

Bank United EOM Balance 5899 3196584 3389444

02052020 1124 DPFG MANAGEMENT amp CONSULTING LLC CDD Mgmt - February 385833 3003611

02052020 1125 Landscape Maintenance Professionals Inc Landscape Maint - February 1105000 1898611

02052020 1126 TAMPA ELECTRIC 101-1030 - 1416 Little Hawk Dr 308 1898303

02252020 1127 Landscape Maintenance Professionals Inc Landscape Maint - March 1105000 793303

02252020 02252020ACH TAMPA ELECTRIC 11-130 - 1416 Little Hawk Dr 7840 785463

02252020 02252020ACH TAMPA ELECTRIC 11-130 - 2160 Golden Falcon Dr 9092 776371

02282020 02182020ACH Innovative Employer Soltuions Bos Mtg - 21820 14080 762291

02282020 730271DD MARIE CHANTAL COPELAND Bos Mtg - 21820 18470 743821

02282020 730273DD SHERRI KEENE Bos Mtg - 21820 18470 725351

02282020 7302272DD WILLIAM J HATHAWAY Bos Mtg - 21820 18470 706881

02292020 Bank United Interest 203 707084

HAWKS POINT CDDCASH REGISTER

FY 2020

Page 7

Date Num Name Memo Receipts Disbursements Balance

HAWKS POINT CDDCASH REGISTER

FY 2020

Bank United EOM Balance 203 2682563 707084

03042020 1128 DPFG MANAGEMENT amp CONSULTING LLC CDD Mgmt - March 385833 321251

03122020 1129 STANTEC CONSULTING SERVICES INC Engineering Svcs thru 012420 73950 247301

03122020 ACH032520 TAMPA ELECTRIC 13120 - 22820 - 2160 Golden Falcon Dr 8527 238774

03122020 ACH0325202 TAMPA ELECTRIC 013120 - 22820 - 1416 Little Hawk Dr 6592 232182

03192020 BankUnited Funds Transfer 5000000 5232182

03192020 1130 HAWKS POINT CDD DS 2017 Tax Collection Share co Wells Fargo thru 030420 1437199 3794983

03242020 1131 Landscape Maintenance Professionals Inc Pencil Pruning of Crape Myrtles Landscape Maint -042020 1360500 2434483

03242020 1132 STANTEC CONSULTING SERVICES INC Pond Maint - January Feb 295000 2139483

03242020 1133 STRALEY ROBIN VERICKER Legal Svcs thru 021520 23250 2116233

03272020 1134 DPFG MANAGEMENT amp CONSULTING LLC CDD Mgmt - April 2020 385833 1730400

03272020 1135 Landscape Maintenance Professionals Inc Irrigation Inspection repairs 74858 1655542

03312020 BankUnited Interest 200 1655742

Bank United EOM Balance 5000200 4051542 1655742

04082020 1136 Accurate Drilling Solutions Service call - 032520 - Replacement for Controller on pump 4 60234 1595508

04082020 1137 STANTEC CONSULTING SERVICES INC Engineering Svcs thru 032020 61250 1534258

04082020 1138 STRALEY ROBIN VERICKER Legal Svcs thru 031520 93270 1440988

04082020 1139 TAMPA ELECTRIC 229-330 - Electricity 16915 1424073

04162020 1140 HAWKS POINT CDD DS 2017 Tax Collection Share co Wells Fargo thru 041320 298431 1125642

04232020 BankUnited Funds Transfer 5000000 6125642

04232020 1141 Accurate Drilling Solutions Well Drilling and new pump system installation 1816480 4309162

04282020 1142 STRALEY ROBIN VERICKER Legal Svcs thru 041520 57460 4251702

04302020 BankUnited Interest 241 4251943

Bank United EOM Balance 5000241 2404040 4251943

05012020 1143 DPFG MANAGEMENT amp CONSULTING LLC CDD Mgmt - May 2020 385833 3866110

05012020 ACH050120 Innovative Employer Soltuions Bos Mtg - 42120 14080 3852030

05012020 747666DD MARIE CHANTAL COPELAND Bos Mtg - 42120 18470 3833560

05012020 747667DD WILLIAM J HATHAWAY Bos Mtg - 42120 18470 3815090

05012020 747668DD SHERRI KEENE Bos Mtg - 42120 18470 3796620

05082020 ACH050820 Innovative Employer Soltuions Bos Mtg - 42120 8620 3788000

05082020 1 Caryn Williams BOS 04212020 18470 3769530

05112020 1144 Landscape Maintenance Professionals Inc Landscape Maint -052020 1105000 2664530

05112020 1145 STANTEC CONSULTING SERVICES INC Engineering Svcs thru 042420 25400 2639130

05112020 1146 TAMPA ELECTRIC 330-429 - Electricity 19915 2619215

05212020 1147 BUSINESS OBSERVER Legal Ad - Notice of Qualifying Period 51520 5250 2613965

05212020 1148 CertaPro Painters Paint exterior wall 24th to 30th Street 635000 1978965

05212020 1149 STANTEC CONSULTING SERVICES INC Pond Maint - March-April 295000 1683965

05292020 BankUnited Funds Transfer 5000000 6683965

05292020 755486DD Caryn Williams Bos Mtg - 51920 18470 6665495

05292020 ACH052920 Innovative Employer Soltuions Bos Mtg - 51920 14740 6650755

05292020 755485DD SHERRI KEENE Bos Mtg - 51920 18470 6632285

05292020 755484DD WILLIAM J HATHAWAY Bos Mtg - 51920 18470 6613815

05312020 BankUnited Interest 350 6614165

Bank United EOM Balance 5000350 2638128 6614165

Page 8

EXHIBIT 3

Vacant Position on the Board of Supervisors of the Hawkrsquos Point Community Development District The Hawkrsquos Point Community Development District (CDD) is soliciting interested candidates to fill a vacant position on the Board of Supervisors of the CDD (Board) The CDD is a local unit of special-purpose government which is created pursuant to Chapter 190 Florida Statutes The Board is comprised of 5 members who are public officials who are normally elected on the November General Elections who serve in staggered terms The vacancy is a result of a resignation of a board member due to a relocation The remaining term of the vacant supervisorrsquos seat is through November 2022

Qualification Requirements

1 Resident of the CDD

2 At least 18 years of age

3 Citizen of the United States

4 Legal resident of Florida and of the CDD

5 Registered to vote with the Hillsborough County Supervisor of Elections

Instructions for Interested Candidates

Interested candidates must submit a letter of interest and resume to Raymondlotitodpfgcom by 4 pm on Friday June 5 2020 The subject line in the email should read ldquoVacant Position on the Board of Supervisors of the Hawkrsquos Point CDDrdquo

The Letter of Interest must contain

1 A statement stating why you believe you are well suited for the position

2 Your vision for the CDD and what you would like to see the Community evolve into Please be specific

The Resume must contain

1 Your academic background and professional experience

2 Previous and current experience with governmental agencies and governing boards

Interested candidates should attend the Board meeting on Tuesday June 16 2020 at 630 pm and present a brief presentation about themselves and be prepared for a brief question and answer period with the current Board members

Additional Notes

The current Board members will discuss the candidates and may make an appointment at the June meeting If the Board cannot come to a consensus on one candidate or if they determine to not appoint any candidate to the vacant seat they may revisit the vacancy at a future meeting or leave the seat vacant until the November 2022 General Election

Please note that the person appointed to serve in the vacant seat will be required to submit a financial disclosure statement to the State and will be subject to Floridarsquos Government in the Sunshine Laws Public Records laws and Ethics laws

1

Sookdeo (Shami) Choon Phone number (813) 731-5564 1803 Oak Pond Street Ruskin Fl 33570 E-mailchoons27gmailcom

PROFESSIONAL HISTORY Firkins GroupGarber Nissan December 2013 to Present Commercial Vehicle Sales ManagerFinance Manager Auto Nation From January 2006 to December 2013 Sales 2006- 2007 Finance Manager 2007- 2008 Sales Manager Training Manager 2008-2009 Sales Finance 2009- 2011 Commercial Sales Manager Finance Manager 2011- 2020 Parts Depot Inc From 1990 to 2005 ___________________________________________________________________________________________ Operations Manager Florida Distribution 2002 ndash 2005 bull Responsible for total inventory control of all Florida warehouses frac12 of the corporationrsquos revenue bull Directed top management to complete acquisition consolidations which resulted in the corporationrsquos

expansion bull Managed all Florida branch warehouse managers and employees totaling 200 employees bull Increased productivity and shipping efficiency in all departments developed new delivery logistics

improved product availability to all customers as well a hired and efficiently trained employees bull Reviewed all customer service statistics daily and contacted customer directly on all issues bull Reviewed PampLrsquos for all units monthly bull Presented weekly productivity and financial reports to senior management bull Directed DOT monthly guidelines maintained driver files in accordance with DOT regulations and

implemented loss prevention programs Operations Manager for Florida Branch Distribution 1999 ndash 2002 bull Improved customer service by increasing product availability to customers by implementing new

delivery logistics bull Developed employee training implemented safety awareness and monthly safety programs Warehouse Manager of Miami Distribution Center 1998 ndash 1999 bull Developed and implemented productivity guidelines implemented delivery cost saving programs

and improved product availability to the corporationrsquos customers Branch Manager of West Palm Beach 1994 ndash 1998 bull Responsible for the opening of this new branch set the building layout as well as the delivery and

logistics systems

2

bull Increased sales by 80 over budget and kept operating cost as of sales Implemented new customer service department Hired and trained all employees

Assistant Branch Manager 1991 ndash 1994 bull Increased productivity by 20 and improved delivery service Customer Service Agent 1990 ndash 1991 bull Created and implemented customer service guidelines Wingate Automotive Group 1987ndash 1990 Trinidad amp Tobago Government National Security 1984- 1987 Field Operation

EXHIBIT 4

PO Box 267 Seffner FL 33583 O 813-757-6500 F 813-757-6501 Estimate

Submitted To Hawks Point CDD 250 International Parkway Suite 280 Lake Mary FL 32746

CDD - controller 4 - zones 1 and 2

Date 5232020

Estimate 66077

LMP REPRESENTATIVE

DG-TI

PO

W ork Order

DESCRIPTION QTY COST TOTAL

Controller 4 34 inch poly pipe 34 inch poly pipe clamps Labor 2 men $ 8500 per hour

Irrigation inspection repairs needed Repair 6 - 34 inch poly pipe line leaks

6 12 05

072 129

8500

432 1548 4250

TERMS AND CONDITIONS TOTAL $6230

LMP reserves the right to withdraw this proposal if not accepted within 30 days of the date listed above Any alteration or deviation to scope of work involving additional costs must be agreed upon in writing as a separate proposal or change order to this proposal Periodic invoices may be submitted if job is substantial in nature with final invoice being submitted at completion of project Any work performed requiring more than 5 days to complete is subject to progressive payments as portions of the work are completed No finance charge will be imposed if the total of said work is paid in full within 30 days of invoice date If not paid in full within 30 days then customer is subject to finance charges on the balance of the work from the invoice date at a rate of 15 per month until paid LMP shall have the right to stop work under this contract until all outstanding amounts including finance charges are paid in full Payments will be applied to the oldest invoices

ACCEPTANCE OF PROPOSAL The above prices scope of work and terms and conditions are hereby satisfactorily agreed upon LMP Inc has been authorized to perform the work as outlined and payment will be made as outlined above The above pricing does not include any unforeseen modifications to the said irrigation system that could not be reasonably accounted for prior to job start All plant material carries a one (1) year warranty provided LMP Inc is performing landscape maintenance services to the area installed or enhanced at the time of installation If not then there is no warranty on the plant material

OWNER AGENT

DATE

EXHIBIT 5

Independent Franchise Owner Job TBE8F300154 Terry Beamer 9266 Lazy Ln

Date 06012020

EXTERIOR PROPOSALEXTERIOR PROPOSALEXTERIOR PROPOSALEXTERIOR PROPOSAL Tampa FL 33614 813-936-9242

Fax 813 936-9172

1-800-462-3782

License PA2508

Full Workers Compensation Coverage$2000000 General Liability Insurance

DPFG Management amp Consulting LLC (Hawks Point) Raymond Lotito (SB) Hawks Point CDD Ruskin FL 33570 Phone 813-418-7473 Cell 813-220-6089 Email raymondlotitodpfgcom

Special Notes CERTAPRO PAINTERS WILL PAINT WALL FACING 19ST FROM 18TH-24TH

SPECIAL ATTENTION ADDRESSING STUCCO CRACKS USING CONCRETE AND MASONRY PATCH

SPECIAL ATTENTION PRESSURE WASHING LOOSE PEELING PAINT PRIOR TO PAINTING

CERTAPRO PAINTERS WILL ONLY PAINT STREET FACING SIDE- HOMEOWNERS SIDE EXCLUDED FROM PROPOSAL

CUSTOMER RESPONSIBILITIES Please cut back all shrubs bushes and palms away from wall

GENERAL DESCRIPTION Painting to Exterior Wall 18th-24th Facing 19th Ave

PREPARATION Washing To remove dirt mildew and loose paint so the new finish coat will adhere properly

Caulking To fill all cracks and gaps around windows and doorswood work to seal out moisture and drafts Stair step

cracks

Scraping Scrape all loose and peeling paint to ensure a firm base for the new paint

Masonry Repair to all cracks gaps and holes with elastemeric caulking or masonry patch as required

Sanding To degloss where necessary to promote adhesion of the top coat

Surface TypeArea Primer PurposePRIMING

Masonry Loxon sealerprimer Latex For propor top coat adhesion

Conditioner Loxon sealerprimer to all Latex For proper top coat adhesion

masonry surfaces

FINISH COATS

Surface Area

Exterior

ManufacturePaint Type

Sherwin Williams Resilience Ext Satin

Coats

1 primer-sealer 1 spray 1 backroll stucco

Color

Same As Existing

Clean Up Daily and upon completion

$1132900 All Labor Paint Materials

$1132900 TOTAL

Signature of Authorized Franchise Representative Date

Payment is due In Full upon Job Completion

(IWE HAVE READ THE TERMS STATED HEREIN THEY HAVE (IWE) HAVE EXAMINED THE JOB STATED HEREIN THEY EXPLAINED TO (MEUS) AND (IWE) FIND THEM TO BE HAVE SHOWN TO (MEUS) AND (IWE) FIND THE JOB TO SATISFACTORY AND HEREBY ACCEPT THEM BE SATISFACTORY AND HEREBY ACCEPT THE JOB AS

COMPLETE

SIGNATURE Date SIGNATURE Date

QUOTE

Shazam Construction LLC DATE MAY 13 2020

Shazam Hera 6773 Waterton Drive Riverview FL 33578 813-385-4591 ShazamConstructionLLCgmailcom Hawks Point CDD

TO Bill to Development Planning and Financing Group 15310 Amberly Drive Suite 175 Tampa FL 33647

QUANITY DESCRIPTION UNIT PRICE LINE TOTAL

Pressure wash the wall that parallels 19th avenue from 18th street to 24th street in Hawks Point CDD in Ruskin

$1270000

Repair any cracks with caulk or elastomeric as neededPrep for paint

Paint the wall that parallels 19th avenue from 18th street to 24th street in Hawks Point CDD in Ruskin

Paint using body trim and caps of exterior wall facing 19th avenue

Paint while matching existing colors

Paint using Sherwin Williams

All paint materials and labor is included

SUBTOTAL

SALES TAX

TOTAL $1270000

Make all checks payable to Shazam Construction LLC

THANK YOU FOR YOUR BUSINESS

EXHIBIT 6

Independent Franchise Owner Job TB443B00157 Terry Beamer 9266 Lazy Ln

Date 06052020

EXTERIOR PROPOSALEXTERIOR PROPOSALEXTERIOR PROPOSALEXTERIOR PROPOSAL Tampa FL 33614 813-936-9242

Fax 813 936-9172

1-800-462-3782

License PA2508

Full Workers Compensation Coverage$2000000 General Liability Insurance

DPFG Management amp Consulting LLC (Hawks Point) Raymond Lotito (SB) Hawks Point CDD Ruskin FL 33570 Phone 813-418-7473 Cell 813-220-6089 Email raymondlotitodpfgcom

Special Notes CERTAPRO PAINTERS PRESSURE WASHING PROPOSAL 18TH-24TH

CERTAPRO PAINTERS WILL PRESSURE WASH WALL FACING 19TH ST ONLY

GENERAL DESCRIPTION Painting to

PREPARATION Washing To remove dirt mildew and loose paint so the new finish coat will adhere properly

PRIMING Surface TypeArea Primer Purpose

Clean Up Daily and upon completion

All Labor Paint Materials

TOTAL

$195000

$195000

Signature of Authorized Franchise Representative Date

Payment is due In Full upon Job Completion

(IWE HAVE READ THE TERMS STATED HEREIN THEY HAVE (IWE) HAVE EXAMINED THE JOB STATED HEREIN THEY EXPLAINED TO (MEUS) AND (IWE) FIND THEM TO BE HAVE SHOWN TO (MEUS) AND (IWE) FIND THE JOB TO SATISFACTORY AND HEREBY ACCEPT THEM BE SATISFACTORY AND HEREBY ACCEPT THE JOB AS

COMPLETE

SIGNATURE Date SIGNATURE Date

QUOTE

Shazam Construction LLC DATE JUNE 5 2020

Shazam Hera 6773 Waterton Drive Riverview FL 33578 813-385-4591 ShazamConstructionLLCgmailcom Hawks Point CDD

TO Bill to Development Planning and Financing Group 15310 Amberly Drive Suite 175 Tampa FL 33647

QUANITY DESCRIPTION UNIT PRICE LINE TOTAL

Pressure wash the wall that parallels 19th avenue from 18th street to 24th street in Hawks Point CDD in Ruskin

$160000

All materials and labor is included

SUBTOTAL

SALES TAX

TOTAL $160000

Make all checks payable to Shazam Construction LLC

THANK YOU FOR YOUR BUSINESS

EXHIBIT 7

2019FORM 1 STATEMENT OF

Please print or type your name mailing FOR OFFICE USE ONLY FINANCIAL INTERESTS address agency name and position below

LAST NAME -- FIRST NAME -- MIDDLE NAME

MAILING ADDRESS

CITY ZIP COUNTY

NAME OF AGENCY

NAME OF OFFICE OR POSITION HELD OR SOUGHT

CHECK ONLY IF CANDIDATE OR NEW EMPLOYEE OR APPOINTEE

THIS SECTION MUST BE COMPLETED DISCLOSURE PERIOD THIS STATEMENT REFLECTS YOUR FINANCIAL INTERESTS FOR CALENDAR YEAR ENDING DECEMBER 31 2019

MANNER OF CALCULATING REPORTABLE INTERESTS FILERS HAVE THE OPTION OF USING REPORTING THRESHOLDS THAT ARE ABSOLUTE DOLLAR VALUES WHICH REQUIRES FEWER CALCULATIONS OR USING COMPARATIVE THRESHOLDS WHICH ARE USUALLY BASED ON PERCENTAGE VALUES (see instructions for further details) CHECK THE ONE YOU ARE USING (must check one)

COMPARATIVE (PERCENTAGE) THRESHOLDS OR DOLLAR VALUE THRESHOLDS

PART A -- PRIMARY SOURCES OF INCOME [Major sources of income to the reporting person - See instructions] (If you have nothing to report write none or na)

NAME OF SOURCE SOURCES DESCRIPTION OF THE SOURCES OF INCOME ADDRESS PRINCIPAL BUSINESS ACTIVITY

PART B -- SECONDARY SOURCES OF INCOME [Major customers clients and other sources of income to businesses owned by the reporting person - See instructions] (If you have nothing to report write none or na)

NAME OF NAME OF MAJOR SOURCES ADDRESS PRINCIPAL BUSINESS BUSINESS ENTITY OF BUSINESS INCOME OF SOURCE ACTIVITY OF SOURCE

PART C -- REAL PROPERTY [Land buildings owned by the reporting person - See instructions] You are not limited to the space on the (If you have nothing to report write none or na) lines on this form Attach additional

sheets if necessary

FILING INSTRUCTIONS for when and where to file this form are located at the bottom of page 2

INSTRUCTIONS on who must file this form and how to fill it out begin on page 3

CE FORM 1 - Effective January 1 2020 (Continued on reverse side) PAGE 1 Incorporated by reference in Rule 34-8202(1) FAC

FILING INSTRUCTIONS

IF ANY OF PARTS A THROUGH G ARE CONTINUED ON A SEPARATE SHEET PLEASE CHECK HERE

PART D mdash INTANGIBLE PERSONAL PROPERTY [Stocks bonds certificates of deposit etc - See instructions] (If you have nothing to report write none or na) TYPE OF INTANGIBLE BUSINESS ENTITY TO WHICH THE PROPERTY RELATES

PART E mdash LIABILITIES [Major debts - See instructions] (If you have nothing to report write none or na)

NAME OF CREDITOR ADDRESS OF CREDITOR

PART F mdash INTERESTS IN SPECIFIED BUSINESSES [Ownership or positions in certain types of businesses - See instructions] (If you have nothing to report write none or na)

BUSINESS ENTITY 1 BUSINESS ENTITY 2

NAME OF BUSINESS ENTITY

ADDRESS OF BUSINESS ENTITY

PRINCIPAL BUSINESS ACTIVITY

POSITION HELD WITH ENTITY

I OWN MORE THAN A 5 INTEREST IN THE BUSINESS

NATURE OF MY OWNERSHIP INTEREST

If you were mailed the form by the Commission on Ethics or a County Supervisor of Elections for your annual disclosure filing return the form to that location To determine what category your position falls under see page 3 of instructions Local officersemployees file with the Supervisor of Elections of the county in which they permanently reside (If you do not permanently reside in Florida file with the Supervisor of the county where your agency has its headquarters) Form 1 filers who file with the Supervisor of Elections may file by mail or email Contact your Supervisor of Elections for the mailing address or email address to use Do not email your form to the Commission on Ethics it will be returned State officers or specified state employees who file with the Commission on Ethics may file by mail or email To file by mail send the completed form to PO Drawer 15709 Tallahassee FL32317-5709 physical address 325 John Knox Rd Bldg E Ste 200 Tallahassee FL 32303 To file with the Commission by email scan your completed form and any attachments as a pdf (do not use any other format) send it to CEForm1legstateflus and retain a copy for your records Do not file by both mail and email Choose only one filing method Form 6s will not be accepted via email

Candidates file this form together with their filing papers MULTIPLE FILING UNNECESSARY A candidate who files a Form 1 with a qualifying officer is not required to file with the Commission or Supervisor of Elections WHEN TO FILE Initially each local officeremployee state officer and specified state employee must file within 30 days of the date of his or her appointment or of the beginning of employment Appointees who must be confirmed by the Senate must file prior to confirmation even if that is less than 30 days from the date of their appointment Candidates must file at the same time they file their qualifying papers Thereafter file by July 1 following each calendar year in which they hold their positions Finally file a final disclosure form (Form 1F) within 60 days of leaving office or employment Filing a CE Form 1F (Final Statement of Financial Interests) does not relieve the filer of filing a CE Form 1 if the filer was in his or her position on December 31 2019

SIGNATURE OF FILER Signature

____________________________________________

Date Signed

____________________________________________

CPA or ATTORNEY SIGNATURE ONLY If a certified public accountant licensed under Chapter 473 or attorney in good standing with the Florida Bar prepared this form for you he or she must complete the following statement

I _______________________________________ prepared the CE Form 1 in accordance with Section 1123145 Florida Statutes and the instructions to the form Upon my reasonable knowledge and belief the disclosure herein is true and correct

CPAAttorney Signature ______________________________

Date Signed _______________________________________

PART G mdash TRAINING For elected municipal officers required to complete annual ethics training pursuant to section 1123142 FS

I CERTIFY THAT I HAVE COMPLETED THE REQUIRED TRAINING

CE FORM 1 - Effective January 1 2020 PAGE 2 Incorporated by reference in Rule 34-8202(1) FAC

Examplesmdash You are the sole proprietor of a dry cleaning business fromwhich you received more than 10 of your gross incomemdashanamount that was more than $1500 If only one customer auniform rental company provided more than 10 of your drycleaning business you must list the name of the uniform rentalcompany its address and its principal business activity (uniform rentals) mdash You are a 20 partner in a partnership that owns a shopping mall and your partnership income exceeded the thresholds listed above You should list each tenant of the mall that provided more than 10 of the partnershiprsquos gross income and the tenantrsquos address and principal business activity

PART C mdash REAL PROPERTY[Required by s 1123145(3)(a)3 FS]In this part list the location or description of all real property in

Florida in which you owned directly or indirectly at any time during the disclosure period in excess of 5 of the propertyrsquos value You are not required to list your residences You should list any vacation homes if you derive income from them

Indirect ownership includes situations where you are abeneficiary of a trust that owns the property as well as situations where you own more than 5 of a partnership or corporation thatowns the property The value of the property may be determined by the most recently assessed value for tax purposes in the absence of a more current appraisal

The location or description of the property should be sufficient to enable anyone who looks at the form to identify the property Astreet address should be used if one exists PART D mdash INTANGIBLE PERSONAL PROPERTY

[Required by s 1123145(3)(a)3 FS]Describe any intangible personal property that at any time

during the disclosure period was worth more than 10 of your total assets and state the business entity to which the property related Intangible personal property includes things such as cash on hand stocks bonds certificates of deposit vehicle leases interests in businesses beneficial interests in trusts money owed you Deferred Retirement Option Program (DROP) accounts the Florida Prepaid College Plan and bank accounts Intangiblepersonal property also includes investment products held in IRAs brokerage accounts and the Florida College Investment Plan Note that the product contained in a brokerage account IRA or the Florida College Investment Plan is your assetmdashnot the account or plan itself Things like automobiles and houses you own jewelryand paintings are not intangible property Intangibles relating to the same business entity may be aggregated for example CDrsquos and savings accounts with the same bank

Calculations To determine whether the intangible property exceeds 10 of your total assets total the fair market value of all of your assets (including real property intangible property and tangible personal property such as jewelry furniture etc) When making this calculation do not subtract any liabilities (debts) that may relate to the property Multiply the total figure by 10 to arrive at the disclosure threshold List only the intangibles that exceed this threshold amount The value of a leased vehicle is the vehiclersquos present value minus the lease residual (a number which can be found on the lease document) Property that is only jointly owned property should be valued according to the percentage of your joint ownership Property owned as tenants by the entirety or as joint tenants with right of survivorship should be valued at 100 None of your calculations or the value of the property have to be disclosed on the form

Example You own 50 of the stock of a small corporation that is worth $100000 the estimated fair market value of your home and other property (bank accounts automobile furniture etc) is $200000 As your total assets are worth $250000 you must disclose intangibles worth over $25000 Since the value of the stock exceeds this threshold you should list ldquostockrdquo and the name of the corporation If your accounts with a particular bank exceed $25000 you should list ldquobank accountsrdquo and bankrsquos name

PART E mdash LIABILITIES[Required by s 1123145(3)(b)4 FS]List the name and address of each creditor to whom you owed

any amount that at any time during the disclosure period exceeded your net worth You are not required to list the amount of any debt or your net worth You do not have to disclose credit card and retail installment accounts taxes owed (unless reduced to a judgment) indebtedness on a life insurance policy owed to the company of issuance or contingent liabilities A ldquocontingent liabilityrdquo is one that will become an actual liability only when one or more future events occur or fail to occur such as where you are liable only as a guarantor surety or endorser on a promissory note If you are a ldquoco-makerrdquo and are jointly liable or jointly and severally liable it is not a contingent liability

Calculations To determine whether the debt exceeds your net worth total all of your liabilities (including promissory notes mortgages credit card debts judgments against you etc) Theamount of the liability of a vehicle lease is the sum of any past-due payments and all unpaid prospective lease payments Subtract the sum total of your liabilities from the value of all your assets as calculated above for Part D This is your ldquonet worthrdquo List each creditor to whom your debt exceeded this amount unless it is one of the types of indebtedness listed in the paragraph above (credit card and retail installment accounts etc) Joint liabilities with others for which you are ldquojointly and severally liablerdquo meaning that you may be liable for either your part or the whole of the obligation should be included in your calculations at 100 of the amount owed

Example You owe $15000 to a bank for student loans $5000 for credit card debts and $60000 (with spouse) to a savings and loan for a home mortgage Your home (owned by you and your spouse) is worth $80000 and your other property is worth $20000 Since your net worth is $20000 ($100000 minus $80000) you must report only the name and address of the savings and loan

PART F mdash INTERESTS IN SPECIFIED BUSINESSES[Required by s 1123145 FS]The types of businesses covered in this disclosure include

state and federally chartered banks state and federal savings and loan associations cemetery companies insurance companies mortgage companies credit unions small loan companies alcoholic beverage licensees pari-mutuel wagering companies utilitycompanies entities controlled by the Public Service Commission and entities granted a franchise to operate by either a city or acounty government

Disclose in this part the fact that you owned during the disclosure period an interest in or held any of certain positions with the types of businesses listed above You are required to make this disclosure if you own or owned (either directly orindirectly in the form of an equitable or beneficial interest) at any time during the disclosure period more than 5 of the total assets or capital stock of one of the types of business entities listed above You also must complete this part of the form for each of these types of businesses for which you are or were at any time during thedisclosure period an officer director partner proprietor or agent (other than a resident agent solely for service of process)

If you have or held such a position or ownership interest in one of these types of businesses list the name of the business its address and principal business activity and the position held with the business (if any) If you own(ed) more than a 5 interest in the business indicate that fact and describe the nature of your interest

PART G mdash TRAINING CERTIFICATION[Required by s 1123142 FS]If you are a Constitutional or elected municipal officer whose

service began before March 31 of the year for which you are filing you are required to complete four hours of ethics training which addresses Article II Section 8 of the Florida Constitution the Code of Ethics for Public Officers and Employees and the public records and open meetings laws of the state You are required to certify on this form that you have taken such training (End of Percentage Thresholds Instructions)

CE FORM 1 - Effective January 1 2020 Incorporated by reference in Rule 34-8202 FAC PAGE 6

NOTICE Annual Statements of Financial Interests are due July 1 If the annual form is not filed or postmarked by September 1 an automatic fine of $25 for each day late will be imposed up to a maximum penalty of $1500 Failure to file also can result in removal from public office or employment [s 1123145 FS]

In addition failure to make any required disclosure constitutes grounds for and may be punished by one or more of the following disqualification from being on the ballot impeachment removal or suspension from office or employment demotion reduction in salary reprimand or a civil penalty not exceeding $10000 [s 112317 FS]

WHO MUST FILE FORM 1 1) Elected public officials not serving in a political subdivision of the

state and any person appointed to fill a vacancy in such office unlessrequired to file full disclosure on Form 62) Appointed members of each board commission authority

or council having statewide jurisdiction excluding members of solelyadvisory bodies but including judicial nominating commission membersDirectors of Enterprise Florida Scripps Florida Funding Corporationand Career Source Florida and members of the Council on the Social Status of Black Men and Boys the Executive Director Governors and senior managers of Citizens Property Insurance CorporationGovernors and senior managers of Florida Workers Compensation JointUnderwriting Association board members of the Northeast Fla RegionalTransportation Commission board members of Triumph Gulf Coast Incboard members of Florida Is For Veterans Inc and members of the Technology Advisory Council within the Agency for State Technology3) The Commissioner of Education members of the State Board

of Education the Board of Governors the local Boards of Trustees and Presidents of state universities and the Florida Prepaid College Board 4) Persons elected to office in any political subdivision (such as

municipalities counties and special districts) and any person appointedto fill a vacancy in such office unless required to file Form 65) Appointed members of the following boards councils

commissions authorities or other bodies of county municipality schooldistrict independent special district or other political subdivision thegoverning body of the subdivision community college or junior collegedistrict boards of trustees boards having the power to enforce local codeprovisions boards of adjustment community redevelopment agenciesplanning or zoning boards having the power to recommend create ormodify land planning or zoning within a political subdivision except forcitizen advisory committees technical coordinating committees andsimilar groups who only have the power to make recommendationsto planning or zoning boards and except for representatives of a military installation acting on behalf of all military installations within thatjurisdiction pension or retirement boards empowered to invest pensionor retirement funds or determine entitlement to or amount of pensions orother retirement benefits and the Pinellas County Construction LicensingBoard 6) Any appointed member of a local government board who

is required to file a statement of financial interests by the appointingauthority or the enabling legislation ordinance or resolution creating theboard 7) Persons holding any of these positions in local government

mayor county or city manager chief administrative employee or finance

director of a county municipality or other political subdivision county or municipal attorney chief county or municipal building inspectorcounty or municipal water resources coordinator county or municipalpollution control director county or municipal environmental control director county or municipal administrator with power to grant or denya land development permit chief of police fire chief municipal clerkappointed district school superintendent community college presidentdistrict medical examiner purchasing agent (regardless of title) havingthe authority to make any purchase exceeding $35000 for the localgovernmental unit8) Officers and employees of entities serving as chief administrative

officer of a political subdivision9) Members of governing boards of charter schools operated by a

city or other public entity10) Employees in the office of the Governor or of a Cabinet member

who are exempt from the Career Service System excluding secretarialclerical and similar positions11) The following positions in each state department commission

board or council Secretary Assistant or Deputy Secretary ExecutiveDirector Assistant or Deputy Executive Director and anyone having thepower normally conferred upon such persons regardless of title12) The following positions in each state department or division

Director Assistant or Deputy Director Bureau Chief and any personhaving the power normally conferred upon such persons regardless oftitle 13) Assistant State Attorneys Assistant Public Defenders criminal

conflict and civil regional counsel and assistant criminal conflict and civilregional counsel Public Counsel full-time state employees serving ascounsel or assistant counsel to a state agency administrative law judgesand hearing officers14) The Superintendent or Director of a state mental health institute

established for training and research in the mental health field or anymajor state institution or facility established for corrections trainingtreatment or rehabilitation 15) State agency Business Managers Finance and Accounting

Directors Personnel Officers Grant Coordinators and purchasingagents (regardless of title) with power to make a purchase exceeding$35000 16) The following positions in legislative branch agencies each

employee (other than those employed in maintenance clerical secretarial or similar positions and legislative assistants exempted by the presiding officer of their house) and each employee of theCommission on Ethics

INSTRUCTIONS FOR COMPLETING FORM 1 INTRODUCTORY INFORMATION (Top of Form) If your name mailing address public agency and position are already printed on the form you do not need to provide this information unless it should be changed To change any of this information write the correct information on the form and contact your agencys financial disclosure coordinator You can find your coordinator on the Commission on Ethics website wwwethics stateflus NAME OF AGENCY The name of the governmental unit which you serve or served by which you are or were employed or for which you are a candidate DISCLOSURE PERIOD The ldquodisclosure periodrdquo for your report is the calendar year ending December 31 2019

OFFICE OR POSITION HELD OR SOUGHT The title of the office or position you hold are seeking or held during the disclosure period even if you have since left that position If you are a candidate for office or are a new employee or appointee check the appropriate box PUBLIC RECORD The disclosure form and everythingattached to it is a public record Your Social Security Number is not required and you should redact it from any documents you file If you are an active or former officer or employee listed in Section 119071 FS whose home address is exempt from disclosure the Commission will maintain that confidentiality if you submit a written request

CE FORM 1 - Effective January 1 2020 Incorporated by reference in Rule 34-8202 FAC PAGE 3

PART E mdash LIABILITIES[Required by s 1123145(3)(b)4 FS]List the name and address of each creditor to whom you owed more

than $10000 at any time during the disclosure period The amount of theliability of a vehicle lease is the sum of any past-due payments and allunpaid prospective lease payments You are not required to list the amountof any debt You do not have to disclose credit card and retail installmentaccounts taxes owed (unless reduced to a judgment) indebtedness ona life insurance policy owed to the company of issuance or contingentliabilities A ldquocontingent liabilityrdquo is one that will become an actual liabilityonly when one or more future events occur or fail to occur such as whereyou are liable only as a guarantor surety or endorser on a promissorynote If you are a ldquoco-makerrdquo and are jointly liable or jointly and severallyliable then it is not a contingent liability

PART F mdash INTERESTS IN SPECIFIED BUSINESSES[Required by s 1123145(6) FS]The types of businesses covered in this disclosure include state and

federally chartered banks state and federal savings and loan associationscemetery companies insurance companies mortgage companies creditunions small loan companies alcoholic beverage licensees pari-mutuelwagering companies utility companies entities controlled by the PublicService Commission and entities granted a franchise to operate by either acity or a county government

Disclose in this part the fact that you owned during the disclosure period aninterest in or held any of certain positions with the types of businesses listedabove You must make this disclosure if you own or owned (either directly orindirectly in the form of an equitable or beneficial interest) at any time duringthe disclosure period more than 5 of the total assets or capital stock ofone of the types of business entities listed above You also must completethis part of the form for each of these types of businesses for which youare or were at any time during the disclosure period an officer directorpartner proprietor or agent (other than a resident agent solely for service ofprocess)

If you have or held such a position or ownership interest in one ofthese types of businesses list the name of the business its address andprincipal business activity and the position held with the business (if any) Ifyou own(ed) more than a 5 interest in the business indicate that fact anddescribe the nature of your interest

PART G mdash TRAINING CERTIFICATION[Required by s 1123142 FS]If you are a Constitutional or elected municipal officer whose

service began before March 31 of the year for which you are filingyou are required to complete four hours of ethics training which addresses Article II Section 8 of the Florida Constitution the Codeof Ethics for Public Officers and Employees and the public recordsand open meetings laws of the state You are required to certify onthis form that you have taken such training

(End of Dollar Value Thresholds Instructions)

PART A mdash PRIMARY SOURCES OF INCOME[Required by s 1123145(3)(a)1 FS]Part A is intended to require the disclosure of your principal

sources of income during the disclosure period You do not haveto disclose any public salary or public position(s) but income from these public sources should be included when calculating your gross income for the disclosure period The income of your spouse need not be disclosed however if there is joint income to you and your spouse from property you own jointly (such as interest or dividends from a bank account or stocks) you should include all of that income when calculating your gross income and disclose the source of that income if it exceeded the threshold

Please list in this part of the form the name address and principal business activity of each source of your income whichexceeded 5 of the gross income received by you in your own name or by any other person for your benefit or use during the disclosure period

Gross income means the same as it does for income tax purposes even if the income is not actually taxable such as interest on tax-free bonds Examples include compensation for servicesincome from business gains from property dealings interest rents dividends pensions IRA distributions social security distributive share of partnership gross income and alimony but not child support

Examplesmdash If you were employed by a company that manufactures computers and received more than 5 of your gross income from the company list the name of the company its address and its principal business activity (computer manufacturing)mdash If you were a partner in a law firm and your distributive share of partnership gross income exceeded 5 of your gross income then list the name of the firm its address and its principal business activity (practice of law)mdash If you were the sole proprietor of a retail gift business andyour gross income from the business exceeded 5 of your total gross income list the name of the business its addressand its principal business activity (retail gift sales)mdash If you received income from investments in stocks and bonds list each individual company from which you derived

more than 5 of your gross income Do not aggregate all of your investment incomemdash If more than 5 of your gross income was gain from the sale of property (not just the selling price) list as a source of income the purchaserrsquos name address and principal business activityIf the purchasers identity is unknown such as where securities listed on an exchange are sold through a brokerage firm the source of income should be listed as sale of (name of company)stock for examplemdash If more than 5 of your gross income was in the form of interest from one particular financial institution (aggregatinginterest from all CDrsquos accounts etc at that institution) list the name of the institution its address and its principal business activity

PART B mdash SECONDARY SOURCES OF INCOME[Required by s 1123145(3)(a)2 FS]This part is intended to require the disclosure of major customers

clients and other sources of income to businesses in which you ownan interest It is not for reporting income from second jobs That kindof income should be reported in Part A Primary Sources of Incomeif it meets the reporting threshold You will not have anything to reportunless during the disclosure period

(1) You owned (either directly or indirectly in the form of anequitable or beneficial interest) more than 5 of the total assetsor capital stock of a business entity (a corporation partnershipLLC limited partnership proprietorship joint venture trust firmetc doing business in Florida) and(2) You received more than 10 of your gross income from thatbusiness entity and(3) You received more than $1500 in gross income from thatbusiness entity

If your interests and gross income exceeded these thresholds thenfor that business entity you must list every source of income to thebusiness entity which exceeded 10 of the business entityrsquos grossincome (computed on the basis of the business entityrsquos most recentlycompleted fiscal year) the sourcersquos address and the sourcersquosprincipal business activity

IF YOU HAVE CHOSEN COMPARATIVE (PERCENTAGE) THRESHOLDSTHE FOLLOWING INSTRUCTIONS APPLY

CE FORM 1 - Effective January 1 2020 Incorporated by reference in Rule 34-8202 FAC PAGE 5

MANNER OF CALCULATING REPORTABLE INTEREST Filers have the option of reporting based on either thresholds that are comparative (usually based on percentage values) or thresholds that are based on absolute dollar values The instructions on the following pages specifically describe the different thresholds Check the box that reflects the choice you have made You must use the type of threshold you have chosen for each part of the form In other words if you choose to report based on absolute dollar value thresholds you cannot use a percentage threshold on any part of the form

IF YOU HAVE CHOSEN DOLLAR VALUE THRESHOLDS THE FOLLOWING INSTRUCTIONS APPLY

PART A mdash PRIMARY SOURCES OF INCOME [Required by s 1123145(3)(b)1 FS] Part A is intended to require the disclosure of your principal

sources of income during the disclosure period You do not have todisclose any public salary or public position(s) The income of yourspouse need not be disclosed however if there is joint income toyou and your spouse from property you own jointly (such as interestor dividends from a bank account or stocks) you should disclose thesource of that income if it exceeded the threshold

Please list in this part of the form the name address andprincipal business activity of each source of your income whichexceeded $2500 of gross income received by you in your own name or by any other person for your use or benefit

Gross income means the same as it does for income tax purposes even if the income is not actually taxable such as interest on tax-free bonds Examples include compensation for servicesincome from business gains from property dealings interest rentsdividends pensions IRA distributions social security distributive share of partnership gross income and alimony but not child support

Examples mdash If you were employed by a company that manufacturescomputers and received more than $2500 list the name of thecompany its address and its principal business activity (computermanufacturing) mdash If you were a partner in a law firm and your distributive shareof partnership gross income exceeded $2500 list the name ofthe firm its address and its principal business activity (practice oflaw) mdash If you were the sole proprietor of a retail gift business and yourgross income from the business exceeded $2500 list the nameof the business its address and its principal business activity(retail gift sales) mdash If you received income from investments in stocks and bondslist each individual company from which you derived more than$2500 Do not aggregate all of your investment income mdash If more than $2500 of your gross income was gain from thesale of property (not just the selling price) list as a source ofincome the purchaserrsquos name address and principal businessactivity If the purchaserrsquos identity is unknown such as wheresecurities listed on an exchange are sold through a brokeragefirm the source of income should be listed as sale of (name of company) stock for example mdash If more than $2500 of your gross income was in the formof interest from one particular financial institution (aggregatinginterest from all CDrsquos accounts etc at that institution) list the name of the institution its address and its principal business activity

PART B mdash SECONDARY SOURCES OF INCOME [Required by s 1123145(3)(b)2 FS] This part is intended to require the disclosure of major customers

clients and other sources of income to businesses in which you own aninterest It is not for reporting income from second jobs That kind of incomeshould be reported in Part A Primary Sources of Income if it meets thereporting threshold You will not have anything to report unless during thedisclosure period

(1) You owned (either directly or indirectly in the form of an equitableor beneficial interest) more than 5 of the total assets or capitalstock of a business entity (a corporation partnership LLC limitedpartnership proprietorship joint venture trust firm etc doing business in Florida) and (2) You received more than $5000 of your gross income during thedisclosure period from that business entity

If your interests and gross income exceeded these thresholds then for thatbusiness entity you must list every source of income to the business entitywhich exceeded 10 of the business entityrsquos gross income (computed onthe basis of the business entitys most recently completed fiscal year) thesourcersquos address and the sources principal business activity

Examples mdash You are the sole proprietor of a dry cleaning business from whichyou received more than $5000 If only one customer a uniform rentalcompany provided more than 10 of your dry cleaning business youmust list the name of the uniform rental company its address and itsprincipal business activity (uniform rentals) mdash You are a 20 partner in a partnership that owns a shopping malland your partnership income exceeded the above thresholds List eachtenant of the mall that provided more than 10 of the partnershipsgross income and the tenants address and principal business activity

PART C mdash REAL PROPERTY [Required by s 1123145(3)(b)3 FS] In this part list the location or description of all real property in Florida

in which you owned directly or indirectly at any time during the disclosureperiod in excess of 5 of the propertyrsquos value You are not required to listyour residences You should list any vacation homes if you derive incomefrom them

Indirect ownership includes situations where you are a beneficiary of atrust that owns the property as well as situations where you own more than5 of a partnership or corporation that owns the property The value of theproperty may be determined by the most recently assessed value for taxpurposes in the absence of a more current appraisal

The location or description of the property should be sufficient toenable anyone who looks at the form to identify the property A streetaddress should be used if one exists

PART D mdash INTANGIBLE PERSONAL PROPERTY [Required by s 1123145(3)(b)3 FS] Describe any intangible personal property that at any time during the

disclosure period was worth more than $10000 and state the businessentity to which the property related Intangible personal property includesthings such as cash on hand stocks bonds certificates of deposit vehicleleases interests in businesses beneficial interests in trusts money owedyou Deferred Retirement Option Program (DROP) accounts the FloridaPrepaid College Plan and bank accounts Intangible personal propertyalso includes investment products held in IRAs brokerage accounts andthe Florida College Investment Plan Note that the product contained in a brokerage account IRA or the Florida College Investment Plan is yourassetmdashnot the account or plan itself Things like automobiles and housesyou own jewelry and paintings are not intangible property Intangiblesrelating to the same business entity may be aggregated for example CDsand savings accounts with the same bank Property owned as tenants bythe entirety or as joint tenants with right of survivorship should be valued at100 The value of a leased vehicle is the vehiclersquos present value minusthe lease residual (a number found on the lease document)

CE FORM 1 - Effective January 1 2020 Incorporated by reference in Rule 34-8202 FAC PAGE 4

PART A mdash PRIMARY SOURCES OF INCOME[Required by s 1123145(3)(b)1 FS]Part A is intended to require the disclosure of your principal

sources of income during the disclosure period You do not have todisclose any public salary or public position(s) The income of yourspouse need not be disclosed however if there is joint income t oyou and your spouse from property you own jointly (such as interestor dividends from a bank account or stocks) you should disclose thesource of that income if it exceeded the threshold

Please list in this part of the form the name address andprincipal business activity of each source of your income whichexceeded $2500 of gross income received by you in your own name or by any other person for your use or benefit

Gross income means the same as it does for income taxpurposes even if the income is not actually taxable such as intereston tax-free bonds Examples include compensation for servicesincome from business gains from property dealings interest rentsdividends pensions IRA distributions social security distributiveshare of partnership gross income and alimony but not child support

Examplesmdash If you were employed by a company that manufacturescomputers and received more than $2500 list the name of thecompany its address and its principal business activity (computermanufacturing)mdash If you were a partner in a law firm and your distributive shareof partnership gross income exceeded $2500 list the name ofthe firm its address and its principal business activity (practice oflaw)mdash If you were the sole proprietor of a retail gift business and yourgross income from the business exceeded $2500 list the nameof the business its address and its principal business activity(retail gift sales)mdash If you received income from investments in stocks and bondslist each individual company from which you derived more than$2500 Do not aggregate all of your investment incomemdash If more than $2500 of your gross income was gain from thesale of property (not just the selling price) list as a source o fincome the purchaserrsquos name address and principal businessactivity If the purchaserrsquos identity is unknown such as wheresecurities listed on an exchange are sold through a brokeragefirm the source of income should be listed as sale of (name of company) stock for examplemdash If more than $2500 of your gross income was in the formof interest from one particular financial institution (aggregatinginterest from all CDrsquos accounts etc at that institution) list thename of the institution its address and its principal business activity

PART B mdash SECONDARY SOURCES OF INCOME[Required by s 1123145(3)(b)2 FS]This part is intended to require the disclosure of major customers

clients and other sources of income to businesses in which you own aninterest It is not for reporting income from second jobs That kind of incomeshould be reported in Part A Primary Sources of Income if it meets thereporting threshold You will not have anything to report unless during thedisclosure period

(1) You owned (either directly or indirectly in the form of an equitableor beneficial interest) more than 5 of the total assets or capitalstock of a business entity (a corporation partnership LLC limitedpartnership proprietorship joint venture trust firm etc doing business in Florida) and(2) You received more than $5000 of your gross income during thedisclosure period from that business entity

If your interests and gross income exceeded these thresholds then for thatbusiness entity you must list every source of income to the business entitywhich exceeded 10 of the business entityrsquos gross income (computed onthe basis of the business entitys most recently completed fiscal year) thesourcersquos address and the sources principal business activity

Examplesmdash You are the sole proprietor of a dry cleaning business from whichyou received more than $5000 If only one customer a uniform rentalcompany provided more than 10 of your dry cleaning business youmust list the name of the uniform rental company its address and itsprincipal business activity (uniform rentals)mdash You are a 20 partner in a partnership that owns a shopping malland your partnership income exceeded the above thresholds List eachtenant of the mall that provided more than 10 of the partnershipsgross income and the tenants address and principal business activity

PART C mdash REAL PROPERTY[Required by s 1123145(3)(b)3 FS]In this part list the location or description of all real property in Florida

in which you owned directly or indirectly at any time during the disclosureperiod in excess of 5 of the propertyrsquos value You are not required to listyour residences You should list any vacation homes if you derive incomefrom them

Indirect ownership includes situations where you are a beneficiary of atrust that owns the property as well as situations where you own more than5 of a partnership or corporation that owns the property The value of theproperty may be determined by the most recently assessed value for taxpurposes in the absence of a more current appraisal

The location or description of the property should be sufficient toenable anyone who looks at the form to identify the property A streetaddress should be used if one exists

PART D mdash INTANGIBLE PERSONAL PROPERTY[Required by s 1123145(3)(b)3 FS]Describe any intangible personal property that at any time during the

disclosure period was worth more than $10000 and state the businessentity to which the property related Intangible personal property includesthings such as cash on hand stocks bonds certificates of deposit vehicleleases interests in businesses beneficial interests in trusts money owedyou Deferred Retirement Option Program (DROP) accounts the FloridaPrepaid College Plan and bank accounts Intangible personal propertyalso includes investment products held in IRAs brokerage accounts andthe Florida College Investment Plan Note that the product contained ina brokerage account IRA or the Florida College Investment Plan is yourassetmdashnot the account or plan itself Things like automobiles and housesyou own jewelry and paintings are not intangible property Intangiblesrelating to the same business entity may be aggregated for example CDsand savings accounts with the same bank Property owned as tenants bythe entirety or as joint tenants with right of survivorship should be valued at100 The value of a leased vehicle is the vehiclersquos present value minusthe lease residual (a number found on the lease document)

Filers have the option of reporting based on either thresholds that are comparative (usually based on percentage values) orthresholds that are based on absolute dollar values The instructions on the following pages specifically describe the differentthresholds Check the box that reflects the choice you have made You must use the type of threshold you have chosen for eachpart of the form In other words if you choose to report based on absolute dollar value thresholds you cannot use a percentagethreshold on any part of the form

MANNER OF CALCULATING REPORTABLE INTEREST

IF YOU HAVE CHOSEN DOLLAR VALUE THRESHOLDSTHE FOLLOWING INSTRUCTIONS APPLY

CE FORM 1 - Effective January 1 2020 Incorporated by reference in Rule 34-8202 FAC PAGE 4

PART E mdash LIABILITIES [Required by s 1123145(3)(b)4 FS] List the name and address of each creditor to whom you owed more

than $10000 at any time during the disclosure period The amount of theliability of a vehicle lease is the sum of any past-due payments and allunpaid prospective lease payments You are not required to list the amountof any debt You do not have to disclose credit card and retail installmentaccounts taxes owed (unless reduced to a judgment) indebtedness ona life insurance policy owed to the company of issuance or contingentliabilities A ldquocontingent liabilityrdquo is one that will become an actual liabilityonly when one or more future events occur or fail to occur such as whereyou are liable only as a guarantor surety or endorser on a promissorynote If you are a ldquoco-makerrdquo and are jointly liable or jointly and severallyliable then it is not a contingent liability

PART F mdash INTERESTS IN SPECIFIED BUSINESSES [Required by s 1123145(6) FS] The types of businesses covered in this disclosure include state and

federally chartered banks state and federal savings and loan associationscemetery companies insurance companies mortgage companies creditunions small loan companies alcoholic beverage licensees pari-mutuelwagering companies utility companies entities controlled by the PublicService Commission and entities granted a franchise to operate by either acity or a county government

Disclose in this part the fact that you owned during the disclosure period aninterest in or held any of certain positions with the types of businesses listedabove You must make this disclosure if you own or owned (either directly orindirectly in the form of an equitable or beneficial interest) at any time duringthe disclosure period more than 5 of the total assets or capital stock ofone of the types of business entities listed above You also must completethis part of the form for each of these types of businesses for which youare or were at any time during the disclosure period an officer directorpartner proprietor or agent (other than a resident agent solely for service ofprocess)

If you have or held such a position or ownership interest in one ofthese types of businesses list the name of the business its address andprincipal business activity and the position held with the business (if any) Ifyou own(ed) more than a 5 interest in the business indicate that fact anddescribe the nature of your interest

PART G mdash TRAINING CERTIFICATION [Required by s 1123142 FS] If you are a Constitutional or elected municipal officer whose

service began before March 31 of the year for which you are filingyou are required to complete four hours of ethics training which addresses Article II Section 8 of the Florida Constitution the Code of Ethics for Public Officers and Employees and the public recordsand open meetings laws of the state You are required to certify onthis form that you have taken such training

(End of Dollar Value Thresholds Instructions)

IF YOU HAVE CHOSEN COMPARATIVE (PERCENTAGE) THRESHOLDS THE FOLLOWING INSTRUCTIONS APPLY

PART A mdash PRIMARY SOURCES OF INCOME [Required by s 1123145(3)(a)1 FS] Part A is intended to require the disclosure of your principal

sources of income during the disclosure period You do not haveto disclose any public salary or public position(s) but income from these public sources should be included when calculating your gross income for the disclosure period The income of your spouse need not be disclosed however if there is joint income to you and your spouse from property you own jointly (such as interest or dividends from a bank account or stocks) you should include all of that income when calculating your gross income and disclose the source of that income if it exceeded the threshold

Please list in this part of the form the name address and principal business activity of each source of your income whichexceeded 5 of the gross income received by you in your own name or by any other person for your benefit or use during the disclosure period

Gross income means the same as it does for income tax purposes even if the income is not actually taxable such as interest on tax-free bonds Examples include compensation for servicesincome from business gains from property dealings interest rents dividends pensions IRA distributions social security distributive share of partnership gross income and alimony but not child support

Examples mdash If you were employed by a company that manufactures computers and received more than 5 of your gross income from the company list the name of the company its address and its principal business activity (computer manufacturing) mdash If you were a partner in a law firm and your distributive share of partnership gross income exceeded 5 of your gross income then list the name of the firm its address and its principal business activity (practice of law) mdash If you were the sole proprietor of a retail gift business andyour gross income from the business exceeded 5 of your total gross income list the name of the business its addressand its principal business activity (retail gift sales) mdash If you received income from investments in stocks and bonds list each individual company from which you derived

more than 5 of your gross income Do not aggregate all of your investment income mdash If more than 5 of your gross income was gain from the sale of property (not just the selling price) list as a source of income the purchaserrsquos name address and principal business activityIf the purchasers identity is unknown such as where securities listed on an exchange are sold through a brokerage firm the source of income should be listed as sale of (name of company)stock for example mdash If more than 5 of your gross income was in the form of interest from one particular financial institution (aggregatinginterest from all CDrsquos accounts etc at that institution) list the name of the institution its address and its principal business activity

PART B mdash SECONDARY SOURCES OF INCOME [Required by s 1123145(3)(a)2 FS] This part is intended to require the disclosure of major customers

clients and other sources of income to businesses in which you ownan interest It is not for reporting income from second jobs That kindof income should be reported in Part A Primary Sources of Incomeif it meets the reporting threshold You will not have anything to report unless during the disclosure period

(1) You owned (either directly or indirectly in the form of anequitable or beneficial interest) more than 5 of the total assetsor capital stock of a business entity (a corporation partnershipLLC limited partnership proprietorship joint venture trust firmetc doing business in Florida) and (2) You received more than 10 of your gross income from thatbusiness entity and (3) You received more than $1500 in gross income from thatbusiness entity

If your interests and gross income exceeded these thresholds thenfor that business entity you must list every source of income to thebusiness entity which exceeded 10 of the business entityrsquos grossincome (computed on the basis of the business entityrsquos most recentlycompleted fiscal year) the sourcersquos address and the sourcersquos principal business activity

CE FORM 1 - Effective January 1 2020 Incorporated by reference in Rule 34-8202 FAC PAGE 5

NOTICE Annual Statements of Financial Interests are due July 1 If the annual form is not filed or postmarked by September 1 an automatic fine of $25 for each day late will be imposed up to a maximum penalty of $1500 Failure to file also can result in removal from public office or employment [s 1123145 FS]

In addition failure to make any required disclosure constitutes grounds for and may be punished by one or more of the following disqualification from being on the ballot impeachment removal or suspension from office or employment demotion reduction in salary reprimand or a civil penalty not exceeding $10000 [s 112317 FS]

1) Elected public officials not serving in a political subdivision of thestate and any person appointed to fill a vacancy in such office unlessrequired to file full disclosure on Form 62) Appointed members of each board commission authority

or council having statewide jurisdiction excluding members of solelyadvisory bodies but including judicial nominating commission membersDirectors of Enterprise Florida Scripps Florida Funding Corporationand Career Source Florida and members of the Council on the SocialStatus of Black Men and Boys the Executive Director Governors and senior managers of Citizens Property Insurance CorporationGovernors and senior managers of Florida Workers Compensation JointUnderwriting Association board members of the Northeast Fla RegionalTransportation Commission board members of Triumph Gulf Coast Incboard members of Florida Is For Veterans Inc and members of theTechnology Advisory Council within the Agency for State Technology3) The Commissioner of Education members of the State Board

of Education the Board of Governors the local Boards of Trustees andPresidents of state universities and the Florida Prepaid College Board4) Persons elected to office in any political subdivision (such a s

municipalities counties and special districts) and any person appointedto fill a vacancy in such office unless required to file Form 65) Appointed members of the following boards councils

commissions authorities or other bodies of county municipality schooldistrict independent special district or other political subdivision thegoverning body of the subdivision community college or junior collegedistrict boards of trustees boards having the power to enforce local codeprovisions boards of adjustment community redevelopment agenciesplanning or zoning boards having the power to recommend create ormodify land planning or zoning within a political subdivision except forcitizen advisory committees technical coordinating committees andsimilar groups who only have the power to make recommendationsto planning or zoning boards and except for representatives of amilitary installation acting on behalf of all military installations within thatjurisdiction pension or retirement boards empowered to invest pensionor retirement funds or determine entitlement to or amount of pensions orother retirement benefits and the Pinellas County Construction LicensingBoard6) Any appointed member of a local government board who

is required to file a statement of financial interests by the appointingauthority or the enabling legislation ordinance or resolution creating theboard7) Persons holding any of these positions in local government

mayor county or city manager chief administrative employee or finance

director of a county municipality or other political subdivision countyor municipal attorney chief county or municipal building inspectorcounty or municipal water resources coordinator county or municipalpollution control director county or municipal environmental controldirector county or municipal administrator with power to grant or denya land development permit chief of police fire chief municipal clerkappointed district school superintendent community college presidentdistrict medical examiner purchasing agent (regardless of title) havingthe authority to make any purchase exceeding $35000 for the localgovernmental unit8) Officers and employees of entities serving as chief administrative

officer of a political subdivision9) Members of governing boards of charter schools operated by a

city or other public entity10) Employees in the office of the Governor or of a Cabinet member

who are exempt from the Career Service System excluding secretarialclerical and similar positions11) The following positions in each state department commission

board or council Secretary Assistant or Deputy Secretary ExecutiveDirector Assistant or Deputy Executive Director and anyone having thepower normally conferred upon such persons regardless of title12) The following positions in each state department or division

Director Assistant or Deputy Director Bureau Chief and any personhaving the power normally conferred upon such persons regardless oftitle13) Assistant State Attorneys Assistant Public Defenders criminal

conflict and civil regional counsel and assistant criminal conflict and civilregional counsel Public Counsel full-time state employees serving ascounsel or assistant counsel to a state agency administrative law judgesand hearing officers14) The Superintendent or Director of a state mental health institute

established for training and research in the mental health field or anymajor state institution or facility established for corrections trainingtreatment or rehabilitation15) State agency Business Managers Finance and Accounting

Directors Personnel Officers Grant Coordinators and purchasingagents (regardless of title) with power to make a purchase exceeding$3500016) The following positions in legislative branch agencies each

employee (other than those employed in maintenance clerical secretarial or similar positions and legislative assistants exemptedby the presiding officer of their house) and each employee of theCommission on Ethics

INSTRUCTIONS FOR COMPLETING FORM 1INTRODUCTORY INFORMATION (Top of Form) If your name mailing address public agency and position are already printed on the form you do not need to provide this information unless it should be changed To change any of this information write the correct information on the form and contact your agencys financial disclosure coordinator You can find your coordinator on the Commission on Ethics website wwwethicsstateflus NAME OF AGENCY The name of the governmental unit which you serve or served by which you are or were employed or for which you are a candidate DISCLOSURE PERIOD The ldquodisclosure periodrdquo for your report is the calendar year ending December 31 2019

OFFICE OR POSITION HELD OR SOUGHT The title of the office or position you hold are seeking or held during the disclosure period even if you have since left that position If you are a candidate for office or are a new employee or appointee check the appropriate boxPUBLIC RECORD The disclosure form and everythingattached to it is a public record Your Social Security Number is not required and you should redact it from any documents you file If you are an active or former officer or employee listed in Section 119071 FS whose home address is exempt from disclosure the Commission will maintain that confidentiality if you submit a written request

WHO MUST FILE FORM 1

CE FORM 1 - Effective January 1 2020 Incorporated by reference in Rule 34-8202 FAC PAGE 3

Examples PART E mdash LIABILITIES mdash You are the sole proprietor of a dry cleaning business from [Required by s 1123145(3)(b)4 FS]which you received more than 10 of your gross incomemdashan List the name and address of each creditor to whom you owed amount that was more than $1500 If only one customer a any amount that at any time during the disclosure period exceeded uniform rental company provided more than 10 of your dry your net worth You are not required to list the amount of any debt cleaning business you must list the name of the uniform rental or your net worth You do not have to disclose credit card and retail company its address and its principal business activity (uniform installment accounts taxes owed (unless reduced to a judgment) rentals) indebtedness on a life insurance policy owed to the company of mdash You are a 20 partner in a partnership that owns a shopping issuance or contingent liabilities A ldquocontingent liabilityrdquo is one mall and your partnership income exceeded the thresholds that will become an actual liability only when one or more future listed above You should list each tenant of the mall that events occur or fail to occur such as where you are liable only as provided more than 10 of the partnershiprsquos gross income and a guarantor surety or endorser on a promissory note If you are a the tenantrsquos address and principal business activity ldquoco-makerrdquo and are jointly liable or jointly and severally liable it is not

a contingent liability PART C mdash REAL PROPERTY Calculations To determine whether the debt exceeds your

[Required by s 1123145(3)(a)3 FS] net worth total all of your liabilities (including promissory notes mortgages credit card debts judgments against you etc) TheIn this part list the location or description of all real property in amount of the liability of a vehicle lease is the sum of any past-due Florida in which you owned directly or indirectly at any time during payments and all unpaid prospective lease payments Subtract the disclosure period in excess of 5 of the propertyrsquos value You the sum total of your liabilities from the value of all your assets are not required to list your residences You should list any vacation as calculated above for Part D This is your ldquonet worthrdquo List each homes if you derive income from them creditor to whom your debt exceeded this amount unless it is one of

Indirect ownership includes situations where you are a the types of indebtedness listed in the paragraph above (credit card beneficiary of a trust that owns the property as well as situations and retail installment accounts etc) Joint liabilities with others for where you own more than 5 of a partnership or corporation that which you are ldquojointly and severally liablerdquo meaning that you may owns the property The value of the property may be determined by be liable for either your part or the whole of the obligation should be the most recently assessed value for tax purposes in the absence included in your calculations at 100 of the amount owed of a more current appraisal

Example You owe $15000 to a bank for student loans $5000 The location or description of the property should be sufficient for credit card debts and $60000 (with spouse) to a savings to enable anyone who looks at the form to identify the property A and loan for a home mortgage Your home (owned by you and street address should be used if one exists your spouse) is worth $80000 and your other property is worth PART D mdash INTANGIBLE PERSONAL PROPERTY $20000 Since your net worth is $20000 ($100000 minus

$80000) you must report only the name and address of the [Required by s 1123145(3)(a)3 FS] savings and loan Describe any intangible personal property that at any time

during the disclosure period was worth more than 10 of your PART F mdash INTERESTS IN SPECIFIED BUSINESSES total assets and state the business entity to which the property [Required by s 1123145 FS] related Intangible personal property includes things such as cash on hand stocks bonds certificates of deposit vehicle leases The types of businesses covered in this disclosure include interests in businesses beneficial interests in trusts money owed state and federally chartered banks state and federal savings and you Deferred Retirement Option Program (DROP) accounts loan associations cemetery companies insurance companies the Florida Prepaid College Plan and bank accounts Intangible mortgage companies credit unions small loan companies alcoholic personal property also includes investment products held in IRAs beverage licensees pari-mutuel wagering companies utilitybrokerage accounts and the Florida College Investment Plan companies entities controlled by the Public Service Commission Note that the product contained in a brokerage account IRA or the and entities granted a franchise to operate by either a city or a Florida College Investment Plan is your assetmdashnot the account or county governmentplan itself Things like automobiles and houses you own jewelry Disclose in this part the fact that you owned during the and paintings are not intangible property Intangibles relating to the disclosure period an interest in or held any of certain positions same business entity may be aggregated for example CDrsquos and with the types of businesses listed above You are requiredsavings accounts with the same bank to make this disclosure if you own or owned (either directly or

Calculations To determine whether the intangible property indirectly in the form of an equitable or beneficial interest) at any exceeds 10 of your total assets total the fair market value of time during the disclosure period more than 5 of the total assets all of your assets (including real property intangible property and or capital stock of one of the types of business entities listed above tangible personal property such as jewelry furniture etc) When You also must complete this part of the form for each of these types making this calculation do not subtract any liabilities (debts) that of businesses for which you are or were at any time during themay relate to the property Multiply the total figure by 10 to arrive disclosure period an officer director partner proprietor or agent at the disclosure threshold List only the intangibles that exceed (other than a resident agent solely for service of process) this threshold amount The value of a leased vehicle is the vehiclersquos If you have or held such a position or ownership interest in present value minus the lease residual (a number which can be one of these types of businesses list the name of the business its found on the lease document) Property that is only jointly owned address and principal business activity and the position held with property should be valued according to the percentage of your the business (if any) If you own(ed) more than a 5 interest in the joint ownership Property owned as tenants by the entirety or as business indicate that fact and describe the nature of your interest joint tenants with right of survivorship should be valued at 100 None of your calculations or the value of the property have to be PART G mdash TRAINING CERTIFICATIONdisclosed on the form

[Required by s 1123142 FS] Example You own 50 of the stock of a small corporation that is worth $100000 the estimated fair market value of If you are a Constitutional or elected municipal officer whoseyour home and other property (bank accounts automobile service began before March 31 of the year for which you are filing furniture etc) is $200000 As your total assets are worth you are required to complete four hours of ethics training which $250000 you must disclose intangibles worth over $25000 addresses Article II Section 8 of the Florida Constitution the Code Since the value of the stock exceeds this threshold you of Ethics for Public Officers and Employees and the public records should list ldquostockrdquo and the name of the corporation If your and open meetings laws of the state You are required to certify on accounts with a particular bank exceed $25000 you should this form that you have taken such training list ldquobank accountsrdquo and bankrsquos name

(

End of Percentage Thresholds Instructions) CE FORM 1 - Effective January 1 2020 Incorporated by reference in Rule 34-8202 FAC PAGE 6

  • 0 HP Cover Page v2
  • 1 Hawks Point Meeting Invite Draft v2
  • 2 Agenda Draft v3
  • 3 EXHIBIT 1
  • 7 HP 05-19-2020 Meeting Minutes Approved
  • 6 EXHIBIT 2
  • 9 HP May FY20 Fin
  • 8 EXHIBIT 3
  • 4 Vacant Position Qualification Requirements for Hawks Point CDD
    • Vacant Position on the Board of Supervisors of the Hawkrsquos Point Community Development District
      • Qualification Requirements
      • Instructions for Interested Candidates
      • Additional Notes
          • 5 Shami Choon Vacant Position - updated 11-5-11 resume
            • 1803 Oak Pond Street Ruskin Fl 33570 E-mailchoons27gmailcom
              • PROFESSIONAL HISTORY
                • Operations Manager Florida Distribution 2002 ndash 2005
                • Operations Manager for Florida Branch Distribution 1999 ndash 2002
                • Warehouse Manager of Miami Distribution Center 1998 ndash 1999
                • Branch Manager of West Palm Beach 1994 ndash 1998
                • Assistant Branch Manager 1991 ndash 1994
                • Customer Service Agent 1990 ndash 1991
                  • 10 EXHIBIT 4
                  • 11 New Business - Hawks Point CDD - MI proposal
                  • 12 EXHIBIT 5
                  • 13 CertaPro Proposal to Paint Exterior Wall 18th to 24th Avenue
                  • 14 Shazam Construction Proposal to Paint Exterior Wall 18th to 24th Street
                    • QUOTE
                      • TO
                          • 15 Photo to accompany Shazam Proposal
                          • 16 EXHIBIT 6
                          • 17 CertaPro Proposal for Pressure Washing Exterior Wall 18th St to 24th Street
                          • 18 Shazam Construction Proposal for Pressure Washing Exterion Wall 18th Street to 24th Street
                            • QUOTE
                              • TO
                                  • 19 EXHIBIT 7
                                  • 20 Form 1_2019i
                                      1. LAST NAME
                                      2. FIRST NAME
                                      3. MIDDLE NAME
                                      4. MAILING ADDRESS ROW 1
                                      5. MAILING ADDRESS ROW 2
                                      6. CITY
                                      7. ZIP
                                      8. COUNTY
                                      9. NAME OF AGENCY
                                      10. NAME OF OFFICE OR POSITION HELD OR SOUGHT
                                      11. CANDIDATE Off
                                      12. NEW EMPLOYEE OR APPOINTEE Off
                                      13. COMPARATIVE (PERCENTAGE) THRESHOLDS Off
                                      14. DOLLAR VALUE THRESHOLDS Off
                                      15. NAME OF SOURCE INCOME ROW 1
                                      16. ADDRESS ROW 1
                                      17. DESCRIPTION OF THE SOURCES PRINCIPAL BUSINESS ACTIVITY ROW 1
                                      18. NAME OF SOURCE INCOME ROW 2
                                      19. ADDRESS ROW 2
                                      20. DESCRIPTION OF THE SOURCES PRINCIPAL BUSINESS ACTIVITY ROW 2
                                      21. NAME OF SOURCE INCOME ROW 3
                                      22. ADDRESS ROW 3
                                      23. DESCRIPTION OF THE SOURCES PRINCIPAL BUSINESS ACTIVITY ROW 3
                                      24. NAME OF SOURCE INCOME ROW 4
                                      25. ADDRESS ROW 4
                                      26. DESCRIPTION OF THE SOURCES PRINCIPAL BUSINESS ACTIVITY ROW 4
                                      27. NAME OF BUSINESS ENTITY ROW 1
                                      28. NAME OF MAJOR SOURCES OF BUSINESS INCOME ROW 1
                                      29. ADDRESS OF SOURCE ROW 1
                                      30. PRINCIPAL BUSINESS ACTIVITY OF SOURCE ROW 1
                                      31. NAME OF BUSINESS ENTITY ROW 2
                                      32. NAME OF MAJOR SOURCES OF BUSINESS INCOME ROW 2
                                      33. ADDRESS OF SOURCE ROW 2
                                      34. PRINCIPAL BUSINESS ACTIVITY OF SOURCE ROW 2
                                      35. NAME OF BUSINESS ENTITY ROW 3
                                      36. NAME OF MAJOR SOURCES OF BUSINESS INCOME ROW 3
                                      37. ADDRESS OF SOURCE ROW 3
                                      38. PRINCIPAL BUSINESS ACTIVITY OF SOURCE ROW 3
                                      39. REAL PROPERTY ROW 1
                                      40. REAL PROPERTY ROW 2
                                      41. REAL PROPERTY ROW 3
                                      42. REAL PROPERTY ROW 4
                                      43. TYPE OF INTANGIBLE ROW 1
                                      44. BUSINESS ENTITY TO WHICH THE PROPERTY RELATES ROW 1
                                      45. TYPE OF INTANGIBLE ROW 2
                                      46. BUSINESS ENTITY TO WHICH THE PROPERTY RELATES ROW 2
                                      47. NAME OF CREDITOR ROW 1
                                      48. ADDRESS OF CREDITOR ROW 1
                                      49. NAME OF CREDITOR ROW 2
                                      50. ADDRESS OF CREDITOR ROW 2
                                      51. ADDRESS OF BUSINESS ENTITY 1
                                      52. PRINCIPAL BUSINESS ACTIVITY 1
                                      53. POSITION HELD WITH ENTITY 1
                                      54. I OWN MORE THAN A 5 INTEREST IN THE BUSINESS 1
                                      55. NATURE OF MY OWNERSHIP INTEREST 1
                                      56. ADDRESS OF BUSINESS ENTITY 2
                                      57. PRINCIPAL BUSINESS ACTIVITY 2
                                      58. POSITION HELD WITH ENTITY 2
                                      59. I OWN MORE THAN A 5 INTEREST IN THE BUSINESS 2
                                      60. NATURE OF MY OWNERSHIP INTEREST 2
                                      61. FOR ELECTED MUNICIPAL OFFICERS REQUIRED TO COMPLETE ANNUAL ETHICS TRAINING PURSUANT TO SECTION 112
                                        1. 3142 F
                                          1. S Off
                                              1. IF ANY OF PARTS A THROUGH G ARE CONTINUED ON A SEPARATE SHEET PLEASE CHECK HERE Off
                                              2. SIGNATURE
                                              3. Date Signed
Page 14: HAWKS POINT COMMUNITY DEVELOPMENT …...2020/06/16  · Hawks Point Community Development District Board of Supervisors Meeting Tuesday, June 16th at 6:30 PM via Zoom All: We welcome

FY2020 VARIANCE

ADOPTED BUDGET ACTUAL FAVORABLE

BUDGET YEAR-TO-DATE YEAR-TO-DATE (UNFAVORABLE)

1 REVENUE

2

3 ASSESSMENT ON ROLL (NET) 453615$ 453615$ 450924$ (2691)$

4 ASSESSMENT ON ROLL EXCESS FEES - - - -

5 INTEREST REVENUE - - 1594 1594

6 MISCELLANEOUS REVENUE - - - -

7 ELECTRICITY COST SHARE WITH THE HOA 1600 1067 2633 1566

8 TOTAL REVENUE 455215 454682 455152 470

9

10 EXPENDITURES

11

12 ADMINISTRATIVE

13 BOARD OF SUPERVISORS 12000 8000 5539 2461

14 PAYROLL TAXES 918 612 503 109

15 PAYROLL SERVICE FEE 625 417 392 25

16 MANAGEMENT CONSULTING SERVICES 40000 26667 26667 -

17 GENERAL ADMINISTRATIVE 4800 3200 3200 -

18 MISCELLANEOUS 500 333 - 333

19 AUDITING 3200 3200 - 3200

20 REGULATORY AND PERMIT FEES 175 175 175 -

21 LEGAL ADVERTISEMENTS 1500 1000 1386 (386)

22 ENGINEERING SERVICES 5000 3333 1896 1437

23 LEGAL SERVICES - GENERAL 7500 5000 2895 2105

24 WEBSITE ADMINISTRATION 2265 2165 1749 416

25 TOTAL ADMINISTRATIVE 78483 54102 44401 9701

26

27 INSURANCE

28 INSURANCE (Liability Property amp Casualty) 6050 6050 5638 412

29 TOTAL INSURANCE 6050 6050 5638 412

30

31 DEBT SERVICE ADMINISTRATION

32 DISSEMINATION AGENT 1000 1000 1000 -

33 TRUSTEE FEES 10500 - - -

34 TRUST FUND ACCOUNTING 1500 1000 1000 -

35 ARBITRAGE 650 - - -

36 ASSESSMENT ADMINISTRATION 5000 5000 5000 -

37 TOTAL DEBT SERVICE ADMINISTRATION 18650 7000 7000 -

38

39 UTILITIES

40 ELECTRICITY-IRRIGATION 2928 1952 1191 761

41 TOTAL UTILITIES 2928 1952 1191 761

42

43 FIELD OPERATIONS

44 IRRIGATION MAINTENANCE amp REPAIRS 10000 6667 3960 2706

45 POND MONITORING amp MAINTENANCE 17700 10325 10325 -

46 POND PLANTINGS 5000 5000 - 5000

47 WETLAND MONITORING 7120 5340 1780 3560

48 LANDSCAPE MAINTENANCE 129000 86000 88400 (2400)

49 LANDSCAPE REPLENISHMENT 119898 79932 6520 73412

50 TREE TRIMMING 16800 11200 - 11200

51 STREETLIGHTS 2000 1333 - 1333

52 MISCELLANEOUS FIELD EXPENSES 18586 12391 8886 3504

53 CAPITAL PROJECTS - WELL DRILLING amp PUMP INSTALL - - 18165 (18165)

54 RESERVE - PAINT PERIMITER WALL - - 6350 (6350)

55 TOTAL FIELD OPERATIONS 326104 218188 144386 73802

Hawks Point

General Fund

Statement of Revenues Expenditures and Changes in Fund Balance

For the period from October 1 2019 through April 30 2020

Preliminary

Page 3

FY2020 VARIANCE

ADOPTED BUDGET ACTUAL FAVORABLE

BUDGET YEAR-TO-DATE YEAR-TO-DATE (UNFAVORABLE)

Hawks Point

General Fund

Statement of Revenues Expenditures and Changes in Fund Balance

For the period from October 1 2019 through April 30 2020

Preliminary

56

57 TOTAL EXPENDITURES BEFORE RESERVES 432215 287292 202616 84675

58

59 INCREASE FOR RESERVES 23000 - - -

60 INCREASE IN FUND BALANCE - - - -

61

62

63 TOTAL EXPENDITURES AFTER RESERVE 455215 287292 202616 84675

64

65 EXCESS OF REVENUE OVER (UNDER) EXPENDITURES - 167390 252535 85145

66

67 FUND BALANCE - BEGINNING 269666 269666 272602 272602

68 DECREASE IN FUND BALANCE - - - -

69 INCREASE IN RESERVE 23000 - - -

70 FUND BALANCE - ENDING 292666$ 437056$ 525137$ 357747$

71

72

73 FY 2018FY 2019 - Irrigation System Grounding Phased 15544$

74 FY 2018 - Perimieter Wall Paint Applications 5815

75 FY 2019 - Reserve Study Update 1100

77 FY 2020 - Irrigation System-Clocks 6442

Total Replacement Expenses for Reserves 28901$

Reserve Expenditure Components

Page 4

FY 2020 VARIANCE

ADOPTED BUDGET ACTUAL FAVORABLE

BUDGET YEAR-TO-DATE YEAR-TO-DATE (UNFAVORABLE)

1 REVENUE

2 ASSESSMENTS - ON-ROLL (Gross) 561051$ 527388$ 524922$ (2466)$

3 ASSESSMENTS - ON-ROLL EXCESS FEES - - - -

4 FUND BALANCE FORWARD - - - -

5 INTEREST - INVESTMENT - - 3703 3703

6 DISCOUNT (22442) - - -

7 TOTAL REVENUE 538609 527388 528624 1236

8

9

10 EXPENDITURES

11

12 PRINCIPAL

13 512020 235000 - 235000 (235000)

14 INTEREST EXPENSE

15 1112019 - - 144238 (144238)

16 512020 144238 - 144238 (144238)

17 1112020 140075 - - -

18 COUNTY COLLECTION CHARGES 11221 - - -

19 TOTAL EXPENDITURES 530534 - 523475 (523475)

20

21 EXCESS OF REVENUE OVER (UNDER) EXPENDITURES 8075 527388 5149 (522239)

22

23 OTHER FINANCING SOURCES (USES)

24 TRANSFER IN - - - -

25 TRANSFER OUT (USES) - - - -

26 TOTAL OTHER FINANCING SOURCES (USES) - - - -

27

28 NET CHANGE IN FUND BALANCE 8075 527388 5149 (522239)

29

30 FUND BALANCE - BEGINNING - - 464759 464759

31 FUND BALANCE APPROPRIATED - - - -

32

33 FUND BALANCE - ENDING 8075$ 527388$ 469908$ (57480)$

Hawks Point CDD

Debt Service - Series 2017

Statement of Revenues Expenditures and Changes in Fund Balance

For the period from October 1 2019 through April 30 2020

Page 5

Bank United

Balance Per Bank Statement 7549415$

Plus Deposits in Transit -

Less Outstanding Checks (935250)

Adjusted Bank Balance 6614165$

Beginning Bank Balance Per Books 4251943$

Cash Receipts 5000350

Cash Disbursements (2638128)

Balance Per Books 6614165$

Hawks Point CDD

Bank Reconciliation (GF)

May 31 2020

Page 6

Date Num Name Memo Receipts Disbursements Balance

Bank United EOY Balance 9460943

10012019 9035 DPFG MANAGEMENT amp CONSULTING LLC CDD Mgmt - October 385833 9075110

10022019 Hawks Point West HOA 2019-245- HPW 18866 9093976

10082019 646 Hawks Point HOA 2019245 - HPA 21225 9115201

10082019 Hawks Point West HOA 201956 - HPW 208516 9323717

10082019 1115 Egis Insurance amp Risk Advisors Ins - FY 2020 563800 8759917

10112019 9036 JAYMAN ENTERPRISES LLC Replace Bulbs at Entrances Rcvd 10119 23000 8736917

10112019 9037 Landscape Maintenance Professionals Inc Landscape Maint - October 1105000 7631917

10162019 1116 FLORIDA DEPT OF ECONOMIC OPPORTUNIT Annual Filing FY 2020 17500 7614417

10182019 9041 TAMPA BAY TIMES Legal Ad - Meeting Schedule 55200 7559217

10212019 9038 DPFG MANAGEMENT amp CONSULTING LLC Special Assessment - FY 2020 Continuing Disclosure ADA Compliance 650000 6909217

10212019 9039 JAYMAN ENTERPRISES LLC Replace Bulbs 7000 6902217

10212019 9040 STANTEC CONSULTING SERVICES INC Lake amp Pond Maint - Sept 10500 6891717

10242019 ACH102419 TAMPA ELECTRIC 830-930 - 1416 Little Hawk Dr 7637 6884080

10242019 ACH1024192 TAMPA ELECTRIC 830-930 - 2160 Golden Falcon Dr 7083 6876997

10242019 000652 Hawks Point HOA 20197-HPA 4921 6881918

10252019 694003DD ANDREW HERON Bos Mtg - 101519 18470 6863448

10252019 ACH102519 Innovative Employer Soltuions Bos Mtg - 101519 17140 6846308

10252019 694005DD KAREN OBRIEN Bos Mtg - 101519 18470 6827838

10252019 694004DD SHERRI KEENE Bos Mtg - 101519 18470 6809368

10252019 694002DD WILLIAM J HATHAWAY Bos Mtg - 101519 18470 6790898

10312019 Bank United Interest 691 6791589

Bank United EOM Balance 254219 2923573 6791589

11012019 9042 DPFG MANAGEMENT amp CONSULTING LLC CDD Mgmt - November 385833 6405756

11012019 9043 STANTEC CONSULTING SERVICES INC Lake amp Pond Maint - Pond 201-19 amp 21 - Sept 274000 6131756

11012019 9044 STRALEY ROBIN VERICKER Legal Svcs thru 101519 65999 6065757

11122019 1117 HAWKS POINT CDD DS 2017 Tax Collection Share co Wells Fargo 762290 5303467

11152019 9045 Landscape Maintenance Professionals Inc Landscape Maint - November amp Irrigation Repairs 1229369 4074098

11152019 9046 STANTEC CONSULTING SERVICES INC Lake amp Pond Maint - Oct 333600 3740498

11202019 9048 TAMPA BAY TIMES Legal Ad - Audit Meeting 42050 3698448

11222019 9047 STANTEC CONSULTING SERVICES INC Lake amp Pond Maint - Pond 20 - Oct 10500 3687948

11252019 ACH1125191 TAMPA ELECTRIC 101-1030 - 1416 Little Hawk Dr 7431 3680517

11252019 ACH1125192 TAMPA ELECTRIC 101-1030 - 2160 Golden Falcon Dr 8753 3671764

11292019 703783DD ANDREW HERON Bos Mtg - 111919 18470 3653294

11292019 ACH112919 Innovative Employer Soltuions Bos Mtg - 111919 20200 3633094

11292019 703785DD KAREN OBRIEN Bos Mtg - 111919 18470 3614624

11292019 703781DD MARIE CHANTAL COPELAND Bos Mtg - 111919 18470 3596154

11292019 703784DD SHERRI KEENE Bos Mtg - 111919 18470 3577684

11292019 703782DD WILLIAM J HATHAWAY Bos Mtg - 111919 18470 3559214

11302019 Bank United Interest 450 3559664

Bank United EOM Balance 450 3232375 3559664

12022019 9049 DPFG MANAGEMENT amp CONSULTING LLC CDD Mgmt - December 385833 3173831

12042019 694 Hawks Point HOA 20198-HPA 5105 3178936

12042019 503 Hawks Point West HOA 20197-HPW amp 20198-HPW 7388 3186324

12042019 1118 Site Masters of Florida LLC Investigation of pipe discharge Townhome Yard Drain Blockage 150000 3036324

12112019 9050 Illuminations Holiday Lighting Electrical Fix Holiday Lights - Deposit 261250 2775074

12132019 Bank United Funds Transfer - MMK to Opt Acct 4500000 7275074

12132019 Bank United Funds Transfer - MMK to Opt Acct 50834407 58109481

12162019 9055 TAMPA BAY TIMES Legal Ad - RFP Auditing Svc 36100 58073381

12182019 9051 Flatwoods Environmental Cut amp Dispose Brazilian Pepper 396500 57676881

12182019 9052 Landscape Maintenance Professionals Inc Landscape Maint - December 1105000 56571881

12182019 9053 STANTEC CONSULTING SERVICES INC Misc Environmental Services 137000 56434881

12182019 9054 STRALEY ROBIN VERICKER Legal Svcs thru 111519 57500 56377381

12182019 1119 HAWKS POINT CDD DS 2017 Tax Collection Share co Wells Fargo 49544765 6832616

12182019 1120 Innersync ADA Compliant website 124942 6707674

12262019 ACH1226191 TAMPA ELECTRIC 1031-122 - 2160 Golden Falcon Dr 8771 6698903

12262019 ACH1226192 TAMPA ELECTRIC 1031-1202 - 1416 Little Hawk Dr 9315 6689588

12272019 711993DD ANDREW HERON Bos Mtg - 121719 18470 6671118

12272019 ACH122719 Innovative Employer Soltuions Bos Mtg - 121719 20200 6650918

12272019 711995DD KAREN OBRIEN Bos Mtg - 121719 18470 6632448

12272019 711991DD MARIE CHANTAL COPELAND Bos Mtg - 121719 18470 6613978

12272019 711994DD SHERRI KEENE Bos Mtg - 121719 18470 6595508

12272019 711992DD WILLIAM J HATHAWAY Bos Mtg - 121719 18470 6577038

12312019 Bank United Interest 3091 6580129

Bank United EOM Balance 55349991 52329526 6580129

01022020 9056 DPFG MANAGEMENT amp CONSULTING LLC CDD Mgmt - January 385833 6194296

01082020 9057 Landscape Maintenance Professionals Inc Station decoders 82908 6111388

01082020 9058 STRALEY ROBIN VERICKER Legal Svcs thru 121519 10000 6101388

01102020 9159 Landscape Maintenance Professionals Inc Landscape Maint - January 1105000 4996388

01102020 9160 Mike White LLC Entry Monument repair 54119 4942269

01132020 1121 HAWKS POINT CDD DS 2017 Tax Collection Share co Wells Fargo 868256 4074013

01172020 9161 Illuminations Holiday Lighting Holiday Lights - Balance Due 231250 3842763

01172020 000534 Hawks Point West HOA 20201-HPW 4493 3847256

01272020 1122 STANTEC CONSULTING SERVICES INC Pond Maint - December Engineering Svcs thru 122719 353400 3493856

01272020 ACH012720 TAMPA ELECTRIC 123-1231 - 2160 Golden Falcon Dr 8116 3485740

01272020 ACH0127202 TAMPA ELECTRIC 1203-1231 - 1416 Little Hawk Dr 6682 3479058

01312020 072704 Innovative Employer Soltuions Bos Mtg - 12120 17140 3461918

01312020 721948DD KAREN OBRIEN Bos Mtg - 12120 18470 3443448

01312020 721945DD MARIE CHANTAL COPELAND Bos Mtg - 12120 18470 3424978

01312020 721947DD SHERRI KEENE Bos Mtg - 12120 18470 3406508

01312020 721946DD WILLIAM J HATHAWAY Bos Mtg - 12120 18470 3388038

01312020 Bank United Interest 1406 3389444

Bank United EOM Balance 5899 3196584 3389444

02052020 1124 DPFG MANAGEMENT amp CONSULTING LLC CDD Mgmt - February 385833 3003611

02052020 1125 Landscape Maintenance Professionals Inc Landscape Maint - February 1105000 1898611

02052020 1126 TAMPA ELECTRIC 101-1030 - 1416 Little Hawk Dr 308 1898303

02252020 1127 Landscape Maintenance Professionals Inc Landscape Maint - March 1105000 793303

02252020 02252020ACH TAMPA ELECTRIC 11-130 - 1416 Little Hawk Dr 7840 785463

02252020 02252020ACH TAMPA ELECTRIC 11-130 - 2160 Golden Falcon Dr 9092 776371

02282020 02182020ACH Innovative Employer Soltuions Bos Mtg - 21820 14080 762291

02282020 730271DD MARIE CHANTAL COPELAND Bos Mtg - 21820 18470 743821

02282020 730273DD SHERRI KEENE Bos Mtg - 21820 18470 725351

02282020 7302272DD WILLIAM J HATHAWAY Bos Mtg - 21820 18470 706881

02292020 Bank United Interest 203 707084

HAWKS POINT CDDCASH REGISTER

FY 2020

Page 7

Date Num Name Memo Receipts Disbursements Balance

HAWKS POINT CDDCASH REGISTER

FY 2020

Bank United EOM Balance 203 2682563 707084

03042020 1128 DPFG MANAGEMENT amp CONSULTING LLC CDD Mgmt - March 385833 321251

03122020 1129 STANTEC CONSULTING SERVICES INC Engineering Svcs thru 012420 73950 247301

03122020 ACH032520 TAMPA ELECTRIC 13120 - 22820 - 2160 Golden Falcon Dr 8527 238774

03122020 ACH0325202 TAMPA ELECTRIC 013120 - 22820 - 1416 Little Hawk Dr 6592 232182

03192020 BankUnited Funds Transfer 5000000 5232182

03192020 1130 HAWKS POINT CDD DS 2017 Tax Collection Share co Wells Fargo thru 030420 1437199 3794983

03242020 1131 Landscape Maintenance Professionals Inc Pencil Pruning of Crape Myrtles Landscape Maint -042020 1360500 2434483

03242020 1132 STANTEC CONSULTING SERVICES INC Pond Maint - January Feb 295000 2139483

03242020 1133 STRALEY ROBIN VERICKER Legal Svcs thru 021520 23250 2116233

03272020 1134 DPFG MANAGEMENT amp CONSULTING LLC CDD Mgmt - April 2020 385833 1730400

03272020 1135 Landscape Maintenance Professionals Inc Irrigation Inspection repairs 74858 1655542

03312020 BankUnited Interest 200 1655742

Bank United EOM Balance 5000200 4051542 1655742

04082020 1136 Accurate Drilling Solutions Service call - 032520 - Replacement for Controller on pump 4 60234 1595508

04082020 1137 STANTEC CONSULTING SERVICES INC Engineering Svcs thru 032020 61250 1534258

04082020 1138 STRALEY ROBIN VERICKER Legal Svcs thru 031520 93270 1440988

04082020 1139 TAMPA ELECTRIC 229-330 - Electricity 16915 1424073

04162020 1140 HAWKS POINT CDD DS 2017 Tax Collection Share co Wells Fargo thru 041320 298431 1125642

04232020 BankUnited Funds Transfer 5000000 6125642

04232020 1141 Accurate Drilling Solutions Well Drilling and new pump system installation 1816480 4309162

04282020 1142 STRALEY ROBIN VERICKER Legal Svcs thru 041520 57460 4251702

04302020 BankUnited Interest 241 4251943

Bank United EOM Balance 5000241 2404040 4251943

05012020 1143 DPFG MANAGEMENT amp CONSULTING LLC CDD Mgmt - May 2020 385833 3866110

05012020 ACH050120 Innovative Employer Soltuions Bos Mtg - 42120 14080 3852030

05012020 747666DD MARIE CHANTAL COPELAND Bos Mtg - 42120 18470 3833560

05012020 747667DD WILLIAM J HATHAWAY Bos Mtg - 42120 18470 3815090

05012020 747668DD SHERRI KEENE Bos Mtg - 42120 18470 3796620

05082020 ACH050820 Innovative Employer Soltuions Bos Mtg - 42120 8620 3788000

05082020 1 Caryn Williams BOS 04212020 18470 3769530

05112020 1144 Landscape Maintenance Professionals Inc Landscape Maint -052020 1105000 2664530

05112020 1145 STANTEC CONSULTING SERVICES INC Engineering Svcs thru 042420 25400 2639130

05112020 1146 TAMPA ELECTRIC 330-429 - Electricity 19915 2619215

05212020 1147 BUSINESS OBSERVER Legal Ad - Notice of Qualifying Period 51520 5250 2613965

05212020 1148 CertaPro Painters Paint exterior wall 24th to 30th Street 635000 1978965

05212020 1149 STANTEC CONSULTING SERVICES INC Pond Maint - March-April 295000 1683965

05292020 BankUnited Funds Transfer 5000000 6683965

05292020 755486DD Caryn Williams Bos Mtg - 51920 18470 6665495

05292020 ACH052920 Innovative Employer Soltuions Bos Mtg - 51920 14740 6650755

05292020 755485DD SHERRI KEENE Bos Mtg - 51920 18470 6632285

05292020 755484DD WILLIAM J HATHAWAY Bos Mtg - 51920 18470 6613815

05312020 BankUnited Interest 350 6614165

Bank United EOM Balance 5000350 2638128 6614165

Page 8

EXHIBIT 3

Vacant Position on the Board of Supervisors of the Hawkrsquos Point Community Development District The Hawkrsquos Point Community Development District (CDD) is soliciting interested candidates to fill a vacant position on the Board of Supervisors of the CDD (Board) The CDD is a local unit of special-purpose government which is created pursuant to Chapter 190 Florida Statutes The Board is comprised of 5 members who are public officials who are normally elected on the November General Elections who serve in staggered terms The vacancy is a result of a resignation of a board member due to a relocation The remaining term of the vacant supervisorrsquos seat is through November 2022

Qualification Requirements

1 Resident of the CDD

2 At least 18 years of age

3 Citizen of the United States

4 Legal resident of Florida and of the CDD

5 Registered to vote with the Hillsborough County Supervisor of Elections

Instructions for Interested Candidates

Interested candidates must submit a letter of interest and resume to Raymondlotitodpfgcom by 4 pm on Friday June 5 2020 The subject line in the email should read ldquoVacant Position on the Board of Supervisors of the Hawkrsquos Point CDDrdquo

The Letter of Interest must contain

1 A statement stating why you believe you are well suited for the position

2 Your vision for the CDD and what you would like to see the Community evolve into Please be specific

The Resume must contain

1 Your academic background and professional experience

2 Previous and current experience with governmental agencies and governing boards

Interested candidates should attend the Board meeting on Tuesday June 16 2020 at 630 pm and present a brief presentation about themselves and be prepared for a brief question and answer period with the current Board members

Additional Notes

The current Board members will discuss the candidates and may make an appointment at the June meeting If the Board cannot come to a consensus on one candidate or if they determine to not appoint any candidate to the vacant seat they may revisit the vacancy at a future meeting or leave the seat vacant until the November 2022 General Election

Please note that the person appointed to serve in the vacant seat will be required to submit a financial disclosure statement to the State and will be subject to Floridarsquos Government in the Sunshine Laws Public Records laws and Ethics laws

1

Sookdeo (Shami) Choon Phone number (813) 731-5564 1803 Oak Pond Street Ruskin Fl 33570 E-mailchoons27gmailcom

PROFESSIONAL HISTORY Firkins GroupGarber Nissan December 2013 to Present Commercial Vehicle Sales ManagerFinance Manager Auto Nation From January 2006 to December 2013 Sales 2006- 2007 Finance Manager 2007- 2008 Sales Manager Training Manager 2008-2009 Sales Finance 2009- 2011 Commercial Sales Manager Finance Manager 2011- 2020 Parts Depot Inc From 1990 to 2005 ___________________________________________________________________________________________ Operations Manager Florida Distribution 2002 ndash 2005 bull Responsible for total inventory control of all Florida warehouses frac12 of the corporationrsquos revenue bull Directed top management to complete acquisition consolidations which resulted in the corporationrsquos

expansion bull Managed all Florida branch warehouse managers and employees totaling 200 employees bull Increased productivity and shipping efficiency in all departments developed new delivery logistics

improved product availability to all customers as well a hired and efficiently trained employees bull Reviewed all customer service statistics daily and contacted customer directly on all issues bull Reviewed PampLrsquos for all units monthly bull Presented weekly productivity and financial reports to senior management bull Directed DOT monthly guidelines maintained driver files in accordance with DOT regulations and

implemented loss prevention programs Operations Manager for Florida Branch Distribution 1999 ndash 2002 bull Improved customer service by increasing product availability to customers by implementing new

delivery logistics bull Developed employee training implemented safety awareness and monthly safety programs Warehouse Manager of Miami Distribution Center 1998 ndash 1999 bull Developed and implemented productivity guidelines implemented delivery cost saving programs

and improved product availability to the corporationrsquos customers Branch Manager of West Palm Beach 1994 ndash 1998 bull Responsible for the opening of this new branch set the building layout as well as the delivery and

logistics systems

2

bull Increased sales by 80 over budget and kept operating cost as of sales Implemented new customer service department Hired and trained all employees

Assistant Branch Manager 1991 ndash 1994 bull Increased productivity by 20 and improved delivery service Customer Service Agent 1990 ndash 1991 bull Created and implemented customer service guidelines Wingate Automotive Group 1987ndash 1990 Trinidad amp Tobago Government National Security 1984- 1987 Field Operation

EXHIBIT 4

PO Box 267 Seffner FL 33583 O 813-757-6500 F 813-757-6501 Estimate

Submitted To Hawks Point CDD 250 International Parkway Suite 280 Lake Mary FL 32746

CDD - controller 4 - zones 1 and 2

Date 5232020

Estimate 66077

LMP REPRESENTATIVE

DG-TI

PO

W ork Order

DESCRIPTION QTY COST TOTAL

Controller 4 34 inch poly pipe 34 inch poly pipe clamps Labor 2 men $ 8500 per hour

Irrigation inspection repairs needed Repair 6 - 34 inch poly pipe line leaks

6 12 05

072 129

8500

432 1548 4250

TERMS AND CONDITIONS TOTAL $6230

LMP reserves the right to withdraw this proposal if not accepted within 30 days of the date listed above Any alteration or deviation to scope of work involving additional costs must be agreed upon in writing as a separate proposal or change order to this proposal Periodic invoices may be submitted if job is substantial in nature with final invoice being submitted at completion of project Any work performed requiring more than 5 days to complete is subject to progressive payments as portions of the work are completed No finance charge will be imposed if the total of said work is paid in full within 30 days of invoice date If not paid in full within 30 days then customer is subject to finance charges on the balance of the work from the invoice date at a rate of 15 per month until paid LMP shall have the right to stop work under this contract until all outstanding amounts including finance charges are paid in full Payments will be applied to the oldest invoices

ACCEPTANCE OF PROPOSAL The above prices scope of work and terms and conditions are hereby satisfactorily agreed upon LMP Inc has been authorized to perform the work as outlined and payment will be made as outlined above The above pricing does not include any unforeseen modifications to the said irrigation system that could not be reasonably accounted for prior to job start All plant material carries a one (1) year warranty provided LMP Inc is performing landscape maintenance services to the area installed or enhanced at the time of installation If not then there is no warranty on the plant material

OWNER AGENT

DATE

EXHIBIT 5

Independent Franchise Owner Job TBE8F300154 Terry Beamer 9266 Lazy Ln

Date 06012020

EXTERIOR PROPOSALEXTERIOR PROPOSALEXTERIOR PROPOSALEXTERIOR PROPOSAL Tampa FL 33614 813-936-9242

Fax 813 936-9172

1-800-462-3782

License PA2508

Full Workers Compensation Coverage$2000000 General Liability Insurance

DPFG Management amp Consulting LLC (Hawks Point) Raymond Lotito (SB) Hawks Point CDD Ruskin FL 33570 Phone 813-418-7473 Cell 813-220-6089 Email raymondlotitodpfgcom

Special Notes CERTAPRO PAINTERS WILL PAINT WALL FACING 19ST FROM 18TH-24TH

SPECIAL ATTENTION ADDRESSING STUCCO CRACKS USING CONCRETE AND MASONRY PATCH

SPECIAL ATTENTION PRESSURE WASHING LOOSE PEELING PAINT PRIOR TO PAINTING

CERTAPRO PAINTERS WILL ONLY PAINT STREET FACING SIDE- HOMEOWNERS SIDE EXCLUDED FROM PROPOSAL

CUSTOMER RESPONSIBILITIES Please cut back all shrubs bushes and palms away from wall

GENERAL DESCRIPTION Painting to Exterior Wall 18th-24th Facing 19th Ave

PREPARATION Washing To remove dirt mildew and loose paint so the new finish coat will adhere properly

Caulking To fill all cracks and gaps around windows and doorswood work to seal out moisture and drafts Stair step

cracks

Scraping Scrape all loose and peeling paint to ensure a firm base for the new paint

Masonry Repair to all cracks gaps and holes with elastemeric caulking or masonry patch as required

Sanding To degloss where necessary to promote adhesion of the top coat

Surface TypeArea Primer PurposePRIMING

Masonry Loxon sealerprimer Latex For propor top coat adhesion

Conditioner Loxon sealerprimer to all Latex For proper top coat adhesion

masonry surfaces

FINISH COATS

Surface Area

Exterior

ManufacturePaint Type

Sherwin Williams Resilience Ext Satin

Coats

1 primer-sealer 1 spray 1 backroll stucco

Color

Same As Existing

Clean Up Daily and upon completion

$1132900 All Labor Paint Materials

$1132900 TOTAL

Signature of Authorized Franchise Representative Date

Payment is due In Full upon Job Completion

(IWE HAVE READ THE TERMS STATED HEREIN THEY HAVE (IWE) HAVE EXAMINED THE JOB STATED HEREIN THEY EXPLAINED TO (MEUS) AND (IWE) FIND THEM TO BE HAVE SHOWN TO (MEUS) AND (IWE) FIND THE JOB TO SATISFACTORY AND HEREBY ACCEPT THEM BE SATISFACTORY AND HEREBY ACCEPT THE JOB AS

COMPLETE

SIGNATURE Date SIGNATURE Date

QUOTE

Shazam Construction LLC DATE MAY 13 2020

Shazam Hera 6773 Waterton Drive Riverview FL 33578 813-385-4591 ShazamConstructionLLCgmailcom Hawks Point CDD

TO Bill to Development Planning and Financing Group 15310 Amberly Drive Suite 175 Tampa FL 33647

QUANITY DESCRIPTION UNIT PRICE LINE TOTAL

Pressure wash the wall that parallels 19th avenue from 18th street to 24th street in Hawks Point CDD in Ruskin

$1270000

Repair any cracks with caulk or elastomeric as neededPrep for paint

Paint the wall that parallels 19th avenue from 18th street to 24th street in Hawks Point CDD in Ruskin

Paint using body trim and caps of exterior wall facing 19th avenue

Paint while matching existing colors

Paint using Sherwin Williams

All paint materials and labor is included

SUBTOTAL

SALES TAX

TOTAL $1270000

Make all checks payable to Shazam Construction LLC

THANK YOU FOR YOUR BUSINESS

EXHIBIT 6

Independent Franchise Owner Job TB443B00157 Terry Beamer 9266 Lazy Ln

Date 06052020

EXTERIOR PROPOSALEXTERIOR PROPOSALEXTERIOR PROPOSALEXTERIOR PROPOSAL Tampa FL 33614 813-936-9242

Fax 813 936-9172

1-800-462-3782

License PA2508

Full Workers Compensation Coverage$2000000 General Liability Insurance

DPFG Management amp Consulting LLC (Hawks Point) Raymond Lotito (SB) Hawks Point CDD Ruskin FL 33570 Phone 813-418-7473 Cell 813-220-6089 Email raymondlotitodpfgcom

Special Notes CERTAPRO PAINTERS PRESSURE WASHING PROPOSAL 18TH-24TH

CERTAPRO PAINTERS WILL PRESSURE WASH WALL FACING 19TH ST ONLY

GENERAL DESCRIPTION Painting to

PREPARATION Washing To remove dirt mildew and loose paint so the new finish coat will adhere properly

PRIMING Surface TypeArea Primer Purpose

Clean Up Daily and upon completion

All Labor Paint Materials

TOTAL

$195000

$195000

Signature of Authorized Franchise Representative Date

Payment is due In Full upon Job Completion

(IWE HAVE READ THE TERMS STATED HEREIN THEY HAVE (IWE) HAVE EXAMINED THE JOB STATED HEREIN THEY EXPLAINED TO (MEUS) AND (IWE) FIND THEM TO BE HAVE SHOWN TO (MEUS) AND (IWE) FIND THE JOB TO SATISFACTORY AND HEREBY ACCEPT THEM BE SATISFACTORY AND HEREBY ACCEPT THE JOB AS

COMPLETE

SIGNATURE Date SIGNATURE Date

QUOTE

Shazam Construction LLC DATE JUNE 5 2020

Shazam Hera 6773 Waterton Drive Riverview FL 33578 813-385-4591 ShazamConstructionLLCgmailcom Hawks Point CDD

TO Bill to Development Planning and Financing Group 15310 Amberly Drive Suite 175 Tampa FL 33647

QUANITY DESCRIPTION UNIT PRICE LINE TOTAL

Pressure wash the wall that parallels 19th avenue from 18th street to 24th street in Hawks Point CDD in Ruskin

$160000

All materials and labor is included

SUBTOTAL

SALES TAX

TOTAL $160000

Make all checks payable to Shazam Construction LLC

THANK YOU FOR YOUR BUSINESS

EXHIBIT 7

2019FORM 1 STATEMENT OF

Please print or type your name mailing FOR OFFICE USE ONLY FINANCIAL INTERESTS address agency name and position below

LAST NAME -- FIRST NAME -- MIDDLE NAME

MAILING ADDRESS

CITY ZIP COUNTY

NAME OF AGENCY

NAME OF OFFICE OR POSITION HELD OR SOUGHT

CHECK ONLY IF CANDIDATE OR NEW EMPLOYEE OR APPOINTEE

THIS SECTION MUST BE COMPLETED DISCLOSURE PERIOD THIS STATEMENT REFLECTS YOUR FINANCIAL INTERESTS FOR CALENDAR YEAR ENDING DECEMBER 31 2019

MANNER OF CALCULATING REPORTABLE INTERESTS FILERS HAVE THE OPTION OF USING REPORTING THRESHOLDS THAT ARE ABSOLUTE DOLLAR VALUES WHICH REQUIRES FEWER CALCULATIONS OR USING COMPARATIVE THRESHOLDS WHICH ARE USUALLY BASED ON PERCENTAGE VALUES (see instructions for further details) CHECK THE ONE YOU ARE USING (must check one)

COMPARATIVE (PERCENTAGE) THRESHOLDS OR DOLLAR VALUE THRESHOLDS

PART A -- PRIMARY SOURCES OF INCOME [Major sources of income to the reporting person - See instructions] (If you have nothing to report write none or na)

NAME OF SOURCE SOURCES DESCRIPTION OF THE SOURCES OF INCOME ADDRESS PRINCIPAL BUSINESS ACTIVITY

PART B -- SECONDARY SOURCES OF INCOME [Major customers clients and other sources of income to businesses owned by the reporting person - See instructions] (If you have nothing to report write none or na)

NAME OF NAME OF MAJOR SOURCES ADDRESS PRINCIPAL BUSINESS BUSINESS ENTITY OF BUSINESS INCOME OF SOURCE ACTIVITY OF SOURCE

PART C -- REAL PROPERTY [Land buildings owned by the reporting person - See instructions] You are not limited to the space on the (If you have nothing to report write none or na) lines on this form Attach additional

sheets if necessary

FILING INSTRUCTIONS for when and where to file this form are located at the bottom of page 2

INSTRUCTIONS on who must file this form and how to fill it out begin on page 3

CE FORM 1 - Effective January 1 2020 (Continued on reverse side) PAGE 1 Incorporated by reference in Rule 34-8202(1) FAC

FILING INSTRUCTIONS

IF ANY OF PARTS A THROUGH G ARE CONTINUED ON A SEPARATE SHEET PLEASE CHECK HERE

PART D mdash INTANGIBLE PERSONAL PROPERTY [Stocks bonds certificates of deposit etc - See instructions] (If you have nothing to report write none or na) TYPE OF INTANGIBLE BUSINESS ENTITY TO WHICH THE PROPERTY RELATES

PART E mdash LIABILITIES [Major debts - See instructions] (If you have nothing to report write none or na)

NAME OF CREDITOR ADDRESS OF CREDITOR

PART F mdash INTERESTS IN SPECIFIED BUSINESSES [Ownership or positions in certain types of businesses - See instructions] (If you have nothing to report write none or na)

BUSINESS ENTITY 1 BUSINESS ENTITY 2

NAME OF BUSINESS ENTITY

ADDRESS OF BUSINESS ENTITY

PRINCIPAL BUSINESS ACTIVITY

POSITION HELD WITH ENTITY

I OWN MORE THAN A 5 INTEREST IN THE BUSINESS

NATURE OF MY OWNERSHIP INTEREST

If you were mailed the form by the Commission on Ethics or a County Supervisor of Elections for your annual disclosure filing return the form to that location To determine what category your position falls under see page 3 of instructions Local officersemployees file with the Supervisor of Elections of the county in which they permanently reside (If you do not permanently reside in Florida file with the Supervisor of the county where your agency has its headquarters) Form 1 filers who file with the Supervisor of Elections may file by mail or email Contact your Supervisor of Elections for the mailing address or email address to use Do not email your form to the Commission on Ethics it will be returned State officers or specified state employees who file with the Commission on Ethics may file by mail or email To file by mail send the completed form to PO Drawer 15709 Tallahassee FL32317-5709 physical address 325 John Knox Rd Bldg E Ste 200 Tallahassee FL 32303 To file with the Commission by email scan your completed form and any attachments as a pdf (do not use any other format) send it to CEForm1legstateflus and retain a copy for your records Do not file by both mail and email Choose only one filing method Form 6s will not be accepted via email

Candidates file this form together with their filing papers MULTIPLE FILING UNNECESSARY A candidate who files a Form 1 with a qualifying officer is not required to file with the Commission or Supervisor of Elections WHEN TO FILE Initially each local officeremployee state officer and specified state employee must file within 30 days of the date of his or her appointment or of the beginning of employment Appointees who must be confirmed by the Senate must file prior to confirmation even if that is less than 30 days from the date of their appointment Candidates must file at the same time they file their qualifying papers Thereafter file by July 1 following each calendar year in which they hold their positions Finally file a final disclosure form (Form 1F) within 60 days of leaving office or employment Filing a CE Form 1F (Final Statement of Financial Interests) does not relieve the filer of filing a CE Form 1 if the filer was in his or her position on December 31 2019

SIGNATURE OF FILER Signature

____________________________________________

Date Signed

____________________________________________

CPA or ATTORNEY SIGNATURE ONLY If a certified public accountant licensed under Chapter 473 or attorney in good standing with the Florida Bar prepared this form for you he or she must complete the following statement

I _______________________________________ prepared the CE Form 1 in accordance with Section 1123145 Florida Statutes and the instructions to the form Upon my reasonable knowledge and belief the disclosure herein is true and correct

CPAAttorney Signature ______________________________

Date Signed _______________________________________

PART G mdash TRAINING For elected municipal officers required to complete annual ethics training pursuant to section 1123142 FS

I CERTIFY THAT I HAVE COMPLETED THE REQUIRED TRAINING

CE FORM 1 - Effective January 1 2020 PAGE 2 Incorporated by reference in Rule 34-8202(1) FAC

Examplesmdash You are the sole proprietor of a dry cleaning business fromwhich you received more than 10 of your gross incomemdashanamount that was more than $1500 If only one customer auniform rental company provided more than 10 of your drycleaning business you must list the name of the uniform rentalcompany its address and its principal business activity (uniform rentals) mdash You are a 20 partner in a partnership that owns a shopping mall and your partnership income exceeded the thresholds listed above You should list each tenant of the mall that provided more than 10 of the partnershiprsquos gross income and the tenantrsquos address and principal business activity

PART C mdash REAL PROPERTY[Required by s 1123145(3)(a)3 FS]In this part list the location or description of all real property in

Florida in which you owned directly or indirectly at any time during the disclosure period in excess of 5 of the propertyrsquos value You are not required to list your residences You should list any vacation homes if you derive income from them

Indirect ownership includes situations where you are abeneficiary of a trust that owns the property as well as situations where you own more than 5 of a partnership or corporation thatowns the property The value of the property may be determined by the most recently assessed value for tax purposes in the absence of a more current appraisal

The location or description of the property should be sufficient to enable anyone who looks at the form to identify the property Astreet address should be used if one exists PART D mdash INTANGIBLE PERSONAL PROPERTY

[Required by s 1123145(3)(a)3 FS]Describe any intangible personal property that at any time

during the disclosure period was worth more than 10 of your total assets and state the business entity to which the property related Intangible personal property includes things such as cash on hand stocks bonds certificates of deposit vehicle leases interests in businesses beneficial interests in trusts money owed you Deferred Retirement Option Program (DROP) accounts the Florida Prepaid College Plan and bank accounts Intangiblepersonal property also includes investment products held in IRAs brokerage accounts and the Florida College Investment Plan Note that the product contained in a brokerage account IRA or the Florida College Investment Plan is your assetmdashnot the account or plan itself Things like automobiles and houses you own jewelryand paintings are not intangible property Intangibles relating to the same business entity may be aggregated for example CDrsquos and savings accounts with the same bank

Calculations To determine whether the intangible property exceeds 10 of your total assets total the fair market value of all of your assets (including real property intangible property and tangible personal property such as jewelry furniture etc) When making this calculation do not subtract any liabilities (debts) that may relate to the property Multiply the total figure by 10 to arrive at the disclosure threshold List only the intangibles that exceed this threshold amount The value of a leased vehicle is the vehiclersquos present value minus the lease residual (a number which can be found on the lease document) Property that is only jointly owned property should be valued according to the percentage of your joint ownership Property owned as tenants by the entirety or as joint tenants with right of survivorship should be valued at 100 None of your calculations or the value of the property have to be disclosed on the form

Example You own 50 of the stock of a small corporation that is worth $100000 the estimated fair market value of your home and other property (bank accounts automobile furniture etc) is $200000 As your total assets are worth $250000 you must disclose intangibles worth over $25000 Since the value of the stock exceeds this threshold you should list ldquostockrdquo and the name of the corporation If your accounts with a particular bank exceed $25000 you should list ldquobank accountsrdquo and bankrsquos name

PART E mdash LIABILITIES[Required by s 1123145(3)(b)4 FS]List the name and address of each creditor to whom you owed

any amount that at any time during the disclosure period exceeded your net worth You are not required to list the amount of any debt or your net worth You do not have to disclose credit card and retail installment accounts taxes owed (unless reduced to a judgment) indebtedness on a life insurance policy owed to the company of issuance or contingent liabilities A ldquocontingent liabilityrdquo is one that will become an actual liability only when one or more future events occur or fail to occur such as where you are liable only as a guarantor surety or endorser on a promissory note If you are a ldquoco-makerrdquo and are jointly liable or jointly and severally liable it is not a contingent liability

Calculations To determine whether the debt exceeds your net worth total all of your liabilities (including promissory notes mortgages credit card debts judgments against you etc) Theamount of the liability of a vehicle lease is the sum of any past-due payments and all unpaid prospective lease payments Subtract the sum total of your liabilities from the value of all your assets as calculated above for Part D This is your ldquonet worthrdquo List each creditor to whom your debt exceeded this amount unless it is one of the types of indebtedness listed in the paragraph above (credit card and retail installment accounts etc) Joint liabilities with others for which you are ldquojointly and severally liablerdquo meaning that you may be liable for either your part or the whole of the obligation should be included in your calculations at 100 of the amount owed

Example You owe $15000 to a bank for student loans $5000 for credit card debts and $60000 (with spouse) to a savings and loan for a home mortgage Your home (owned by you and your spouse) is worth $80000 and your other property is worth $20000 Since your net worth is $20000 ($100000 minus $80000) you must report only the name and address of the savings and loan

PART F mdash INTERESTS IN SPECIFIED BUSINESSES[Required by s 1123145 FS]The types of businesses covered in this disclosure include

state and federally chartered banks state and federal savings and loan associations cemetery companies insurance companies mortgage companies credit unions small loan companies alcoholic beverage licensees pari-mutuel wagering companies utilitycompanies entities controlled by the Public Service Commission and entities granted a franchise to operate by either a city or acounty government

Disclose in this part the fact that you owned during the disclosure period an interest in or held any of certain positions with the types of businesses listed above You are required to make this disclosure if you own or owned (either directly orindirectly in the form of an equitable or beneficial interest) at any time during the disclosure period more than 5 of the total assets or capital stock of one of the types of business entities listed above You also must complete this part of the form for each of these types of businesses for which you are or were at any time during thedisclosure period an officer director partner proprietor or agent (other than a resident agent solely for service of process)

If you have or held such a position or ownership interest in one of these types of businesses list the name of the business its address and principal business activity and the position held with the business (if any) If you own(ed) more than a 5 interest in the business indicate that fact and describe the nature of your interest

PART G mdash TRAINING CERTIFICATION[Required by s 1123142 FS]If you are a Constitutional or elected municipal officer whose

service began before March 31 of the year for which you are filing you are required to complete four hours of ethics training which addresses Article II Section 8 of the Florida Constitution the Code of Ethics for Public Officers and Employees and the public records and open meetings laws of the state You are required to certify on this form that you have taken such training (End of Percentage Thresholds Instructions)

CE FORM 1 - Effective January 1 2020 Incorporated by reference in Rule 34-8202 FAC PAGE 6

NOTICE Annual Statements of Financial Interests are due July 1 If the annual form is not filed or postmarked by September 1 an automatic fine of $25 for each day late will be imposed up to a maximum penalty of $1500 Failure to file also can result in removal from public office or employment [s 1123145 FS]

In addition failure to make any required disclosure constitutes grounds for and may be punished by one or more of the following disqualification from being on the ballot impeachment removal or suspension from office or employment demotion reduction in salary reprimand or a civil penalty not exceeding $10000 [s 112317 FS]

WHO MUST FILE FORM 1 1) Elected public officials not serving in a political subdivision of the

state and any person appointed to fill a vacancy in such office unlessrequired to file full disclosure on Form 62) Appointed members of each board commission authority

or council having statewide jurisdiction excluding members of solelyadvisory bodies but including judicial nominating commission membersDirectors of Enterprise Florida Scripps Florida Funding Corporationand Career Source Florida and members of the Council on the Social Status of Black Men and Boys the Executive Director Governors and senior managers of Citizens Property Insurance CorporationGovernors and senior managers of Florida Workers Compensation JointUnderwriting Association board members of the Northeast Fla RegionalTransportation Commission board members of Triumph Gulf Coast Incboard members of Florida Is For Veterans Inc and members of the Technology Advisory Council within the Agency for State Technology3) The Commissioner of Education members of the State Board

of Education the Board of Governors the local Boards of Trustees and Presidents of state universities and the Florida Prepaid College Board 4) Persons elected to office in any political subdivision (such as

municipalities counties and special districts) and any person appointedto fill a vacancy in such office unless required to file Form 65) Appointed members of the following boards councils

commissions authorities or other bodies of county municipality schooldistrict independent special district or other political subdivision thegoverning body of the subdivision community college or junior collegedistrict boards of trustees boards having the power to enforce local codeprovisions boards of adjustment community redevelopment agenciesplanning or zoning boards having the power to recommend create ormodify land planning or zoning within a political subdivision except forcitizen advisory committees technical coordinating committees andsimilar groups who only have the power to make recommendationsto planning or zoning boards and except for representatives of a military installation acting on behalf of all military installations within thatjurisdiction pension or retirement boards empowered to invest pensionor retirement funds or determine entitlement to or amount of pensions orother retirement benefits and the Pinellas County Construction LicensingBoard 6) Any appointed member of a local government board who

is required to file a statement of financial interests by the appointingauthority or the enabling legislation ordinance or resolution creating theboard 7) Persons holding any of these positions in local government

mayor county or city manager chief administrative employee or finance

director of a county municipality or other political subdivision county or municipal attorney chief county or municipal building inspectorcounty or municipal water resources coordinator county or municipalpollution control director county or municipal environmental control director county or municipal administrator with power to grant or denya land development permit chief of police fire chief municipal clerkappointed district school superintendent community college presidentdistrict medical examiner purchasing agent (regardless of title) havingthe authority to make any purchase exceeding $35000 for the localgovernmental unit8) Officers and employees of entities serving as chief administrative

officer of a political subdivision9) Members of governing boards of charter schools operated by a

city or other public entity10) Employees in the office of the Governor or of a Cabinet member

who are exempt from the Career Service System excluding secretarialclerical and similar positions11) The following positions in each state department commission

board or council Secretary Assistant or Deputy Secretary ExecutiveDirector Assistant or Deputy Executive Director and anyone having thepower normally conferred upon such persons regardless of title12) The following positions in each state department or division

Director Assistant or Deputy Director Bureau Chief and any personhaving the power normally conferred upon such persons regardless oftitle 13) Assistant State Attorneys Assistant Public Defenders criminal

conflict and civil regional counsel and assistant criminal conflict and civilregional counsel Public Counsel full-time state employees serving ascounsel or assistant counsel to a state agency administrative law judgesand hearing officers14) The Superintendent or Director of a state mental health institute

established for training and research in the mental health field or anymajor state institution or facility established for corrections trainingtreatment or rehabilitation 15) State agency Business Managers Finance and Accounting

Directors Personnel Officers Grant Coordinators and purchasingagents (regardless of title) with power to make a purchase exceeding$35000 16) The following positions in legislative branch agencies each

employee (other than those employed in maintenance clerical secretarial or similar positions and legislative assistants exempted by the presiding officer of their house) and each employee of theCommission on Ethics

INSTRUCTIONS FOR COMPLETING FORM 1 INTRODUCTORY INFORMATION (Top of Form) If your name mailing address public agency and position are already printed on the form you do not need to provide this information unless it should be changed To change any of this information write the correct information on the form and contact your agencys financial disclosure coordinator You can find your coordinator on the Commission on Ethics website wwwethics stateflus NAME OF AGENCY The name of the governmental unit which you serve or served by which you are or were employed or for which you are a candidate DISCLOSURE PERIOD The ldquodisclosure periodrdquo for your report is the calendar year ending December 31 2019

OFFICE OR POSITION HELD OR SOUGHT The title of the office or position you hold are seeking or held during the disclosure period even if you have since left that position If you are a candidate for office or are a new employee or appointee check the appropriate box PUBLIC RECORD The disclosure form and everythingattached to it is a public record Your Social Security Number is not required and you should redact it from any documents you file If you are an active or former officer or employee listed in Section 119071 FS whose home address is exempt from disclosure the Commission will maintain that confidentiality if you submit a written request

CE FORM 1 - Effective January 1 2020 Incorporated by reference in Rule 34-8202 FAC PAGE 3

PART E mdash LIABILITIES[Required by s 1123145(3)(b)4 FS]List the name and address of each creditor to whom you owed more

than $10000 at any time during the disclosure period The amount of theliability of a vehicle lease is the sum of any past-due payments and allunpaid prospective lease payments You are not required to list the amountof any debt You do not have to disclose credit card and retail installmentaccounts taxes owed (unless reduced to a judgment) indebtedness ona life insurance policy owed to the company of issuance or contingentliabilities A ldquocontingent liabilityrdquo is one that will become an actual liabilityonly when one or more future events occur or fail to occur such as whereyou are liable only as a guarantor surety or endorser on a promissorynote If you are a ldquoco-makerrdquo and are jointly liable or jointly and severallyliable then it is not a contingent liability

PART F mdash INTERESTS IN SPECIFIED BUSINESSES[Required by s 1123145(6) FS]The types of businesses covered in this disclosure include state and

federally chartered banks state and federal savings and loan associationscemetery companies insurance companies mortgage companies creditunions small loan companies alcoholic beverage licensees pari-mutuelwagering companies utility companies entities controlled by the PublicService Commission and entities granted a franchise to operate by either acity or a county government

Disclose in this part the fact that you owned during the disclosure period aninterest in or held any of certain positions with the types of businesses listedabove You must make this disclosure if you own or owned (either directly orindirectly in the form of an equitable or beneficial interest) at any time duringthe disclosure period more than 5 of the total assets or capital stock ofone of the types of business entities listed above You also must completethis part of the form for each of these types of businesses for which youare or were at any time during the disclosure period an officer directorpartner proprietor or agent (other than a resident agent solely for service ofprocess)

If you have or held such a position or ownership interest in one ofthese types of businesses list the name of the business its address andprincipal business activity and the position held with the business (if any) Ifyou own(ed) more than a 5 interest in the business indicate that fact anddescribe the nature of your interest

PART G mdash TRAINING CERTIFICATION[Required by s 1123142 FS]If you are a Constitutional or elected municipal officer whose

service began before March 31 of the year for which you are filingyou are required to complete four hours of ethics training which addresses Article II Section 8 of the Florida Constitution the Codeof Ethics for Public Officers and Employees and the public recordsand open meetings laws of the state You are required to certify onthis form that you have taken such training

(End of Dollar Value Thresholds Instructions)

PART A mdash PRIMARY SOURCES OF INCOME[Required by s 1123145(3)(a)1 FS]Part A is intended to require the disclosure of your principal

sources of income during the disclosure period You do not haveto disclose any public salary or public position(s) but income from these public sources should be included when calculating your gross income for the disclosure period The income of your spouse need not be disclosed however if there is joint income to you and your spouse from property you own jointly (such as interest or dividends from a bank account or stocks) you should include all of that income when calculating your gross income and disclose the source of that income if it exceeded the threshold

Please list in this part of the form the name address and principal business activity of each source of your income whichexceeded 5 of the gross income received by you in your own name or by any other person for your benefit or use during the disclosure period

Gross income means the same as it does for income tax purposes even if the income is not actually taxable such as interest on tax-free bonds Examples include compensation for servicesincome from business gains from property dealings interest rents dividends pensions IRA distributions social security distributive share of partnership gross income and alimony but not child support

Examplesmdash If you were employed by a company that manufactures computers and received more than 5 of your gross income from the company list the name of the company its address and its principal business activity (computer manufacturing)mdash If you were a partner in a law firm and your distributive share of partnership gross income exceeded 5 of your gross income then list the name of the firm its address and its principal business activity (practice of law)mdash If you were the sole proprietor of a retail gift business andyour gross income from the business exceeded 5 of your total gross income list the name of the business its addressand its principal business activity (retail gift sales)mdash If you received income from investments in stocks and bonds list each individual company from which you derived

more than 5 of your gross income Do not aggregate all of your investment incomemdash If more than 5 of your gross income was gain from the sale of property (not just the selling price) list as a source of income the purchaserrsquos name address and principal business activityIf the purchasers identity is unknown such as where securities listed on an exchange are sold through a brokerage firm the source of income should be listed as sale of (name of company)stock for examplemdash If more than 5 of your gross income was in the form of interest from one particular financial institution (aggregatinginterest from all CDrsquos accounts etc at that institution) list the name of the institution its address and its principal business activity

PART B mdash SECONDARY SOURCES OF INCOME[Required by s 1123145(3)(a)2 FS]This part is intended to require the disclosure of major customers

clients and other sources of income to businesses in which you ownan interest It is not for reporting income from second jobs That kindof income should be reported in Part A Primary Sources of Incomeif it meets the reporting threshold You will not have anything to reportunless during the disclosure period

(1) You owned (either directly or indirectly in the form of anequitable or beneficial interest) more than 5 of the total assetsor capital stock of a business entity (a corporation partnershipLLC limited partnership proprietorship joint venture trust firmetc doing business in Florida) and(2) You received more than 10 of your gross income from thatbusiness entity and(3) You received more than $1500 in gross income from thatbusiness entity

If your interests and gross income exceeded these thresholds thenfor that business entity you must list every source of income to thebusiness entity which exceeded 10 of the business entityrsquos grossincome (computed on the basis of the business entityrsquos most recentlycompleted fiscal year) the sourcersquos address and the sourcersquosprincipal business activity

IF YOU HAVE CHOSEN COMPARATIVE (PERCENTAGE) THRESHOLDSTHE FOLLOWING INSTRUCTIONS APPLY

CE FORM 1 - Effective January 1 2020 Incorporated by reference in Rule 34-8202 FAC PAGE 5

MANNER OF CALCULATING REPORTABLE INTEREST Filers have the option of reporting based on either thresholds that are comparative (usually based on percentage values) or thresholds that are based on absolute dollar values The instructions on the following pages specifically describe the different thresholds Check the box that reflects the choice you have made You must use the type of threshold you have chosen for each part of the form In other words if you choose to report based on absolute dollar value thresholds you cannot use a percentage threshold on any part of the form

IF YOU HAVE CHOSEN DOLLAR VALUE THRESHOLDS THE FOLLOWING INSTRUCTIONS APPLY

PART A mdash PRIMARY SOURCES OF INCOME [Required by s 1123145(3)(b)1 FS] Part A is intended to require the disclosure of your principal

sources of income during the disclosure period You do not have todisclose any public salary or public position(s) The income of yourspouse need not be disclosed however if there is joint income toyou and your spouse from property you own jointly (such as interestor dividends from a bank account or stocks) you should disclose thesource of that income if it exceeded the threshold

Please list in this part of the form the name address andprincipal business activity of each source of your income whichexceeded $2500 of gross income received by you in your own name or by any other person for your use or benefit

Gross income means the same as it does for income tax purposes even if the income is not actually taxable such as interest on tax-free bonds Examples include compensation for servicesincome from business gains from property dealings interest rentsdividends pensions IRA distributions social security distributive share of partnership gross income and alimony but not child support

Examples mdash If you were employed by a company that manufacturescomputers and received more than $2500 list the name of thecompany its address and its principal business activity (computermanufacturing) mdash If you were a partner in a law firm and your distributive shareof partnership gross income exceeded $2500 list the name ofthe firm its address and its principal business activity (practice oflaw) mdash If you were the sole proprietor of a retail gift business and yourgross income from the business exceeded $2500 list the nameof the business its address and its principal business activity(retail gift sales) mdash If you received income from investments in stocks and bondslist each individual company from which you derived more than$2500 Do not aggregate all of your investment income mdash If more than $2500 of your gross income was gain from thesale of property (not just the selling price) list as a source ofincome the purchaserrsquos name address and principal businessactivity If the purchaserrsquos identity is unknown such as wheresecurities listed on an exchange are sold through a brokeragefirm the source of income should be listed as sale of (name of company) stock for example mdash If more than $2500 of your gross income was in the formof interest from one particular financial institution (aggregatinginterest from all CDrsquos accounts etc at that institution) list the name of the institution its address and its principal business activity

PART B mdash SECONDARY SOURCES OF INCOME [Required by s 1123145(3)(b)2 FS] This part is intended to require the disclosure of major customers

clients and other sources of income to businesses in which you own aninterest It is not for reporting income from second jobs That kind of incomeshould be reported in Part A Primary Sources of Income if it meets thereporting threshold You will not have anything to report unless during thedisclosure period

(1) You owned (either directly or indirectly in the form of an equitableor beneficial interest) more than 5 of the total assets or capitalstock of a business entity (a corporation partnership LLC limitedpartnership proprietorship joint venture trust firm etc doing business in Florida) and (2) You received more than $5000 of your gross income during thedisclosure period from that business entity

If your interests and gross income exceeded these thresholds then for thatbusiness entity you must list every source of income to the business entitywhich exceeded 10 of the business entityrsquos gross income (computed onthe basis of the business entitys most recently completed fiscal year) thesourcersquos address and the sources principal business activity

Examples mdash You are the sole proprietor of a dry cleaning business from whichyou received more than $5000 If only one customer a uniform rentalcompany provided more than 10 of your dry cleaning business youmust list the name of the uniform rental company its address and itsprincipal business activity (uniform rentals) mdash You are a 20 partner in a partnership that owns a shopping malland your partnership income exceeded the above thresholds List eachtenant of the mall that provided more than 10 of the partnershipsgross income and the tenants address and principal business activity

PART C mdash REAL PROPERTY [Required by s 1123145(3)(b)3 FS] In this part list the location or description of all real property in Florida

in which you owned directly or indirectly at any time during the disclosureperiod in excess of 5 of the propertyrsquos value You are not required to listyour residences You should list any vacation homes if you derive incomefrom them

Indirect ownership includes situations where you are a beneficiary of atrust that owns the property as well as situations where you own more than5 of a partnership or corporation that owns the property The value of theproperty may be determined by the most recently assessed value for taxpurposes in the absence of a more current appraisal

The location or description of the property should be sufficient toenable anyone who looks at the form to identify the property A streetaddress should be used if one exists

PART D mdash INTANGIBLE PERSONAL PROPERTY [Required by s 1123145(3)(b)3 FS] Describe any intangible personal property that at any time during the

disclosure period was worth more than $10000 and state the businessentity to which the property related Intangible personal property includesthings such as cash on hand stocks bonds certificates of deposit vehicleleases interests in businesses beneficial interests in trusts money owedyou Deferred Retirement Option Program (DROP) accounts the FloridaPrepaid College Plan and bank accounts Intangible personal propertyalso includes investment products held in IRAs brokerage accounts andthe Florida College Investment Plan Note that the product contained in a brokerage account IRA or the Florida College Investment Plan is yourassetmdashnot the account or plan itself Things like automobiles and housesyou own jewelry and paintings are not intangible property Intangiblesrelating to the same business entity may be aggregated for example CDsand savings accounts with the same bank Property owned as tenants bythe entirety or as joint tenants with right of survivorship should be valued at100 The value of a leased vehicle is the vehiclersquos present value minusthe lease residual (a number found on the lease document)

CE FORM 1 - Effective January 1 2020 Incorporated by reference in Rule 34-8202 FAC PAGE 4

PART A mdash PRIMARY SOURCES OF INCOME[Required by s 1123145(3)(b)1 FS]Part A is intended to require the disclosure of your principal

sources of income during the disclosure period You do not have todisclose any public salary or public position(s) The income of yourspouse need not be disclosed however if there is joint income t oyou and your spouse from property you own jointly (such as interestor dividends from a bank account or stocks) you should disclose thesource of that income if it exceeded the threshold

Please list in this part of the form the name address andprincipal business activity of each source of your income whichexceeded $2500 of gross income received by you in your own name or by any other person for your use or benefit

Gross income means the same as it does for income taxpurposes even if the income is not actually taxable such as intereston tax-free bonds Examples include compensation for servicesincome from business gains from property dealings interest rentsdividends pensions IRA distributions social security distributiveshare of partnership gross income and alimony but not child support

Examplesmdash If you were employed by a company that manufacturescomputers and received more than $2500 list the name of thecompany its address and its principal business activity (computermanufacturing)mdash If you were a partner in a law firm and your distributive shareof partnership gross income exceeded $2500 list the name ofthe firm its address and its principal business activity (practice oflaw)mdash If you were the sole proprietor of a retail gift business and yourgross income from the business exceeded $2500 list the nameof the business its address and its principal business activity(retail gift sales)mdash If you received income from investments in stocks and bondslist each individual company from which you derived more than$2500 Do not aggregate all of your investment incomemdash If more than $2500 of your gross income was gain from thesale of property (not just the selling price) list as a source o fincome the purchaserrsquos name address and principal businessactivity If the purchaserrsquos identity is unknown such as wheresecurities listed on an exchange are sold through a brokeragefirm the source of income should be listed as sale of (name of company) stock for examplemdash If more than $2500 of your gross income was in the formof interest from one particular financial institution (aggregatinginterest from all CDrsquos accounts etc at that institution) list thename of the institution its address and its principal business activity

PART B mdash SECONDARY SOURCES OF INCOME[Required by s 1123145(3)(b)2 FS]This part is intended to require the disclosure of major customers

clients and other sources of income to businesses in which you own aninterest It is not for reporting income from second jobs That kind of incomeshould be reported in Part A Primary Sources of Income if it meets thereporting threshold You will not have anything to report unless during thedisclosure period

(1) You owned (either directly or indirectly in the form of an equitableor beneficial interest) more than 5 of the total assets or capitalstock of a business entity (a corporation partnership LLC limitedpartnership proprietorship joint venture trust firm etc doing business in Florida) and(2) You received more than $5000 of your gross income during thedisclosure period from that business entity

If your interests and gross income exceeded these thresholds then for thatbusiness entity you must list every source of income to the business entitywhich exceeded 10 of the business entityrsquos gross income (computed onthe basis of the business entitys most recently completed fiscal year) thesourcersquos address and the sources principal business activity

Examplesmdash You are the sole proprietor of a dry cleaning business from whichyou received more than $5000 If only one customer a uniform rentalcompany provided more than 10 of your dry cleaning business youmust list the name of the uniform rental company its address and itsprincipal business activity (uniform rentals)mdash You are a 20 partner in a partnership that owns a shopping malland your partnership income exceeded the above thresholds List eachtenant of the mall that provided more than 10 of the partnershipsgross income and the tenants address and principal business activity

PART C mdash REAL PROPERTY[Required by s 1123145(3)(b)3 FS]In this part list the location or description of all real property in Florida

in which you owned directly or indirectly at any time during the disclosureperiod in excess of 5 of the propertyrsquos value You are not required to listyour residences You should list any vacation homes if you derive incomefrom them

Indirect ownership includes situations where you are a beneficiary of atrust that owns the property as well as situations where you own more than5 of a partnership or corporation that owns the property The value of theproperty may be determined by the most recently assessed value for taxpurposes in the absence of a more current appraisal

The location or description of the property should be sufficient toenable anyone who looks at the form to identify the property A streetaddress should be used if one exists

PART D mdash INTANGIBLE PERSONAL PROPERTY[Required by s 1123145(3)(b)3 FS]Describe any intangible personal property that at any time during the

disclosure period was worth more than $10000 and state the businessentity to which the property related Intangible personal property includesthings such as cash on hand stocks bonds certificates of deposit vehicleleases interests in businesses beneficial interests in trusts money owedyou Deferred Retirement Option Program (DROP) accounts the FloridaPrepaid College Plan and bank accounts Intangible personal propertyalso includes investment products held in IRAs brokerage accounts andthe Florida College Investment Plan Note that the product contained ina brokerage account IRA or the Florida College Investment Plan is yourassetmdashnot the account or plan itself Things like automobiles and housesyou own jewelry and paintings are not intangible property Intangiblesrelating to the same business entity may be aggregated for example CDsand savings accounts with the same bank Property owned as tenants bythe entirety or as joint tenants with right of survivorship should be valued at100 The value of a leased vehicle is the vehiclersquos present value minusthe lease residual (a number found on the lease document)

Filers have the option of reporting based on either thresholds that are comparative (usually based on percentage values) orthresholds that are based on absolute dollar values The instructions on the following pages specifically describe the differentthresholds Check the box that reflects the choice you have made You must use the type of threshold you have chosen for eachpart of the form In other words if you choose to report based on absolute dollar value thresholds you cannot use a percentagethreshold on any part of the form

MANNER OF CALCULATING REPORTABLE INTEREST

IF YOU HAVE CHOSEN DOLLAR VALUE THRESHOLDSTHE FOLLOWING INSTRUCTIONS APPLY

CE FORM 1 - Effective January 1 2020 Incorporated by reference in Rule 34-8202 FAC PAGE 4

PART E mdash LIABILITIES [Required by s 1123145(3)(b)4 FS] List the name and address of each creditor to whom you owed more

than $10000 at any time during the disclosure period The amount of theliability of a vehicle lease is the sum of any past-due payments and allunpaid prospective lease payments You are not required to list the amountof any debt You do not have to disclose credit card and retail installmentaccounts taxes owed (unless reduced to a judgment) indebtedness ona life insurance policy owed to the company of issuance or contingentliabilities A ldquocontingent liabilityrdquo is one that will become an actual liabilityonly when one or more future events occur or fail to occur such as whereyou are liable only as a guarantor surety or endorser on a promissorynote If you are a ldquoco-makerrdquo and are jointly liable or jointly and severallyliable then it is not a contingent liability

PART F mdash INTERESTS IN SPECIFIED BUSINESSES [Required by s 1123145(6) FS] The types of businesses covered in this disclosure include state and

federally chartered banks state and federal savings and loan associationscemetery companies insurance companies mortgage companies creditunions small loan companies alcoholic beverage licensees pari-mutuelwagering companies utility companies entities controlled by the PublicService Commission and entities granted a franchise to operate by either acity or a county government

Disclose in this part the fact that you owned during the disclosure period aninterest in or held any of certain positions with the types of businesses listedabove You must make this disclosure if you own or owned (either directly orindirectly in the form of an equitable or beneficial interest) at any time duringthe disclosure period more than 5 of the total assets or capital stock ofone of the types of business entities listed above You also must completethis part of the form for each of these types of businesses for which youare or were at any time during the disclosure period an officer directorpartner proprietor or agent (other than a resident agent solely for service ofprocess)

If you have or held such a position or ownership interest in one ofthese types of businesses list the name of the business its address andprincipal business activity and the position held with the business (if any) Ifyou own(ed) more than a 5 interest in the business indicate that fact anddescribe the nature of your interest

PART G mdash TRAINING CERTIFICATION [Required by s 1123142 FS] If you are a Constitutional or elected municipal officer whose

service began before March 31 of the year for which you are filingyou are required to complete four hours of ethics training which addresses Article II Section 8 of the Florida Constitution the Code of Ethics for Public Officers and Employees and the public recordsand open meetings laws of the state You are required to certify onthis form that you have taken such training

(End of Dollar Value Thresholds Instructions)

IF YOU HAVE CHOSEN COMPARATIVE (PERCENTAGE) THRESHOLDS THE FOLLOWING INSTRUCTIONS APPLY

PART A mdash PRIMARY SOURCES OF INCOME [Required by s 1123145(3)(a)1 FS] Part A is intended to require the disclosure of your principal

sources of income during the disclosure period You do not haveto disclose any public salary or public position(s) but income from these public sources should be included when calculating your gross income for the disclosure period The income of your spouse need not be disclosed however if there is joint income to you and your spouse from property you own jointly (such as interest or dividends from a bank account or stocks) you should include all of that income when calculating your gross income and disclose the source of that income if it exceeded the threshold

Please list in this part of the form the name address and principal business activity of each source of your income whichexceeded 5 of the gross income received by you in your own name or by any other person for your benefit or use during the disclosure period

Gross income means the same as it does for income tax purposes even if the income is not actually taxable such as interest on tax-free bonds Examples include compensation for servicesincome from business gains from property dealings interest rents dividends pensions IRA distributions social security distributive share of partnership gross income and alimony but not child support

Examples mdash If you were employed by a company that manufactures computers and received more than 5 of your gross income from the company list the name of the company its address and its principal business activity (computer manufacturing) mdash If you were a partner in a law firm and your distributive share of partnership gross income exceeded 5 of your gross income then list the name of the firm its address and its principal business activity (practice of law) mdash If you were the sole proprietor of a retail gift business andyour gross income from the business exceeded 5 of your total gross income list the name of the business its addressand its principal business activity (retail gift sales) mdash If you received income from investments in stocks and bonds list each individual company from which you derived

more than 5 of your gross income Do not aggregate all of your investment income mdash If more than 5 of your gross income was gain from the sale of property (not just the selling price) list as a source of income the purchaserrsquos name address and principal business activityIf the purchasers identity is unknown such as where securities listed on an exchange are sold through a brokerage firm the source of income should be listed as sale of (name of company)stock for example mdash If more than 5 of your gross income was in the form of interest from one particular financial institution (aggregatinginterest from all CDrsquos accounts etc at that institution) list the name of the institution its address and its principal business activity

PART B mdash SECONDARY SOURCES OF INCOME [Required by s 1123145(3)(a)2 FS] This part is intended to require the disclosure of major customers

clients and other sources of income to businesses in which you ownan interest It is not for reporting income from second jobs That kindof income should be reported in Part A Primary Sources of Incomeif it meets the reporting threshold You will not have anything to report unless during the disclosure period

(1) You owned (either directly or indirectly in the form of anequitable or beneficial interest) more than 5 of the total assetsor capital stock of a business entity (a corporation partnershipLLC limited partnership proprietorship joint venture trust firmetc doing business in Florida) and (2) You received more than 10 of your gross income from thatbusiness entity and (3) You received more than $1500 in gross income from thatbusiness entity

If your interests and gross income exceeded these thresholds thenfor that business entity you must list every source of income to thebusiness entity which exceeded 10 of the business entityrsquos grossincome (computed on the basis of the business entityrsquos most recentlycompleted fiscal year) the sourcersquos address and the sourcersquos principal business activity

CE FORM 1 - Effective January 1 2020 Incorporated by reference in Rule 34-8202 FAC PAGE 5

NOTICE Annual Statements of Financial Interests are due July 1 If the annual form is not filed or postmarked by September 1 an automatic fine of $25 for each day late will be imposed up to a maximum penalty of $1500 Failure to file also can result in removal from public office or employment [s 1123145 FS]

In addition failure to make any required disclosure constitutes grounds for and may be punished by one or more of the following disqualification from being on the ballot impeachment removal or suspension from office or employment demotion reduction in salary reprimand or a civil penalty not exceeding $10000 [s 112317 FS]

1) Elected public officials not serving in a political subdivision of thestate and any person appointed to fill a vacancy in such office unlessrequired to file full disclosure on Form 62) Appointed members of each board commission authority

or council having statewide jurisdiction excluding members of solelyadvisory bodies but including judicial nominating commission membersDirectors of Enterprise Florida Scripps Florida Funding Corporationand Career Source Florida and members of the Council on the SocialStatus of Black Men and Boys the Executive Director Governors and senior managers of Citizens Property Insurance CorporationGovernors and senior managers of Florida Workers Compensation JointUnderwriting Association board members of the Northeast Fla RegionalTransportation Commission board members of Triumph Gulf Coast Incboard members of Florida Is For Veterans Inc and members of theTechnology Advisory Council within the Agency for State Technology3) The Commissioner of Education members of the State Board

of Education the Board of Governors the local Boards of Trustees andPresidents of state universities and the Florida Prepaid College Board4) Persons elected to office in any political subdivision (such a s

municipalities counties and special districts) and any person appointedto fill a vacancy in such office unless required to file Form 65) Appointed members of the following boards councils

commissions authorities or other bodies of county municipality schooldistrict independent special district or other political subdivision thegoverning body of the subdivision community college or junior collegedistrict boards of trustees boards having the power to enforce local codeprovisions boards of adjustment community redevelopment agenciesplanning or zoning boards having the power to recommend create ormodify land planning or zoning within a political subdivision except forcitizen advisory committees technical coordinating committees andsimilar groups who only have the power to make recommendationsto planning or zoning boards and except for representatives of amilitary installation acting on behalf of all military installations within thatjurisdiction pension or retirement boards empowered to invest pensionor retirement funds or determine entitlement to or amount of pensions orother retirement benefits and the Pinellas County Construction LicensingBoard6) Any appointed member of a local government board who

is required to file a statement of financial interests by the appointingauthority or the enabling legislation ordinance or resolution creating theboard7) Persons holding any of these positions in local government

mayor county or city manager chief administrative employee or finance

director of a county municipality or other political subdivision countyor municipal attorney chief county or municipal building inspectorcounty or municipal water resources coordinator county or municipalpollution control director county or municipal environmental controldirector county or municipal administrator with power to grant or denya land development permit chief of police fire chief municipal clerkappointed district school superintendent community college presidentdistrict medical examiner purchasing agent (regardless of title) havingthe authority to make any purchase exceeding $35000 for the localgovernmental unit8) Officers and employees of entities serving as chief administrative

officer of a political subdivision9) Members of governing boards of charter schools operated by a

city or other public entity10) Employees in the office of the Governor or of a Cabinet member

who are exempt from the Career Service System excluding secretarialclerical and similar positions11) The following positions in each state department commission

board or council Secretary Assistant or Deputy Secretary ExecutiveDirector Assistant or Deputy Executive Director and anyone having thepower normally conferred upon such persons regardless of title12) The following positions in each state department or division

Director Assistant or Deputy Director Bureau Chief and any personhaving the power normally conferred upon such persons regardless oftitle13) Assistant State Attorneys Assistant Public Defenders criminal

conflict and civil regional counsel and assistant criminal conflict and civilregional counsel Public Counsel full-time state employees serving ascounsel or assistant counsel to a state agency administrative law judgesand hearing officers14) The Superintendent or Director of a state mental health institute

established for training and research in the mental health field or anymajor state institution or facility established for corrections trainingtreatment or rehabilitation15) State agency Business Managers Finance and Accounting

Directors Personnel Officers Grant Coordinators and purchasingagents (regardless of title) with power to make a purchase exceeding$3500016) The following positions in legislative branch agencies each

employee (other than those employed in maintenance clerical secretarial or similar positions and legislative assistants exemptedby the presiding officer of their house) and each employee of theCommission on Ethics

INSTRUCTIONS FOR COMPLETING FORM 1INTRODUCTORY INFORMATION (Top of Form) If your name mailing address public agency and position are already printed on the form you do not need to provide this information unless it should be changed To change any of this information write the correct information on the form and contact your agencys financial disclosure coordinator You can find your coordinator on the Commission on Ethics website wwwethicsstateflus NAME OF AGENCY The name of the governmental unit which you serve or served by which you are or were employed or for which you are a candidate DISCLOSURE PERIOD The ldquodisclosure periodrdquo for your report is the calendar year ending December 31 2019

OFFICE OR POSITION HELD OR SOUGHT The title of the office or position you hold are seeking or held during the disclosure period even if you have since left that position If you are a candidate for office or are a new employee or appointee check the appropriate boxPUBLIC RECORD The disclosure form and everythingattached to it is a public record Your Social Security Number is not required and you should redact it from any documents you file If you are an active or former officer or employee listed in Section 119071 FS whose home address is exempt from disclosure the Commission will maintain that confidentiality if you submit a written request

WHO MUST FILE FORM 1

CE FORM 1 - Effective January 1 2020 Incorporated by reference in Rule 34-8202 FAC PAGE 3

Examples PART E mdash LIABILITIES mdash You are the sole proprietor of a dry cleaning business from [Required by s 1123145(3)(b)4 FS]which you received more than 10 of your gross incomemdashan List the name and address of each creditor to whom you owed amount that was more than $1500 If only one customer a any amount that at any time during the disclosure period exceeded uniform rental company provided more than 10 of your dry your net worth You are not required to list the amount of any debt cleaning business you must list the name of the uniform rental or your net worth You do not have to disclose credit card and retail company its address and its principal business activity (uniform installment accounts taxes owed (unless reduced to a judgment) rentals) indebtedness on a life insurance policy owed to the company of mdash You are a 20 partner in a partnership that owns a shopping issuance or contingent liabilities A ldquocontingent liabilityrdquo is one mall and your partnership income exceeded the thresholds that will become an actual liability only when one or more future listed above You should list each tenant of the mall that events occur or fail to occur such as where you are liable only as provided more than 10 of the partnershiprsquos gross income and a guarantor surety or endorser on a promissory note If you are a the tenantrsquos address and principal business activity ldquoco-makerrdquo and are jointly liable or jointly and severally liable it is not

a contingent liability PART C mdash REAL PROPERTY Calculations To determine whether the debt exceeds your

[Required by s 1123145(3)(a)3 FS] net worth total all of your liabilities (including promissory notes mortgages credit card debts judgments against you etc) TheIn this part list the location or description of all real property in amount of the liability of a vehicle lease is the sum of any past-due Florida in which you owned directly or indirectly at any time during payments and all unpaid prospective lease payments Subtract the disclosure period in excess of 5 of the propertyrsquos value You the sum total of your liabilities from the value of all your assets are not required to list your residences You should list any vacation as calculated above for Part D This is your ldquonet worthrdquo List each homes if you derive income from them creditor to whom your debt exceeded this amount unless it is one of

Indirect ownership includes situations where you are a the types of indebtedness listed in the paragraph above (credit card beneficiary of a trust that owns the property as well as situations and retail installment accounts etc) Joint liabilities with others for where you own more than 5 of a partnership or corporation that which you are ldquojointly and severally liablerdquo meaning that you may owns the property The value of the property may be determined by be liable for either your part or the whole of the obligation should be the most recently assessed value for tax purposes in the absence included in your calculations at 100 of the amount owed of a more current appraisal

Example You owe $15000 to a bank for student loans $5000 The location or description of the property should be sufficient for credit card debts and $60000 (with spouse) to a savings to enable anyone who looks at the form to identify the property A and loan for a home mortgage Your home (owned by you and street address should be used if one exists your spouse) is worth $80000 and your other property is worth PART D mdash INTANGIBLE PERSONAL PROPERTY $20000 Since your net worth is $20000 ($100000 minus

$80000) you must report only the name and address of the [Required by s 1123145(3)(a)3 FS] savings and loan Describe any intangible personal property that at any time

during the disclosure period was worth more than 10 of your PART F mdash INTERESTS IN SPECIFIED BUSINESSES total assets and state the business entity to which the property [Required by s 1123145 FS] related Intangible personal property includes things such as cash on hand stocks bonds certificates of deposit vehicle leases The types of businesses covered in this disclosure include interests in businesses beneficial interests in trusts money owed state and federally chartered banks state and federal savings and you Deferred Retirement Option Program (DROP) accounts loan associations cemetery companies insurance companies the Florida Prepaid College Plan and bank accounts Intangible mortgage companies credit unions small loan companies alcoholic personal property also includes investment products held in IRAs beverage licensees pari-mutuel wagering companies utilitybrokerage accounts and the Florida College Investment Plan companies entities controlled by the Public Service Commission Note that the product contained in a brokerage account IRA or the and entities granted a franchise to operate by either a city or a Florida College Investment Plan is your assetmdashnot the account or county governmentplan itself Things like automobiles and houses you own jewelry Disclose in this part the fact that you owned during the and paintings are not intangible property Intangibles relating to the disclosure period an interest in or held any of certain positions same business entity may be aggregated for example CDrsquos and with the types of businesses listed above You are requiredsavings accounts with the same bank to make this disclosure if you own or owned (either directly or

Calculations To determine whether the intangible property indirectly in the form of an equitable or beneficial interest) at any exceeds 10 of your total assets total the fair market value of time during the disclosure period more than 5 of the total assets all of your assets (including real property intangible property and or capital stock of one of the types of business entities listed above tangible personal property such as jewelry furniture etc) When You also must complete this part of the form for each of these types making this calculation do not subtract any liabilities (debts) that of businesses for which you are or were at any time during themay relate to the property Multiply the total figure by 10 to arrive disclosure period an officer director partner proprietor or agent at the disclosure threshold List only the intangibles that exceed (other than a resident agent solely for service of process) this threshold amount The value of a leased vehicle is the vehiclersquos If you have or held such a position or ownership interest in present value minus the lease residual (a number which can be one of these types of businesses list the name of the business its found on the lease document) Property that is only jointly owned address and principal business activity and the position held with property should be valued according to the percentage of your the business (if any) If you own(ed) more than a 5 interest in the joint ownership Property owned as tenants by the entirety or as business indicate that fact and describe the nature of your interest joint tenants with right of survivorship should be valued at 100 None of your calculations or the value of the property have to be PART G mdash TRAINING CERTIFICATIONdisclosed on the form

[Required by s 1123142 FS] Example You own 50 of the stock of a small corporation that is worth $100000 the estimated fair market value of If you are a Constitutional or elected municipal officer whoseyour home and other property (bank accounts automobile service began before March 31 of the year for which you are filing furniture etc) is $200000 As your total assets are worth you are required to complete four hours of ethics training which $250000 you must disclose intangibles worth over $25000 addresses Article II Section 8 of the Florida Constitution the Code Since the value of the stock exceeds this threshold you of Ethics for Public Officers and Employees and the public records should list ldquostockrdquo and the name of the corporation If your and open meetings laws of the state You are required to certify on accounts with a particular bank exceed $25000 you should this form that you have taken such training list ldquobank accountsrdquo and bankrsquos name

(

End of Percentage Thresholds Instructions) CE FORM 1 - Effective January 1 2020 Incorporated by reference in Rule 34-8202 FAC PAGE 6

  • 0 HP Cover Page v2
  • 1 Hawks Point Meeting Invite Draft v2
  • 2 Agenda Draft v3
  • 3 EXHIBIT 1
  • 7 HP 05-19-2020 Meeting Minutes Approved
  • 6 EXHIBIT 2
  • 9 HP May FY20 Fin
  • 8 EXHIBIT 3
  • 4 Vacant Position Qualification Requirements for Hawks Point CDD
    • Vacant Position on the Board of Supervisors of the Hawkrsquos Point Community Development District
      • Qualification Requirements
      • Instructions for Interested Candidates
      • Additional Notes
          • 5 Shami Choon Vacant Position - updated 11-5-11 resume
            • 1803 Oak Pond Street Ruskin Fl 33570 E-mailchoons27gmailcom
              • PROFESSIONAL HISTORY
                • Operations Manager Florida Distribution 2002 ndash 2005
                • Operations Manager for Florida Branch Distribution 1999 ndash 2002
                • Warehouse Manager of Miami Distribution Center 1998 ndash 1999
                • Branch Manager of West Palm Beach 1994 ndash 1998
                • Assistant Branch Manager 1991 ndash 1994
                • Customer Service Agent 1990 ndash 1991
                  • 10 EXHIBIT 4
                  • 11 New Business - Hawks Point CDD - MI proposal
                  • 12 EXHIBIT 5
                  • 13 CertaPro Proposal to Paint Exterior Wall 18th to 24th Avenue
                  • 14 Shazam Construction Proposal to Paint Exterior Wall 18th to 24th Street
                    • QUOTE
                      • TO
                          • 15 Photo to accompany Shazam Proposal
                          • 16 EXHIBIT 6
                          • 17 CertaPro Proposal for Pressure Washing Exterior Wall 18th St to 24th Street
                          • 18 Shazam Construction Proposal for Pressure Washing Exterion Wall 18th Street to 24th Street
                            • QUOTE
                              • TO
                                  • 19 EXHIBIT 7
                                  • 20 Form 1_2019i
                                      1. LAST NAME
                                      2. FIRST NAME
                                      3. MIDDLE NAME
                                      4. MAILING ADDRESS ROW 1
                                      5. MAILING ADDRESS ROW 2
                                      6. CITY
                                      7. ZIP
                                      8. COUNTY
                                      9. NAME OF AGENCY
                                      10. NAME OF OFFICE OR POSITION HELD OR SOUGHT
                                      11. CANDIDATE Off
                                      12. NEW EMPLOYEE OR APPOINTEE Off
                                      13. COMPARATIVE (PERCENTAGE) THRESHOLDS Off
                                      14. DOLLAR VALUE THRESHOLDS Off
                                      15. NAME OF SOURCE INCOME ROW 1
                                      16. ADDRESS ROW 1
                                      17. DESCRIPTION OF THE SOURCES PRINCIPAL BUSINESS ACTIVITY ROW 1
                                      18. NAME OF SOURCE INCOME ROW 2
                                      19. ADDRESS ROW 2
                                      20. DESCRIPTION OF THE SOURCES PRINCIPAL BUSINESS ACTIVITY ROW 2
                                      21. NAME OF SOURCE INCOME ROW 3
                                      22. ADDRESS ROW 3
                                      23. DESCRIPTION OF THE SOURCES PRINCIPAL BUSINESS ACTIVITY ROW 3
                                      24. NAME OF SOURCE INCOME ROW 4
                                      25. ADDRESS ROW 4
                                      26. DESCRIPTION OF THE SOURCES PRINCIPAL BUSINESS ACTIVITY ROW 4
                                      27. NAME OF BUSINESS ENTITY ROW 1
                                      28. NAME OF MAJOR SOURCES OF BUSINESS INCOME ROW 1
                                      29. ADDRESS OF SOURCE ROW 1
                                      30. PRINCIPAL BUSINESS ACTIVITY OF SOURCE ROW 1
                                      31. NAME OF BUSINESS ENTITY ROW 2
                                      32. NAME OF MAJOR SOURCES OF BUSINESS INCOME ROW 2
                                      33. ADDRESS OF SOURCE ROW 2
                                      34. PRINCIPAL BUSINESS ACTIVITY OF SOURCE ROW 2
                                      35. NAME OF BUSINESS ENTITY ROW 3
                                      36. NAME OF MAJOR SOURCES OF BUSINESS INCOME ROW 3
                                      37. ADDRESS OF SOURCE ROW 3
                                      38. PRINCIPAL BUSINESS ACTIVITY OF SOURCE ROW 3
                                      39. REAL PROPERTY ROW 1
                                      40. REAL PROPERTY ROW 2
                                      41. REAL PROPERTY ROW 3
                                      42. REAL PROPERTY ROW 4
                                      43. TYPE OF INTANGIBLE ROW 1
                                      44. BUSINESS ENTITY TO WHICH THE PROPERTY RELATES ROW 1
                                      45. TYPE OF INTANGIBLE ROW 2
                                      46. BUSINESS ENTITY TO WHICH THE PROPERTY RELATES ROW 2
                                      47. NAME OF CREDITOR ROW 1
                                      48. ADDRESS OF CREDITOR ROW 1
                                      49. NAME OF CREDITOR ROW 2
                                      50. ADDRESS OF CREDITOR ROW 2
                                      51. ADDRESS OF BUSINESS ENTITY 1
                                      52. PRINCIPAL BUSINESS ACTIVITY 1
                                      53. POSITION HELD WITH ENTITY 1
                                      54. I OWN MORE THAN A 5 INTEREST IN THE BUSINESS 1
                                      55. NATURE OF MY OWNERSHIP INTEREST 1
                                      56. ADDRESS OF BUSINESS ENTITY 2
                                      57. PRINCIPAL BUSINESS ACTIVITY 2
                                      58. POSITION HELD WITH ENTITY 2
                                      59. I OWN MORE THAN A 5 INTEREST IN THE BUSINESS 2
                                      60. NATURE OF MY OWNERSHIP INTEREST 2
                                      61. FOR ELECTED MUNICIPAL OFFICERS REQUIRED TO COMPLETE ANNUAL ETHICS TRAINING PURSUANT TO SECTION 112
                                        1. 3142 F
                                          1. S Off
                                              1. IF ANY OF PARTS A THROUGH G ARE CONTINUED ON A SEPARATE SHEET PLEASE CHECK HERE Off
                                              2. SIGNATURE
                                              3. Date Signed
Page 15: HAWKS POINT COMMUNITY DEVELOPMENT …...2020/06/16  · Hawks Point Community Development District Board of Supervisors Meeting Tuesday, June 16th at 6:30 PM via Zoom All: We welcome

FY2020 VARIANCE

ADOPTED BUDGET ACTUAL FAVORABLE

BUDGET YEAR-TO-DATE YEAR-TO-DATE (UNFAVORABLE)

Hawks Point

General Fund

Statement of Revenues Expenditures and Changes in Fund Balance

For the period from October 1 2019 through April 30 2020

Preliminary

56

57 TOTAL EXPENDITURES BEFORE RESERVES 432215 287292 202616 84675

58

59 INCREASE FOR RESERVES 23000 - - -

60 INCREASE IN FUND BALANCE - - - -

61

62

63 TOTAL EXPENDITURES AFTER RESERVE 455215 287292 202616 84675

64

65 EXCESS OF REVENUE OVER (UNDER) EXPENDITURES - 167390 252535 85145

66

67 FUND BALANCE - BEGINNING 269666 269666 272602 272602

68 DECREASE IN FUND BALANCE - - - -

69 INCREASE IN RESERVE 23000 - - -

70 FUND BALANCE - ENDING 292666$ 437056$ 525137$ 357747$

71

72

73 FY 2018FY 2019 - Irrigation System Grounding Phased 15544$

74 FY 2018 - Perimieter Wall Paint Applications 5815

75 FY 2019 - Reserve Study Update 1100

77 FY 2020 - Irrigation System-Clocks 6442

Total Replacement Expenses for Reserves 28901$

Reserve Expenditure Components

Page 4

FY 2020 VARIANCE

ADOPTED BUDGET ACTUAL FAVORABLE

BUDGET YEAR-TO-DATE YEAR-TO-DATE (UNFAVORABLE)

1 REVENUE

2 ASSESSMENTS - ON-ROLL (Gross) 561051$ 527388$ 524922$ (2466)$

3 ASSESSMENTS - ON-ROLL EXCESS FEES - - - -

4 FUND BALANCE FORWARD - - - -

5 INTEREST - INVESTMENT - - 3703 3703

6 DISCOUNT (22442) - - -

7 TOTAL REVENUE 538609 527388 528624 1236

8

9

10 EXPENDITURES

11

12 PRINCIPAL

13 512020 235000 - 235000 (235000)

14 INTEREST EXPENSE

15 1112019 - - 144238 (144238)

16 512020 144238 - 144238 (144238)

17 1112020 140075 - - -

18 COUNTY COLLECTION CHARGES 11221 - - -

19 TOTAL EXPENDITURES 530534 - 523475 (523475)

20

21 EXCESS OF REVENUE OVER (UNDER) EXPENDITURES 8075 527388 5149 (522239)

22

23 OTHER FINANCING SOURCES (USES)

24 TRANSFER IN - - - -

25 TRANSFER OUT (USES) - - - -

26 TOTAL OTHER FINANCING SOURCES (USES) - - - -

27

28 NET CHANGE IN FUND BALANCE 8075 527388 5149 (522239)

29

30 FUND BALANCE - BEGINNING - - 464759 464759

31 FUND BALANCE APPROPRIATED - - - -

32

33 FUND BALANCE - ENDING 8075$ 527388$ 469908$ (57480)$

Hawks Point CDD

Debt Service - Series 2017

Statement of Revenues Expenditures and Changes in Fund Balance

For the period from October 1 2019 through April 30 2020

Page 5

Bank United

Balance Per Bank Statement 7549415$

Plus Deposits in Transit -

Less Outstanding Checks (935250)

Adjusted Bank Balance 6614165$

Beginning Bank Balance Per Books 4251943$

Cash Receipts 5000350

Cash Disbursements (2638128)

Balance Per Books 6614165$

Hawks Point CDD

Bank Reconciliation (GF)

May 31 2020

Page 6

Date Num Name Memo Receipts Disbursements Balance

Bank United EOY Balance 9460943

10012019 9035 DPFG MANAGEMENT amp CONSULTING LLC CDD Mgmt - October 385833 9075110

10022019 Hawks Point West HOA 2019-245- HPW 18866 9093976

10082019 646 Hawks Point HOA 2019245 - HPA 21225 9115201

10082019 Hawks Point West HOA 201956 - HPW 208516 9323717

10082019 1115 Egis Insurance amp Risk Advisors Ins - FY 2020 563800 8759917

10112019 9036 JAYMAN ENTERPRISES LLC Replace Bulbs at Entrances Rcvd 10119 23000 8736917

10112019 9037 Landscape Maintenance Professionals Inc Landscape Maint - October 1105000 7631917

10162019 1116 FLORIDA DEPT OF ECONOMIC OPPORTUNIT Annual Filing FY 2020 17500 7614417

10182019 9041 TAMPA BAY TIMES Legal Ad - Meeting Schedule 55200 7559217

10212019 9038 DPFG MANAGEMENT amp CONSULTING LLC Special Assessment - FY 2020 Continuing Disclosure ADA Compliance 650000 6909217

10212019 9039 JAYMAN ENTERPRISES LLC Replace Bulbs 7000 6902217

10212019 9040 STANTEC CONSULTING SERVICES INC Lake amp Pond Maint - Sept 10500 6891717

10242019 ACH102419 TAMPA ELECTRIC 830-930 - 1416 Little Hawk Dr 7637 6884080

10242019 ACH1024192 TAMPA ELECTRIC 830-930 - 2160 Golden Falcon Dr 7083 6876997

10242019 000652 Hawks Point HOA 20197-HPA 4921 6881918

10252019 694003DD ANDREW HERON Bos Mtg - 101519 18470 6863448

10252019 ACH102519 Innovative Employer Soltuions Bos Mtg - 101519 17140 6846308

10252019 694005DD KAREN OBRIEN Bos Mtg - 101519 18470 6827838

10252019 694004DD SHERRI KEENE Bos Mtg - 101519 18470 6809368

10252019 694002DD WILLIAM J HATHAWAY Bos Mtg - 101519 18470 6790898

10312019 Bank United Interest 691 6791589

Bank United EOM Balance 254219 2923573 6791589

11012019 9042 DPFG MANAGEMENT amp CONSULTING LLC CDD Mgmt - November 385833 6405756

11012019 9043 STANTEC CONSULTING SERVICES INC Lake amp Pond Maint - Pond 201-19 amp 21 - Sept 274000 6131756

11012019 9044 STRALEY ROBIN VERICKER Legal Svcs thru 101519 65999 6065757

11122019 1117 HAWKS POINT CDD DS 2017 Tax Collection Share co Wells Fargo 762290 5303467

11152019 9045 Landscape Maintenance Professionals Inc Landscape Maint - November amp Irrigation Repairs 1229369 4074098

11152019 9046 STANTEC CONSULTING SERVICES INC Lake amp Pond Maint - Oct 333600 3740498

11202019 9048 TAMPA BAY TIMES Legal Ad - Audit Meeting 42050 3698448

11222019 9047 STANTEC CONSULTING SERVICES INC Lake amp Pond Maint - Pond 20 - Oct 10500 3687948

11252019 ACH1125191 TAMPA ELECTRIC 101-1030 - 1416 Little Hawk Dr 7431 3680517

11252019 ACH1125192 TAMPA ELECTRIC 101-1030 - 2160 Golden Falcon Dr 8753 3671764

11292019 703783DD ANDREW HERON Bos Mtg - 111919 18470 3653294

11292019 ACH112919 Innovative Employer Soltuions Bos Mtg - 111919 20200 3633094

11292019 703785DD KAREN OBRIEN Bos Mtg - 111919 18470 3614624

11292019 703781DD MARIE CHANTAL COPELAND Bos Mtg - 111919 18470 3596154

11292019 703784DD SHERRI KEENE Bos Mtg - 111919 18470 3577684

11292019 703782DD WILLIAM J HATHAWAY Bos Mtg - 111919 18470 3559214

11302019 Bank United Interest 450 3559664

Bank United EOM Balance 450 3232375 3559664

12022019 9049 DPFG MANAGEMENT amp CONSULTING LLC CDD Mgmt - December 385833 3173831

12042019 694 Hawks Point HOA 20198-HPA 5105 3178936

12042019 503 Hawks Point West HOA 20197-HPW amp 20198-HPW 7388 3186324

12042019 1118 Site Masters of Florida LLC Investigation of pipe discharge Townhome Yard Drain Blockage 150000 3036324

12112019 9050 Illuminations Holiday Lighting Electrical Fix Holiday Lights - Deposit 261250 2775074

12132019 Bank United Funds Transfer - MMK to Opt Acct 4500000 7275074

12132019 Bank United Funds Transfer - MMK to Opt Acct 50834407 58109481

12162019 9055 TAMPA BAY TIMES Legal Ad - RFP Auditing Svc 36100 58073381

12182019 9051 Flatwoods Environmental Cut amp Dispose Brazilian Pepper 396500 57676881

12182019 9052 Landscape Maintenance Professionals Inc Landscape Maint - December 1105000 56571881

12182019 9053 STANTEC CONSULTING SERVICES INC Misc Environmental Services 137000 56434881

12182019 9054 STRALEY ROBIN VERICKER Legal Svcs thru 111519 57500 56377381

12182019 1119 HAWKS POINT CDD DS 2017 Tax Collection Share co Wells Fargo 49544765 6832616

12182019 1120 Innersync ADA Compliant website 124942 6707674

12262019 ACH1226191 TAMPA ELECTRIC 1031-122 - 2160 Golden Falcon Dr 8771 6698903

12262019 ACH1226192 TAMPA ELECTRIC 1031-1202 - 1416 Little Hawk Dr 9315 6689588

12272019 711993DD ANDREW HERON Bos Mtg - 121719 18470 6671118

12272019 ACH122719 Innovative Employer Soltuions Bos Mtg - 121719 20200 6650918

12272019 711995DD KAREN OBRIEN Bos Mtg - 121719 18470 6632448

12272019 711991DD MARIE CHANTAL COPELAND Bos Mtg - 121719 18470 6613978

12272019 711994DD SHERRI KEENE Bos Mtg - 121719 18470 6595508

12272019 711992DD WILLIAM J HATHAWAY Bos Mtg - 121719 18470 6577038

12312019 Bank United Interest 3091 6580129

Bank United EOM Balance 55349991 52329526 6580129

01022020 9056 DPFG MANAGEMENT amp CONSULTING LLC CDD Mgmt - January 385833 6194296

01082020 9057 Landscape Maintenance Professionals Inc Station decoders 82908 6111388

01082020 9058 STRALEY ROBIN VERICKER Legal Svcs thru 121519 10000 6101388

01102020 9159 Landscape Maintenance Professionals Inc Landscape Maint - January 1105000 4996388

01102020 9160 Mike White LLC Entry Monument repair 54119 4942269

01132020 1121 HAWKS POINT CDD DS 2017 Tax Collection Share co Wells Fargo 868256 4074013

01172020 9161 Illuminations Holiday Lighting Holiday Lights - Balance Due 231250 3842763

01172020 000534 Hawks Point West HOA 20201-HPW 4493 3847256

01272020 1122 STANTEC CONSULTING SERVICES INC Pond Maint - December Engineering Svcs thru 122719 353400 3493856

01272020 ACH012720 TAMPA ELECTRIC 123-1231 - 2160 Golden Falcon Dr 8116 3485740

01272020 ACH0127202 TAMPA ELECTRIC 1203-1231 - 1416 Little Hawk Dr 6682 3479058

01312020 072704 Innovative Employer Soltuions Bos Mtg - 12120 17140 3461918

01312020 721948DD KAREN OBRIEN Bos Mtg - 12120 18470 3443448

01312020 721945DD MARIE CHANTAL COPELAND Bos Mtg - 12120 18470 3424978

01312020 721947DD SHERRI KEENE Bos Mtg - 12120 18470 3406508

01312020 721946DD WILLIAM J HATHAWAY Bos Mtg - 12120 18470 3388038

01312020 Bank United Interest 1406 3389444

Bank United EOM Balance 5899 3196584 3389444

02052020 1124 DPFG MANAGEMENT amp CONSULTING LLC CDD Mgmt - February 385833 3003611

02052020 1125 Landscape Maintenance Professionals Inc Landscape Maint - February 1105000 1898611

02052020 1126 TAMPA ELECTRIC 101-1030 - 1416 Little Hawk Dr 308 1898303

02252020 1127 Landscape Maintenance Professionals Inc Landscape Maint - March 1105000 793303

02252020 02252020ACH TAMPA ELECTRIC 11-130 - 1416 Little Hawk Dr 7840 785463

02252020 02252020ACH TAMPA ELECTRIC 11-130 - 2160 Golden Falcon Dr 9092 776371

02282020 02182020ACH Innovative Employer Soltuions Bos Mtg - 21820 14080 762291

02282020 730271DD MARIE CHANTAL COPELAND Bos Mtg - 21820 18470 743821

02282020 730273DD SHERRI KEENE Bos Mtg - 21820 18470 725351

02282020 7302272DD WILLIAM J HATHAWAY Bos Mtg - 21820 18470 706881

02292020 Bank United Interest 203 707084

HAWKS POINT CDDCASH REGISTER

FY 2020

Page 7

Date Num Name Memo Receipts Disbursements Balance

HAWKS POINT CDDCASH REGISTER

FY 2020

Bank United EOM Balance 203 2682563 707084

03042020 1128 DPFG MANAGEMENT amp CONSULTING LLC CDD Mgmt - March 385833 321251

03122020 1129 STANTEC CONSULTING SERVICES INC Engineering Svcs thru 012420 73950 247301

03122020 ACH032520 TAMPA ELECTRIC 13120 - 22820 - 2160 Golden Falcon Dr 8527 238774

03122020 ACH0325202 TAMPA ELECTRIC 013120 - 22820 - 1416 Little Hawk Dr 6592 232182

03192020 BankUnited Funds Transfer 5000000 5232182

03192020 1130 HAWKS POINT CDD DS 2017 Tax Collection Share co Wells Fargo thru 030420 1437199 3794983

03242020 1131 Landscape Maintenance Professionals Inc Pencil Pruning of Crape Myrtles Landscape Maint -042020 1360500 2434483

03242020 1132 STANTEC CONSULTING SERVICES INC Pond Maint - January Feb 295000 2139483

03242020 1133 STRALEY ROBIN VERICKER Legal Svcs thru 021520 23250 2116233

03272020 1134 DPFG MANAGEMENT amp CONSULTING LLC CDD Mgmt - April 2020 385833 1730400

03272020 1135 Landscape Maintenance Professionals Inc Irrigation Inspection repairs 74858 1655542

03312020 BankUnited Interest 200 1655742

Bank United EOM Balance 5000200 4051542 1655742

04082020 1136 Accurate Drilling Solutions Service call - 032520 - Replacement for Controller on pump 4 60234 1595508

04082020 1137 STANTEC CONSULTING SERVICES INC Engineering Svcs thru 032020 61250 1534258

04082020 1138 STRALEY ROBIN VERICKER Legal Svcs thru 031520 93270 1440988

04082020 1139 TAMPA ELECTRIC 229-330 - Electricity 16915 1424073

04162020 1140 HAWKS POINT CDD DS 2017 Tax Collection Share co Wells Fargo thru 041320 298431 1125642

04232020 BankUnited Funds Transfer 5000000 6125642

04232020 1141 Accurate Drilling Solutions Well Drilling and new pump system installation 1816480 4309162

04282020 1142 STRALEY ROBIN VERICKER Legal Svcs thru 041520 57460 4251702

04302020 BankUnited Interest 241 4251943

Bank United EOM Balance 5000241 2404040 4251943

05012020 1143 DPFG MANAGEMENT amp CONSULTING LLC CDD Mgmt - May 2020 385833 3866110

05012020 ACH050120 Innovative Employer Soltuions Bos Mtg - 42120 14080 3852030

05012020 747666DD MARIE CHANTAL COPELAND Bos Mtg - 42120 18470 3833560

05012020 747667DD WILLIAM J HATHAWAY Bos Mtg - 42120 18470 3815090

05012020 747668DD SHERRI KEENE Bos Mtg - 42120 18470 3796620

05082020 ACH050820 Innovative Employer Soltuions Bos Mtg - 42120 8620 3788000

05082020 1 Caryn Williams BOS 04212020 18470 3769530

05112020 1144 Landscape Maintenance Professionals Inc Landscape Maint -052020 1105000 2664530

05112020 1145 STANTEC CONSULTING SERVICES INC Engineering Svcs thru 042420 25400 2639130

05112020 1146 TAMPA ELECTRIC 330-429 - Electricity 19915 2619215

05212020 1147 BUSINESS OBSERVER Legal Ad - Notice of Qualifying Period 51520 5250 2613965

05212020 1148 CertaPro Painters Paint exterior wall 24th to 30th Street 635000 1978965

05212020 1149 STANTEC CONSULTING SERVICES INC Pond Maint - March-April 295000 1683965

05292020 BankUnited Funds Transfer 5000000 6683965

05292020 755486DD Caryn Williams Bos Mtg - 51920 18470 6665495

05292020 ACH052920 Innovative Employer Soltuions Bos Mtg - 51920 14740 6650755

05292020 755485DD SHERRI KEENE Bos Mtg - 51920 18470 6632285

05292020 755484DD WILLIAM J HATHAWAY Bos Mtg - 51920 18470 6613815

05312020 BankUnited Interest 350 6614165

Bank United EOM Balance 5000350 2638128 6614165

Page 8

EXHIBIT 3

Vacant Position on the Board of Supervisors of the Hawkrsquos Point Community Development District The Hawkrsquos Point Community Development District (CDD) is soliciting interested candidates to fill a vacant position on the Board of Supervisors of the CDD (Board) The CDD is a local unit of special-purpose government which is created pursuant to Chapter 190 Florida Statutes The Board is comprised of 5 members who are public officials who are normally elected on the November General Elections who serve in staggered terms The vacancy is a result of a resignation of a board member due to a relocation The remaining term of the vacant supervisorrsquos seat is through November 2022

Qualification Requirements

1 Resident of the CDD

2 At least 18 years of age

3 Citizen of the United States

4 Legal resident of Florida and of the CDD

5 Registered to vote with the Hillsborough County Supervisor of Elections

Instructions for Interested Candidates

Interested candidates must submit a letter of interest and resume to Raymondlotitodpfgcom by 4 pm on Friday June 5 2020 The subject line in the email should read ldquoVacant Position on the Board of Supervisors of the Hawkrsquos Point CDDrdquo

The Letter of Interest must contain

1 A statement stating why you believe you are well suited for the position

2 Your vision for the CDD and what you would like to see the Community evolve into Please be specific

The Resume must contain

1 Your academic background and professional experience

2 Previous and current experience with governmental agencies and governing boards

Interested candidates should attend the Board meeting on Tuesday June 16 2020 at 630 pm and present a brief presentation about themselves and be prepared for a brief question and answer period with the current Board members

Additional Notes

The current Board members will discuss the candidates and may make an appointment at the June meeting If the Board cannot come to a consensus on one candidate or if they determine to not appoint any candidate to the vacant seat they may revisit the vacancy at a future meeting or leave the seat vacant until the November 2022 General Election

Please note that the person appointed to serve in the vacant seat will be required to submit a financial disclosure statement to the State and will be subject to Floridarsquos Government in the Sunshine Laws Public Records laws and Ethics laws

1

Sookdeo (Shami) Choon Phone number (813) 731-5564 1803 Oak Pond Street Ruskin Fl 33570 E-mailchoons27gmailcom

PROFESSIONAL HISTORY Firkins GroupGarber Nissan December 2013 to Present Commercial Vehicle Sales ManagerFinance Manager Auto Nation From January 2006 to December 2013 Sales 2006- 2007 Finance Manager 2007- 2008 Sales Manager Training Manager 2008-2009 Sales Finance 2009- 2011 Commercial Sales Manager Finance Manager 2011- 2020 Parts Depot Inc From 1990 to 2005 ___________________________________________________________________________________________ Operations Manager Florida Distribution 2002 ndash 2005 bull Responsible for total inventory control of all Florida warehouses frac12 of the corporationrsquos revenue bull Directed top management to complete acquisition consolidations which resulted in the corporationrsquos

expansion bull Managed all Florida branch warehouse managers and employees totaling 200 employees bull Increased productivity and shipping efficiency in all departments developed new delivery logistics

improved product availability to all customers as well a hired and efficiently trained employees bull Reviewed all customer service statistics daily and contacted customer directly on all issues bull Reviewed PampLrsquos for all units monthly bull Presented weekly productivity and financial reports to senior management bull Directed DOT monthly guidelines maintained driver files in accordance with DOT regulations and

implemented loss prevention programs Operations Manager for Florida Branch Distribution 1999 ndash 2002 bull Improved customer service by increasing product availability to customers by implementing new

delivery logistics bull Developed employee training implemented safety awareness and monthly safety programs Warehouse Manager of Miami Distribution Center 1998 ndash 1999 bull Developed and implemented productivity guidelines implemented delivery cost saving programs

and improved product availability to the corporationrsquos customers Branch Manager of West Palm Beach 1994 ndash 1998 bull Responsible for the opening of this new branch set the building layout as well as the delivery and

logistics systems

2

bull Increased sales by 80 over budget and kept operating cost as of sales Implemented new customer service department Hired and trained all employees

Assistant Branch Manager 1991 ndash 1994 bull Increased productivity by 20 and improved delivery service Customer Service Agent 1990 ndash 1991 bull Created and implemented customer service guidelines Wingate Automotive Group 1987ndash 1990 Trinidad amp Tobago Government National Security 1984- 1987 Field Operation

EXHIBIT 4

PO Box 267 Seffner FL 33583 O 813-757-6500 F 813-757-6501 Estimate

Submitted To Hawks Point CDD 250 International Parkway Suite 280 Lake Mary FL 32746

CDD - controller 4 - zones 1 and 2

Date 5232020

Estimate 66077

LMP REPRESENTATIVE

DG-TI

PO

W ork Order

DESCRIPTION QTY COST TOTAL

Controller 4 34 inch poly pipe 34 inch poly pipe clamps Labor 2 men $ 8500 per hour

Irrigation inspection repairs needed Repair 6 - 34 inch poly pipe line leaks

6 12 05

072 129

8500

432 1548 4250

TERMS AND CONDITIONS TOTAL $6230

LMP reserves the right to withdraw this proposal if not accepted within 30 days of the date listed above Any alteration or deviation to scope of work involving additional costs must be agreed upon in writing as a separate proposal or change order to this proposal Periodic invoices may be submitted if job is substantial in nature with final invoice being submitted at completion of project Any work performed requiring more than 5 days to complete is subject to progressive payments as portions of the work are completed No finance charge will be imposed if the total of said work is paid in full within 30 days of invoice date If not paid in full within 30 days then customer is subject to finance charges on the balance of the work from the invoice date at a rate of 15 per month until paid LMP shall have the right to stop work under this contract until all outstanding amounts including finance charges are paid in full Payments will be applied to the oldest invoices

ACCEPTANCE OF PROPOSAL The above prices scope of work and terms and conditions are hereby satisfactorily agreed upon LMP Inc has been authorized to perform the work as outlined and payment will be made as outlined above The above pricing does not include any unforeseen modifications to the said irrigation system that could not be reasonably accounted for prior to job start All plant material carries a one (1) year warranty provided LMP Inc is performing landscape maintenance services to the area installed or enhanced at the time of installation If not then there is no warranty on the plant material

OWNER AGENT

DATE

EXHIBIT 5

Independent Franchise Owner Job TBE8F300154 Terry Beamer 9266 Lazy Ln

Date 06012020

EXTERIOR PROPOSALEXTERIOR PROPOSALEXTERIOR PROPOSALEXTERIOR PROPOSAL Tampa FL 33614 813-936-9242

Fax 813 936-9172

1-800-462-3782

License PA2508

Full Workers Compensation Coverage$2000000 General Liability Insurance

DPFG Management amp Consulting LLC (Hawks Point) Raymond Lotito (SB) Hawks Point CDD Ruskin FL 33570 Phone 813-418-7473 Cell 813-220-6089 Email raymondlotitodpfgcom

Special Notes CERTAPRO PAINTERS WILL PAINT WALL FACING 19ST FROM 18TH-24TH

SPECIAL ATTENTION ADDRESSING STUCCO CRACKS USING CONCRETE AND MASONRY PATCH

SPECIAL ATTENTION PRESSURE WASHING LOOSE PEELING PAINT PRIOR TO PAINTING

CERTAPRO PAINTERS WILL ONLY PAINT STREET FACING SIDE- HOMEOWNERS SIDE EXCLUDED FROM PROPOSAL

CUSTOMER RESPONSIBILITIES Please cut back all shrubs bushes and palms away from wall

GENERAL DESCRIPTION Painting to Exterior Wall 18th-24th Facing 19th Ave

PREPARATION Washing To remove dirt mildew and loose paint so the new finish coat will adhere properly

Caulking To fill all cracks and gaps around windows and doorswood work to seal out moisture and drafts Stair step

cracks

Scraping Scrape all loose and peeling paint to ensure a firm base for the new paint

Masonry Repair to all cracks gaps and holes with elastemeric caulking or masonry patch as required

Sanding To degloss where necessary to promote adhesion of the top coat

Surface TypeArea Primer PurposePRIMING

Masonry Loxon sealerprimer Latex For propor top coat adhesion

Conditioner Loxon sealerprimer to all Latex For proper top coat adhesion

masonry surfaces

FINISH COATS

Surface Area

Exterior

ManufacturePaint Type

Sherwin Williams Resilience Ext Satin

Coats

1 primer-sealer 1 spray 1 backroll stucco

Color

Same As Existing

Clean Up Daily and upon completion

$1132900 All Labor Paint Materials

$1132900 TOTAL

Signature of Authorized Franchise Representative Date

Payment is due In Full upon Job Completion

(IWE HAVE READ THE TERMS STATED HEREIN THEY HAVE (IWE) HAVE EXAMINED THE JOB STATED HEREIN THEY EXPLAINED TO (MEUS) AND (IWE) FIND THEM TO BE HAVE SHOWN TO (MEUS) AND (IWE) FIND THE JOB TO SATISFACTORY AND HEREBY ACCEPT THEM BE SATISFACTORY AND HEREBY ACCEPT THE JOB AS

COMPLETE

SIGNATURE Date SIGNATURE Date

QUOTE

Shazam Construction LLC DATE MAY 13 2020

Shazam Hera 6773 Waterton Drive Riverview FL 33578 813-385-4591 ShazamConstructionLLCgmailcom Hawks Point CDD

TO Bill to Development Planning and Financing Group 15310 Amberly Drive Suite 175 Tampa FL 33647

QUANITY DESCRIPTION UNIT PRICE LINE TOTAL

Pressure wash the wall that parallels 19th avenue from 18th street to 24th street in Hawks Point CDD in Ruskin

$1270000

Repair any cracks with caulk or elastomeric as neededPrep for paint

Paint the wall that parallels 19th avenue from 18th street to 24th street in Hawks Point CDD in Ruskin

Paint using body trim and caps of exterior wall facing 19th avenue

Paint while matching existing colors

Paint using Sherwin Williams

All paint materials and labor is included

SUBTOTAL

SALES TAX

TOTAL $1270000

Make all checks payable to Shazam Construction LLC

THANK YOU FOR YOUR BUSINESS

EXHIBIT 6

Independent Franchise Owner Job TB443B00157 Terry Beamer 9266 Lazy Ln

Date 06052020

EXTERIOR PROPOSALEXTERIOR PROPOSALEXTERIOR PROPOSALEXTERIOR PROPOSAL Tampa FL 33614 813-936-9242

Fax 813 936-9172

1-800-462-3782

License PA2508

Full Workers Compensation Coverage$2000000 General Liability Insurance

DPFG Management amp Consulting LLC (Hawks Point) Raymond Lotito (SB) Hawks Point CDD Ruskin FL 33570 Phone 813-418-7473 Cell 813-220-6089 Email raymondlotitodpfgcom

Special Notes CERTAPRO PAINTERS PRESSURE WASHING PROPOSAL 18TH-24TH

CERTAPRO PAINTERS WILL PRESSURE WASH WALL FACING 19TH ST ONLY

GENERAL DESCRIPTION Painting to

PREPARATION Washing To remove dirt mildew and loose paint so the new finish coat will adhere properly

PRIMING Surface TypeArea Primer Purpose

Clean Up Daily and upon completion

All Labor Paint Materials

TOTAL

$195000

$195000

Signature of Authorized Franchise Representative Date

Payment is due In Full upon Job Completion

(IWE HAVE READ THE TERMS STATED HEREIN THEY HAVE (IWE) HAVE EXAMINED THE JOB STATED HEREIN THEY EXPLAINED TO (MEUS) AND (IWE) FIND THEM TO BE HAVE SHOWN TO (MEUS) AND (IWE) FIND THE JOB TO SATISFACTORY AND HEREBY ACCEPT THEM BE SATISFACTORY AND HEREBY ACCEPT THE JOB AS

COMPLETE

SIGNATURE Date SIGNATURE Date

QUOTE

Shazam Construction LLC DATE JUNE 5 2020

Shazam Hera 6773 Waterton Drive Riverview FL 33578 813-385-4591 ShazamConstructionLLCgmailcom Hawks Point CDD

TO Bill to Development Planning and Financing Group 15310 Amberly Drive Suite 175 Tampa FL 33647

QUANITY DESCRIPTION UNIT PRICE LINE TOTAL

Pressure wash the wall that parallels 19th avenue from 18th street to 24th street in Hawks Point CDD in Ruskin

$160000

All materials and labor is included

SUBTOTAL

SALES TAX

TOTAL $160000

Make all checks payable to Shazam Construction LLC

THANK YOU FOR YOUR BUSINESS

EXHIBIT 7

2019FORM 1 STATEMENT OF

Please print or type your name mailing FOR OFFICE USE ONLY FINANCIAL INTERESTS address agency name and position below

LAST NAME -- FIRST NAME -- MIDDLE NAME

MAILING ADDRESS

CITY ZIP COUNTY

NAME OF AGENCY

NAME OF OFFICE OR POSITION HELD OR SOUGHT

CHECK ONLY IF CANDIDATE OR NEW EMPLOYEE OR APPOINTEE

THIS SECTION MUST BE COMPLETED DISCLOSURE PERIOD THIS STATEMENT REFLECTS YOUR FINANCIAL INTERESTS FOR CALENDAR YEAR ENDING DECEMBER 31 2019

MANNER OF CALCULATING REPORTABLE INTERESTS FILERS HAVE THE OPTION OF USING REPORTING THRESHOLDS THAT ARE ABSOLUTE DOLLAR VALUES WHICH REQUIRES FEWER CALCULATIONS OR USING COMPARATIVE THRESHOLDS WHICH ARE USUALLY BASED ON PERCENTAGE VALUES (see instructions for further details) CHECK THE ONE YOU ARE USING (must check one)

COMPARATIVE (PERCENTAGE) THRESHOLDS OR DOLLAR VALUE THRESHOLDS

PART A -- PRIMARY SOURCES OF INCOME [Major sources of income to the reporting person - See instructions] (If you have nothing to report write none or na)

NAME OF SOURCE SOURCES DESCRIPTION OF THE SOURCES OF INCOME ADDRESS PRINCIPAL BUSINESS ACTIVITY

PART B -- SECONDARY SOURCES OF INCOME [Major customers clients and other sources of income to businesses owned by the reporting person - See instructions] (If you have nothing to report write none or na)

NAME OF NAME OF MAJOR SOURCES ADDRESS PRINCIPAL BUSINESS BUSINESS ENTITY OF BUSINESS INCOME OF SOURCE ACTIVITY OF SOURCE

PART C -- REAL PROPERTY [Land buildings owned by the reporting person - See instructions] You are not limited to the space on the (If you have nothing to report write none or na) lines on this form Attach additional

sheets if necessary

FILING INSTRUCTIONS for when and where to file this form are located at the bottom of page 2

INSTRUCTIONS on who must file this form and how to fill it out begin on page 3

CE FORM 1 - Effective January 1 2020 (Continued on reverse side) PAGE 1 Incorporated by reference in Rule 34-8202(1) FAC

FILING INSTRUCTIONS

IF ANY OF PARTS A THROUGH G ARE CONTINUED ON A SEPARATE SHEET PLEASE CHECK HERE

PART D mdash INTANGIBLE PERSONAL PROPERTY [Stocks bonds certificates of deposit etc - See instructions] (If you have nothing to report write none or na) TYPE OF INTANGIBLE BUSINESS ENTITY TO WHICH THE PROPERTY RELATES

PART E mdash LIABILITIES [Major debts - See instructions] (If you have nothing to report write none or na)

NAME OF CREDITOR ADDRESS OF CREDITOR

PART F mdash INTERESTS IN SPECIFIED BUSINESSES [Ownership or positions in certain types of businesses - See instructions] (If you have nothing to report write none or na)

BUSINESS ENTITY 1 BUSINESS ENTITY 2

NAME OF BUSINESS ENTITY

ADDRESS OF BUSINESS ENTITY

PRINCIPAL BUSINESS ACTIVITY

POSITION HELD WITH ENTITY

I OWN MORE THAN A 5 INTEREST IN THE BUSINESS

NATURE OF MY OWNERSHIP INTEREST

If you were mailed the form by the Commission on Ethics or a County Supervisor of Elections for your annual disclosure filing return the form to that location To determine what category your position falls under see page 3 of instructions Local officersemployees file with the Supervisor of Elections of the county in which they permanently reside (If you do not permanently reside in Florida file with the Supervisor of the county where your agency has its headquarters) Form 1 filers who file with the Supervisor of Elections may file by mail or email Contact your Supervisor of Elections for the mailing address or email address to use Do not email your form to the Commission on Ethics it will be returned State officers or specified state employees who file with the Commission on Ethics may file by mail or email To file by mail send the completed form to PO Drawer 15709 Tallahassee FL32317-5709 physical address 325 John Knox Rd Bldg E Ste 200 Tallahassee FL 32303 To file with the Commission by email scan your completed form and any attachments as a pdf (do not use any other format) send it to CEForm1legstateflus and retain a copy for your records Do not file by both mail and email Choose only one filing method Form 6s will not be accepted via email

Candidates file this form together with their filing papers MULTIPLE FILING UNNECESSARY A candidate who files a Form 1 with a qualifying officer is not required to file with the Commission or Supervisor of Elections WHEN TO FILE Initially each local officeremployee state officer and specified state employee must file within 30 days of the date of his or her appointment or of the beginning of employment Appointees who must be confirmed by the Senate must file prior to confirmation even if that is less than 30 days from the date of their appointment Candidates must file at the same time they file their qualifying papers Thereafter file by July 1 following each calendar year in which they hold their positions Finally file a final disclosure form (Form 1F) within 60 days of leaving office or employment Filing a CE Form 1F (Final Statement of Financial Interests) does not relieve the filer of filing a CE Form 1 if the filer was in his or her position on December 31 2019

SIGNATURE OF FILER Signature

____________________________________________

Date Signed

____________________________________________

CPA or ATTORNEY SIGNATURE ONLY If a certified public accountant licensed under Chapter 473 or attorney in good standing with the Florida Bar prepared this form for you he or she must complete the following statement

I _______________________________________ prepared the CE Form 1 in accordance with Section 1123145 Florida Statutes and the instructions to the form Upon my reasonable knowledge and belief the disclosure herein is true and correct

CPAAttorney Signature ______________________________

Date Signed _______________________________________

PART G mdash TRAINING For elected municipal officers required to complete annual ethics training pursuant to section 1123142 FS

I CERTIFY THAT I HAVE COMPLETED THE REQUIRED TRAINING

CE FORM 1 - Effective January 1 2020 PAGE 2 Incorporated by reference in Rule 34-8202(1) FAC

Examplesmdash You are the sole proprietor of a dry cleaning business fromwhich you received more than 10 of your gross incomemdashanamount that was more than $1500 If only one customer auniform rental company provided more than 10 of your drycleaning business you must list the name of the uniform rentalcompany its address and its principal business activity (uniform rentals) mdash You are a 20 partner in a partnership that owns a shopping mall and your partnership income exceeded the thresholds listed above You should list each tenant of the mall that provided more than 10 of the partnershiprsquos gross income and the tenantrsquos address and principal business activity

PART C mdash REAL PROPERTY[Required by s 1123145(3)(a)3 FS]In this part list the location or description of all real property in

Florida in which you owned directly or indirectly at any time during the disclosure period in excess of 5 of the propertyrsquos value You are not required to list your residences You should list any vacation homes if you derive income from them

Indirect ownership includes situations where you are abeneficiary of a trust that owns the property as well as situations where you own more than 5 of a partnership or corporation thatowns the property The value of the property may be determined by the most recently assessed value for tax purposes in the absence of a more current appraisal

The location or description of the property should be sufficient to enable anyone who looks at the form to identify the property Astreet address should be used if one exists PART D mdash INTANGIBLE PERSONAL PROPERTY

[Required by s 1123145(3)(a)3 FS]Describe any intangible personal property that at any time

during the disclosure period was worth more than 10 of your total assets and state the business entity to which the property related Intangible personal property includes things such as cash on hand stocks bonds certificates of deposit vehicle leases interests in businesses beneficial interests in trusts money owed you Deferred Retirement Option Program (DROP) accounts the Florida Prepaid College Plan and bank accounts Intangiblepersonal property also includes investment products held in IRAs brokerage accounts and the Florida College Investment Plan Note that the product contained in a brokerage account IRA or the Florida College Investment Plan is your assetmdashnot the account or plan itself Things like automobiles and houses you own jewelryand paintings are not intangible property Intangibles relating to the same business entity may be aggregated for example CDrsquos and savings accounts with the same bank

Calculations To determine whether the intangible property exceeds 10 of your total assets total the fair market value of all of your assets (including real property intangible property and tangible personal property such as jewelry furniture etc) When making this calculation do not subtract any liabilities (debts) that may relate to the property Multiply the total figure by 10 to arrive at the disclosure threshold List only the intangibles that exceed this threshold amount The value of a leased vehicle is the vehiclersquos present value minus the lease residual (a number which can be found on the lease document) Property that is only jointly owned property should be valued according to the percentage of your joint ownership Property owned as tenants by the entirety or as joint tenants with right of survivorship should be valued at 100 None of your calculations or the value of the property have to be disclosed on the form

Example You own 50 of the stock of a small corporation that is worth $100000 the estimated fair market value of your home and other property (bank accounts automobile furniture etc) is $200000 As your total assets are worth $250000 you must disclose intangibles worth over $25000 Since the value of the stock exceeds this threshold you should list ldquostockrdquo and the name of the corporation If your accounts with a particular bank exceed $25000 you should list ldquobank accountsrdquo and bankrsquos name

PART E mdash LIABILITIES[Required by s 1123145(3)(b)4 FS]List the name and address of each creditor to whom you owed

any amount that at any time during the disclosure period exceeded your net worth You are not required to list the amount of any debt or your net worth You do not have to disclose credit card and retail installment accounts taxes owed (unless reduced to a judgment) indebtedness on a life insurance policy owed to the company of issuance or contingent liabilities A ldquocontingent liabilityrdquo is one that will become an actual liability only when one or more future events occur or fail to occur such as where you are liable only as a guarantor surety or endorser on a promissory note If you are a ldquoco-makerrdquo and are jointly liable or jointly and severally liable it is not a contingent liability

Calculations To determine whether the debt exceeds your net worth total all of your liabilities (including promissory notes mortgages credit card debts judgments against you etc) Theamount of the liability of a vehicle lease is the sum of any past-due payments and all unpaid prospective lease payments Subtract the sum total of your liabilities from the value of all your assets as calculated above for Part D This is your ldquonet worthrdquo List each creditor to whom your debt exceeded this amount unless it is one of the types of indebtedness listed in the paragraph above (credit card and retail installment accounts etc) Joint liabilities with others for which you are ldquojointly and severally liablerdquo meaning that you may be liable for either your part or the whole of the obligation should be included in your calculations at 100 of the amount owed

Example You owe $15000 to a bank for student loans $5000 for credit card debts and $60000 (with spouse) to a savings and loan for a home mortgage Your home (owned by you and your spouse) is worth $80000 and your other property is worth $20000 Since your net worth is $20000 ($100000 minus $80000) you must report only the name and address of the savings and loan

PART F mdash INTERESTS IN SPECIFIED BUSINESSES[Required by s 1123145 FS]The types of businesses covered in this disclosure include

state and federally chartered banks state and federal savings and loan associations cemetery companies insurance companies mortgage companies credit unions small loan companies alcoholic beverage licensees pari-mutuel wagering companies utilitycompanies entities controlled by the Public Service Commission and entities granted a franchise to operate by either a city or acounty government

Disclose in this part the fact that you owned during the disclosure period an interest in or held any of certain positions with the types of businesses listed above You are required to make this disclosure if you own or owned (either directly orindirectly in the form of an equitable or beneficial interest) at any time during the disclosure period more than 5 of the total assets or capital stock of one of the types of business entities listed above You also must complete this part of the form for each of these types of businesses for which you are or were at any time during thedisclosure period an officer director partner proprietor or agent (other than a resident agent solely for service of process)

If you have or held such a position or ownership interest in one of these types of businesses list the name of the business its address and principal business activity and the position held with the business (if any) If you own(ed) more than a 5 interest in the business indicate that fact and describe the nature of your interest

PART G mdash TRAINING CERTIFICATION[Required by s 1123142 FS]If you are a Constitutional or elected municipal officer whose

service began before March 31 of the year for which you are filing you are required to complete four hours of ethics training which addresses Article II Section 8 of the Florida Constitution the Code of Ethics for Public Officers and Employees and the public records and open meetings laws of the state You are required to certify on this form that you have taken such training (End of Percentage Thresholds Instructions)

CE FORM 1 - Effective January 1 2020 Incorporated by reference in Rule 34-8202 FAC PAGE 6

NOTICE Annual Statements of Financial Interests are due July 1 If the annual form is not filed or postmarked by September 1 an automatic fine of $25 for each day late will be imposed up to a maximum penalty of $1500 Failure to file also can result in removal from public office or employment [s 1123145 FS]

In addition failure to make any required disclosure constitutes grounds for and may be punished by one or more of the following disqualification from being on the ballot impeachment removal or suspension from office or employment demotion reduction in salary reprimand or a civil penalty not exceeding $10000 [s 112317 FS]

WHO MUST FILE FORM 1 1) Elected public officials not serving in a political subdivision of the

state and any person appointed to fill a vacancy in such office unlessrequired to file full disclosure on Form 62) Appointed members of each board commission authority

or council having statewide jurisdiction excluding members of solelyadvisory bodies but including judicial nominating commission membersDirectors of Enterprise Florida Scripps Florida Funding Corporationand Career Source Florida and members of the Council on the Social Status of Black Men and Boys the Executive Director Governors and senior managers of Citizens Property Insurance CorporationGovernors and senior managers of Florida Workers Compensation JointUnderwriting Association board members of the Northeast Fla RegionalTransportation Commission board members of Triumph Gulf Coast Incboard members of Florida Is For Veterans Inc and members of the Technology Advisory Council within the Agency for State Technology3) The Commissioner of Education members of the State Board

of Education the Board of Governors the local Boards of Trustees and Presidents of state universities and the Florida Prepaid College Board 4) Persons elected to office in any political subdivision (such as

municipalities counties and special districts) and any person appointedto fill a vacancy in such office unless required to file Form 65) Appointed members of the following boards councils

commissions authorities or other bodies of county municipality schooldistrict independent special district or other political subdivision thegoverning body of the subdivision community college or junior collegedistrict boards of trustees boards having the power to enforce local codeprovisions boards of adjustment community redevelopment agenciesplanning or zoning boards having the power to recommend create ormodify land planning or zoning within a political subdivision except forcitizen advisory committees technical coordinating committees andsimilar groups who only have the power to make recommendationsto planning or zoning boards and except for representatives of a military installation acting on behalf of all military installations within thatjurisdiction pension or retirement boards empowered to invest pensionor retirement funds or determine entitlement to or amount of pensions orother retirement benefits and the Pinellas County Construction LicensingBoard 6) Any appointed member of a local government board who

is required to file a statement of financial interests by the appointingauthority or the enabling legislation ordinance or resolution creating theboard 7) Persons holding any of these positions in local government

mayor county or city manager chief administrative employee or finance

director of a county municipality or other political subdivision county or municipal attorney chief county or municipal building inspectorcounty or municipal water resources coordinator county or municipalpollution control director county or municipal environmental control director county or municipal administrator with power to grant or denya land development permit chief of police fire chief municipal clerkappointed district school superintendent community college presidentdistrict medical examiner purchasing agent (regardless of title) havingthe authority to make any purchase exceeding $35000 for the localgovernmental unit8) Officers and employees of entities serving as chief administrative

officer of a political subdivision9) Members of governing boards of charter schools operated by a

city or other public entity10) Employees in the office of the Governor or of a Cabinet member

who are exempt from the Career Service System excluding secretarialclerical and similar positions11) The following positions in each state department commission

board or council Secretary Assistant or Deputy Secretary ExecutiveDirector Assistant or Deputy Executive Director and anyone having thepower normally conferred upon such persons regardless of title12) The following positions in each state department or division

Director Assistant or Deputy Director Bureau Chief and any personhaving the power normally conferred upon such persons regardless oftitle 13) Assistant State Attorneys Assistant Public Defenders criminal

conflict and civil regional counsel and assistant criminal conflict and civilregional counsel Public Counsel full-time state employees serving ascounsel or assistant counsel to a state agency administrative law judgesand hearing officers14) The Superintendent or Director of a state mental health institute

established for training and research in the mental health field or anymajor state institution or facility established for corrections trainingtreatment or rehabilitation 15) State agency Business Managers Finance and Accounting

Directors Personnel Officers Grant Coordinators and purchasingagents (regardless of title) with power to make a purchase exceeding$35000 16) The following positions in legislative branch agencies each

employee (other than those employed in maintenance clerical secretarial or similar positions and legislative assistants exempted by the presiding officer of their house) and each employee of theCommission on Ethics

INSTRUCTIONS FOR COMPLETING FORM 1 INTRODUCTORY INFORMATION (Top of Form) If your name mailing address public agency and position are already printed on the form you do not need to provide this information unless it should be changed To change any of this information write the correct information on the form and contact your agencys financial disclosure coordinator You can find your coordinator on the Commission on Ethics website wwwethics stateflus NAME OF AGENCY The name of the governmental unit which you serve or served by which you are or were employed or for which you are a candidate DISCLOSURE PERIOD The ldquodisclosure periodrdquo for your report is the calendar year ending December 31 2019

OFFICE OR POSITION HELD OR SOUGHT The title of the office or position you hold are seeking or held during the disclosure period even if you have since left that position If you are a candidate for office or are a new employee or appointee check the appropriate box PUBLIC RECORD The disclosure form and everythingattached to it is a public record Your Social Security Number is not required and you should redact it from any documents you file If you are an active or former officer or employee listed in Section 119071 FS whose home address is exempt from disclosure the Commission will maintain that confidentiality if you submit a written request

CE FORM 1 - Effective January 1 2020 Incorporated by reference in Rule 34-8202 FAC PAGE 3

PART E mdash LIABILITIES[Required by s 1123145(3)(b)4 FS]List the name and address of each creditor to whom you owed more

than $10000 at any time during the disclosure period The amount of theliability of a vehicle lease is the sum of any past-due payments and allunpaid prospective lease payments You are not required to list the amountof any debt You do not have to disclose credit card and retail installmentaccounts taxes owed (unless reduced to a judgment) indebtedness ona life insurance policy owed to the company of issuance or contingentliabilities A ldquocontingent liabilityrdquo is one that will become an actual liabilityonly when one or more future events occur or fail to occur such as whereyou are liable only as a guarantor surety or endorser on a promissorynote If you are a ldquoco-makerrdquo and are jointly liable or jointly and severallyliable then it is not a contingent liability

PART F mdash INTERESTS IN SPECIFIED BUSINESSES[Required by s 1123145(6) FS]The types of businesses covered in this disclosure include state and

federally chartered banks state and federal savings and loan associationscemetery companies insurance companies mortgage companies creditunions small loan companies alcoholic beverage licensees pari-mutuelwagering companies utility companies entities controlled by the PublicService Commission and entities granted a franchise to operate by either acity or a county government

Disclose in this part the fact that you owned during the disclosure period aninterest in or held any of certain positions with the types of businesses listedabove You must make this disclosure if you own or owned (either directly orindirectly in the form of an equitable or beneficial interest) at any time duringthe disclosure period more than 5 of the total assets or capital stock ofone of the types of business entities listed above You also must completethis part of the form for each of these types of businesses for which youare or were at any time during the disclosure period an officer directorpartner proprietor or agent (other than a resident agent solely for service ofprocess)

If you have or held such a position or ownership interest in one ofthese types of businesses list the name of the business its address andprincipal business activity and the position held with the business (if any) Ifyou own(ed) more than a 5 interest in the business indicate that fact anddescribe the nature of your interest

PART G mdash TRAINING CERTIFICATION[Required by s 1123142 FS]If you are a Constitutional or elected municipal officer whose

service began before March 31 of the year for which you are filingyou are required to complete four hours of ethics training which addresses Article II Section 8 of the Florida Constitution the Codeof Ethics for Public Officers and Employees and the public recordsand open meetings laws of the state You are required to certify onthis form that you have taken such training

(End of Dollar Value Thresholds Instructions)

PART A mdash PRIMARY SOURCES OF INCOME[Required by s 1123145(3)(a)1 FS]Part A is intended to require the disclosure of your principal

sources of income during the disclosure period You do not haveto disclose any public salary or public position(s) but income from these public sources should be included when calculating your gross income for the disclosure period The income of your spouse need not be disclosed however if there is joint income to you and your spouse from property you own jointly (such as interest or dividends from a bank account or stocks) you should include all of that income when calculating your gross income and disclose the source of that income if it exceeded the threshold

Please list in this part of the form the name address and principal business activity of each source of your income whichexceeded 5 of the gross income received by you in your own name or by any other person for your benefit or use during the disclosure period

Gross income means the same as it does for income tax purposes even if the income is not actually taxable such as interest on tax-free bonds Examples include compensation for servicesincome from business gains from property dealings interest rents dividends pensions IRA distributions social security distributive share of partnership gross income and alimony but not child support

Examplesmdash If you were employed by a company that manufactures computers and received more than 5 of your gross income from the company list the name of the company its address and its principal business activity (computer manufacturing)mdash If you were a partner in a law firm and your distributive share of partnership gross income exceeded 5 of your gross income then list the name of the firm its address and its principal business activity (practice of law)mdash If you were the sole proprietor of a retail gift business andyour gross income from the business exceeded 5 of your total gross income list the name of the business its addressand its principal business activity (retail gift sales)mdash If you received income from investments in stocks and bonds list each individual company from which you derived

more than 5 of your gross income Do not aggregate all of your investment incomemdash If more than 5 of your gross income was gain from the sale of property (not just the selling price) list as a source of income the purchaserrsquos name address and principal business activityIf the purchasers identity is unknown such as where securities listed on an exchange are sold through a brokerage firm the source of income should be listed as sale of (name of company)stock for examplemdash If more than 5 of your gross income was in the form of interest from one particular financial institution (aggregatinginterest from all CDrsquos accounts etc at that institution) list the name of the institution its address and its principal business activity

PART B mdash SECONDARY SOURCES OF INCOME[Required by s 1123145(3)(a)2 FS]This part is intended to require the disclosure of major customers

clients and other sources of income to businesses in which you ownan interest It is not for reporting income from second jobs That kindof income should be reported in Part A Primary Sources of Incomeif it meets the reporting threshold You will not have anything to reportunless during the disclosure period

(1) You owned (either directly or indirectly in the form of anequitable or beneficial interest) more than 5 of the total assetsor capital stock of a business entity (a corporation partnershipLLC limited partnership proprietorship joint venture trust firmetc doing business in Florida) and(2) You received more than 10 of your gross income from thatbusiness entity and(3) You received more than $1500 in gross income from thatbusiness entity

If your interests and gross income exceeded these thresholds thenfor that business entity you must list every source of income to thebusiness entity which exceeded 10 of the business entityrsquos grossincome (computed on the basis of the business entityrsquos most recentlycompleted fiscal year) the sourcersquos address and the sourcersquosprincipal business activity

IF YOU HAVE CHOSEN COMPARATIVE (PERCENTAGE) THRESHOLDSTHE FOLLOWING INSTRUCTIONS APPLY

CE FORM 1 - Effective January 1 2020 Incorporated by reference in Rule 34-8202 FAC PAGE 5

MANNER OF CALCULATING REPORTABLE INTEREST Filers have the option of reporting based on either thresholds that are comparative (usually based on percentage values) or thresholds that are based on absolute dollar values The instructions on the following pages specifically describe the different thresholds Check the box that reflects the choice you have made You must use the type of threshold you have chosen for each part of the form In other words if you choose to report based on absolute dollar value thresholds you cannot use a percentage threshold on any part of the form

IF YOU HAVE CHOSEN DOLLAR VALUE THRESHOLDS THE FOLLOWING INSTRUCTIONS APPLY

PART A mdash PRIMARY SOURCES OF INCOME [Required by s 1123145(3)(b)1 FS] Part A is intended to require the disclosure of your principal

sources of income during the disclosure period You do not have todisclose any public salary or public position(s) The income of yourspouse need not be disclosed however if there is joint income toyou and your spouse from property you own jointly (such as interestor dividends from a bank account or stocks) you should disclose thesource of that income if it exceeded the threshold

Please list in this part of the form the name address andprincipal business activity of each source of your income whichexceeded $2500 of gross income received by you in your own name or by any other person for your use or benefit

Gross income means the same as it does for income tax purposes even if the income is not actually taxable such as interest on tax-free bonds Examples include compensation for servicesincome from business gains from property dealings interest rentsdividends pensions IRA distributions social security distributive share of partnership gross income and alimony but not child support

Examples mdash If you were employed by a company that manufacturescomputers and received more than $2500 list the name of thecompany its address and its principal business activity (computermanufacturing) mdash If you were a partner in a law firm and your distributive shareof partnership gross income exceeded $2500 list the name ofthe firm its address and its principal business activity (practice oflaw) mdash If you were the sole proprietor of a retail gift business and yourgross income from the business exceeded $2500 list the nameof the business its address and its principal business activity(retail gift sales) mdash If you received income from investments in stocks and bondslist each individual company from which you derived more than$2500 Do not aggregate all of your investment income mdash If more than $2500 of your gross income was gain from thesale of property (not just the selling price) list as a source ofincome the purchaserrsquos name address and principal businessactivity If the purchaserrsquos identity is unknown such as wheresecurities listed on an exchange are sold through a brokeragefirm the source of income should be listed as sale of (name of company) stock for example mdash If more than $2500 of your gross income was in the formof interest from one particular financial institution (aggregatinginterest from all CDrsquos accounts etc at that institution) list the name of the institution its address and its principal business activity

PART B mdash SECONDARY SOURCES OF INCOME [Required by s 1123145(3)(b)2 FS] This part is intended to require the disclosure of major customers

clients and other sources of income to businesses in which you own aninterest It is not for reporting income from second jobs That kind of incomeshould be reported in Part A Primary Sources of Income if it meets thereporting threshold You will not have anything to report unless during thedisclosure period

(1) You owned (either directly or indirectly in the form of an equitableor beneficial interest) more than 5 of the total assets or capitalstock of a business entity (a corporation partnership LLC limitedpartnership proprietorship joint venture trust firm etc doing business in Florida) and (2) You received more than $5000 of your gross income during thedisclosure period from that business entity

If your interests and gross income exceeded these thresholds then for thatbusiness entity you must list every source of income to the business entitywhich exceeded 10 of the business entityrsquos gross income (computed onthe basis of the business entitys most recently completed fiscal year) thesourcersquos address and the sources principal business activity

Examples mdash You are the sole proprietor of a dry cleaning business from whichyou received more than $5000 If only one customer a uniform rentalcompany provided more than 10 of your dry cleaning business youmust list the name of the uniform rental company its address and itsprincipal business activity (uniform rentals) mdash You are a 20 partner in a partnership that owns a shopping malland your partnership income exceeded the above thresholds List eachtenant of the mall that provided more than 10 of the partnershipsgross income and the tenants address and principal business activity

PART C mdash REAL PROPERTY [Required by s 1123145(3)(b)3 FS] In this part list the location or description of all real property in Florida

in which you owned directly or indirectly at any time during the disclosureperiod in excess of 5 of the propertyrsquos value You are not required to listyour residences You should list any vacation homes if you derive incomefrom them

Indirect ownership includes situations where you are a beneficiary of atrust that owns the property as well as situations where you own more than5 of a partnership or corporation that owns the property The value of theproperty may be determined by the most recently assessed value for taxpurposes in the absence of a more current appraisal

The location or description of the property should be sufficient toenable anyone who looks at the form to identify the property A streetaddress should be used if one exists

PART D mdash INTANGIBLE PERSONAL PROPERTY [Required by s 1123145(3)(b)3 FS] Describe any intangible personal property that at any time during the

disclosure period was worth more than $10000 and state the businessentity to which the property related Intangible personal property includesthings such as cash on hand stocks bonds certificates of deposit vehicleleases interests in businesses beneficial interests in trusts money owedyou Deferred Retirement Option Program (DROP) accounts the FloridaPrepaid College Plan and bank accounts Intangible personal propertyalso includes investment products held in IRAs brokerage accounts andthe Florida College Investment Plan Note that the product contained in a brokerage account IRA or the Florida College Investment Plan is yourassetmdashnot the account or plan itself Things like automobiles and housesyou own jewelry and paintings are not intangible property Intangiblesrelating to the same business entity may be aggregated for example CDsand savings accounts with the same bank Property owned as tenants bythe entirety or as joint tenants with right of survivorship should be valued at100 The value of a leased vehicle is the vehiclersquos present value minusthe lease residual (a number found on the lease document)

CE FORM 1 - Effective January 1 2020 Incorporated by reference in Rule 34-8202 FAC PAGE 4

PART A mdash PRIMARY SOURCES OF INCOME[Required by s 1123145(3)(b)1 FS]Part A is intended to require the disclosure of your principal

sources of income during the disclosure period You do not have todisclose any public salary or public position(s) The income of yourspouse need not be disclosed however if there is joint income t oyou and your spouse from property you own jointly (such as interestor dividends from a bank account or stocks) you should disclose thesource of that income if it exceeded the threshold

Please list in this part of the form the name address andprincipal business activity of each source of your income whichexceeded $2500 of gross income received by you in your own name or by any other person for your use or benefit

Gross income means the same as it does for income taxpurposes even if the income is not actually taxable such as intereston tax-free bonds Examples include compensation for servicesincome from business gains from property dealings interest rentsdividends pensions IRA distributions social security distributiveshare of partnership gross income and alimony but not child support

Examplesmdash If you were employed by a company that manufacturescomputers and received more than $2500 list the name of thecompany its address and its principal business activity (computermanufacturing)mdash If you were a partner in a law firm and your distributive shareof partnership gross income exceeded $2500 list the name ofthe firm its address and its principal business activity (practice oflaw)mdash If you were the sole proprietor of a retail gift business and yourgross income from the business exceeded $2500 list the nameof the business its address and its principal business activity(retail gift sales)mdash If you received income from investments in stocks and bondslist each individual company from which you derived more than$2500 Do not aggregate all of your investment incomemdash If more than $2500 of your gross income was gain from thesale of property (not just the selling price) list as a source o fincome the purchaserrsquos name address and principal businessactivity If the purchaserrsquos identity is unknown such as wheresecurities listed on an exchange are sold through a brokeragefirm the source of income should be listed as sale of (name of company) stock for examplemdash If more than $2500 of your gross income was in the formof interest from one particular financial institution (aggregatinginterest from all CDrsquos accounts etc at that institution) list thename of the institution its address and its principal business activity

PART B mdash SECONDARY SOURCES OF INCOME[Required by s 1123145(3)(b)2 FS]This part is intended to require the disclosure of major customers

clients and other sources of income to businesses in which you own aninterest It is not for reporting income from second jobs That kind of incomeshould be reported in Part A Primary Sources of Income if it meets thereporting threshold You will not have anything to report unless during thedisclosure period

(1) You owned (either directly or indirectly in the form of an equitableor beneficial interest) more than 5 of the total assets or capitalstock of a business entity (a corporation partnership LLC limitedpartnership proprietorship joint venture trust firm etc doing business in Florida) and(2) You received more than $5000 of your gross income during thedisclosure period from that business entity

If your interests and gross income exceeded these thresholds then for thatbusiness entity you must list every source of income to the business entitywhich exceeded 10 of the business entityrsquos gross income (computed onthe basis of the business entitys most recently completed fiscal year) thesourcersquos address and the sources principal business activity

Examplesmdash You are the sole proprietor of a dry cleaning business from whichyou received more than $5000 If only one customer a uniform rentalcompany provided more than 10 of your dry cleaning business youmust list the name of the uniform rental company its address and itsprincipal business activity (uniform rentals)mdash You are a 20 partner in a partnership that owns a shopping malland your partnership income exceeded the above thresholds List eachtenant of the mall that provided more than 10 of the partnershipsgross income and the tenants address and principal business activity

PART C mdash REAL PROPERTY[Required by s 1123145(3)(b)3 FS]In this part list the location or description of all real property in Florida

in which you owned directly or indirectly at any time during the disclosureperiod in excess of 5 of the propertyrsquos value You are not required to listyour residences You should list any vacation homes if you derive incomefrom them

Indirect ownership includes situations where you are a beneficiary of atrust that owns the property as well as situations where you own more than5 of a partnership or corporation that owns the property The value of theproperty may be determined by the most recently assessed value for taxpurposes in the absence of a more current appraisal

The location or description of the property should be sufficient toenable anyone who looks at the form to identify the property A streetaddress should be used if one exists

PART D mdash INTANGIBLE PERSONAL PROPERTY[Required by s 1123145(3)(b)3 FS]Describe any intangible personal property that at any time during the

disclosure period was worth more than $10000 and state the businessentity to which the property related Intangible personal property includesthings such as cash on hand stocks bonds certificates of deposit vehicleleases interests in businesses beneficial interests in trusts money owedyou Deferred Retirement Option Program (DROP) accounts the FloridaPrepaid College Plan and bank accounts Intangible personal propertyalso includes investment products held in IRAs brokerage accounts andthe Florida College Investment Plan Note that the product contained ina brokerage account IRA or the Florida College Investment Plan is yourassetmdashnot the account or plan itself Things like automobiles and housesyou own jewelry and paintings are not intangible property Intangiblesrelating to the same business entity may be aggregated for example CDsand savings accounts with the same bank Property owned as tenants bythe entirety or as joint tenants with right of survivorship should be valued at100 The value of a leased vehicle is the vehiclersquos present value minusthe lease residual (a number found on the lease document)

Filers have the option of reporting based on either thresholds that are comparative (usually based on percentage values) orthresholds that are based on absolute dollar values The instructions on the following pages specifically describe the differentthresholds Check the box that reflects the choice you have made You must use the type of threshold you have chosen for eachpart of the form In other words if you choose to report based on absolute dollar value thresholds you cannot use a percentagethreshold on any part of the form

MANNER OF CALCULATING REPORTABLE INTEREST

IF YOU HAVE CHOSEN DOLLAR VALUE THRESHOLDSTHE FOLLOWING INSTRUCTIONS APPLY

CE FORM 1 - Effective January 1 2020 Incorporated by reference in Rule 34-8202 FAC PAGE 4

PART E mdash LIABILITIES [Required by s 1123145(3)(b)4 FS] List the name and address of each creditor to whom you owed more

than $10000 at any time during the disclosure period The amount of theliability of a vehicle lease is the sum of any past-due payments and allunpaid prospective lease payments You are not required to list the amountof any debt You do not have to disclose credit card and retail installmentaccounts taxes owed (unless reduced to a judgment) indebtedness ona life insurance policy owed to the company of issuance or contingentliabilities A ldquocontingent liabilityrdquo is one that will become an actual liabilityonly when one or more future events occur or fail to occur such as whereyou are liable only as a guarantor surety or endorser on a promissorynote If you are a ldquoco-makerrdquo and are jointly liable or jointly and severallyliable then it is not a contingent liability

PART F mdash INTERESTS IN SPECIFIED BUSINESSES [Required by s 1123145(6) FS] The types of businesses covered in this disclosure include state and

federally chartered banks state and federal savings and loan associationscemetery companies insurance companies mortgage companies creditunions small loan companies alcoholic beverage licensees pari-mutuelwagering companies utility companies entities controlled by the PublicService Commission and entities granted a franchise to operate by either acity or a county government

Disclose in this part the fact that you owned during the disclosure period aninterest in or held any of certain positions with the types of businesses listedabove You must make this disclosure if you own or owned (either directly orindirectly in the form of an equitable or beneficial interest) at any time duringthe disclosure period more than 5 of the total assets or capital stock ofone of the types of business entities listed above You also must completethis part of the form for each of these types of businesses for which youare or were at any time during the disclosure period an officer directorpartner proprietor or agent (other than a resident agent solely for service ofprocess)

If you have or held such a position or ownership interest in one ofthese types of businesses list the name of the business its address andprincipal business activity and the position held with the business (if any) Ifyou own(ed) more than a 5 interest in the business indicate that fact anddescribe the nature of your interest

PART G mdash TRAINING CERTIFICATION [Required by s 1123142 FS] If you are a Constitutional or elected municipal officer whose

service began before March 31 of the year for which you are filingyou are required to complete four hours of ethics training which addresses Article II Section 8 of the Florida Constitution the Code of Ethics for Public Officers and Employees and the public recordsand open meetings laws of the state You are required to certify onthis form that you have taken such training

(End of Dollar Value Thresholds Instructions)

IF YOU HAVE CHOSEN COMPARATIVE (PERCENTAGE) THRESHOLDS THE FOLLOWING INSTRUCTIONS APPLY

PART A mdash PRIMARY SOURCES OF INCOME [Required by s 1123145(3)(a)1 FS] Part A is intended to require the disclosure of your principal

sources of income during the disclosure period You do not haveto disclose any public salary or public position(s) but income from these public sources should be included when calculating your gross income for the disclosure period The income of your spouse need not be disclosed however if there is joint income to you and your spouse from property you own jointly (such as interest or dividends from a bank account or stocks) you should include all of that income when calculating your gross income and disclose the source of that income if it exceeded the threshold

Please list in this part of the form the name address and principal business activity of each source of your income whichexceeded 5 of the gross income received by you in your own name or by any other person for your benefit or use during the disclosure period

Gross income means the same as it does for income tax purposes even if the income is not actually taxable such as interest on tax-free bonds Examples include compensation for servicesincome from business gains from property dealings interest rents dividends pensions IRA distributions social security distributive share of partnership gross income and alimony but not child support

Examples mdash If you were employed by a company that manufactures computers and received more than 5 of your gross income from the company list the name of the company its address and its principal business activity (computer manufacturing) mdash If you were a partner in a law firm and your distributive share of partnership gross income exceeded 5 of your gross income then list the name of the firm its address and its principal business activity (practice of law) mdash If you were the sole proprietor of a retail gift business andyour gross income from the business exceeded 5 of your total gross income list the name of the business its addressand its principal business activity (retail gift sales) mdash If you received income from investments in stocks and bonds list each individual company from which you derived

more than 5 of your gross income Do not aggregate all of your investment income mdash If more than 5 of your gross income was gain from the sale of property (not just the selling price) list as a source of income the purchaserrsquos name address and principal business activityIf the purchasers identity is unknown such as where securities listed on an exchange are sold through a brokerage firm the source of income should be listed as sale of (name of company)stock for example mdash If more than 5 of your gross income was in the form of interest from one particular financial institution (aggregatinginterest from all CDrsquos accounts etc at that institution) list the name of the institution its address and its principal business activity

PART B mdash SECONDARY SOURCES OF INCOME [Required by s 1123145(3)(a)2 FS] This part is intended to require the disclosure of major customers

clients and other sources of income to businesses in which you ownan interest It is not for reporting income from second jobs That kindof income should be reported in Part A Primary Sources of Incomeif it meets the reporting threshold You will not have anything to report unless during the disclosure period

(1) You owned (either directly or indirectly in the form of anequitable or beneficial interest) more than 5 of the total assetsor capital stock of a business entity (a corporation partnershipLLC limited partnership proprietorship joint venture trust firmetc doing business in Florida) and (2) You received more than 10 of your gross income from thatbusiness entity and (3) You received more than $1500 in gross income from thatbusiness entity

If your interests and gross income exceeded these thresholds thenfor that business entity you must list every source of income to thebusiness entity which exceeded 10 of the business entityrsquos grossincome (computed on the basis of the business entityrsquos most recentlycompleted fiscal year) the sourcersquos address and the sourcersquos principal business activity

CE FORM 1 - Effective January 1 2020 Incorporated by reference in Rule 34-8202 FAC PAGE 5

NOTICE Annual Statements of Financial Interests are due July 1 If the annual form is not filed or postmarked by September 1 an automatic fine of $25 for each day late will be imposed up to a maximum penalty of $1500 Failure to file also can result in removal from public office or employment [s 1123145 FS]

In addition failure to make any required disclosure constitutes grounds for and may be punished by one or more of the following disqualification from being on the ballot impeachment removal or suspension from office or employment demotion reduction in salary reprimand or a civil penalty not exceeding $10000 [s 112317 FS]

1) Elected public officials not serving in a political subdivision of thestate and any person appointed to fill a vacancy in such office unlessrequired to file full disclosure on Form 62) Appointed members of each board commission authority

or council having statewide jurisdiction excluding members of solelyadvisory bodies but including judicial nominating commission membersDirectors of Enterprise Florida Scripps Florida Funding Corporationand Career Source Florida and members of the Council on the SocialStatus of Black Men and Boys the Executive Director Governors and senior managers of Citizens Property Insurance CorporationGovernors and senior managers of Florida Workers Compensation JointUnderwriting Association board members of the Northeast Fla RegionalTransportation Commission board members of Triumph Gulf Coast Incboard members of Florida Is For Veterans Inc and members of theTechnology Advisory Council within the Agency for State Technology3) The Commissioner of Education members of the State Board

of Education the Board of Governors the local Boards of Trustees andPresidents of state universities and the Florida Prepaid College Board4) Persons elected to office in any political subdivision (such a s

municipalities counties and special districts) and any person appointedto fill a vacancy in such office unless required to file Form 65) Appointed members of the following boards councils

commissions authorities or other bodies of county municipality schooldistrict independent special district or other political subdivision thegoverning body of the subdivision community college or junior collegedistrict boards of trustees boards having the power to enforce local codeprovisions boards of adjustment community redevelopment agenciesplanning or zoning boards having the power to recommend create ormodify land planning or zoning within a political subdivision except forcitizen advisory committees technical coordinating committees andsimilar groups who only have the power to make recommendationsto planning or zoning boards and except for representatives of amilitary installation acting on behalf of all military installations within thatjurisdiction pension or retirement boards empowered to invest pensionor retirement funds or determine entitlement to or amount of pensions orother retirement benefits and the Pinellas County Construction LicensingBoard6) Any appointed member of a local government board who

is required to file a statement of financial interests by the appointingauthority or the enabling legislation ordinance or resolution creating theboard7) Persons holding any of these positions in local government

mayor county or city manager chief administrative employee or finance

director of a county municipality or other political subdivision countyor municipal attorney chief county or municipal building inspectorcounty or municipal water resources coordinator county or municipalpollution control director county or municipal environmental controldirector county or municipal administrator with power to grant or denya land development permit chief of police fire chief municipal clerkappointed district school superintendent community college presidentdistrict medical examiner purchasing agent (regardless of title) havingthe authority to make any purchase exceeding $35000 for the localgovernmental unit8) Officers and employees of entities serving as chief administrative

officer of a political subdivision9) Members of governing boards of charter schools operated by a

city or other public entity10) Employees in the office of the Governor or of a Cabinet member

who are exempt from the Career Service System excluding secretarialclerical and similar positions11) The following positions in each state department commission

board or council Secretary Assistant or Deputy Secretary ExecutiveDirector Assistant or Deputy Executive Director and anyone having thepower normally conferred upon such persons regardless of title12) The following positions in each state department or division

Director Assistant or Deputy Director Bureau Chief and any personhaving the power normally conferred upon such persons regardless oftitle13) Assistant State Attorneys Assistant Public Defenders criminal

conflict and civil regional counsel and assistant criminal conflict and civilregional counsel Public Counsel full-time state employees serving ascounsel or assistant counsel to a state agency administrative law judgesand hearing officers14) The Superintendent or Director of a state mental health institute

established for training and research in the mental health field or anymajor state institution or facility established for corrections trainingtreatment or rehabilitation15) State agency Business Managers Finance and Accounting

Directors Personnel Officers Grant Coordinators and purchasingagents (regardless of title) with power to make a purchase exceeding$3500016) The following positions in legislative branch agencies each

employee (other than those employed in maintenance clerical secretarial or similar positions and legislative assistants exemptedby the presiding officer of their house) and each employee of theCommission on Ethics

INSTRUCTIONS FOR COMPLETING FORM 1INTRODUCTORY INFORMATION (Top of Form) If your name mailing address public agency and position are already printed on the form you do not need to provide this information unless it should be changed To change any of this information write the correct information on the form and contact your agencys financial disclosure coordinator You can find your coordinator on the Commission on Ethics website wwwethicsstateflus NAME OF AGENCY The name of the governmental unit which you serve or served by which you are or were employed or for which you are a candidate DISCLOSURE PERIOD The ldquodisclosure periodrdquo for your report is the calendar year ending December 31 2019

OFFICE OR POSITION HELD OR SOUGHT The title of the office or position you hold are seeking or held during the disclosure period even if you have since left that position If you are a candidate for office or are a new employee or appointee check the appropriate boxPUBLIC RECORD The disclosure form and everythingattached to it is a public record Your Social Security Number is not required and you should redact it from any documents you file If you are an active or former officer or employee listed in Section 119071 FS whose home address is exempt from disclosure the Commission will maintain that confidentiality if you submit a written request

WHO MUST FILE FORM 1

CE FORM 1 - Effective January 1 2020 Incorporated by reference in Rule 34-8202 FAC PAGE 3

Examples PART E mdash LIABILITIES mdash You are the sole proprietor of a dry cleaning business from [Required by s 1123145(3)(b)4 FS]which you received more than 10 of your gross incomemdashan List the name and address of each creditor to whom you owed amount that was more than $1500 If only one customer a any amount that at any time during the disclosure period exceeded uniform rental company provided more than 10 of your dry your net worth You are not required to list the amount of any debt cleaning business you must list the name of the uniform rental or your net worth You do not have to disclose credit card and retail company its address and its principal business activity (uniform installment accounts taxes owed (unless reduced to a judgment) rentals) indebtedness on a life insurance policy owed to the company of mdash You are a 20 partner in a partnership that owns a shopping issuance or contingent liabilities A ldquocontingent liabilityrdquo is one mall and your partnership income exceeded the thresholds that will become an actual liability only when one or more future listed above You should list each tenant of the mall that events occur or fail to occur such as where you are liable only as provided more than 10 of the partnershiprsquos gross income and a guarantor surety or endorser on a promissory note If you are a the tenantrsquos address and principal business activity ldquoco-makerrdquo and are jointly liable or jointly and severally liable it is not

a contingent liability PART C mdash REAL PROPERTY Calculations To determine whether the debt exceeds your

[Required by s 1123145(3)(a)3 FS] net worth total all of your liabilities (including promissory notes mortgages credit card debts judgments against you etc) TheIn this part list the location or description of all real property in amount of the liability of a vehicle lease is the sum of any past-due Florida in which you owned directly or indirectly at any time during payments and all unpaid prospective lease payments Subtract the disclosure period in excess of 5 of the propertyrsquos value You the sum total of your liabilities from the value of all your assets are not required to list your residences You should list any vacation as calculated above for Part D This is your ldquonet worthrdquo List each homes if you derive income from them creditor to whom your debt exceeded this amount unless it is one of

Indirect ownership includes situations where you are a the types of indebtedness listed in the paragraph above (credit card beneficiary of a trust that owns the property as well as situations and retail installment accounts etc) Joint liabilities with others for where you own more than 5 of a partnership or corporation that which you are ldquojointly and severally liablerdquo meaning that you may owns the property The value of the property may be determined by be liable for either your part or the whole of the obligation should be the most recently assessed value for tax purposes in the absence included in your calculations at 100 of the amount owed of a more current appraisal

Example You owe $15000 to a bank for student loans $5000 The location or description of the property should be sufficient for credit card debts and $60000 (with spouse) to a savings to enable anyone who looks at the form to identify the property A and loan for a home mortgage Your home (owned by you and street address should be used if one exists your spouse) is worth $80000 and your other property is worth PART D mdash INTANGIBLE PERSONAL PROPERTY $20000 Since your net worth is $20000 ($100000 minus

$80000) you must report only the name and address of the [Required by s 1123145(3)(a)3 FS] savings and loan Describe any intangible personal property that at any time

during the disclosure period was worth more than 10 of your PART F mdash INTERESTS IN SPECIFIED BUSINESSES total assets and state the business entity to which the property [Required by s 1123145 FS] related Intangible personal property includes things such as cash on hand stocks bonds certificates of deposit vehicle leases The types of businesses covered in this disclosure include interests in businesses beneficial interests in trusts money owed state and federally chartered banks state and federal savings and you Deferred Retirement Option Program (DROP) accounts loan associations cemetery companies insurance companies the Florida Prepaid College Plan and bank accounts Intangible mortgage companies credit unions small loan companies alcoholic personal property also includes investment products held in IRAs beverage licensees pari-mutuel wagering companies utilitybrokerage accounts and the Florida College Investment Plan companies entities controlled by the Public Service Commission Note that the product contained in a brokerage account IRA or the and entities granted a franchise to operate by either a city or a Florida College Investment Plan is your assetmdashnot the account or county governmentplan itself Things like automobiles and houses you own jewelry Disclose in this part the fact that you owned during the and paintings are not intangible property Intangibles relating to the disclosure period an interest in or held any of certain positions same business entity may be aggregated for example CDrsquos and with the types of businesses listed above You are requiredsavings accounts with the same bank to make this disclosure if you own or owned (either directly or

Calculations To determine whether the intangible property indirectly in the form of an equitable or beneficial interest) at any exceeds 10 of your total assets total the fair market value of time during the disclosure period more than 5 of the total assets all of your assets (including real property intangible property and or capital stock of one of the types of business entities listed above tangible personal property such as jewelry furniture etc) When You also must complete this part of the form for each of these types making this calculation do not subtract any liabilities (debts) that of businesses for which you are or were at any time during themay relate to the property Multiply the total figure by 10 to arrive disclosure period an officer director partner proprietor or agent at the disclosure threshold List only the intangibles that exceed (other than a resident agent solely for service of process) this threshold amount The value of a leased vehicle is the vehiclersquos If you have or held such a position or ownership interest in present value minus the lease residual (a number which can be one of these types of businesses list the name of the business its found on the lease document) Property that is only jointly owned address and principal business activity and the position held with property should be valued according to the percentage of your the business (if any) If you own(ed) more than a 5 interest in the joint ownership Property owned as tenants by the entirety or as business indicate that fact and describe the nature of your interest joint tenants with right of survivorship should be valued at 100 None of your calculations or the value of the property have to be PART G mdash TRAINING CERTIFICATIONdisclosed on the form

[Required by s 1123142 FS] Example You own 50 of the stock of a small corporation that is worth $100000 the estimated fair market value of If you are a Constitutional or elected municipal officer whoseyour home and other property (bank accounts automobile service began before March 31 of the year for which you are filing furniture etc) is $200000 As your total assets are worth you are required to complete four hours of ethics training which $250000 you must disclose intangibles worth over $25000 addresses Article II Section 8 of the Florida Constitution the Code Since the value of the stock exceeds this threshold you of Ethics for Public Officers and Employees and the public records should list ldquostockrdquo and the name of the corporation If your and open meetings laws of the state You are required to certify on accounts with a particular bank exceed $25000 you should this form that you have taken such training list ldquobank accountsrdquo and bankrsquos name

(

End of Percentage Thresholds Instructions) CE FORM 1 - Effective January 1 2020 Incorporated by reference in Rule 34-8202 FAC PAGE 6

  • 0 HP Cover Page v2
  • 1 Hawks Point Meeting Invite Draft v2
  • 2 Agenda Draft v3
  • 3 EXHIBIT 1
  • 7 HP 05-19-2020 Meeting Minutes Approved
  • 6 EXHIBIT 2
  • 9 HP May FY20 Fin
  • 8 EXHIBIT 3
  • 4 Vacant Position Qualification Requirements for Hawks Point CDD
    • Vacant Position on the Board of Supervisors of the Hawkrsquos Point Community Development District
      • Qualification Requirements
      • Instructions for Interested Candidates
      • Additional Notes
          • 5 Shami Choon Vacant Position - updated 11-5-11 resume
            • 1803 Oak Pond Street Ruskin Fl 33570 E-mailchoons27gmailcom
              • PROFESSIONAL HISTORY
                • Operations Manager Florida Distribution 2002 ndash 2005
                • Operations Manager for Florida Branch Distribution 1999 ndash 2002
                • Warehouse Manager of Miami Distribution Center 1998 ndash 1999
                • Branch Manager of West Palm Beach 1994 ndash 1998
                • Assistant Branch Manager 1991 ndash 1994
                • Customer Service Agent 1990 ndash 1991
                  • 10 EXHIBIT 4
                  • 11 New Business - Hawks Point CDD - MI proposal
                  • 12 EXHIBIT 5
                  • 13 CertaPro Proposal to Paint Exterior Wall 18th to 24th Avenue
                  • 14 Shazam Construction Proposal to Paint Exterior Wall 18th to 24th Street
                    • QUOTE
                      • TO
                          • 15 Photo to accompany Shazam Proposal
                          • 16 EXHIBIT 6
                          • 17 CertaPro Proposal for Pressure Washing Exterior Wall 18th St to 24th Street
                          • 18 Shazam Construction Proposal for Pressure Washing Exterion Wall 18th Street to 24th Street
                            • QUOTE
                              • TO
                                  • 19 EXHIBIT 7
                                  • 20 Form 1_2019i
                                      1. LAST NAME
                                      2. FIRST NAME
                                      3. MIDDLE NAME
                                      4. MAILING ADDRESS ROW 1
                                      5. MAILING ADDRESS ROW 2
                                      6. CITY
                                      7. ZIP
                                      8. COUNTY
                                      9. NAME OF AGENCY
                                      10. NAME OF OFFICE OR POSITION HELD OR SOUGHT
                                      11. CANDIDATE Off
                                      12. NEW EMPLOYEE OR APPOINTEE Off
                                      13. COMPARATIVE (PERCENTAGE) THRESHOLDS Off
                                      14. DOLLAR VALUE THRESHOLDS Off
                                      15. NAME OF SOURCE INCOME ROW 1
                                      16. ADDRESS ROW 1
                                      17. DESCRIPTION OF THE SOURCES PRINCIPAL BUSINESS ACTIVITY ROW 1
                                      18. NAME OF SOURCE INCOME ROW 2
                                      19. ADDRESS ROW 2
                                      20. DESCRIPTION OF THE SOURCES PRINCIPAL BUSINESS ACTIVITY ROW 2
                                      21. NAME OF SOURCE INCOME ROW 3
                                      22. ADDRESS ROW 3
                                      23. DESCRIPTION OF THE SOURCES PRINCIPAL BUSINESS ACTIVITY ROW 3
                                      24. NAME OF SOURCE INCOME ROW 4
                                      25. ADDRESS ROW 4
                                      26. DESCRIPTION OF THE SOURCES PRINCIPAL BUSINESS ACTIVITY ROW 4
                                      27. NAME OF BUSINESS ENTITY ROW 1
                                      28. NAME OF MAJOR SOURCES OF BUSINESS INCOME ROW 1
                                      29. ADDRESS OF SOURCE ROW 1
                                      30. PRINCIPAL BUSINESS ACTIVITY OF SOURCE ROW 1
                                      31. NAME OF BUSINESS ENTITY ROW 2
                                      32. NAME OF MAJOR SOURCES OF BUSINESS INCOME ROW 2
                                      33. ADDRESS OF SOURCE ROW 2
                                      34. PRINCIPAL BUSINESS ACTIVITY OF SOURCE ROW 2
                                      35. NAME OF BUSINESS ENTITY ROW 3
                                      36. NAME OF MAJOR SOURCES OF BUSINESS INCOME ROW 3
                                      37. ADDRESS OF SOURCE ROW 3
                                      38. PRINCIPAL BUSINESS ACTIVITY OF SOURCE ROW 3
                                      39. REAL PROPERTY ROW 1
                                      40. REAL PROPERTY ROW 2
                                      41. REAL PROPERTY ROW 3
                                      42. REAL PROPERTY ROW 4
                                      43. TYPE OF INTANGIBLE ROW 1
                                      44. BUSINESS ENTITY TO WHICH THE PROPERTY RELATES ROW 1
                                      45. TYPE OF INTANGIBLE ROW 2
                                      46. BUSINESS ENTITY TO WHICH THE PROPERTY RELATES ROW 2
                                      47. NAME OF CREDITOR ROW 1
                                      48. ADDRESS OF CREDITOR ROW 1
                                      49. NAME OF CREDITOR ROW 2
                                      50. ADDRESS OF CREDITOR ROW 2
                                      51. ADDRESS OF BUSINESS ENTITY 1
                                      52. PRINCIPAL BUSINESS ACTIVITY 1
                                      53. POSITION HELD WITH ENTITY 1
                                      54. I OWN MORE THAN A 5 INTEREST IN THE BUSINESS 1
                                      55. NATURE OF MY OWNERSHIP INTEREST 1
                                      56. ADDRESS OF BUSINESS ENTITY 2
                                      57. PRINCIPAL BUSINESS ACTIVITY 2
                                      58. POSITION HELD WITH ENTITY 2
                                      59. I OWN MORE THAN A 5 INTEREST IN THE BUSINESS 2
                                      60. NATURE OF MY OWNERSHIP INTEREST 2
                                      61. FOR ELECTED MUNICIPAL OFFICERS REQUIRED TO COMPLETE ANNUAL ETHICS TRAINING PURSUANT TO SECTION 112
                                        1. 3142 F
                                          1. S Off
                                              1. IF ANY OF PARTS A THROUGH G ARE CONTINUED ON A SEPARATE SHEET PLEASE CHECK HERE Off
                                              2. SIGNATURE
                                              3. Date Signed
Page 16: HAWKS POINT COMMUNITY DEVELOPMENT …...2020/06/16  · Hawks Point Community Development District Board of Supervisors Meeting Tuesday, June 16th at 6:30 PM via Zoom All: We welcome

FY 2020 VARIANCE

ADOPTED BUDGET ACTUAL FAVORABLE

BUDGET YEAR-TO-DATE YEAR-TO-DATE (UNFAVORABLE)

1 REVENUE

2 ASSESSMENTS - ON-ROLL (Gross) 561051$ 527388$ 524922$ (2466)$

3 ASSESSMENTS - ON-ROLL EXCESS FEES - - - -

4 FUND BALANCE FORWARD - - - -

5 INTEREST - INVESTMENT - - 3703 3703

6 DISCOUNT (22442) - - -

7 TOTAL REVENUE 538609 527388 528624 1236

8

9

10 EXPENDITURES

11

12 PRINCIPAL

13 512020 235000 - 235000 (235000)

14 INTEREST EXPENSE

15 1112019 - - 144238 (144238)

16 512020 144238 - 144238 (144238)

17 1112020 140075 - - -

18 COUNTY COLLECTION CHARGES 11221 - - -

19 TOTAL EXPENDITURES 530534 - 523475 (523475)

20

21 EXCESS OF REVENUE OVER (UNDER) EXPENDITURES 8075 527388 5149 (522239)

22

23 OTHER FINANCING SOURCES (USES)

24 TRANSFER IN - - - -

25 TRANSFER OUT (USES) - - - -

26 TOTAL OTHER FINANCING SOURCES (USES) - - - -

27

28 NET CHANGE IN FUND BALANCE 8075 527388 5149 (522239)

29

30 FUND BALANCE - BEGINNING - - 464759 464759

31 FUND BALANCE APPROPRIATED - - - -

32

33 FUND BALANCE - ENDING 8075$ 527388$ 469908$ (57480)$

Hawks Point CDD

Debt Service - Series 2017

Statement of Revenues Expenditures and Changes in Fund Balance

For the period from October 1 2019 through April 30 2020

Page 5

Bank United

Balance Per Bank Statement 7549415$

Plus Deposits in Transit -

Less Outstanding Checks (935250)

Adjusted Bank Balance 6614165$

Beginning Bank Balance Per Books 4251943$

Cash Receipts 5000350

Cash Disbursements (2638128)

Balance Per Books 6614165$

Hawks Point CDD

Bank Reconciliation (GF)

May 31 2020

Page 6

Date Num Name Memo Receipts Disbursements Balance

Bank United EOY Balance 9460943

10012019 9035 DPFG MANAGEMENT amp CONSULTING LLC CDD Mgmt - October 385833 9075110

10022019 Hawks Point West HOA 2019-245- HPW 18866 9093976

10082019 646 Hawks Point HOA 2019245 - HPA 21225 9115201

10082019 Hawks Point West HOA 201956 - HPW 208516 9323717

10082019 1115 Egis Insurance amp Risk Advisors Ins - FY 2020 563800 8759917

10112019 9036 JAYMAN ENTERPRISES LLC Replace Bulbs at Entrances Rcvd 10119 23000 8736917

10112019 9037 Landscape Maintenance Professionals Inc Landscape Maint - October 1105000 7631917

10162019 1116 FLORIDA DEPT OF ECONOMIC OPPORTUNIT Annual Filing FY 2020 17500 7614417

10182019 9041 TAMPA BAY TIMES Legal Ad - Meeting Schedule 55200 7559217

10212019 9038 DPFG MANAGEMENT amp CONSULTING LLC Special Assessment - FY 2020 Continuing Disclosure ADA Compliance 650000 6909217

10212019 9039 JAYMAN ENTERPRISES LLC Replace Bulbs 7000 6902217

10212019 9040 STANTEC CONSULTING SERVICES INC Lake amp Pond Maint - Sept 10500 6891717

10242019 ACH102419 TAMPA ELECTRIC 830-930 - 1416 Little Hawk Dr 7637 6884080

10242019 ACH1024192 TAMPA ELECTRIC 830-930 - 2160 Golden Falcon Dr 7083 6876997

10242019 000652 Hawks Point HOA 20197-HPA 4921 6881918

10252019 694003DD ANDREW HERON Bos Mtg - 101519 18470 6863448

10252019 ACH102519 Innovative Employer Soltuions Bos Mtg - 101519 17140 6846308

10252019 694005DD KAREN OBRIEN Bos Mtg - 101519 18470 6827838

10252019 694004DD SHERRI KEENE Bos Mtg - 101519 18470 6809368

10252019 694002DD WILLIAM J HATHAWAY Bos Mtg - 101519 18470 6790898

10312019 Bank United Interest 691 6791589

Bank United EOM Balance 254219 2923573 6791589

11012019 9042 DPFG MANAGEMENT amp CONSULTING LLC CDD Mgmt - November 385833 6405756

11012019 9043 STANTEC CONSULTING SERVICES INC Lake amp Pond Maint - Pond 201-19 amp 21 - Sept 274000 6131756

11012019 9044 STRALEY ROBIN VERICKER Legal Svcs thru 101519 65999 6065757

11122019 1117 HAWKS POINT CDD DS 2017 Tax Collection Share co Wells Fargo 762290 5303467

11152019 9045 Landscape Maintenance Professionals Inc Landscape Maint - November amp Irrigation Repairs 1229369 4074098

11152019 9046 STANTEC CONSULTING SERVICES INC Lake amp Pond Maint - Oct 333600 3740498

11202019 9048 TAMPA BAY TIMES Legal Ad - Audit Meeting 42050 3698448

11222019 9047 STANTEC CONSULTING SERVICES INC Lake amp Pond Maint - Pond 20 - Oct 10500 3687948

11252019 ACH1125191 TAMPA ELECTRIC 101-1030 - 1416 Little Hawk Dr 7431 3680517

11252019 ACH1125192 TAMPA ELECTRIC 101-1030 - 2160 Golden Falcon Dr 8753 3671764

11292019 703783DD ANDREW HERON Bos Mtg - 111919 18470 3653294

11292019 ACH112919 Innovative Employer Soltuions Bos Mtg - 111919 20200 3633094

11292019 703785DD KAREN OBRIEN Bos Mtg - 111919 18470 3614624

11292019 703781DD MARIE CHANTAL COPELAND Bos Mtg - 111919 18470 3596154

11292019 703784DD SHERRI KEENE Bos Mtg - 111919 18470 3577684

11292019 703782DD WILLIAM J HATHAWAY Bos Mtg - 111919 18470 3559214

11302019 Bank United Interest 450 3559664

Bank United EOM Balance 450 3232375 3559664

12022019 9049 DPFG MANAGEMENT amp CONSULTING LLC CDD Mgmt - December 385833 3173831

12042019 694 Hawks Point HOA 20198-HPA 5105 3178936

12042019 503 Hawks Point West HOA 20197-HPW amp 20198-HPW 7388 3186324

12042019 1118 Site Masters of Florida LLC Investigation of pipe discharge Townhome Yard Drain Blockage 150000 3036324

12112019 9050 Illuminations Holiday Lighting Electrical Fix Holiday Lights - Deposit 261250 2775074

12132019 Bank United Funds Transfer - MMK to Opt Acct 4500000 7275074

12132019 Bank United Funds Transfer - MMK to Opt Acct 50834407 58109481

12162019 9055 TAMPA BAY TIMES Legal Ad - RFP Auditing Svc 36100 58073381

12182019 9051 Flatwoods Environmental Cut amp Dispose Brazilian Pepper 396500 57676881

12182019 9052 Landscape Maintenance Professionals Inc Landscape Maint - December 1105000 56571881

12182019 9053 STANTEC CONSULTING SERVICES INC Misc Environmental Services 137000 56434881

12182019 9054 STRALEY ROBIN VERICKER Legal Svcs thru 111519 57500 56377381

12182019 1119 HAWKS POINT CDD DS 2017 Tax Collection Share co Wells Fargo 49544765 6832616

12182019 1120 Innersync ADA Compliant website 124942 6707674

12262019 ACH1226191 TAMPA ELECTRIC 1031-122 - 2160 Golden Falcon Dr 8771 6698903

12262019 ACH1226192 TAMPA ELECTRIC 1031-1202 - 1416 Little Hawk Dr 9315 6689588

12272019 711993DD ANDREW HERON Bos Mtg - 121719 18470 6671118

12272019 ACH122719 Innovative Employer Soltuions Bos Mtg - 121719 20200 6650918

12272019 711995DD KAREN OBRIEN Bos Mtg - 121719 18470 6632448

12272019 711991DD MARIE CHANTAL COPELAND Bos Mtg - 121719 18470 6613978

12272019 711994DD SHERRI KEENE Bos Mtg - 121719 18470 6595508

12272019 711992DD WILLIAM J HATHAWAY Bos Mtg - 121719 18470 6577038

12312019 Bank United Interest 3091 6580129

Bank United EOM Balance 55349991 52329526 6580129

01022020 9056 DPFG MANAGEMENT amp CONSULTING LLC CDD Mgmt - January 385833 6194296

01082020 9057 Landscape Maintenance Professionals Inc Station decoders 82908 6111388

01082020 9058 STRALEY ROBIN VERICKER Legal Svcs thru 121519 10000 6101388

01102020 9159 Landscape Maintenance Professionals Inc Landscape Maint - January 1105000 4996388

01102020 9160 Mike White LLC Entry Monument repair 54119 4942269

01132020 1121 HAWKS POINT CDD DS 2017 Tax Collection Share co Wells Fargo 868256 4074013

01172020 9161 Illuminations Holiday Lighting Holiday Lights - Balance Due 231250 3842763

01172020 000534 Hawks Point West HOA 20201-HPW 4493 3847256

01272020 1122 STANTEC CONSULTING SERVICES INC Pond Maint - December Engineering Svcs thru 122719 353400 3493856

01272020 ACH012720 TAMPA ELECTRIC 123-1231 - 2160 Golden Falcon Dr 8116 3485740

01272020 ACH0127202 TAMPA ELECTRIC 1203-1231 - 1416 Little Hawk Dr 6682 3479058

01312020 072704 Innovative Employer Soltuions Bos Mtg - 12120 17140 3461918

01312020 721948DD KAREN OBRIEN Bos Mtg - 12120 18470 3443448

01312020 721945DD MARIE CHANTAL COPELAND Bos Mtg - 12120 18470 3424978

01312020 721947DD SHERRI KEENE Bos Mtg - 12120 18470 3406508

01312020 721946DD WILLIAM J HATHAWAY Bos Mtg - 12120 18470 3388038

01312020 Bank United Interest 1406 3389444

Bank United EOM Balance 5899 3196584 3389444

02052020 1124 DPFG MANAGEMENT amp CONSULTING LLC CDD Mgmt - February 385833 3003611

02052020 1125 Landscape Maintenance Professionals Inc Landscape Maint - February 1105000 1898611

02052020 1126 TAMPA ELECTRIC 101-1030 - 1416 Little Hawk Dr 308 1898303

02252020 1127 Landscape Maintenance Professionals Inc Landscape Maint - March 1105000 793303

02252020 02252020ACH TAMPA ELECTRIC 11-130 - 1416 Little Hawk Dr 7840 785463

02252020 02252020ACH TAMPA ELECTRIC 11-130 - 2160 Golden Falcon Dr 9092 776371

02282020 02182020ACH Innovative Employer Soltuions Bos Mtg - 21820 14080 762291

02282020 730271DD MARIE CHANTAL COPELAND Bos Mtg - 21820 18470 743821

02282020 730273DD SHERRI KEENE Bos Mtg - 21820 18470 725351

02282020 7302272DD WILLIAM J HATHAWAY Bos Mtg - 21820 18470 706881

02292020 Bank United Interest 203 707084

HAWKS POINT CDDCASH REGISTER

FY 2020

Page 7

Date Num Name Memo Receipts Disbursements Balance

HAWKS POINT CDDCASH REGISTER

FY 2020

Bank United EOM Balance 203 2682563 707084

03042020 1128 DPFG MANAGEMENT amp CONSULTING LLC CDD Mgmt - March 385833 321251

03122020 1129 STANTEC CONSULTING SERVICES INC Engineering Svcs thru 012420 73950 247301

03122020 ACH032520 TAMPA ELECTRIC 13120 - 22820 - 2160 Golden Falcon Dr 8527 238774

03122020 ACH0325202 TAMPA ELECTRIC 013120 - 22820 - 1416 Little Hawk Dr 6592 232182

03192020 BankUnited Funds Transfer 5000000 5232182

03192020 1130 HAWKS POINT CDD DS 2017 Tax Collection Share co Wells Fargo thru 030420 1437199 3794983

03242020 1131 Landscape Maintenance Professionals Inc Pencil Pruning of Crape Myrtles Landscape Maint -042020 1360500 2434483

03242020 1132 STANTEC CONSULTING SERVICES INC Pond Maint - January Feb 295000 2139483

03242020 1133 STRALEY ROBIN VERICKER Legal Svcs thru 021520 23250 2116233

03272020 1134 DPFG MANAGEMENT amp CONSULTING LLC CDD Mgmt - April 2020 385833 1730400

03272020 1135 Landscape Maintenance Professionals Inc Irrigation Inspection repairs 74858 1655542

03312020 BankUnited Interest 200 1655742

Bank United EOM Balance 5000200 4051542 1655742

04082020 1136 Accurate Drilling Solutions Service call - 032520 - Replacement for Controller on pump 4 60234 1595508

04082020 1137 STANTEC CONSULTING SERVICES INC Engineering Svcs thru 032020 61250 1534258

04082020 1138 STRALEY ROBIN VERICKER Legal Svcs thru 031520 93270 1440988

04082020 1139 TAMPA ELECTRIC 229-330 - Electricity 16915 1424073

04162020 1140 HAWKS POINT CDD DS 2017 Tax Collection Share co Wells Fargo thru 041320 298431 1125642

04232020 BankUnited Funds Transfer 5000000 6125642

04232020 1141 Accurate Drilling Solutions Well Drilling and new pump system installation 1816480 4309162

04282020 1142 STRALEY ROBIN VERICKER Legal Svcs thru 041520 57460 4251702

04302020 BankUnited Interest 241 4251943

Bank United EOM Balance 5000241 2404040 4251943

05012020 1143 DPFG MANAGEMENT amp CONSULTING LLC CDD Mgmt - May 2020 385833 3866110

05012020 ACH050120 Innovative Employer Soltuions Bos Mtg - 42120 14080 3852030

05012020 747666DD MARIE CHANTAL COPELAND Bos Mtg - 42120 18470 3833560

05012020 747667DD WILLIAM J HATHAWAY Bos Mtg - 42120 18470 3815090

05012020 747668DD SHERRI KEENE Bos Mtg - 42120 18470 3796620

05082020 ACH050820 Innovative Employer Soltuions Bos Mtg - 42120 8620 3788000

05082020 1 Caryn Williams BOS 04212020 18470 3769530

05112020 1144 Landscape Maintenance Professionals Inc Landscape Maint -052020 1105000 2664530

05112020 1145 STANTEC CONSULTING SERVICES INC Engineering Svcs thru 042420 25400 2639130

05112020 1146 TAMPA ELECTRIC 330-429 - Electricity 19915 2619215

05212020 1147 BUSINESS OBSERVER Legal Ad - Notice of Qualifying Period 51520 5250 2613965

05212020 1148 CertaPro Painters Paint exterior wall 24th to 30th Street 635000 1978965

05212020 1149 STANTEC CONSULTING SERVICES INC Pond Maint - March-April 295000 1683965

05292020 BankUnited Funds Transfer 5000000 6683965

05292020 755486DD Caryn Williams Bos Mtg - 51920 18470 6665495

05292020 ACH052920 Innovative Employer Soltuions Bos Mtg - 51920 14740 6650755

05292020 755485DD SHERRI KEENE Bos Mtg - 51920 18470 6632285

05292020 755484DD WILLIAM J HATHAWAY Bos Mtg - 51920 18470 6613815

05312020 BankUnited Interest 350 6614165

Bank United EOM Balance 5000350 2638128 6614165

Page 8

EXHIBIT 3

Vacant Position on the Board of Supervisors of the Hawkrsquos Point Community Development District The Hawkrsquos Point Community Development District (CDD) is soliciting interested candidates to fill a vacant position on the Board of Supervisors of the CDD (Board) The CDD is a local unit of special-purpose government which is created pursuant to Chapter 190 Florida Statutes The Board is comprised of 5 members who are public officials who are normally elected on the November General Elections who serve in staggered terms The vacancy is a result of a resignation of a board member due to a relocation The remaining term of the vacant supervisorrsquos seat is through November 2022

Qualification Requirements

1 Resident of the CDD

2 At least 18 years of age

3 Citizen of the United States

4 Legal resident of Florida and of the CDD

5 Registered to vote with the Hillsborough County Supervisor of Elections

Instructions for Interested Candidates

Interested candidates must submit a letter of interest and resume to Raymondlotitodpfgcom by 4 pm on Friday June 5 2020 The subject line in the email should read ldquoVacant Position on the Board of Supervisors of the Hawkrsquos Point CDDrdquo

The Letter of Interest must contain

1 A statement stating why you believe you are well suited for the position

2 Your vision for the CDD and what you would like to see the Community evolve into Please be specific

The Resume must contain

1 Your academic background and professional experience

2 Previous and current experience with governmental agencies and governing boards

Interested candidates should attend the Board meeting on Tuesday June 16 2020 at 630 pm and present a brief presentation about themselves and be prepared for a brief question and answer period with the current Board members

Additional Notes

The current Board members will discuss the candidates and may make an appointment at the June meeting If the Board cannot come to a consensus on one candidate or if they determine to not appoint any candidate to the vacant seat they may revisit the vacancy at a future meeting or leave the seat vacant until the November 2022 General Election

Please note that the person appointed to serve in the vacant seat will be required to submit a financial disclosure statement to the State and will be subject to Floridarsquos Government in the Sunshine Laws Public Records laws and Ethics laws

1

Sookdeo (Shami) Choon Phone number (813) 731-5564 1803 Oak Pond Street Ruskin Fl 33570 E-mailchoons27gmailcom

PROFESSIONAL HISTORY Firkins GroupGarber Nissan December 2013 to Present Commercial Vehicle Sales ManagerFinance Manager Auto Nation From January 2006 to December 2013 Sales 2006- 2007 Finance Manager 2007- 2008 Sales Manager Training Manager 2008-2009 Sales Finance 2009- 2011 Commercial Sales Manager Finance Manager 2011- 2020 Parts Depot Inc From 1990 to 2005 ___________________________________________________________________________________________ Operations Manager Florida Distribution 2002 ndash 2005 bull Responsible for total inventory control of all Florida warehouses frac12 of the corporationrsquos revenue bull Directed top management to complete acquisition consolidations which resulted in the corporationrsquos

expansion bull Managed all Florida branch warehouse managers and employees totaling 200 employees bull Increased productivity and shipping efficiency in all departments developed new delivery logistics

improved product availability to all customers as well a hired and efficiently trained employees bull Reviewed all customer service statistics daily and contacted customer directly on all issues bull Reviewed PampLrsquos for all units monthly bull Presented weekly productivity and financial reports to senior management bull Directed DOT monthly guidelines maintained driver files in accordance with DOT regulations and

implemented loss prevention programs Operations Manager for Florida Branch Distribution 1999 ndash 2002 bull Improved customer service by increasing product availability to customers by implementing new

delivery logistics bull Developed employee training implemented safety awareness and monthly safety programs Warehouse Manager of Miami Distribution Center 1998 ndash 1999 bull Developed and implemented productivity guidelines implemented delivery cost saving programs

and improved product availability to the corporationrsquos customers Branch Manager of West Palm Beach 1994 ndash 1998 bull Responsible for the opening of this new branch set the building layout as well as the delivery and

logistics systems

2

bull Increased sales by 80 over budget and kept operating cost as of sales Implemented new customer service department Hired and trained all employees

Assistant Branch Manager 1991 ndash 1994 bull Increased productivity by 20 and improved delivery service Customer Service Agent 1990 ndash 1991 bull Created and implemented customer service guidelines Wingate Automotive Group 1987ndash 1990 Trinidad amp Tobago Government National Security 1984- 1987 Field Operation

EXHIBIT 4

PO Box 267 Seffner FL 33583 O 813-757-6500 F 813-757-6501 Estimate

Submitted To Hawks Point CDD 250 International Parkway Suite 280 Lake Mary FL 32746

CDD - controller 4 - zones 1 and 2

Date 5232020

Estimate 66077

LMP REPRESENTATIVE

DG-TI

PO

W ork Order

DESCRIPTION QTY COST TOTAL

Controller 4 34 inch poly pipe 34 inch poly pipe clamps Labor 2 men $ 8500 per hour

Irrigation inspection repairs needed Repair 6 - 34 inch poly pipe line leaks

6 12 05

072 129

8500

432 1548 4250

TERMS AND CONDITIONS TOTAL $6230

LMP reserves the right to withdraw this proposal if not accepted within 30 days of the date listed above Any alteration or deviation to scope of work involving additional costs must be agreed upon in writing as a separate proposal or change order to this proposal Periodic invoices may be submitted if job is substantial in nature with final invoice being submitted at completion of project Any work performed requiring more than 5 days to complete is subject to progressive payments as portions of the work are completed No finance charge will be imposed if the total of said work is paid in full within 30 days of invoice date If not paid in full within 30 days then customer is subject to finance charges on the balance of the work from the invoice date at a rate of 15 per month until paid LMP shall have the right to stop work under this contract until all outstanding amounts including finance charges are paid in full Payments will be applied to the oldest invoices

ACCEPTANCE OF PROPOSAL The above prices scope of work and terms and conditions are hereby satisfactorily agreed upon LMP Inc has been authorized to perform the work as outlined and payment will be made as outlined above The above pricing does not include any unforeseen modifications to the said irrigation system that could not be reasonably accounted for prior to job start All plant material carries a one (1) year warranty provided LMP Inc is performing landscape maintenance services to the area installed or enhanced at the time of installation If not then there is no warranty on the plant material

OWNER AGENT

DATE

EXHIBIT 5

Independent Franchise Owner Job TBE8F300154 Terry Beamer 9266 Lazy Ln

Date 06012020

EXTERIOR PROPOSALEXTERIOR PROPOSALEXTERIOR PROPOSALEXTERIOR PROPOSAL Tampa FL 33614 813-936-9242

Fax 813 936-9172

1-800-462-3782

License PA2508

Full Workers Compensation Coverage$2000000 General Liability Insurance

DPFG Management amp Consulting LLC (Hawks Point) Raymond Lotito (SB) Hawks Point CDD Ruskin FL 33570 Phone 813-418-7473 Cell 813-220-6089 Email raymondlotitodpfgcom

Special Notes CERTAPRO PAINTERS WILL PAINT WALL FACING 19ST FROM 18TH-24TH

SPECIAL ATTENTION ADDRESSING STUCCO CRACKS USING CONCRETE AND MASONRY PATCH

SPECIAL ATTENTION PRESSURE WASHING LOOSE PEELING PAINT PRIOR TO PAINTING

CERTAPRO PAINTERS WILL ONLY PAINT STREET FACING SIDE- HOMEOWNERS SIDE EXCLUDED FROM PROPOSAL

CUSTOMER RESPONSIBILITIES Please cut back all shrubs bushes and palms away from wall

GENERAL DESCRIPTION Painting to Exterior Wall 18th-24th Facing 19th Ave

PREPARATION Washing To remove dirt mildew and loose paint so the new finish coat will adhere properly

Caulking To fill all cracks and gaps around windows and doorswood work to seal out moisture and drafts Stair step

cracks

Scraping Scrape all loose and peeling paint to ensure a firm base for the new paint

Masonry Repair to all cracks gaps and holes with elastemeric caulking or masonry patch as required

Sanding To degloss where necessary to promote adhesion of the top coat

Surface TypeArea Primer PurposePRIMING

Masonry Loxon sealerprimer Latex For propor top coat adhesion

Conditioner Loxon sealerprimer to all Latex For proper top coat adhesion

masonry surfaces

FINISH COATS

Surface Area

Exterior

ManufacturePaint Type

Sherwin Williams Resilience Ext Satin

Coats

1 primer-sealer 1 spray 1 backroll stucco

Color

Same As Existing

Clean Up Daily and upon completion

$1132900 All Labor Paint Materials

$1132900 TOTAL

Signature of Authorized Franchise Representative Date

Payment is due In Full upon Job Completion

(IWE HAVE READ THE TERMS STATED HEREIN THEY HAVE (IWE) HAVE EXAMINED THE JOB STATED HEREIN THEY EXPLAINED TO (MEUS) AND (IWE) FIND THEM TO BE HAVE SHOWN TO (MEUS) AND (IWE) FIND THE JOB TO SATISFACTORY AND HEREBY ACCEPT THEM BE SATISFACTORY AND HEREBY ACCEPT THE JOB AS

COMPLETE

SIGNATURE Date SIGNATURE Date

QUOTE

Shazam Construction LLC DATE MAY 13 2020

Shazam Hera 6773 Waterton Drive Riverview FL 33578 813-385-4591 ShazamConstructionLLCgmailcom Hawks Point CDD

TO Bill to Development Planning and Financing Group 15310 Amberly Drive Suite 175 Tampa FL 33647

QUANITY DESCRIPTION UNIT PRICE LINE TOTAL

Pressure wash the wall that parallels 19th avenue from 18th street to 24th street in Hawks Point CDD in Ruskin

$1270000

Repair any cracks with caulk or elastomeric as neededPrep for paint

Paint the wall that parallels 19th avenue from 18th street to 24th street in Hawks Point CDD in Ruskin

Paint using body trim and caps of exterior wall facing 19th avenue

Paint while matching existing colors

Paint using Sherwin Williams

All paint materials and labor is included

SUBTOTAL

SALES TAX

TOTAL $1270000

Make all checks payable to Shazam Construction LLC

THANK YOU FOR YOUR BUSINESS

EXHIBIT 6

Independent Franchise Owner Job TB443B00157 Terry Beamer 9266 Lazy Ln

Date 06052020

EXTERIOR PROPOSALEXTERIOR PROPOSALEXTERIOR PROPOSALEXTERIOR PROPOSAL Tampa FL 33614 813-936-9242

Fax 813 936-9172

1-800-462-3782

License PA2508

Full Workers Compensation Coverage$2000000 General Liability Insurance

DPFG Management amp Consulting LLC (Hawks Point) Raymond Lotito (SB) Hawks Point CDD Ruskin FL 33570 Phone 813-418-7473 Cell 813-220-6089 Email raymondlotitodpfgcom

Special Notes CERTAPRO PAINTERS PRESSURE WASHING PROPOSAL 18TH-24TH

CERTAPRO PAINTERS WILL PRESSURE WASH WALL FACING 19TH ST ONLY

GENERAL DESCRIPTION Painting to

PREPARATION Washing To remove dirt mildew and loose paint so the new finish coat will adhere properly

PRIMING Surface TypeArea Primer Purpose

Clean Up Daily and upon completion

All Labor Paint Materials

TOTAL

$195000

$195000

Signature of Authorized Franchise Representative Date

Payment is due In Full upon Job Completion

(IWE HAVE READ THE TERMS STATED HEREIN THEY HAVE (IWE) HAVE EXAMINED THE JOB STATED HEREIN THEY EXPLAINED TO (MEUS) AND (IWE) FIND THEM TO BE HAVE SHOWN TO (MEUS) AND (IWE) FIND THE JOB TO SATISFACTORY AND HEREBY ACCEPT THEM BE SATISFACTORY AND HEREBY ACCEPT THE JOB AS

COMPLETE

SIGNATURE Date SIGNATURE Date

QUOTE

Shazam Construction LLC DATE JUNE 5 2020

Shazam Hera 6773 Waterton Drive Riverview FL 33578 813-385-4591 ShazamConstructionLLCgmailcom Hawks Point CDD

TO Bill to Development Planning and Financing Group 15310 Amberly Drive Suite 175 Tampa FL 33647

QUANITY DESCRIPTION UNIT PRICE LINE TOTAL

Pressure wash the wall that parallels 19th avenue from 18th street to 24th street in Hawks Point CDD in Ruskin

$160000

All materials and labor is included

SUBTOTAL

SALES TAX

TOTAL $160000

Make all checks payable to Shazam Construction LLC

THANK YOU FOR YOUR BUSINESS

EXHIBIT 7

2019FORM 1 STATEMENT OF

Please print or type your name mailing FOR OFFICE USE ONLY FINANCIAL INTERESTS address agency name and position below

LAST NAME -- FIRST NAME -- MIDDLE NAME

MAILING ADDRESS

CITY ZIP COUNTY

NAME OF AGENCY

NAME OF OFFICE OR POSITION HELD OR SOUGHT

CHECK ONLY IF CANDIDATE OR NEW EMPLOYEE OR APPOINTEE

THIS SECTION MUST BE COMPLETED DISCLOSURE PERIOD THIS STATEMENT REFLECTS YOUR FINANCIAL INTERESTS FOR CALENDAR YEAR ENDING DECEMBER 31 2019

MANNER OF CALCULATING REPORTABLE INTERESTS FILERS HAVE THE OPTION OF USING REPORTING THRESHOLDS THAT ARE ABSOLUTE DOLLAR VALUES WHICH REQUIRES FEWER CALCULATIONS OR USING COMPARATIVE THRESHOLDS WHICH ARE USUALLY BASED ON PERCENTAGE VALUES (see instructions for further details) CHECK THE ONE YOU ARE USING (must check one)

COMPARATIVE (PERCENTAGE) THRESHOLDS OR DOLLAR VALUE THRESHOLDS

PART A -- PRIMARY SOURCES OF INCOME [Major sources of income to the reporting person - See instructions] (If you have nothing to report write none or na)

NAME OF SOURCE SOURCES DESCRIPTION OF THE SOURCES OF INCOME ADDRESS PRINCIPAL BUSINESS ACTIVITY

PART B -- SECONDARY SOURCES OF INCOME [Major customers clients and other sources of income to businesses owned by the reporting person - See instructions] (If you have nothing to report write none or na)

NAME OF NAME OF MAJOR SOURCES ADDRESS PRINCIPAL BUSINESS BUSINESS ENTITY OF BUSINESS INCOME OF SOURCE ACTIVITY OF SOURCE

PART C -- REAL PROPERTY [Land buildings owned by the reporting person - See instructions] You are not limited to the space on the (If you have nothing to report write none or na) lines on this form Attach additional

sheets if necessary

FILING INSTRUCTIONS for when and where to file this form are located at the bottom of page 2

INSTRUCTIONS on who must file this form and how to fill it out begin on page 3

CE FORM 1 - Effective January 1 2020 (Continued on reverse side) PAGE 1 Incorporated by reference in Rule 34-8202(1) FAC

FILING INSTRUCTIONS

IF ANY OF PARTS A THROUGH G ARE CONTINUED ON A SEPARATE SHEET PLEASE CHECK HERE

PART D mdash INTANGIBLE PERSONAL PROPERTY [Stocks bonds certificates of deposit etc - See instructions] (If you have nothing to report write none or na) TYPE OF INTANGIBLE BUSINESS ENTITY TO WHICH THE PROPERTY RELATES

PART E mdash LIABILITIES [Major debts - See instructions] (If you have nothing to report write none or na)

NAME OF CREDITOR ADDRESS OF CREDITOR

PART F mdash INTERESTS IN SPECIFIED BUSINESSES [Ownership or positions in certain types of businesses - See instructions] (If you have nothing to report write none or na)

BUSINESS ENTITY 1 BUSINESS ENTITY 2

NAME OF BUSINESS ENTITY

ADDRESS OF BUSINESS ENTITY

PRINCIPAL BUSINESS ACTIVITY

POSITION HELD WITH ENTITY

I OWN MORE THAN A 5 INTEREST IN THE BUSINESS

NATURE OF MY OWNERSHIP INTEREST

If you were mailed the form by the Commission on Ethics or a County Supervisor of Elections for your annual disclosure filing return the form to that location To determine what category your position falls under see page 3 of instructions Local officersemployees file with the Supervisor of Elections of the county in which they permanently reside (If you do not permanently reside in Florida file with the Supervisor of the county where your agency has its headquarters) Form 1 filers who file with the Supervisor of Elections may file by mail or email Contact your Supervisor of Elections for the mailing address or email address to use Do not email your form to the Commission on Ethics it will be returned State officers or specified state employees who file with the Commission on Ethics may file by mail or email To file by mail send the completed form to PO Drawer 15709 Tallahassee FL32317-5709 physical address 325 John Knox Rd Bldg E Ste 200 Tallahassee FL 32303 To file with the Commission by email scan your completed form and any attachments as a pdf (do not use any other format) send it to CEForm1legstateflus and retain a copy for your records Do not file by both mail and email Choose only one filing method Form 6s will not be accepted via email

Candidates file this form together with their filing papers MULTIPLE FILING UNNECESSARY A candidate who files a Form 1 with a qualifying officer is not required to file with the Commission or Supervisor of Elections WHEN TO FILE Initially each local officeremployee state officer and specified state employee must file within 30 days of the date of his or her appointment or of the beginning of employment Appointees who must be confirmed by the Senate must file prior to confirmation even if that is less than 30 days from the date of their appointment Candidates must file at the same time they file their qualifying papers Thereafter file by July 1 following each calendar year in which they hold their positions Finally file a final disclosure form (Form 1F) within 60 days of leaving office or employment Filing a CE Form 1F (Final Statement of Financial Interests) does not relieve the filer of filing a CE Form 1 if the filer was in his or her position on December 31 2019

SIGNATURE OF FILER Signature

____________________________________________

Date Signed

____________________________________________

CPA or ATTORNEY SIGNATURE ONLY If a certified public accountant licensed under Chapter 473 or attorney in good standing with the Florida Bar prepared this form for you he or she must complete the following statement

I _______________________________________ prepared the CE Form 1 in accordance with Section 1123145 Florida Statutes and the instructions to the form Upon my reasonable knowledge and belief the disclosure herein is true and correct

CPAAttorney Signature ______________________________

Date Signed _______________________________________

PART G mdash TRAINING For elected municipal officers required to complete annual ethics training pursuant to section 1123142 FS

I CERTIFY THAT I HAVE COMPLETED THE REQUIRED TRAINING

CE FORM 1 - Effective January 1 2020 PAGE 2 Incorporated by reference in Rule 34-8202(1) FAC

Examplesmdash You are the sole proprietor of a dry cleaning business fromwhich you received more than 10 of your gross incomemdashanamount that was more than $1500 If only one customer auniform rental company provided more than 10 of your drycleaning business you must list the name of the uniform rentalcompany its address and its principal business activity (uniform rentals) mdash You are a 20 partner in a partnership that owns a shopping mall and your partnership income exceeded the thresholds listed above You should list each tenant of the mall that provided more than 10 of the partnershiprsquos gross income and the tenantrsquos address and principal business activity

PART C mdash REAL PROPERTY[Required by s 1123145(3)(a)3 FS]In this part list the location or description of all real property in

Florida in which you owned directly or indirectly at any time during the disclosure period in excess of 5 of the propertyrsquos value You are not required to list your residences You should list any vacation homes if you derive income from them

Indirect ownership includes situations where you are abeneficiary of a trust that owns the property as well as situations where you own more than 5 of a partnership or corporation thatowns the property The value of the property may be determined by the most recently assessed value for tax purposes in the absence of a more current appraisal

The location or description of the property should be sufficient to enable anyone who looks at the form to identify the property Astreet address should be used if one exists PART D mdash INTANGIBLE PERSONAL PROPERTY

[Required by s 1123145(3)(a)3 FS]Describe any intangible personal property that at any time

during the disclosure period was worth more than 10 of your total assets and state the business entity to which the property related Intangible personal property includes things such as cash on hand stocks bonds certificates of deposit vehicle leases interests in businesses beneficial interests in trusts money owed you Deferred Retirement Option Program (DROP) accounts the Florida Prepaid College Plan and bank accounts Intangiblepersonal property also includes investment products held in IRAs brokerage accounts and the Florida College Investment Plan Note that the product contained in a brokerage account IRA or the Florida College Investment Plan is your assetmdashnot the account or plan itself Things like automobiles and houses you own jewelryand paintings are not intangible property Intangibles relating to the same business entity may be aggregated for example CDrsquos and savings accounts with the same bank

Calculations To determine whether the intangible property exceeds 10 of your total assets total the fair market value of all of your assets (including real property intangible property and tangible personal property such as jewelry furniture etc) When making this calculation do not subtract any liabilities (debts) that may relate to the property Multiply the total figure by 10 to arrive at the disclosure threshold List only the intangibles that exceed this threshold amount The value of a leased vehicle is the vehiclersquos present value minus the lease residual (a number which can be found on the lease document) Property that is only jointly owned property should be valued according to the percentage of your joint ownership Property owned as tenants by the entirety or as joint tenants with right of survivorship should be valued at 100 None of your calculations or the value of the property have to be disclosed on the form

Example You own 50 of the stock of a small corporation that is worth $100000 the estimated fair market value of your home and other property (bank accounts automobile furniture etc) is $200000 As your total assets are worth $250000 you must disclose intangibles worth over $25000 Since the value of the stock exceeds this threshold you should list ldquostockrdquo and the name of the corporation If your accounts with a particular bank exceed $25000 you should list ldquobank accountsrdquo and bankrsquos name

PART E mdash LIABILITIES[Required by s 1123145(3)(b)4 FS]List the name and address of each creditor to whom you owed

any amount that at any time during the disclosure period exceeded your net worth You are not required to list the amount of any debt or your net worth You do not have to disclose credit card and retail installment accounts taxes owed (unless reduced to a judgment) indebtedness on a life insurance policy owed to the company of issuance or contingent liabilities A ldquocontingent liabilityrdquo is one that will become an actual liability only when one or more future events occur or fail to occur such as where you are liable only as a guarantor surety or endorser on a promissory note If you are a ldquoco-makerrdquo and are jointly liable or jointly and severally liable it is not a contingent liability

Calculations To determine whether the debt exceeds your net worth total all of your liabilities (including promissory notes mortgages credit card debts judgments against you etc) Theamount of the liability of a vehicle lease is the sum of any past-due payments and all unpaid prospective lease payments Subtract the sum total of your liabilities from the value of all your assets as calculated above for Part D This is your ldquonet worthrdquo List each creditor to whom your debt exceeded this amount unless it is one of the types of indebtedness listed in the paragraph above (credit card and retail installment accounts etc) Joint liabilities with others for which you are ldquojointly and severally liablerdquo meaning that you may be liable for either your part or the whole of the obligation should be included in your calculations at 100 of the amount owed

Example You owe $15000 to a bank for student loans $5000 for credit card debts and $60000 (with spouse) to a savings and loan for a home mortgage Your home (owned by you and your spouse) is worth $80000 and your other property is worth $20000 Since your net worth is $20000 ($100000 minus $80000) you must report only the name and address of the savings and loan

PART F mdash INTERESTS IN SPECIFIED BUSINESSES[Required by s 1123145 FS]The types of businesses covered in this disclosure include

state and federally chartered banks state and federal savings and loan associations cemetery companies insurance companies mortgage companies credit unions small loan companies alcoholic beverage licensees pari-mutuel wagering companies utilitycompanies entities controlled by the Public Service Commission and entities granted a franchise to operate by either a city or acounty government

Disclose in this part the fact that you owned during the disclosure period an interest in or held any of certain positions with the types of businesses listed above You are required to make this disclosure if you own or owned (either directly orindirectly in the form of an equitable or beneficial interest) at any time during the disclosure period more than 5 of the total assets or capital stock of one of the types of business entities listed above You also must complete this part of the form for each of these types of businesses for which you are or were at any time during thedisclosure period an officer director partner proprietor or agent (other than a resident agent solely for service of process)

If you have or held such a position or ownership interest in one of these types of businesses list the name of the business its address and principal business activity and the position held with the business (if any) If you own(ed) more than a 5 interest in the business indicate that fact and describe the nature of your interest

PART G mdash TRAINING CERTIFICATION[Required by s 1123142 FS]If you are a Constitutional or elected municipal officer whose

service began before March 31 of the year for which you are filing you are required to complete four hours of ethics training which addresses Article II Section 8 of the Florida Constitution the Code of Ethics for Public Officers and Employees and the public records and open meetings laws of the state You are required to certify on this form that you have taken such training (End of Percentage Thresholds Instructions)

CE FORM 1 - Effective January 1 2020 Incorporated by reference in Rule 34-8202 FAC PAGE 6

NOTICE Annual Statements of Financial Interests are due July 1 If the annual form is not filed or postmarked by September 1 an automatic fine of $25 for each day late will be imposed up to a maximum penalty of $1500 Failure to file also can result in removal from public office or employment [s 1123145 FS]

In addition failure to make any required disclosure constitutes grounds for and may be punished by one or more of the following disqualification from being on the ballot impeachment removal or suspension from office or employment demotion reduction in salary reprimand or a civil penalty not exceeding $10000 [s 112317 FS]

WHO MUST FILE FORM 1 1) Elected public officials not serving in a political subdivision of the

state and any person appointed to fill a vacancy in such office unlessrequired to file full disclosure on Form 62) Appointed members of each board commission authority

or council having statewide jurisdiction excluding members of solelyadvisory bodies but including judicial nominating commission membersDirectors of Enterprise Florida Scripps Florida Funding Corporationand Career Source Florida and members of the Council on the Social Status of Black Men and Boys the Executive Director Governors and senior managers of Citizens Property Insurance CorporationGovernors and senior managers of Florida Workers Compensation JointUnderwriting Association board members of the Northeast Fla RegionalTransportation Commission board members of Triumph Gulf Coast Incboard members of Florida Is For Veterans Inc and members of the Technology Advisory Council within the Agency for State Technology3) The Commissioner of Education members of the State Board

of Education the Board of Governors the local Boards of Trustees and Presidents of state universities and the Florida Prepaid College Board 4) Persons elected to office in any political subdivision (such as

municipalities counties and special districts) and any person appointedto fill a vacancy in such office unless required to file Form 65) Appointed members of the following boards councils

commissions authorities or other bodies of county municipality schooldistrict independent special district or other political subdivision thegoverning body of the subdivision community college or junior collegedistrict boards of trustees boards having the power to enforce local codeprovisions boards of adjustment community redevelopment agenciesplanning or zoning boards having the power to recommend create ormodify land planning or zoning within a political subdivision except forcitizen advisory committees technical coordinating committees andsimilar groups who only have the power to make recommendationsto planning or zoning boards and except for representatives of a military installation acting on behalf of all military installations within thatjurisdiction pension or retirement boards empowered to invest pensionor retirement funds or determine entitlement to or amount of pensions orother retirement benefits and the Pinellas County Construction LicensingBoard 6) Any appointed member of a local government board who

is required to file a statement of financial interests by the appointingauthority or the enabling legislation ordinance or resolution creating theboard 7) Persons holding any of these positions in local government

mayor county or city manager chief administrative employee or finance

director of a county municipality or other political subdivision county or municipal attorney chief county or municipal building inspectorcounty or municipal water resources coordinator county or municipalpollution control director county or municipal environmental control director county or municipal administrator with power to grant or denya land development permit chief of police fire chief municipal clerkappointed district school superintendent community college presidentdistrict medical examiner purchasing agent (regardless of title) havingthe authority to make any purchase exceeding $35000 for the localgovernmental unit8) Officers and employees of entities serving as chief administrative

officer of a political subdivision9) Members of governing boards of charter schools operated by a

city or other public entity10) Employees in the office of the Governor or of a Cabinet member

who are exempt from the Career Service System excluding secretarialclerical and similar positions11) The following positions in each state department commission

board or council Secretary Assistant or Deputy Secretary ExecutiveDirector Assistant or Deputy Executive Director and anyone having thepower normally conferred upon such persons regardless of title12) The following positions in each state department or division

Director Assistant or Deputy Director Bureau Chief and any personhaving the power normally conferred upon such persons regardless oftitle 13) Assistant State Attorneys Assistant Public Defenders criminal

conflict and civil regional counsel and assistant criminal conflict and civilregional counsel Public Counsel full-time state employees serving ascounsel or assistant counsel to a state agency administrative law judgesand hearing officers14) The Superintendent or Director of a state mental health institute

established for training and research in the mental health field or anymajor state institution or facility established for corrections trainingtreatment or rehabilitation 15) State agency Business Managers Finance and Accounting

Directors Personnel Officers Grant Coordinators and purchasingagents (regardless of title) with power to make a purchase exceeding$35000 16) The following positions in legislative branch agencies each

employee (other than those employed in maintenance clerical secretarial or similar positions and legislative assistants exempted by the presiding officer of their house) and each employee of theCommission on Ethics

INSTRUCTIONS FOR COMPLETING FORM 1 INTRODUCTORY INFORMATION (Top of Form) If your name mailing address public agency and position are already printed on the form you do not need to provide this information unless it should be changed To change any of this information write the correct information on the form and contact your agencys financial disclosure coordinator You can find your coordinator on the Commission on Ethics website wwwethics stateflus NAME OF AGENCY The name of the governmental unit which you serve or served by which you are or were employed or for which you are a candidate DISCLOSURE PERIOD The ldquodisclosure periodrdquo for your report is the calendar year ending December 31 2019

OFFICE OR POSITION HELD OR SOUGHT The title of the office or position you hold are seeking or held during the disclosure period even if you have since left that position If you are a candidate for office or are a new employee or appointee check the appropriate box PUBLIC RECORD The disclosure form and everythingattached to it is a public record Your Social Security Number is not required and you should redact it from any documents you file If you are an active or former officer or employee listed in Section 119071 FS whose home address is exempt from disclosure the Commission will maintain that confidentiality if you submit a written request

CE FORM 1 - Effective January 1 2020 Incorporated by reference in Rule 34-8202 FAC PAGE 3

PART E mdash LIABILITIES[Required by s 1123145(3)(b)4 FS]List the name and address of each creditor to whom you owed more

than $10000 at any time during the disclosure period The amount of theliability of a vehicle lease is the sum of any past-due payments and allunpaid prospective lease payments You are not required to list the amountof any debt You do not have to disclose credit card and retail installmentaccounts taxes owed (unless reduced to a judgment) indebtedness ona life insurance policy owed to the company of issuance or contingentliabilities A ldquocontingent liabilityrdquo is one that will become an actual liabilityonly when one or more future events occur or fail to occur such as whereyou are liable only as a guarantor surety or endorser on a promissorynote If you are a ldquoco-makerrdquo and are jointly liable or jointly and severallyliable then it is not a contingent liability

PART F mdash INTERESTS IN SPECIFIED BUSINESSES[Required by s 1123145(6) FS]The types of businesses covered in this disclosure include state and

federally chartered banks state and federal savings and loan associationscemetery companies insurance companies mortgage companies creditunions small loan companies alcoholic beverage licensees pari-mutuelwagering companies utility companies entities controlled by the PublicService Commission and entities granted a franchise to operate by either acity or a county government

Disclose in this part the fact that you owned during the disclosure period aninterest in or held any of certain positions with the types of businesses listedabove You must make this disclosure if you own or owned (either directly orindirectly in the form of an equitable or beneficial interest) at any time duringthe disclosure period more than 5 of the total assets or capital stock ofone of the types of business entities listed above You also must completethis part of the form for each of these types of businesses for which youare or were at any time during the disclosure period an officer directorpartner proprietor or agent (other than a resident agent solely for service ofprocess)

If you have or held such a position or ownership interest in one ofthese types of businesses list the name of the business its address andprincipal business activity and the position held with the business (if any) Ifyou own(ed) more than a 5 interest in the business indicate that fact anddescribe the nature of your interest

PART G mdash TRAINING CERTIFICATION[Required by s 1123142 FS]If you are a Constitutional or elected municipal officer whose

service began before March 31 of the year for which you are filingyou are required to complete four hours of ethics training which addresses Article II Section 8 of the Florida Constitution the Codeof Ethics for Public Officers and Employees and the public recordsand open meetings laws of the state You are required to certify onthis form that you have taken such training

(End of Dollar Value Thresholds Instructions)

PART A mdash PRIMARY SOURCES OF INCOME[Required by s 1123145(3)(a)1 FS]Part A is intended to require the disclosure of your principal

sources of income during the disclosure period You do not haveto disclose any public salary or public position(s) but income from these public sources should be included when calculating your gross income for the disclosure period The income of your spouse need not be disclosed however if there is joint income to you and your spouse from property you own jointly (such as interest or dividends from a bank account or stocks) you should include all of that income when calculating your gross income and disclose the source of that income if it exceeded the threshold

Please list in this part of the form the name address and principal business activity of each source of your income whichexceeded 5 of the gross income received by you in your own name or by any other person for your benefit or use during the disclosure period

Gross income means the same as it does for income tax purposes even if the income is not actually taxable such as interest on tax-free bonds Examples include compensation for servicesincome from business gains from property dealings interest rents dividends pensions IRA distributions social security distributive share of partnership gross income and alimony but not child support

Examplesmdash If you were employed by a company that manufactures computers and received more than 5 of your gross income from the company list the name of the company its address and its principal business activity (computer manufacturing)mdash If you were a partner in a law firm and your distributive share of partnership gross income exceeded 5 of your gross income then list the name of the firm its address and its principal business activity (practice of law)mdash If you were the sole proprietor of a retail gift business andyour gross income from the business exceeded 5 of your total gross income list the name of the business its addressand its principal business activity (retail gift sales)mdash If you received income from investments in stocks and bonds list each individual company from which you derived

more than 5 of your gross income Do not aggregate all of your investment incomemdash If more than 5 of your gross income was gain from the sale of property (not just the selling price) list as a source of income the purchaserrsquos name address and principal business activityIf the purchasers identity is unknown such as where securities listed on an exchange are sold through a brokerage firm the source of income should be listed as sale of (name of company)stock for examplemdash If more than 5 of your gross income was in the form of interest from one particular financial institution (aggregatinginterest from all CDrsquos accounts etc at that institution) list the name of the institution its address and its principal business activity

PART B mdash SECONDARY SOURCES OF INCOME[Required by s 1123145(3)(a)2 FS]This part is intended to require the disclosure of major customers

clients and other sources of income to businesses in which you ownan interest It is not for reporting income from second jobs That kindof income should be reported in Part A Primary Sources of Incomeif it meets the reporting threshold You will not have anything to reportunless during the disclosure period

(1) You owned (either directly or indirectly in the form of anequitable or beneficial interest) more than 5 of the total assetsor capital stock of a business entity (a corporation partnershipLLC limited partnership proprietorship joint venture trust firmetc doing business in Florida) and(2) You received more than 10 of your gross income from thatbusiness entity and(3) You received more than $1500 in gross income from thatbusiness entity

If your interests and gross income exceeded these thresholds thenfor that business entity you must list every source of income to thebusiness entity which exceeded 10 of the business entityrsquos grossincome (computed on the basis of the business entityrsquos most recentlycompleted fiscal year) the sourcersquos address and the sourcersquosprincipal business activity

IF YOU HAVE CHOSEN COMPARATIVE (PERCENTAGE) THRESHOLDSTHE FOLLOWING INSTRUCTIONS APPLY

CE FORM 1 - Effective January 1 2020 Incorporated by reference in Rule 34-8202 FAC PAGE 5

MANNER OF CALCULATING REPORTABLE INTEREST Filers have the option of reporting based on either thresholds that are comparative (usually based on percentage values) or thresholds that are based on absolute dollar values The instructions on the following pages specifically describe the different thresholds Check the box that reflects the choice you have made You must use the type of threshold you have chosen for each part of the form In other words if you choose to report based on absolute dollar value thresholds you cannot use a percentage threshold on any part of the form

IF YOU HAVE CHOSEN DOLLAR VALUE THRESHOLDS THE FOLLOWING INSTRUCTIONS APPLY

PART A mdash PRIMARY SOURCES OF INCOME [Required by s 1123145(3)(b)1 FS] Part A is intended to require the disclosure of your principal

sources of income during the disclosure period You do not have todisclose any public salary or public position(s) The income of yourspouse need not be disclosed however if there is joint income toyou and your spouse from property you own jointly (such as interestor dividends from a bank account or stocks) you should disclose thesource of that income if it exceeded the threshold

Please list in this part of the form the name address andprincipal business activity of each source of your income whichexceeded $2500 of gross income received by you in your own name or by any other person for your use or benefit

Gross income means the same as it does for income tax purposes even if the income is not actually taxable such as interest on tax-free bonds Examples include compensation for servicesincome from business gains from property dealings interest rentsdividends pensions IRA distributions social security distributive share of partnership gross income and alimony but not child support

Examples mdash If you were employed by a company that manufacturescomputers and received more than $2500 list the name of thecompany its address and its principal business activity (computermanufacturing) mdash If you were a partner in a law firm and your distributive shareof partnership gross income exceeded $2500 list the name ofthe firm its address and its principal business activity (practice oflaw) mdash If you were the sole proprietor of a retail gift business and yourgross income from the business exceeded $2500 list the nameof the business its address and its principal business activity(retail gift sales) mdash If you received income from investments in stocks and bondslist each individual company from which you derived more than$2500 Do not aggregate all of your investment income mdash If more than $2500 of your gross income was gain from thesale of property (not just the selling price) list as a source ofincome the purchaserrsquos name address and principal businessactivity If the purchaserrsquos identity is unknown such as wheresecurities listed on an exchange are sold through a brokeragefirm the source of income should be listed as sale of (name of company) stock for example mdash If more than $2500 of your gross income was in the formof interest from one particular financial institution (aggregatinginterest from all CDrsquos accounts etc at that institution) list the name of the institution its address and its principal business activity

PART B mdash SECONDARY SOURCES OF INCOME [Required by s 1123145(3)(b)2 FS] This part is intended to require the disclosure of major customers

clients and other sources of income to businesses in which you own aninterest It is not for reporting income from second jobs That kind of incomeshould be reported in Part A Primary Sources of Income if it meets thereporting threshold You will not have anything to report unless during thedisclosure period

(1) You owned (either directly or indirectly in the form of an equitableor beneficial interest) more than 5 of the total assets or capitalstock of a business entity (a corporation partnership LLC limitedpartnership proprietorship joint venture trust firm etc doing business in Florida) and (2) You received more than $5000 of your gross income during thedisclosure period from that business entity

If your interests and gross income exceeded these thresholds then for thatbusiness entity you must list every source of income to the business entitywhich exceeded 10 of the business entityrsquos gross income (computed onthe basis of the business entitys most recently completed fiscal year) thesourcersquos address and the sources principal business activity

Examples mdash You are the sole proprietor of a dry cleaning business from whichyou received more than $5000 If only one customer a uniform rentalcompany provided more than 10 of your dry cleaning business youmust list the name of the uniform rental company its address and itsprincipal business activity (uniform rentals) mdash You are a 20 partner in a partnership that owns a shopping malland your partnership income exceeded the above thresholds List eachtenant of the mall that provided more than 10 of the partnershipsgross income and the tenants address and principal business activity

PART C mdash REAL PROPERTY [Required by s 1123145(3)(b)3 FS] In this part list the location or description of all real property in Florida

in which you owned directly or indirectly at any time during the disclosureperiod in excess of 5 of the propertyrsquos value You are not required to listyour residences You should list any vacation homes if you derive incomefrom them

Indirect ownership includes situations where you are a beneficiary of atrust that owns the property as well as situations where you own more than5 of a partnership or corporation that owns the property The value of theproperty may be determined by the most recently assessed value for taxpurposes in the absence of a more current appraisal

The location or description of the property should be sufficient toenable anyone who looks at the form to identify the property A streetaddress should be used if one exists

PART D mdash INTANGIBLE PERSONAL PROPERTY [Required by s 1123145(3)(b)3 FS] Describe any intangible personal property that at any time during the

disclosure period was worth more than $10000 and state the businessentity to which the property related Intangible personal property includesthings such as cash on hand stocks bonds certificates of deposit vehicleleases interests in businesses beneficial interests in trusts money owedyou Deferred Retirement Option Program (DROP) accounts the FloridaPrepaid College Plan and bank accounts Intangible personal propertyalso includes investment products held in IRAs brokerage accounts andthe Florida College Investment Plan Note that the product contained in a brokerage account IRA or the Florida College Investment Plan is yourassetmdashnot the account or plan itself Things like automobiles and housesyou own jewelry and paintings are not intangible property Intangiblesrelating to the same business entity may be aggregated for example CDsand savings accounts with the same bank Property owned as tenants bythe entirety or as joint tenants with right of survivorship should be valued at100 The value of a leased vehicle is the vehiclersquos present value minusthe lease residual (a number found on the lease document)

CE FORM 1 - Effective January 1 2020 Incorporated by reference in Rule 34-8202 FAC PAGE 4

PART A mdash PRIMARY SOURCES OF INCOME[Required by s 1123145(3)(b)1 FS]Part A is intended to require the disclosure of your principal

sources of income during the disclosure period You do not have todisclose any public salary or public position(s) The income of yourspouse need not be disclosed however if there is joint income t oyou and your spouse from property you own jointly (such as interestor dividends from a bank account or stocks) you should disclose thesource of that income if it exceeded the threshold

Please list in this part of the form the name address andprincipal business activity of each source of your income whichexceeded $2500 of gross income received by you in your own name or by any other person for your use or benefit

Gross income means the same as it does for income taxpurposes even if the income is not actually taxable such as intereston tax-free bonds Examples include compensation for servicesincome from business gains from property dealings interest rentsdividends pensions IRA distributions social security distributiveshare of partnership gross income and alimony but not child support

Examplesmdash If you were employed by a company that manufacturescomputers and received more than $2500 list the name of thecompany its address and its principal business activity (computermanufacturing)mdash If you were a partner in a law firm and your distributive shareof partnership gross income exceeded $2500 list the name ofthe firm its address and its principal business activity (practice oflaw)mdash If you were the sole proprietor of a retail gift business and yourgross income from the business exceeded $2500 list the nameof the business its address and its principal business activity(retail gift sales)mdash If you received income from investments in stocks and bondslist each individual company from which you derived more than$2500 Do not aggregate all of your investment incomemdash If more than $2500 of your gross income was gain from thesale of property (not just the selling price) list as a source o fincome the purchaserrsquos name address and principal businessactivity If the purchaserrsquos identity is unknown such as wheresecurities listed on an exchange are sold through a brokeragefirm the source of income should be listed as sale of (name of company) stock for examplemdash If more than $2500 of your gross income was in the formof interest from one particular financial institution (aggregatinginterest from all CDrsquos accounts etc at that institution) list thename of the institution its address and its principal business activity

PART B mdash SECONDARY SOURCES OF INCOME[Required by s 1123145(3)(b)2 FS]This part is intended to require the disclosure of major customers

clients and other sources of income to businesses in which you own aninterest It is not for reporting income from second jobs That kind of incomeshould be reported in Part A Primary Sources of Income if it meets thereporting threshold You will not have anything to report unless during thedisclosure period

(1) You owned (either directly or indirectly in the form of an equitableor beneficial interest) more than 5 of the total assets or capitalstock of a business entity (a corporation partnership LLC limitedpartnership proprietorship joint venture trust firm etc doing business in Florida) and(2) You received more than $5000 of your gross income during thedisclosure period from that business entity

If your interests and gross income exceeded these thresholds then for thatbusiness entity you must list every source of income to the business entitywhich exceeded 10 of the business entityrsquos gross income (computed onthe basis of the business entitys most recently completed fiscal year) thesourcersquos address and the sources principal business activity

Examplesmdash You are the sole proprietor of a dry cleaning business from whichyou received more than $5000 If only one customer a uniform rentalcompany provided more than 10 of your dry cleaning business youmust list the name of the uniform rental company its address and itsprincipal business activity (uniform rentals)mdash You are a 20 partner in a partnership that owns a shopping malland your partnership income exceeded the above thresholds List eachtenant of the mall that provided more than 10 of the partnershipsgross income and the tenants address and principal business activity

PART C mdash REAL PROPERTY[Required by s 1123145(3)(b)3 FS]In this part list the location or description of all real property in Florida

in which you owned directly or indirectly at any time during the disclosureperiod in excess of 5 of the propertyrsquos value You are not required to listyour residences You should list any vacation homes if you derive incomefrom them

Indirect ownership includes situations where you are a beneficiary of atrust that owns the property as well as situations where you own more than5 of a partnership or corporation that owns the property The value of theproperty may be determined by the most recently assessed value for taxpurposes in the absence of a more current appraisal

The location or description of the property should be sufficient toenable anyone who looks at the form to identify the property A streetaddress should be used if one exists

PART D mdash INTANGIBLE PERSONAL PROPERTY[Required by s 1123145(3)(b)3 FS]Describe any intangible personal property that at any time during the

disclosure period was worth more than $10000 and state the businessentity to which the property related Intangible personal property includesthings such as cash on hand stocks bonds certificates of deposit vehicleleases interests in businesses beneficial interests in trusts money owedyou Deferred Retirement Option Program (DROP) accounts the FloridaPrepaid College Plan and bank accounts Intangible personal propertyalso includes investment products held in IRAs brokerage accounts andthe Florida College Investment Plan Note that the product contained ina brokerage account IRA or the Florida College Investment Plan is yourassetmdashnot the account or plan itself Things like automobiles and housesyou own jewelry and paintings are not intangible property Intangiblesrelating to the same business entity may be aggregated for example CDsand savings accounts with the same bank Property owned as tenants bythe entirety or as joint tenants with right of survivorship should be valued at100 The value of a leased vehicle is the vehiclersquos present value minusthe lease residual (a number found on the lease document)

Filers have the option of reporting based on either thresholds that are comparative (usually based on percentage values) orthresholds that are based on absolute dollar values The instructions on the following pages specifically describe the differentthresholds Check the box that reflects the choice you have made You must use the type of threshold you have chosen for eachpart of the form In other words if you choose to report based on absolute dollar value thresholds you cannot use a percentagethreshold on any part of the form

MANNER OF CALCULATING REPORTABLE INTEREST

IF YOU HAVE CHOSEN DOLLAR VALUE THRESHOLDSTHE FOLLOWING INSTRUCTIONS APPLY

CE FORM 1 - Effective January 1 2020 Incorporated by reference in Rule 34-8202 FAC PAGE 4

PART E mdash LIABILITIES [Required by s 1123145(3)(b)4 FS] List the name and address of each creditor to whom you owed more

than $10000 at any time during the disclosure period The amount of theliability of a vehicle lease is the sum of any past-due payments and allunpaid prospective lease payments You are not required to list the amountof any debt You do not have to disclose credit card and retail installmentaccounts taxes owed (unless reduced to a judgment) indebtedness ona life insurance policy owed to the company of issuance or contingentliabilities A ldquocontingent liabilityrdquo is one that will become an actual liabilityonly when one or more future events occur or fail to occur such as whereyou are liable only as a guarantor surety or endorser on a promissorynote If you are a ldquoco-makerrdquo and are jointly liable or jointly and severallyliable then it is not a contingent liability

PART F mdash INTERESTS IN SPECIFIED BUSINESSES [Required by s 1123145(6) FS] The types of businesses covered in this disclosure include state and

federally chartered banks state and federal savings and loan associationscemetery companies insurance companies mortgage companies creditunions small loan companies alcoholic beverage licensees pari-mutuelwagering companies utility companies entities controlled by the PublicService Commission and entities granted a franchise to operate by either acity or a county government

Disclose in this part the fact that you owned during the disclosure period aninterest in or held any of certain positions with the types of businesses listedabove You must make this disclosure if you own or owned (either directly orindirectly in the form of an equitable or beneficial interest) at any time duringthe disclosure period more than 5 of the total assets or capital stock ofone of the types of business entities listed above You also must completethis part of the form for each of these types of businesses for which youare or were at any time during the disclosure period an officer directorpartner proprietor or agent (other than a resident agent solely for service ofprocess)

If you have or held such a position or ownership interest in one ofthese types of businesses list the name of the business its address andprincipal business activity and the position held with the business (if any) Ifyou own(ed) more than a 5 interest in the business indicate that fact anddescribe the nature of your interest

PART G mdash TRAINING CERTIFICATION [Required by s 1123142 FS] If you are a Constitutional or elected municipal officer whose

service began before March 31 of the year for which you are filingyou are required to complete four hours of ethics training which addresses Article II Section 8 of the Florida Constitution the Code of Ethics for Public Officers and Employees and the public recordsand open meetings laws of the state You are required to certify onthis form that you have taken such training

(End of Dollar Value Thresholds Instructions)

IF YOU HAVE CHOSEN COMPARATIVE (PERCENTAGE) THRESHOLDS THE FOLLOWING INSTRUCTIONS APPLY

PART A mdash PRIMARY SOURCES OF INCOME [Required by s 1123145(3)(a)1 FS] Part A is intended to require the disclosure of your principal

sources of income during the disclosure period You do not haveto disclose any public salary or public position(s) but income from these public sources should be included when calculating your gross income for the disclosure period The income of your spouse need not be disclosed however if there is joint income to you and your spouse from property you own jointly (such as interest or dividends from a bank account or stocks) you should include all of that income when calculating your gross income and disclose the source of that income if it exceeded the threshold

Please list in this part of the form the name address and principal business activity of each source of your income whichexceeded 5 of the gross income received by you in your own name or by any other person for your benefit or use during the disclosure period

Gross income means the same as it does for income tax purposes even if the income is not actually taxable such as interest on tax-free bonds Examples include compensation for servicesincome from business gains from property dealings interest rents dividends pensions IRA distributions social security distributive share of partnership gross income and alimony but not child support

Examples mdash If you were employed by a company that manufactures computers and received more than 5 of your gross income from the company list the name of the company its address and its principal business activity (computer manufacturing) mdash If you were a partner in a law firm and your distributive share of partnership gross income exceeded 5 of your gross income then list the name of the firm its address and its principal business activity (practice of law) mdash If you were the sole proprietor of a retail gift business andyour gross income from the business exceeded 5 of your total gross income list the name of the business its addressand its principal business activity (retail gift sales) mdash If you received income from investments in stocks and bonds list each individual company from which you derived

more than 5 of your gross income Do not aggregate all of your investment income mdash If more than 5 of your gross income was gain from the sale of property (not just the selling price) list as a source of income the purchaserrsquos name address and principal business activityIf the purchasers identity is unknown such as where securities listed on an exchange are sold through a brokerage firm the source of income should be listed as sale of (name of company)stock for example mdash If more than 5 of your gross income was in the form of interest from one particular financial institution (aggregatinginterest from all CDrsquos accounts etc at that institution) list the name of the institution its address and its principal business activity

PART B mdash SECONDARY SOURCES OF INCOME [Required by s 1123145(3)(a)2 FS] This part is intended to require the disclosure of major customers

clients and other sources of income to businesses in which you ownan interest It is not for reporting income from second jobs That kindof income should be reported in Part A Primary Sources of Incomeif it meets the reporting threshold You will not have anything to report unless during the disclosure period

(1) You owned (either directly or indirectly in the form of anequitable or beneficial interest) more than 5 of the total assetsor capital stock of a business entity (a corporation partnershipLLC limited partnership proprietorship joint venture trust firmetc doing business in Florida) and (2) You received more than 10 of your gross income from thatbusiness entity and (3) You received more than $1500 in gross income from thatbusiness entity

If your interests and gross income exceeded these thresholds thenfor that business entity you must list every source of income to thebusiness entity which exceeded 10 of the business entityrsquos grossincome (computed on the basis of the business entityrsquos most recentlycompleted fiscal year) the sourcersquos address and the sourcersquos principal business activity

CE FORM 1 - Effective January 1 2020 Incorporated by reference in Rule 34-8202 FAC PAGE 5

NOTICE Annual Statements of Financial Interests are due July 1 If the annual form is not filed or postmarked by September 1 an automatic fine of $25 for each day late will be imposed up to a maximum penalty of $1500 Failure to file also can result in removal from public office or employment [s 1123145 FS]

In addition failure to make any required disclosure constitutes grounds for and may be punished by one or more of the following disqualification from being on the ballot impeachment removal or suspension from office or employment demotion reduction in salary reprimand or a civil penalty not exceeding $10000 [s 112317 FS]

1) Elected public officials not serving in a political subdivision of thestate and any person appointed to fill a vacancy in such office unlessrequired to file full disclosure on Form 62) Appointed members of each board commission authority

or council having statewide jurisdiction excluding members of solelyadvisory bodies but including judicial nominating commission membersDirectors of Enterprise Florida Scripps Florida Funding Corporationand Career Source Florida and members of the Council on the SocialStatus of Black Men and Boys the Executive Director Governors and senior managers of Citizens Property Insurance CorporationGovernors and senior managers of Florida Workers Compensation JointUnderwriting Association board members of the Northeast Fla RegionalTransportation Commission board members of Triumph Gulf Coast Incboard members of Florida Is For Veterans Inc and members of theTechnology Advisory Council within the Agency for State Technology3) The Commissioner of Education members of the State Board

of Education the Board of Governors the local Boards of Trustees andPresidents of state universities and the Florida Prepaid College Board4) Persons elected to office in any political subdivision (such a s

municipalities counties and special districts) and any person appointedto fill a vacancy in such office unless required to file Form 65) Appointed members of the following boards councils

commissions authorities or other bodies of county municipality schooldistrict independent special district or other political subdivision thegoverning body of the subdivision community college or junior collegedistrict boards of trustees boards having the power to enforce local codeprovisions boards of adjustment community redevelopment agenciesplanning or zoning boards having the power to recommend create ormodify land planning or zoning within a political subdivision except forcitizen advisory committees technical coordinating committees andsimilar groups who only have the power to make recommendationsto planning or zoning boards and except for representatives of amilitary installation acting on behalf of all military installations within thatjurisdiction pension or retirement boards empowered to invest pensionor retirement funds or determine entitlement to or amount of pensions orother retirement benefits and the Pinellas County Construction LicensingBoard6) Any appointed member of a local government board who

is required to file a statement of financial interests by the appointingauthority or the enabling legislation ordinance or resolution creating theboard7) Persons holding any of these positions in local government

mayor county or city manager chief administrative employee or finance

director of a county municipality or other political subdivision countyor municipal attorney chief county or municipal building inspectorcounty or municipal water resources coordinator county or municipalpollution control director county or municipal environmental controldirector county or municipal administrator with power to grant or denya land development permit chief of police fire chief municipal clerkappointed district school superintendent community college presidentdistrict medical examiner purchasing agent (regardless of title) havingthe authority to make any purchase exceeding $35000 for the localgovernmental unit8) Officers and employees of entities serving as chief administrative

officer of a political subdivision9) Members of governing boards of charter schools operated by a

city or other public entity10) Employees in the office of the Governor or of a Cabinet member

who are exempt from the Career Service System excluding secretarialclerical and similar positions11) The following positions in each state department commission

board or council Secretary Assistant or Deputy Secretary ExecutiveDirector Assistant or Deputy Executive Director and anyone having thepower normally conferred upon such persons regardless of title12) The following positions in each state department or division

Director Assistant or Deputy Director Bureau Chief and any personhaving the power normally conferred upon such persons regardless oftitle13) Assistant State Attorneys Assistant Public Defenders criminal

conflict and civil regional counsel and assistant criminal conflict and civilregional counsel Public Counsel full-time state employees serving ascounsel or assistant counsel to a state agency administrative law judgesand hearing officers14) The Superintendent or Director of a state mental health institute

established for training and research in the mental health field or anymajor state institution or facility established for corrections trainingtreatment or rehabilitation15) State agency Business Managers Finance and Accounting

Directors Personnel Officers Grant Coordinators and purchasingagents (regardless of title) with power to make a purchase exceeding$3500016) The following positions in legislative branch agencies each

employee (other than those employed in maintenance clerical secretarial or similar positions and legislative assistants exemptedby the presiding officer of their house) and each employee of theCommission on Ethics

INSTRUCTIONS FOR COMPLETING FORM 1INTRODUCTORY INFORMATION (Top of Form) If your name mailing address public agency and position are already printed on the form you do not need to provide this information unless it should be changed To change any of this information write the correct information on the form and contact your agencys financial disclosure coordinator You can find your coordinator on the Commission on Ethics website wwwethicsstateflus NAME OF AGENCY The name of the governmental unit which you serve or served by which you are or were employed or for which you are a candidate DISCLOSURE PERIOD The ldquodisclosure periodrdquo for your report is the calendar year ending December 31 2019

OFFICE OR POSITION HELD OR SOUGHT The title of the office or position you hold are seeking or held during the disclosure period even if you have since left that position If you are a candidate for office or are a new employee or appointee check the appropriate boxPUBLIC RECORD The disclosure form and everythingattached to it is a public record Your Social Security Number is not required and you should redact it from any documents you file If you are an active or former officer or employee listed in Section 119071 FS whose home address is exempt from disclosure the Commission will maintain that confidentiality if you submit a written request

WHO MUST FILE FORM 1

CE FORM 1 - Effective January 1 2020 Incorporated by reference in Rule 34-8202 FAC PAGE 3

Examples PART E mdash LIABILITIES mdash You are the sole proprietor of a dry cleaning business from [Required by s 1123145(3)(b)4 FS]which you received more than 10 of your gross incomemdashan List the name and address of each creditor to whom you owed amount that was more than $1500 If only one customer a any amount that at any time during the disclosure period exceeded uniform rental company provided more than 10 of your dry your net worth You are not required to list the amount of any debt cleaning business you must list the name of the uniform rental or your net worth You do not have to disclose credit card and retail company its address and its principal business activity (uniform installment accounts taxes owed (unless reduced to a judgment) rentals) indebtedness on a life insurance policy owed to the company of mdash You are a 20 partner in a partnership that owns a shopping issuance or contingent liabilities A ldquocontingent liabilityrdquo is one mall and your partnership income exceeded the thresholds that will become an actual liability only when one or more future listed above You should list each tenant of the mall that events occur or fail to occur such as where you are liable only as provided more than 10 of the partnershiprsquos gross income and a guarantor surety or endorser on a promissory note If you are a the tenantrsquos address and principal business activity ldquoco-makerrdquo and are jointly liable or jointly and severally liable it is not

a contingent liability PART C mdash REAL PROPERTY Calculations To determine whether the debt exceeds your

[Required by s 1123145(3)(a)3 FS] net worth total all of your liabilities (including promissory notes mortgages credit card debts judgments against you etc) TheIn this part list the location or description of all real property in amount of the liability of a vehicle lease is the sum of any past-due Florida in which you owned directly or indirectly at any time during payments and all unpaid prospective lease payments Subtract the disclosure period in excess of 5 of the propertyrsquos value You the sum total of your liabilities from the value of all your assets are not required to list your residences You should list any vacation as calculated above for Part D This is your ldquonet worthrdquo List each homes if you derive income from them creditor to whom your debt exceeded this amount unless it is one of

Indirect ownership includes situations where you are a the types of indebtedness listed in the paragraph above (credit card beneficiary of a trust that owns the property as well as situations and retail installment accounts etc) Joint liabilities with others for where you own more than 5 of a partnership or corporation that which you are ldquojointly and severally liablerdquo meaning that you may owns the property The value of the property may be determined by be liable for either your part or the whole of the obligation should be the most recently assessed value for tax purposes in the absence included in your calculations at 100 of the amount owed of a more current appraisal

Example You owe $15000 to a bank for student loans $5000 The location or description of the property should be sufficient for credit card debts and $60000 (with spouse) to a savings to enable anyone who looks at the form to identify the property A and loan for a home mortgage Your home (owned by you and street address should be used if one exists your spouse) is worth $80000 and your other property is worth PART D mdash INTANGIBLE PERSONAL PROPERTY $20000 Since your net worth is $20000 ($100000 minus

$80000) you must report only the name and address of the [Required by s 1123145(3)(a)3 FS] savings and loan Describe any intangible personal property that at any time

during the disclosure period was worth more than 10 of your PART F mdash INTERESTS IN SPECIFIED BUSINESSES total assets and state the business entity to which the property [Required by s 1123145 FS] related Intangible personal property includes things such as cash on hand stocks bonds certificates of deposit vehicle leases The types of businesses covered in this disclosure include interests in businesses beneficial interests in trusts money owed state and federally chartered banks state and federal savings and you Deferred Retirement Option Program (DROP) accounts loan associations cemetery companies insurance companies the Florida Prepaid College Plan and bank accounts Intangible mortgage companies credit unions small loan companies alcoholic personal property also includes investment products held in IRAs beverage licensees pari-mutuel wagering companies utilitybrokerage accounts and the Florida College Investment Plan companies entities controlled by the Public Service Commission Note that the product contained in a brokerage account IRA or the and entities granted a franchise to operate by either a city or a Florida College Investment Plan is your assetmdashnot the account or county governmentplan itself Things like automobiles and houses you own jewelry Disclose in this part the fact that you owned during the and paintings are not intangible property Intangibles relating to the disclosure period an interest in or held any of certain positions same business entity may be aggregated for example CDrsquos and with the types of businesses listed above You are requiredsavings accounts with the same bank to make this disclosure if you own or owned (either directly or

Calculations To determine whether the intangible property indirectly in the form of an equitable or beneficial interest) at any exceeds 10 of your total assets total the fair market value of time during the disclosure period more than 5 of the total assets all of your assets (including real property intangible property and or capital stock of one of the types of business entities listed above tangible personal property such as jewelry furniture etc) When You also must complete this part of the form for each of these types making this calculation do not subtract any liabilities (debts) that of businesses for which you are or were at any time during themay relate to the property Multiply the total figure by 10 to arrive disclosure period an officer director partner proprietor or agent at the disclosure threshold List only the intangibles that exceed (other than a resident agent solely for service of process) this threshold amount The value of a leased vehicle is the vehiclersquos If you have or held such a position or ownership interest in present value minus the lease residual (a number which can be one of these types of businesses list the name of the business its found on the lease document) Property that is only jointly owned address and principal business activity and the position held with property should be valued according to the percentage of your the business (if any) If you own(ed) more than a 5 interest in the joint ownership Property owned as tenants by the entirety or as business indicate that fact and describe the nature of your interest joint tenants with right of survivorship should be valued at 100 None of your calculations or the value of the property have to be PART G mdash TRAINING CERTIFICATIONdisclosed on the form

[Required by s 1123142 FS] Example You own 50 of the stock of a small corporation that is worth $100000 the estimated fair market value of If you are a Constitutional or elected municipal officer whoseyour home and other property (bank accounts automobile service began before March 31 of the year for which you are filing furniture etc) is $200000 As your total assets are worth you are required to complete four hours of ethics training which $250000 you must disclose intangibles worth over $25000 addresses Article II Section 8 of the Florida Constitution the Code Since the value of the stock exceeds this threshold you of Ethics for Public Officers and Employees and the public records should list ldquostockrdquo and the name of the corporation If your and open meetings laws of the state You are required to certify on accounts with a particular bank exceed $25000 you should this form that you have taken such training list ldquobank accountsrdquo and bankrsquos name

(

End of Percentage Thresholds Instructions) CE FORM 1 - Effective January 1 2020 Incorporated by reference in Rule 34-8202 FAC PAGE 6

  • 0 HP Cover Page v2
  • 1 Hawks Point Meeting Invite Draft v2
  • 2 Agenda Draft v3
  • 3 EXHIBIT 1
  • 7 HP 05-19-2020 Meeting Minutes Approved
  • 6 EXHIBIT 2
  • 9 HP May FY20 Fin
  • 8 EXHIBIT 3
  • 4 Vacant Position Qualification Requirements for Hawks Point CDD
    • Vacant Position on the Board of Supervisors of the Hawkrsquos Point Community Development District
      • Qualification Requirements
      • Instructions for Interested Candidates
      • Additional Notes
          • 5 Shami Choon Vacant Position - updated 11-5-11 resume
            • 1803 Oak Pond Street Ruskin Fl 33570 E-mailchoons27gmailcom
              • PROFESSIONAL HISTORY
                • Operations Manager Florida Distribution 2002 ndash 2005
                • Operations Manager for Florida Branch Distribution 1999 ndash 2002
                • Warehouse Manager of Miami Distribution Center 1998 ndash 1999
                • Branch Manager of West Palm Beach 1994 ndash 1998
                • Assistant Branch Manager 1991 ndash 1994
                • Customer Service Agent 1990 ndash 1991
                  • 10 EXHIBIT 4
                  • 11 New Business - Hawks Point CDD - MI proposal
                  • 12 EXHIBIT 5
                  • 13 CertaPro Proposal to Paint Exterior Wall 18th to 24th Avenue
                  • 14 Shazam Construction Proposal to Paint Exterior Wall 18th to 24th Street
                    • QUOTE
                      • TO
                          • 15 Photo to accompany Shazam Proposal
                          • 16 EXHIBIT 6
                          • 17 CertaPro Proposal for Pressure Washing Exterior Wall 18th St to 24th Street
                          • 18 Shazam Construction Proposal for Pressure Washing Exterion Wall 18th Street to 24th Street
                            • QUOTE
                              • TO
                                  • 19 EXHIBIT 7
                                  • 20 Form 1_2019i
                                      1. LAST NAME
                                      2. FIRST NAME
                                      3. MIDDLE NAME
                                      4. MAILING ADDRESS ROW 1
                                      5. MAILING ADDRESS ROW 2
                                      6. CITY
                                      7. ZIP
                                      8. COUNTY
                                      9. NAME OF AGENCY
                                      10. NAME OF OFFICE OR POSITION HELD OR SOUGHT
                                      11. CANDIDATE Off
                                      12. NEW EMPLOYEE OR APPOINTEE Off
                                      13. COMPARATIVE (PERCENTAGE) THRESHOLDS Off
                                      14. DOLLAR VALUE THRESHOLDS Off
                                      15. NAME OF SOURCE INCOME ROW 1
                                      16. ADDRESS ROW 1
                                      17. DESCRIPTION OF THE SOURCES PRINCIPAL BUSINESS ACTIVITY ROW 1
                                      18. NAME OF SOURCE INCOME ROW 2
                                      19. ADDRESS ROW 2
                                      20. DESCRIPTION OF THE SOURCES PRINCIPAL BUSINESS ACTIVITY ROW 2
                                      21. NAME OF SOURCE INCOME ROW 3
                                      22. ADDRESS ROW 3
                                      23. DESCRIPTION OF THE SOURCES PRINCIPAL BUSINESS ACTIVITY ROW 3
                                      24. NAME OF SOURCE INCOME ROW 4
                                      25. ADDRESS ROW 4
                                      26. DESCRIPTION OF THE SOURCES PRINCIPAL BUSINESS ACTIVITY ROW 4
                                      27. NAME OF BUSINESS ENTITY ROW 1
                                      28. NAME OF MAJOR SOURCES OF BUSINESS INCOME ROW 1
                                      29. ADDRESS OF SOURCE ROW 1
                                      30. PRINCIPAL BUSINESS ACTIVITY OF SOURCE ROW 1
                                      31. NAME OF BUSINESS ENTITY ROW 2
                                      32. NAME OF MAJOR SOURCES OF BUSINESS INCOME ROW 2
                                      33. ADDRESS OF SOURCE ROW 2
                                      34. PRINCIPAL BUSINESS ACTIVITY OF SOURCE ROW 2
                                      35. NAME OF BUSINESS ENTITY ROW 3
                                      36. NAME OF MAJOR SOURCES OF BUSINESS INCOME ROW 3
                                      37. ADDRESS OF SOURCE ROW 3
                                      38. PRINCIPAL BUSINESS ACTIVITY OF SOURCE ROW 3
                                      39. REAL PROPERTY ROW 1
                                      40. REAL PROPERTY ROW 2
                                      41. REAL PROPERTY ROW 3
                                      42. REAL PROPERTY ROW 4
                                      43. TYPE OF INTANGIBLE ROW 1
                                      44. BUSINESS ENTITY TO WHICH THE PROPERTY RELATES ROW 1
                                      45. TYPE OF INTANGIBLE ROW 2
                                      46. BUSINESS ENTITY TO WHICH THE PROPERTY RELATES ROW 2
                                      47. NAME OF CREDITOR ROW 1
                                      48. ADDRESS OF CREDITOR ROW 1
                                      49. NAME OF CREDITOR ROW 2
                                      50. ADDRESS OF CREDITOR ROW 2
                                      51. ADDRESS OF BUSINESS ENTITY 1
                                      52. PRINCIPAL BUSINESS ACTIVITY 1
                                      53. POSITION HELD WITH ENTITY 1
                                      54. I OWN MORE THAN A 5 INTEREST IN THE BUSINESS 1
                                      55. NATURE OF MY OWNERSHIP INTEREST 1
                                      56. ADDRESS OF BUSINESS ENTITY 2
                                      57. PRINCIPAL BUSINESS ACTIVITY 2
                                      58. POSITION HELD WITH ENTITY 2
                                      59. I OWN MORE THAN A 5 INTEREST IN THE BUSINESS 2
                                      60. NATURE OF MY OWNERSHIP INTEREST 2
                                      61. FOR ELECTED MUNICIPAL OFFICERS REQUIRED TO COMPLETE ANNUAL ETHICS TRAINING PURSUANT TO SECTION 112
                                        1. 3142 F
                                          1. S Off
                                              1. IF ANY OF PARTS A THROUGH G ARE CONTINUED ON A SEPARATE SHEET PLEASE CHECK HERE Off
                                              2. SIGNATURE
                                              3. Date Signed
Page 17: HAWKS POINT COMMUNITY DEVELOPMENT …...2020/06/16  · Hawks Point Community Development District Board of Supervisors Meeting Tuesday, June 16th at 6:30 PM via Zoom All: We welcome

Bank United

Balance Per Bank Statement 7549415$

Plus Deposits in Transit -

Less Outstanding Checks (935250)

Adjusted Bank Balance 6614165$

Beginning Bank Balance Per Books 4251943$

Cash Receipts 5000350

Cash Disbursements (2638128)

Balance Per Books 6614165$

Hawks Point CDD

Bank Reconciliation (GF)

May 31 2020

Page 6

Date Num Name Memo Receipts Disbursements Balance

Bank United EOY Balance 9460943

10012019 9035 DPFG MANAGEMENT amp CONSULTING LLC CDD Mgmt - October 385833 9075110

10022019 Hawks Point West HOA 2019-245- HPW 18866 9093976

10082019 646 Hawks Point HOA 2019245 - HPA 21225 9115201

10082019 Hawks Point West HOA 201956 - HPW 208516 9323717

10082019 1115 Egis Insurance amp Risk Advisors Ins - FY 2020 563800 8759917

10112019 9036 JAYMAN ENTERPRISES LLC Replace Bulbs at Entrances Rcvd 10119 23000 8736917

10112019 9037 Landscape Maintenance Professionals Inc Landscape Maint - October 1105000 7631917

10162019 1116 FLORIDA DEPT OF ECONOMIC OPPORTUNIT Annual Filing FY 2020 17500 7614417

10182019 9041 TAMPA BAY TIMES Legal Ad - Meeting Schedule 55200 7559217

10212019 9038 DPFG MANAGEMENT amp CONSULTING LLC Special Assessment - FY 2020 Continuing Disclosure ADA Compliance 650000 6909217

10212019 9039 JAYMAN ENTERPRISES LLC Replace Bulbs 7000 6902217

10212019 9040 STANTEC CONSULTING SERVICES INC Lake amp Pond Maint - Sept 10500 6891717

10242019 ACH102419 TAMPA ELECTRIC 830-930 - 1416 Little Hawk Dr 7637 6884080

10242019 ACH1024192 TAMPA ELECTRIC 830-930 - 2160 Golden Falcon Dr 7083 6876997

10242019 000652 Hawks Point HOA 20197-HPA 4921 6881918

10252019 694003DD ANDREW HERON Bos Mtg - 101519 18470 6863448

10252019 ACH102519 Innovative Employer Soltuions Bos Mtg - 101519 17140 6846308

10252019 694005DD KAREN OBRIEN Bos Mtg - 101519 18470 6827838

10252019 694004DD SHERRI KEENE Bos Mtg - 101519 18470 6809368

10252019 694002DD WILLIAM J HATHAWAY Bos Mtg - 101519 18470 6790898

10312019 Bank United Interest 691 6791589

Bank United EOM Balance 254219 2923573 6791589

11012019 9042 DPFG MANAGEMENT amp CONSULTING LLC CDD Mgmt - November 385833 6405756

11012019 9043 STANTEC CONSULTING SERVICES INC Lake amp Pond Maint - Pond 201-19 amp 21 - Sept 274000 6131756

11012019 9044 STRALEY ROBIN VERICKER Legal Svcs thru 101519 65999 6065757

11122019 1117 HAWKS POINT CDD DS 2017 Tax Collection Share co Wells Fargo 762290 5303467

11152019 9045 Landscape Maintenance Professionals Inc Landscape Maint - November amp Irrigation Repairs 1229369 4074098

11152019 9046 STANTEC CONSULTING SERVICES INC Lake amp Pond Maint - Oct 333600 3740498

11202019 9048 TAMPA BAY TIMES Legal Ad - Audit Meeting 42050 3698448

11222019 9047 STANTEC CONSULTING SERVICES INC Lake amp Pond Maint - Pond 20 - Oct 10500 3687948

11252019 ACH1125191 TAMPA ELECTRIC 101-1030 - 1416 Little Hawk Dr 7431 3680517

11252019 ACH1125192 TAMPA ELECTRIC 101-1030 - 2160 Golden Falcon Dr 8753 3671764

11292019 703783DD ANDREW HERON Bos Mtg - 111919 18470 3653294

11292019 ACH112919 Innovative Employer Soltuions Bos Mtg - 111919 20200 3633094

11292019 703785DD KAREN OBRIEN Bos Mtg - 111919 18470 3614624

11292019 703781DD MARIE CHANTAL COPELAND Bos Mtg - 111919 18470 3596154

11292019 703784DD SHERRI KEENE Bos Mtg - 111919 18470 3577684

11292019 703782DD WILLIAM J HATHAWAY Bos Mtg - 111919 18470 3559214

11302019 Bank United Interest 450 3559664

Bank United EOM Balance 450 3232375 3559664

12022019 9049 DPFG MANAGEMENT amp CONSULTING LLC CDD Mgmt - December 385833 3173831

12042019 694 Hawks Point HOA 20198-HPA 5105 3178936

12042019 503 Hawks Point West HOA 20197-HPW amp 20198-HPW 7388 3186324

12042019 1118 Site Masters of Florida LLC Investigation of pipe discharge Townhome Yard Drain Blockage 150000 3036324

12112019 9050 Illuminations Holiday Lighting Electrical Fix Holiday Lights - Deposit 261250 2775074

12132019 Bank United Funds Transfer - MMK to Opt Acct 4500000 7275074

12132019 Bank United Funds Transfer - MMK to Opt Acct 50834407 58109481

12162019 9055 TAMPA BAY TIMES Legal Ad - RFP Auditing Svc 36100 58073381

12182019 9051 Flatwoods Environmental Cut amp Dispose Brazilian Pepper 396500 57676881

12182019 9052 Landscape Maintenance Professionals Inc Landscape Maint - December 1105000 56571881

12182019 9053 STANTEC CONSULTING SERVICES INC Misc Environmental Services 137000 56434881

12182019 9054 STRALEY ROBIN VERICKER Legal Svcs thru 111519 57500 56377381

12182019 1119 HAWKS POINT CDD DS 2017 Tax Collection Share co Wells Fargo 49544765 6832616

12182019 1120 Innersync ADA Compliant website 124942 6707674

12262019 ACH1226191 TAMPA ELECTRIC 1031-122 - 2160 Golden Falcon Dr 8771 6698903

12262019 ACH1226192 TAMPA ELECTRIC 1031-1202 - 1416 Little Hawk Dr 9315 6689588

12272019 711993DD ANDREW HERON Bos Mtg - 121719 18470 6671118

12272019 ACH122719 Innovative Employer Soltuions Bos Mtg - 121719 20200 6650918

12272019 711995DD KAREN OBRIEN Bos Mtg - 121719 18470 6632448

12272019 711991DD MARIE CHANTAL COPELAND Bos Mtg - 121719 18470 6613978

12272019 711994DD SHERRI KEENE Bos Mtg - 121719 18470 6595508

12272019 711992DD WILLIAM J HATHAWAY Bos Mtg - 121719 18470 6577038

12312019 Bank United Interest 3091 6580129

Bank United EOM Balance 55349991 52329526 6580129

01022020 9056 DPFG MANAGEMENT amp CONSULTING LLC CDD Mgmt - January 385833 6194296

01082020 9057 Landscape Maintenance Professionals Inc Station decoders 82908 6111388

01082020 9058 STRALEY ROBIN VERICKER Legal Svcs thru 121519 10000 6101388

01102020 9159 Landscape Maintenance Professionals Inc Landscape Maint - January 1105000 4996388

01102020 9160 Mike White LLC Entry Monument repair 54119 4942269

01132020 1121 HAWKS POINT CDD DS 2017 Tax Collection Share co Wells Fargo 868256 4074013

01172020 9161 Illuminations Holiday Lighting Holiday Lights - Balance Due 231250 3842763

01172020 000534 Hawks Point West HOA 20201-HPW 4493 3847256

01272020 1122 STANTEC CONSULTING SERVICES INC Pond Maint - December Engineering Svcs thru 122719 353400 3493856

01272020 ACH012720 TAMPA ELECTRIC 123-1231 - 2160 Golden Falcon Dr 8116 3485740

01272020 ACH0127202 TAMPA ELECTRIC 1203-1231 - 1416 Little Hawk Dr 6682 3479058

01312020 072704 Innovative Employer Soltuions Bos Mtg - 12120 17140 3461918

01312020 721948DD KAREN OBRIEN Bos Mtg - 12120 18470 3443448

01312020 721945DD MARIE CHANTAL COPELAND Bos Mtg - 12120 18470 3424978

01312020 721947DD SHERRI KEENE Bos Mtg - 12120 18470 3406508

01312020 721946DD WILLIAM J HATHAWAY Bos Mtg - 12120 18470 3388038

01312020 Bank United Interest 1406 3389444

Bank United EOM Balance 5899 3196584 3389444

02052020 1124 DPFG MANAGEMENT amp CONSULTING LLC CDD Mgmt - February 385833 3003611

02052020 1125 Landscape Maintenance Professionals Inc Landscape Maint - February 1105000 1898611

02052020 1126 TAMPA ELECTRIC 101-1030 - 1416 Little Hawk Dr 308 1898303

02252020 1127 Landscape Maintenance Professionals Inc Landscape Maint - March 1105000 793303

02252020 02252020ACH TAMPA ELECTRIC 11-130 - 1416 Little Hawk Dr 7840 785463

02252020 02252020ACH TAMPA ELECTRIC 11-130 - 2160 Golden Falcon Dr 9092 776371

02282020 02182020ACH Innovative Employer Soltuions Bos Mtg - 21820 14080 762291

02282020 730271DD MARIE CHANTAL COPELAND Bos Mtg - 21820 18470 743821

02282020 730273DD SHERRI KEENE Bos Mtg - 21820 18470 725351

02282020 7302272DD WILLIAM J HATHAWAY Bos Mtg - 21820 18470 706881

02292020 Bank United Interest 203 707084

HAWKS POINT CDDCASH REGISTER

FY 2020

Page 7

Date Num Name Memo Receipts Disbursements Balance

HAWKS POINT CDDCASH REGISTER

FY 2020

Bank United EOM Balance 203 2682563 707084

03042020 1128 DPFG MANAGEMENT amp CONSULTING LLC CDD Mgmt - March 385833 321251

03122020 1129 STANTEC CONSULTING SERVICES INC Engineering Svcs thru 012420 73950 247301

03122020 ACH032520 TAMPA ELECTRIC 13120 - 22820 - 2160 Golden Falcon Dr 8527 238774

03122020 ACH0325202 TAMPA ELECTRIC 013120 - 22820 - 1416 Little Hawk Dr 6592 232182

03192020 BankUnited Funds Transfer 5000000 5232182

03192020 1130 HAWKS POINT CDD DS 2017 Tax Collection Share co Wells Fargo thru 030420 1437199 3794983

03242020 1131 Landscape Maintenance Professionals Inc Pencil Pruning of Crape Myrtles Landscape Maint -042020 1360500 2434483

03242020 1132 STANTEC CONSULTING SERVICES INC Pond Maint - January Feb 295000 2139483

03242020 1133 STRALEY ROBIN VERICKER Legal Svcs thru 021520 23250 2116233

03272020 1134 DPFG MANAGEMENT amp CONSULTING LLC CDD Mgmt - April 2020 385833 1730400

03272020 1135 Landscape Maintenance Professionals Inc Irrigation Inspection repairs 74858 1655542

03312020 BankUnited Interest 200 1655742

Bank United EOM Balance 5000200 4051542 1655742

04082020 1136 Accurate Drilling Solutions Service call - 032520 - Replacement for Controller on pump 4 60234 1595508

04082020 1137 STANTEC CONSULTING SERVICES INC Engineering Svcs thru 032020 61250 1534258

04082020 1138 STRALEY ROBIN VERICKER Legal Svcs thru 031520 93270 1440988

04082020 1139 TAMPA ELECTRIC 229-330 - Electricity 16915 1424073

04162020 1140 HAWKS POINT CDD DS 2017 Tax Collection Share co Wells Fargo thru 041320 298431 1125642

04232020 BankUnited Funds Transfer 5000000 6125642

04232020 1141 Accurate Drilling Solutions Well Drilling and new pump system installation 1816480 4309162

04282020 1142 STRALEY ROBIN VERICKER Legal Svcs thru 041520 57460 4251702

04302020 BankUnited Interest 241 4251943

Bank United EOM Balance 5000241 2404040 4251943

05012020 1143 DPFG MANAGEMENT amp CONSULTING LLC CDD Mgmt - May 2020 385833 3866110

05012020 ACH050120 Innovative Employer Soltuions Bos Mtg - 42120 14080 3852030

05012020 747666DD MARIE CHANTAL COPELAND Bos Mtg - 42120 18470 3833560

05012020 747667DD WILLIAM J HATHAWAY Bos Mtg - 42120 18470 3815090

05012020 747668DD SHERRI KEENE Bos Mtg - 42120 18470 3796620

05082020 ACH050820 Innovative Employer Soltuions Bos Mtg - 42120 8620 3788000

05082020 1 Caryn Williams BOS 04212020 18470 3769530

05112020 1144 Landscape Maintenance Professionals Inc Landscape Maint -052020 1105000 2664530

05112020 1145 STANTEC CONSULTING SERVICES INC Engineering Svcs thru 042420 25400 2639130

05112020 1146 TAMPA ELECTRIC 330-429 - Electricity 19915 2619215

05212020 1147 BUSINESS OBSERVER Legal Ad - Notice of Qualifying Period 51520 5250 2613965

05212020 1148 CertaPro Painters Paint exterior wall 24th to 30th Street 635000 1978965

05212020 1149 STANTEC CONSULTING SERVICES INC Pond Maint - March-April 295000 1683965

05292020 BankUnited Funds Transfer 5000000 6683965

05292020 755486DD Caryn Williams Bos Mtg - 51920 18470 6665495

05292020 ACH052920 Innovative Employer Soltuions Bos Mtg - 51920 14740 6650755

05292020 755485DD SHERRI KEENE Bos Mtg - 51920 18470 6632285

05292020 755484DD WILLIAM J HATHAWAY Bos Mtg - 51920 18470 6613815

05312020 BankUnited Interest 350 6614165

Bank United EOM Balance 5000350 2638128 6614165

Page 8

EXHIBIT 3

Vacant Position on the Board of Supervisors of the Hawkrsquos Point Community Development District The Hawkrsquos Point Community Development District (CDD) is soliciting interested candidates to fill a vacant position on the Board of Supervisors of the CDD (Board) The CDD is a local unit of special-purpose government which is created pursuant to Chapter 190 Florida Statutes The Board is comprised of 5 members who are public officials who are normally elected on the November General Elections who serve in staggered terms The vacancy is a result of a resignation of a board member due to a relocation The remaining term of the vacant supervisorrsquos seat is through November 2022

Qualification Requirements

1 Resident of the CDD

2 At least 18 years of age

3 Citizen of the United States

4 Legal resident of Florida and of the CDD

5 Registered to vote with the Hillsborough County Supervisor of Elections

Instructions for Interested Candidates

Interested candidates must submit a letter of interest and resume to Raymondlotitodpfgcom by 4 pm on Friday June 5 2020 The subject line in the email should read ldquoVacant Position on the Board of Supervisors of the Hawkrsquos Point CDDrdquo

The Letter of Interest must contain

1 A statement stating why you believe you are well suited for the position

2 Your vision for the CDD and what you would like to see the Community evolve into Please be specific

The Resume must contain

1 Your academic background and professional experience

2 Previous and current experience with governmental agencies and governing boards

Interested candidates should attend the Board meeting on Tuesday June 16 2020 at 630 pm and present a brief presentation about themselves and be prepared for a brief question and answer period with the current Board members

Additional Notes

The current Board members will discuss the candidates and may make an appointment at the June meeting If the Board cannot come to a consensus on one candidate or if they determine to not appoint any candidate to the vacant seat they may revisit the vacancy at a future meeting or leave the seat vacant until the November 2022 General Election

Please note that the person appointed to serve in the vacant seat will be required to submit a financial disclosure statement to the State and will be subject to Floridarsquos Government in the Sunshine Laws Public Records laws and Ethics laws

1

Sookdeo (Shami) Choon Phone number (813) 731-5564 1803 Oak Pond Street Ruskin Fl 33570 E-mailchoons27gmailcom

PROFESSIONAL HISTORY Firkins GroupGarber Nissan December 2013 to Present Commercial Vehicle Sales ManagerFinance Manager Auto Nation From January 2006 to December 2013 Sales 2006- 2007 Finance Manager 2007- 2008 Sales Manager Training Manager 2008-2009 Sales Finance 2009- 2011 Commercial Sales Manager Finance Manager 2011- 2020 Parts Depot Inc From 1990 to 2005 ___________________________________________________________________________________________ Operations Manager Florida Distribution 2002 ndash 2005 bull Responsible for total inventory control of all Florida warehouses frac12 of the corporationrsquos revenue bull Directed top management to complete acquisition consolidations which resulted in the corporationrsquos

expansion bull Managed all Florida branch warehouse managers and employees totaling 200 employees bull Increased productivity and shipping efficiency in all departments developed new delivery logistics

improved product availability to all customers as well a hired and efficiently trained employees bull Reviewed all customer service statistics daily and contacted customer directly on all issues bull Reviewed PampLrsquos for all units monthly bull Presented weekly productivity and financial reports to senior management bull Directed DOT monthly guidelines maintained driver files in accordance with DOT regulations and

implemented loss prevention programs Operations Manager for Florida Branch Distribution 1999 ndash 2002 bull Improved customer service by increasing product availability to customers by implementing new

delivery logistics bull Developed employee training implemented safety awareness and monthly safety programs Warehouse Manager of Miami Distribution Center 1998 ndash 1999 bull Developed and implemented productivity guidelines implemented delivery cost saving programs

and improved product availability to the corporationrsquos customers Branch Manager of West Palm Beach 1994 ndash 1998 bull Responsible for the opening of this new branch set the building layout as well as the delivery and

logistics systems

2

bull Increased sales by 80 over budget and kept operating cost as of sales Implemented new customer service department Hired and trained all employees

Assistant Branch Manager 1991 ndash 1994 bull Increased productivity by 20 and improved delivery service Customer Service Agent 1990 ndash 1991 bull Created and implemented customer service guidelines Wingate Automotive Group 1987ndash 1990 Trinidad amp Tobago Government National Security 1984- 1987 Field Operation

EXHIBIT 4

PO Box 267 Seffner FL 33583 O 813-757-6500 F 813-757-6501 Estimate

Submitted To Hawks Point CDD 250 International Parkway Suite 280 Lake Mary FL 32746

CDD - controller 4 - zones 1 and 2

Date 5232020

Estimate 66077

LMP REPRESENTATIVE

DG-TI

PO

W ork Order

DESCRIPTION QTY COST TOTAL

Controller 4 34 inch poly pipe 34 inch poly pipe clamps Labor 2 men $ 8500 per hour

Irrigation inspection repairs needed Repair 6 - 34 inch poly pipe line leaks

6 12 05

072 129

8500

432 1548 4250

TERMS AND CONDITIONS TOTAL $6230

LMP reserves the right to withdraw this proposal if not accepted within 30 days of the date listed above Any alteration or deviation to scope of work involving additional costs must be agreed upon in writing as a separate proposal or change order to this proposal Periodic invoices may be submitted if job is substantial in nature with final invoice being submitted at completion of project Any work performed requiring more than 5 days to complete is subject to progressive payments as portions of the work are completed No finance charge will be imposed if the total of said work is paid in full within 30 days of invoice date If not paid in full within 30 days then customer is subject to finance charges on the balance of the work from the invoice date at a rate of 15 per month until paid LMP shall have the right to stop work under this contract until all outstanding amounts including finance charges are paid in full Payments will be applied to the oldest invoices

ACCEPTANCE OF PROPOSAL The above prices scope of work and terms and conditions are hereby satisfactorily agreed upon LMP Inc has been authorized to perform the work as outlined and payment will be made as outlined above The above pricing does not include any unforeseen modifications to the said irrigation system that could not be reasonably accounted for prior to job start All plant material carries a one (1) year warranty provided LMP Inc is performing landscape maintenance services to the area installed or enhanced at the time of installation If not then there is no warranty on the plant material

OWNER AGENT

DATE

EXHIBIT 5

Independent Franchise Owner Job TBE8F300154 Terry Beamer 9266 Lazy Ln

Date 06012020

EXTERIOR PROPOSALEXTERIOR PROPOSALEXTERIOR PROPOSALEXTERIOR PROPOSAL Tampa FL 33614 813-936-9242

Fax 813 936-9172

1-800-462-3782

License PA2508

Full Workers Compensation Coverage$2000000 General Liability Insurance

DPFG Management amp Consulting LLC (Hawks Point) Raymond Lotito (SB) Hawks Point CDD Ruskin FL 33570 Phone 813-418-7473 Cell 813-220-6089 Email raymondlotitodpfgcom

Special Notes CERTAPRO PAINTERS WILL PAINT WALL FACING 19ST FROM 18TH-24TH

SPECIAL ATTENTION ADDRESSING STUCCO CRACKS USING CONCRETE AND MASONRY PATCH

SPECIAL ATTENTION PRESSURE WASHING LOOSE PEELING PAINT PRIOR TO PAINTING

CERTAPRO PAINTERS WILL ONLY PAINT STREET FACING SIDE- HOMEOWNERS SIDE EXCLUDED FROM PROPOSAL

CUSTOMER RESPONSIBILITIES Please cut back all shrubs bushes and palms away from wall

GENERAL DESCRIPTION Painting to Exterior Wall 18th-24th Facing 19th Ave

PREPARATION Washing To remove dirt mildew and loose paint so the new finish coat will adhere properly

Caulking To fill all cracks and gaps around windows and doorswood work to seal out moisture and drafts Stair step

cracks

Scraping Scrape all loose and peeling paint to ensure a firm base for the new paint

Masonry Repair to all cracks gaps and holes with elastemeric caulking or masonry patch as required

Sanding To degloss where necessary to promote adhesion of the top coat

Surface TypeArea Primer PurposePRIMING

Masonry Loxon sealerprimer Latex For propor top coat adhesion

Conditioner Loxon sealerprimer to all Latex For proper top coat adhesion

masonry surfaces

FINISH COATS

Surface Area

Exterior

ManufacturePaint Type

Sherwin Williams Resilience Ext Satin

Coats

1 primer-sealer 1 spray 1 backroll stucco

Color

Same As Existing

Clean Up Daily and upon completion

$1132900 All Labor Paint Materials

$1132900 TOTAL

Signature of Authorized Franchise Representative Date

Payment is due In Full upon Job Completion

(IWE HAVE READ THE TERMS STATED HEREIN THEY HAVE (IWE) HAVE EXAMINED THE JOB STATED HEREIN THEY EXPLAINED TO (MEUS) AND (IWE) FIND THEM TO BE HAVE SHOWN TO (MEUS) AND (IWE) FIND THE JOB TO SATISFACTORY AND HEREBY ACCEPT THEM BE SATISFACTORY AND HEREBY ACCEPT THE JOB AS

COMPLETE

SIGNATURE Date SIGNATURE Date

QUOTE

Shazam Construction LLC DATE MAY 13 2020

Shazam Hera 6773 Waterton Drive Riverview FL 33578 813-385-4591 ShazamConstructionLLCgmailcom Hawks Point CDD

TO Bill to Development Planning and Financing Group 15310 Amberly Drive Suite 175 Tampa FL 33647

QUANITY DESCRIPTION UNIT PRICE LINE TOTAL

Pressure wash the wall that parallels 19th avenue from 18th street to 24th street in Hawks Point CDD in Ruskin

$1270000

Repair any cracks with caulk or elastomeric as neededPrep for paint

Paint the wall that parallels 19th avenue from 18th street to 24th street in Hawks Point CDD in Ruskin

Paint using body trim and caps of exterior wall facing 19th avenue

Paint while matching existing colors

Paint using Sherwin Williams

All paint materials and labor is included

SUBTOTAL

SALES TAX

TOTAL $1270000

Make all checks payable to Shazam Construction LLC

THANK YOU FOR YOUR BUSINESS

EXHIBIT 6

Independent Franchise Owner Job TB443B00157 Terry Beamer 9266 Lazy Ln

Date 06052020

EXTERIOR PROPOSALEXTERIOR PROPOSALEXTERIOR PROPOSALEXTERIOR PROPOSAL Tampa FL 33614 813-936-9242

Fax 813 936-9172

1-800-462-3782

License PA2508

Full Workers Compensation Coverage$2000000 General Liability Insurance

DPFG Management amp Consulting LLC (Hawks Point) Raymond Lotito (SB) Hawks Point CDD Ruskin FL 33570 Phone 813-418-7473 Cell 813-220-6089 Email raymondlotitodpfgcom

Special Notes CERTAPRO PAINTERS PRESSURE WASHING PROPOSAL 18TH-24TH

CERTAPRO PAINTERS WILL PRESSURE WASH WALL FACING 19TH ST ONLY

GENERAL DESCRIPTION Painting to

PREPARATION Washing To remove dirt mildew and loose paint so the new finish coat will adhere properly

PRIMING Surface TypeArea Primer Purpose

Clean Up Daily and upon completion

All Labor Paint Materials

TOTAL

$195000

$195000

Signature of Authorized Franchise Representative Date

Payment is due In Full upon Job Completion

(IWE HAVE READ THE TERMS STATED HEREIN THEY HAVE (IWE) HAVE EXAMINED THE JOB STATED HEREIN THEY EXPLAINED TO (MEUS) AND (IWE) FIND THEM TO BE HAVE SHOWN TO (MEUS) AND (IWE) FIND THE JOB TO SATISFACTORY AND HEREBY ACCEPT THEM BE SATISFACTORY AND HEREBY ACCEPT THE JOB AS

COMPLETE

SIGNATURE Date SIGNATURE Date

QUOTE

Shazam Construction LLC DATE JUNE 5 2020

Shazam Hera 6773 Waterton Drive Riverview FL 33578 813-385-4591 ShazamConstructionLLCgmailcom Hawks Point CDD

TO Bill to Development Planning and Financing Group 15310 Amberly Drive Suite 175 Tampa FL 33647

QUANITY DESCRIPTION UNIT PRICE LINE TOTAL

Pressure wash the wall that parallels 19th avenue from 18th street to 24th street in Hawks Point CDD in Ruskin

$160000

All materials and labor is included

SUBTOTAL

SALES TAX

TOTAL $160000

Make all checks payable to Shazam Construction LLC

THANK YOU FOR YOUR BUSINESS

EXHIBIT 7

2019FORM 1 STATEMENT OF

Please print or type your name mailing FOR OFFICE USE ONLY FINANCIAL INTERESTS address agency name and position below

LAST NAME -- FIRST NAME -- MIDDLE NAME

MAILING ADDRESS

CITY ZIP COUNTY

NAME OF AGENCY

NAME OF OFFICE OR POSITION HELD OR SOUGHT

CHECK ONLY IF CANDIDATE OR NEW EMPLOYEE OR APPOINTEE

THIS SECTION MUST BE COMPLETED DISCLOSURE PERIOD THIS STATEMENT REFLECTS YOUR FINANCIAL INTERESTS FOR CALENDAR YEAR ENDING DECEMBER 31 2019

MANNER OF CALCULATING REPORTABLE INTERESTS FILERS HAVE THE OPTION OF USING REPORTING THRESHOLDS THAT ARE ABSOLUTE DOLLAR VALUES WHICH REQUIRES FEWER CALCULATIONS OR USING COMPARATIVE THRESHOLDS WHICH ARE USUALLY BASED ON PERCENTAGE VALUES (see instructions for further details) CHECK THE ONE YOU ARE USING (must check one)

COMPARATIVE (PERCENTAGE) THRESHOLDS OR DOLLAR VALUE THRESHOLDS

PART A -- PRIMARY SOURCES OF INCOME [Major sources of income to the reporting person - See instructions] (If you have nothing to report write none or na)

NAME OF SOURCE SOURCES DESCRIPTION OF THE SOURCES OF INCOME ADDRESS PRINCIPAL BUSINESS ACTIVITY

PART B -- SECONDARY SOURCES OF INCOME [Major customers clients and other sources of income to businesses owned by the reporting person - See instructions] (If you have nothing to report write none or na)

NAME OF NAME OF MAJOR SOURCES ADDRESS PRINCIPAL BUSINESS BUSINESS ENTITY OF BUSINESS INCOME OF SOURCE ACTIVITY OF SOURCE

PART C -- REAL PROPERTY [Land buildings owned by the reporting person - See instructions] You are not limited to the space on the (If you have nothing to report write none or na) lines on this form Attach additional

sheets if necessary

FILING INSTRUCTIONS for when and where to file this form are located at the bottom of page 2

INSTRUCTIONS on who must file this form and how to fill it out begin on page 3

CE FORM 1 - Effective January 1 2020 (Continued on reverse side) PAGE 1 Incorporated by reference in Rule 34-8202(1) FAC

FILING INSTRUCTIONS

IF ANY OF PARTS A THROUGH G ARE CONTINUED ON A SEPARATE SHEET PLEASE CHECK HERE

PART D mdash INTANGIBLE PERSONAL PROPERTY [Stocks bonds certificates of deposit etc - See instructions] (If you have nothing to report write none or na) TYPE OF INTANGIBLE BUSINESS ENTITY TO WHICH THE PROPERTY RELATES

PART E mdash LIABILITIES [Major debts - See instructions] (If you have nothing to report write none or na)

NAME OF CREDITOR ADDRESS OF CREDITOR

PART F mdash INTERESTS IN SPECIFIED BUSINESSES [Ownership or positions in certain types of businesses - See instructions] (If you have nothing to report write none or na)

BUSINESS ENTITY 1 BUSINESS ENTITY 2

NAME OF BUSINESS ENTITY

ADDRESS OF BUSINESS ENTITY

PRINCIPAL BUSINESS ACTIVITY

POSITION HELD WITH ENTITY

I OWN MORE THAN A 5 INTEREST IN THE BUSINESS

NATURE OF MY OWNERSHIP INTEREST

If you were mailed the form by the Commission on Ethics or a County Supervisor of Elections for your annual disclosure filing return the form to that location To determine what category your position falls under see page 3 of instructions Local officersemployees file with the Supervisor of Elections of the county in which they permanently reside (If you do not permanently reside in Florida file with the Supervisor of the county where your agency has its headquarters) Form 1 filers who file with the Supervisor of Elections may file by mail or email Contact your Supervisor of Elections for the mailing address or email address to use Do not email your form to the Commission on Ethics it will be returned State officers or specified state employees who file with the Commission on Ethics may file by mail or email To file by mail send the completed form to PO Drawer 15709 Tallahassee FL32317-5709 physical address 325 John Knox Rd Bldg E Ste 200 Tallahassee FL 32303 To file with the Commission by email scan your completed form and any attachments as a pdf (do not use any other format) send it to CEForm1legstateflus and retain a copy for your records Do not file by both mail and email Choose only one filing method Form 6s will not be accepted via email

Candidates file this form together with their filing papers MULTIPLE FILING UNNECESSARY A candidate who files a Form 1 with a qualifying officer is not required to file with the Commission or Supervisor of Elections WHEN TO FILE Initially each local officeremployee state officer and specified state employee must file within 30 days of the date of his or her appointment or of the beginning of employment Appointees who must be confirmed by the Senate must file prior to confirmation even if that is less than 30 days from the date of their appointment Candidates must file at the same time they file their qualifying papers Thereafter file by July 1 following each calendar year in which they hold their positions Finally file a final disclosure form (Form 1F) within 60 days of leaving office or employment Filing a CE Form 1F (Final Statement of Financial Interests) does not relieve the filer of filing a CE Form 1 if the filer was in his or her position on December 31 2019

SIGNATURE OF FILER Signature

____________________________________________

Date Signed

____________________________________________

CPA or ATTORNEY SIGNATURE ONLY If a certified public accountant licensed under Chapter 473 or attorney in good standing with the Florida Bar prepared this form for you he or she must complete the following statement

I _______________________________________ prepared the CE Form 1 in accordance with Section 1123145 Florida Statutes and the instructions to the form Upon my reasonable knowledge and belief the disclosure herein is true and correct

CPAAttorney Signature ______________________________

Date Signed _______________________________________

PART G mdash TRAINING For elected municipal officers required to complete annual ethics training pursuant to section 1123142 FS

I CERTIFY THAT I HAVE COMPLETED THE REQUIRED TRAINING

CE FORM 1 - Effective January 1 2020 PAGE 2 Incorporated by reference in Rule 34-8202(1) FAC

Examplesmdash You are the sole proprietor of a dry cleaning business fromwhich you received more than 10 of your gross incomemdashanamount that was more than $1500 If only one customer auniform rental company provided more than 10 of your drycleaning business you must list the name of the uniform rentalcompany its address and its principal business activity (uniform rentals) mdash You are a 20 partner in a partnership that owns a shopping mall and your partnership income exceeded the thresholds listed above You should list each tenant of the mall that provided more than 10 of the partnershiprsquos gross income and the tenantrsquos address and principal business activity

PART C mdash REAL PROPERTY[Required by s 1123145(3)(a)3 FS]In this part list the location or description of all real property in

Florida in which you owned directly or indirectly at any time during the disclosure period in excess of 5 of the propertyrsquos value You are not required to list your residences You should list any vacation homes if you derive income from them

Indirect ownership includes situations where you are abeneficiary of a trust that owns the property as well as situations where you own more than 5 of a partnership or corporation thatowns the property The value of the property may be determined by the most recently assessed value for tax purposes in the absence of a more current appraisal

The location or description of the property should be sufficient to enable anyone who looks at the form to identify the property Astreet address should be used if one exists PART D mdash INTANGIBLE PERSONAL PROPERTY

[Required by s 1123145(3)(a)3 FS]Describe any intangible personal property that at any time

during the disclosure period was worth more than 10 of your total assets and state the business entity to which the property related Intangible personal property includes things such as cash on hand stocks bonds certificates of deposit vehicle leases interests in businesses beneficial interests in trusts money owed you Deferred Retirement Option Program (DROP) accounts the Florida Prepaid College Plan and bank accounts Intangiblepersonal property also includes investment products held in IRAs brokerage accounts and the Florida College Investment Plan Note that the product contained in a brokerage account IRA or the Florida College Investment Plan is your assetmdashnot the account or plan itself Things like automobiles and houses you own jewelryand paintings are not intangible property Intangibles relating to the same business entity may be aggregated for example CDrsquos and savings accounts with the same bank

Calculations To determine whether the intangible property exceeds 10 of your total assets total the fair market value of all of your assets (including real property intangible property and tangible personal property such as jewelry furniture etc) When making this calculation do not subtract any liabilities (debts) that may relate to the property Multiply the total figure by 10 to arrive at the disclosure threshold List only the intangibles that exceed this threshold amount The value of a leased vehicle is the vehiclersquos present value minus the lease residual (a number which can be found on the lease document) Property that is only jointly owned property should be valued according to the percentage of your joint ownership Property owned as tenants by the entirety or as joint tenants with right of survivorship should be valued at 100 None of your calculations or the value of the property have to be disclosed on the form

Example You own 50 of the stock of a small corporation that is worth $100000 the estimated fair market value of your home and other property (bank accounts automobile furniture etc) is $200000 As your total assets are worth $250000 you must disclose intangibles worth over $25000 Since the value of the stock exceeds this threshold you should list ldquostockrdquo and the name of the corporation If your accounts with a particular bank exceed $25000 you should list ldquobank accountsrdquo and bankrsquos name

PART E mdash LIABILITIES[Required by s 1123145(3)(b)4 FS]List the name and address of each creditor to whom you owed

any amount that at any time during the disclosure period exceeded your net worth You are not required to list the amount of any debt or your net worth You do not have to disclose credit card and retail installment accounts taxes owed (unless reduced to a judgment) indebtedness on a life insurance policy owed to the company of issuance or contingent liabilities A ldquocontingent liabilityrdquo is one that will become an actual liability only when one or more future events occur or fail to occur such as where you are liable only as a guarantor surety or endorser on a promissory note If you are a ldquoco-makerrdquo and are jointly liable or jointly and severally liable it is not a contingent liability

Calculations To determine whether the debt exceeds your net worth total all of your liabilities (including promissory notes mortgages credit card debts judgments against you etc) Theamount of the liability of a vehicle lease is the sum of any past-due payments and all unpaid prospective lease payments Subtract the sum total of your liabilities from the value of all your assets as calculated above for Part D This is your ldquonet worthrdquo List each creditor to whom your debt exceeded this amount unless it is one of the types of indebtedness listed in the paragraph above (credit card and retail installment accounts etc) Joint liabilities with others for which you are ldquojointly and severally liablerdquo meaning that you may be liable for either your part or the whole of the obligation should be included in your calculations at 100 of the amount owed

Example You owe $15000 to a bank for student loans $5000 for credit card debts and $60000 (with spouse) to a savings and loan for a home mortgage Your home (owned by you and your spouse) is worth $80000 and your other property is worth $20000 Since your net worth is $20000 ($100000 minus $80000) you must report only the name and address of the savings and loan

PART F mdash INTERESTS IN SPECIFIED BUSINESSES[Required by s 1123145 FS]The types of businesses covered in this disclosure include

state and federally chartered banks state and federal savings and loan associations cemetery companies insurance companies mortgage companies credit unions small loan companies alcoholic beverage licensees pari-mutuel wagering companies utilitycompanies entities controlled by the Public Service Commission and entities granted a franchise to operate by either a city or acounty government

Disclose in this part the fact that you owned during the disclosure period an interest in or held any of certain positions with the types of businesses listed above You are required to make this disclosure if you own or owned (either directly orindirectly in the form of an equitable or beneficial interest) at any time during the disclosure period more than 5 of the total assets or capital stock of one of the types of business entities listed above You also must complete this part of the form for each of these types of businesses for which you are or were at any time during thedisclosure period an officer director partner proprietor or agent (other than a resident agent solely for service of process)

If you have or held such a position or ownership interest in one of these types of businesses list the name of the business its address and principal business activity and the position held with the business (if any) If you own(ed) more than a 5 interest in the business indicate that fact and describe the nature of your interest

PART G mdash TRAINING CERTIFICATION[Required by s 1123142 FS]If you are a Constitutional or elected municipal officer whose

service began before March 31 of the year for which you are filing you are required to complete four hours of ethics training which addresses Article II Section 8 of the Florida Constitution the Code of Ethics for Public Officers and Employees and the public records and open meetings laws of the state You are required to certify on this form that you have taken such training (End of Percentage Thresholds Instructions)

CE FORM 1 - Effective January 1 2020 Incorporated by reference in Rule 34-8202 FAC PAGE 6

NOTICE Annual Statements of Financial Interests are due July 1 If the annual form is not filed or postmarked by September 1 an automatic fine of $25 for each day late will be imposed up to a maximum penalty of $1500 Failure to file also can result in removal from public office or employment [s 1123145 FS]

In addition failure to make any required disclosure constitutes grounds for and may be punished by one or more of the following disqualification from being on the ballot impeachment removal or suspension from office or employment demotion reduction in salary reprimand or a civil penalty not exceeding $10000 [s 112317 FS]

WHO MUST FILE FORM 1 1) Elected public officials not serving in a political subdivision of the

state and any person appointed to fill a vacancy in such office unlessrequired to file full disclosure on Form 62) Appointed members of each board commission authority

or council having statewide jurisdiction excluding members of solelyadvisory bodies but including judicial nominating commission membersDirectors of Enterprise Florida Scripps Florida Funding Corporationand Career Source Florida and members of the Council on the Social Status of Black Men and Boys the Executive Director Governors and senior managers of Citizens Property Insurance CorporationGovernors and senior managers of Florida Workers Compensation JointUnderwriting Association board members of the Northeast Fla RegionalTransportation Commission board members of Triumph Gulf Coast Incboard members of Florida Is For Veterans Inc and members of the Technology Advisory Council within the Agency for State Technology3) The Commissioner of Education members of the State Board

of Education the Board of Governors the local Boards of Trustees and Presidents of state universities and the Florida Prepaid College Board 4) Persons elected to office in any political subdivision (such as

municipalities counties and special districts) and any person appointedto fill a vacancy in such office unless required to file Form 65) Appointed members of the following boards councils

commissions authorities or other bodies of county municipality schooldistrict independent special district or other political subdivision thegoverning body of the subdivision community college or junior collegedistrict boards of trustees boards having the power to enforce local codeprovisions boards of adjustment community redevelopment agenciesplanning or zoning boards having the power to recommend create ormodify land planning or zoning within a political subdivision except forcitizen advisory committees technical coordinating committees andsimilar groups who only have the power to make recommendationsto planning or zoning boards and except for representatives of a military installation acting on behalf of all military installations within thatjurisdiction pension or retirement boards empowered to invest pensionor retirement funds or determine entitlement to or amount of pensions orother retirement benefits and the Pinellas County Construction LicensingBoard 6) Any appointed member of a local government board who

is required to file a statement of financial interests by the appointingauthority or the enabling legislation ordinance or resolution creating theboard 7) Persons holding any of these positions in local government

mayor county or city manager chief administrative employee or finance

director of a county municipality or other political subdivision county or municipal attorney chief county or municipal building inspectorcounty or municipal water resources coordinator county or municipalpollution control director county or municipal environmental control director county or municipal administrator with power to grant or denya land development permit chief of police fire chief municipal clerkappointed district school superintendent community college presidentdistrict medical examiner purchasing agent (regardless of title) havingthe authority to make any purchase exceeding $35000 for the localgovernmental unit8) Officers and employees of entities serving as chief administrative

officer of a political subdivision9) Members of governing boards of charter schools operated by a

city or other public entity10) Employees in the office of the Governor or of a Cabinet member

who are exempt from the Career Service System excluding secretarialclerical and similar positions11) The following positions in each state department commission

board or council Secretary Assistant or Deputy Secretary ExecutiveDirector Assistant or Deputy Executive Director and anyone having thepower normally conferred upon such persons regardless of title12) The following positions in each state department or division

Director Assistant or Deputy Director Bureau Chief and any personhaving the power normally conferred upon such persons regardless oftitle 13) Assistant State Attorneys Assistant Public Defenders criminal

conflict and civil regional counsel and assistant criminal conflict and civilregional counsel Public Counsel full-time state employees serving ascounsel or assistant counsel to a state agency administrative law judgesand hearing officers14) The Superintendent or Director of a state mental health institute

established for training and research in the mental health field or anymajor state institution or facility established for corrections trainingtreatment or rehabilitation 15) State agency Business Managers Finance and Accounting

Directors Personnel Officers Grant Coordinators and purchasingagents (regardless of title) with power to make a purchase exceeding$35000 16) The following positions in legislative branch agencies each

employee (other than those employed in maintenance clerical secretarial or similar positions and legislative assistants exempted by the presiding officer of their house) and each employee of theCommission on Ethics

INSTRUCTIONS FOR COMPLETING FORM 1 INTRODUCTORY INFORMATION (Top of Form) If your name mailing address public agency and position are already printed on the form you do not need to provide this information unless it should be changed To change any of this information write the correct information on the form and contact your agencys financial disclosure coordinator You can find your coordinator on the Commission on Ethics website wwwethics stateflus NAME OF AGENCY The name of the governmental unit which you serve or served by which you are or were employed or for which you are a candidate DISCLOSURE PERIOD The ldquodisclosure periodrdquo for your report is the calendar year ending December 31 2019

OFFICE OR POSITION HELD OR SOUGHT The title of the office or position you hold are seeking or held during the disclosure period even if you have since left that position If you are a candidate for office or are a new employee or appointee check the appropriate box PUBLIC RECORD The disclosure form and everythingattached to it is a public record Your Social Security Number is not required and you should redact it from any documents you file If you are an active or former officer or employee listed in Section 119071 FS whose home address is exempt from disclosure the Commission will maintain that confidentiality if you submit a written request

CE FORM 1 - Effective January 1 2020 Incorporated by reference in Rule 34-8202 FAC PAGE 3

PART E mdash LIABILITIES[Required by s 1123145(3)(b)4 FS]List the name and address of each creditor to whom you owed more

than $10000 at any time during the disclosure period The amount of theliability of a vehicle lease is the sum of any past-due payments and allunpaid prospective lease payments You are not required to list the amountof any debt You do not have to disclose credit card and retail installmentaccounts taxes owed (unless reduced to a judgment) indebtedness ona life insurance policy owed to the company of issuance or contingentliabilities A ldquocontingent liabilityrdquo is one that will become an actual liabilityonly when one or more future events occur or fail to occur such as whereyou are liable only as a guarantor surety or endorser on a promissorynote If you are a ldquoco-makerrdquo and are jointly liable or jointly and severallyliable then it is not a contingent liability

PART F mdash INTERESTS IN SPECIFIED BUSINESSES[Required by s 1123145(6) FS]The types of businesses covered in this disclosure include state and

federally chartered banks state and federal savings and loan associationscemetery companies insurance companies mortgage companies creditunions small loan companies alcoholic beverage licensees pari-mutuelwagering companies utility companies entities controlled by the PublicService Commission and entities granted a franchise to operate by either acity or a county government

Disclose in this part the fact that you owned during the disclosure period aninterest in or held any of certain positions with the types of businesses listedabove You must make this disclosure if you own or owned (either directly orindirectly in the form of an equitable or beneficial interest) at any time duringthe disclosure period more than 5 of the total assets or capital stock ofone of the types of business entities listed above You also must completethis part of the form for each of these types of businesses for which youare or were at any time during the disclosure period an officer directorpartner proprietor or agent (other than a resident agent solely for service ofprocess)

If you have or held such a position or ownership interest in one ofthese types of businesses list the name of the business its address andprincipal business activity and the position held with the business (if any) Ifyou own(ed) more than a 5 interest in the business indicate that fact anddescribe the nature of your interest

PART G mdash TRAINING CERTIFICATION[Required by s 1123142 FS]If you are a Constitutional or elected municipal officer whose

service began before March 31 of the year for which you are filingyou are required to complete four hours of ethics training which addresses Article II Section 8 of the Florida Constitution the Codeof Ethics for Public Officers and Employees and the public recordsand open meetings laws of the state You are required to certify onthis form that you have taken such training

(End of Dollar Value Thresholds Instructions)

PART A mdash PRIMARY SOURCES OF INCOME[Required by s 1123145(3)(a)1 FS]Part A is intended to require the disclosure of your principal

sources of income during the disclosure period You do not haveto disclose any public salary or public position(s) but income from these public sources should be included when calculating your gross income for the disclosure period The income of your spouse need not be disclosed however if there is joint income to you and your spouse from property you own jointly (such as interest or dividends from a bank account or stocks) you should include all of that income when calculating your gross income and disclose the source of that income if it exceeded the threshold

Please list in this part of the form the name address and principal business activity of each source of your income whichexceeded 5 of the gross income received by you in your own name or by any other person for your benefit or use during the disclosure period

Gross income means the same as it does for income tax purposes even if the income is not actually taxable such as interest on tax-free bonds Examples include compensation for servicesincome from business gains from property dealings interest rents dividends pensions IRA distributions social security distributive share of partnership gross income and alimony but not child support

Examplesmdash If you were employed by a company that manufactures computers and received more than 5 of your gross income from the company list the name of the company its address and its principal business activity (computer manufacturing)mdash If you were a partner in a law firm and your distributive share of partnership gross income exceeded 5 of your gross income then list the name of the firm its address and its principal business activity (practice of law)mdash If you were the sole proprietor of a retail gift business andyour gross income from the business exceeded 5 of your total gross income list the name of the business its addressand its principal business activity (retail gift sales)mdash If you received income from investments in stocks and bonds list each individual company from which you derived

more than 5 of your gross income Do not aggregate all of your investment incomemdash If more than 5 of your gross income was gain from the sale of property (not just the selling price) list as a source of income the purchaserrsquos name address and principal business activityIf the purchasers identity is unknown such as where securities listed on an exchange are sold through a brokerage firm the source of income should be listed as sale of (name of company)stock for examplemdash If more than 5 of your gross income was in the form of interest from one particular financial institution (aggregatinginterest from all CDrsquos accounts etc at that institution) list the name of the institution its address and its principal business activity

PART B mdash SECONDARY SOURCES OF INCOME[Required by s 1123145(3)(a)2 FS]This part is intended to require the disclosure of major customers

clients and other sources of income to businesses in which you ownan interest It is not for reporting income from second jobs That kindof income should be reported in Part A Primary Sources of Incomeif it meets the reporting threshold You will not have anything to reportunless during the disclosure period

(1) You owned (either directly or indirectly in the form of anequitable or beneficial interest) more than 5 of the total assetsor capital stock of a business entity (a corporation partnershipLLC limited partnership proprietorship joint venture trust firmetc doing business in Florida) and(2) You received more than 10 of your gross income from thatbusiness entity and(3) You received more than $1500 in gross income from thatbusiness entity

If your interests and gross income exceeded these thresholds thenfor that business entity you must list every source of income to thebusiness entity which exceeded 10 of the business entityrsquos grossincome (computed on the basis of the business entityrsquos most recentlycompleted fiscal year) the sourcersquos address and the sourcersquosprincipal business activity

IF YOU HAVE CHOSEN COMPARATIVE (PERCENTAGE) THRESHOLDSTHE FOLLOWING INSTRUCTIONS APPLY

CE FORM 1 - Effective January 1 2020 Incorporated by reference in Rule 34-8202 FAC PAGE 5

MANNER OF CALCULATING REPORTABLE INTEREST Filers have the option of reporting based on either thresholds that are comparative (usually based on percentage values) or thresholds that are based on absolute dollar values The instructions on the following pages specifically describe the different thresholds Check the box that reflects the choice you have made You must use the type of threshold you have chosen for each part of the form In other words if you choose to report based on absolute dollar value thresholds you cannot use a percentage threshold on any part of the form

IF YOU HAVE CHOSEN DOLLAR VALUE THRESHOLDS THE FOLLOWING INSTRUCTIONS APPLY

PART A mdash PRIMARY SOURCES OF INCOME [Required by s 1123145(3)(b)1 FS] Part A is intended to require the disclosure of your principal

sources of income during the disclosure period You do not have todisclose any public salary or public position(s) The income of yourspouse need not be disclosed however if there is joint income toyou and your spouse from property you own jointly (such as interestor dividends from a bank account or stocks) you should disclose thesource of that income if it exceeded the threshold

Please list in this part of the form the name address andprincipal business activity of each source of your income whichexceeded $2500 of gross income received by you in your own name or by any other person for your use or benefit

Gross income means the same as it does for income tax purposes even if the income is not actually taxable such as interest on tax-free bonds Examples include compensation for servicesincome from business gains from property dealings interest rentsdividends pensions IRA distributions social security distributive share of partnership gross income and alimony but not child support

Examples mdash If you were employed by a company that manufacturescomputers and received more than $2500 list the name of thecompany its address and its principal business activity (computermanufacturing) mdash If you were a partner in a law firm and your distributive shareof partnership gross income exceeded $2500 list the name ofthe firm its address and its principal business activity (practice oflaw) mdash If you were the sole proprietor of a retail gift business and yourgross income from the business exceeded $2500 list the nameof the business its address and its principal business activity(retail gift sales) mdash If you received income from investments in stocks and bondslist each individual company from which you derived more than$2500 Do not aggregate all of your investment income mdash If more than $2500 of your gross income was gain from thesale of property (not just the selling price) list as a source ofincome the purchaserrsquos name address and principal businessactivity If the purchaserrsquos identity is unknown such as wheresecurities listed on an exchange are sold through a brokeragefirm the source of income should be listed as sale of (name of company) stock for example mdash If more than $2500 of your gross income was in the formof interest from one particular financial institution (aggregatinginterest from all CDrsquos accounts etc at that institution) list the name of the institution its address and its principal business activity

PART B mdash SECONDARY SOURCES OF INCOME [Required by s 1123145(3)(b)2 FS] This part is intended to require the disclosure of major customers

clients and other sources of income to businesses in which you own aninterest It is not for reporting income from second jobs That kind of incomeshould be reported in Part A Primary Sources of Income if it meets thereporting threshold You will not have anything to report unless during thedisclosure period

(1) You owned (either directly or indirectly in the form of an equitableor beneficial interest) more than 5 of the total assets or capitalstock of a business entity (a corporation partnership LLC limitedpartnership proprietorship joint venture trust firm etc doing business in Florida) and (2) You received more than $5000 of your gross income during thedisclosure period from that business entity

If your interests and gross income exceeded these thresholds then for thatbusiness entity you must list every source of income to the business entitywhich exceeded 10 of the business entityrsquos gross income (computed onthe basis of the business entitys most recently completed fiscal year) thesourcersquos address and the sources principal business activity

Examples mdash You are the sole proprietor of a dry cleaning business from whichyou received more than $5000 If only one customer a uniform rentalcompany provided more than 10 of your dry cleaning business youmust list the name of the uniform rental company its address and itsprincipal business activity (uniform rentals) mdash You are a 20 partner in a partnership that owns a shopping malland your partnership income exceeded the above thresholds List eachtenant of the mall that provided more than 10 of the partnershipsgross income and the tenants address and principal business activity

PART C mdash REAL PROPERTY [Required by s 1123145(3)(b)3 FS] In this part list the location or description of all real property in Florida

in which you owned directly or indirectly at any time during the disclosureperiod in excess of 5 of the propertyrsquos value You are not required to listyour residences You should list any vacation homes if you derive incomefrom them

Indirect ownership includes situations where you are a beneficiary of atrust that owns the property as well as situations where you own more than5 of a partnership or corporation that owns the property The value of theproperty may be determined by the most recently assessed value for taxpurposes in the absence of a more current appraisal

The location or description of the property should be sufficient toenable anyone who looks at the form to identify the property A streetaddress should be used if one exists

PART D mdash INTANGIBLE PERSONAL PROPERTY [Required by s 1123145(3)(b)3 FS] Describe any intangible personal property that at any time during the

disclosure period was worth more than $10000 and state the businessentity to which the property related Intangible personal property includesthings such as cash on hand stocks bonds certificates of deposit vehicleleases interests in businesses beneficial interests in trusts money owedyou Deferred Retirement Option Program (DROP) accounts the FloridaPrepaid College Plan and bank accounts Intangible personal propertyalso includes investment products held in IRAs brokerage accounts andthe Florida College Investment Plan Note that the product contained in a brokerage account IRA or the Florida College Investment Plan is yourassetmdashnot the account or plan itself Things like automobiles and housesyou own jewelry and paintings are not intangible property Intangiblesrelating to the same business entity may be aggregated for example CDsand savings accounts with the same bank Property owned as tenants bythe entirety or as joint tenants with right of survivorship should be valued at100 The value of a leased vehicle is the vehiclersquos present value minusthe lease residual (a number found on the lease document)

CE FORM 1 - Effective January 1 2020 Incorporated by reference in Rule 34-8202 FAC PAGE 4

PART A mdash PRIMARY SOURCES OF INCOME[Required by s 1123145(3)(b)1 FS]Part A is intended to require the disclosure of your principal

sources of income during the disclosure period You do not have todisclose any public salary or public position(s) The income of yourspouse need not be disclosed however if there is joint income t oyou and your spouse from property you own jointly (such as interestor dividends from a bank account or stocks) you should disclose thesource of that income if it exceeded the threshold

Please list in this part of the form the name address andprincipal business activity of each source of your income whichexceeded $2500 of gross income received by you in your own name or by any other person for your use or benefit

Gross income means the same as it does for income taxpurposes even if the income is not actually taxable such as intereston tax-free bonds Examples include compensation for servicesincome from business gains from property dealings interest rentsdividends pensions IRA distributions social security distributiveshare of partnership gross income and alimony but not child support

Examplesmdash If you were employed by a company that manufacturescomputers and received more than $2500 list the name of thecompany its address and its principal business activity (computermanufacturing)mdash If you were a partner in a law firm and your distributive shareof partnership gross income exceeded $2500 list the name ofthe firm its address and its principal business activity (practice oflaw)mdash If you were the sole proprietor of a retail gift business and yourgross income from the business exceeded $2500 list the nameof the business its address and its principal business activity(retail gift sales)mdash If you received income from investments in stocks and bondslist each individual company from which you derived more than$2500 Do not aggregate all of your investment incomemdash If more than $2500 of your gross income was gain from thesale of property (not just the selling price) list as a source o fincome the purchaserrsquos name address and principal businessactivity If the purchaserrsquos identity is unknown such as wheresecurities listed on an exchange are sold through a brokeragefirm the source of income should be listed as sale of (name of company) stock for examplemdash If more than $2500 of your gross income was in the formof interest from one particular financial institution (aggregatinginterest from all CDrsquos accounts etc at that institution) list thename of the institution its address and its principal business activity

PART B mdash SECONDARY SOURCES OF INCOME[Required by s 1123145(3)(b)2 FS]This part is intended to require the disclosure of major customers

clients and other sources of income to businesses in which you own aninterest It is not for reporting income from second jobs That kind of incomeshould be reported in Part A Primary Sources of Income if it meets thereporting threshold You will not have anything to report unless during thedisclosure period

(1) You owned (either directly or indirectly in the form of an equitableor beneficial interest) more than 5 of the total assets or capitalstock of a business entity (a corporation partnership LLC limitedpartnership proprietorship joint venture trust firm etc doing business in Florida) and(2) You received more than $5000 of your gross income during thedisclosure period from that business entity

If your interests and gross income exceeded these thresholds then for thatbusiness entity you must list every source of income to the business entitywhich exceeded 10 of the business entityrsquos gross income (computed onthe basis of the business entitys most recently completed fiscal year) thesourcersquos address and the sources principal business activity

Examplesmdash You are the sole proprietor of a dry cleaning business from whichyou received more than $5000 If only one customer a uniform rentalcompany provided more than 10 of your dry cleaning business youmust list the name of the uniform rental company its address and itsprincipal business activity (uniform rentals)mdash You are a 20 partner in a partnership that owns a shopping malland your partnership income exceeded the above thresholds List eachtenant of the mall that provided more than 10 of the partnershipsgross income and the tenants address and principal business activity

PART C mdash REAL PROPERTY[Required by s 1123145(3)(b)3 FS]In this part list the location or description of all real property in Florida

in which you owned directly or indirectly at any time during the disclosureperiod in excess of 5 of the propertyrsquos value You are not required to listyour residences You should list any vacation homes if you derive incomefrom them

Indirect ownership includes situations where you are a beneficiary of atrust that owns the property as well as situations where you own more than5 of a partnership or corporation that owns the property The value of theproperty may be determined by the most recently assessed value for taxpurposes in the absence of a more current appraisal

The location or description of the property should be sufficient toenable anyone who looks at the form to identify the property A streetaddress should be used if one exists

PART D mdash INTANGIBLE PERSONAL PROPERTY[Required by s 1123145(3)(b)3 FS]Describe any intangible personal property that at any time during the

disclosure period was worth more than $10000 and state the businessentity to which the property related Intangible personal property includesthings such as cash on hand stocks bonds certificates of deposit vehicleleases interests in businesses beneficial interests in trusts money owedyou Deferred Retirement Option Program (DROP) accounts the FloridaPrepaid College Plan and bank accounts Intangible personal propertyalso includes investment products held in IRAs brokerage accounts andthe Florida College Investment Plan Note that the product contained ina brokerage account IRA or the Florida College Investment Plan is yourassetmdashnot the account or plan itself Things like automobiles and housesyou own jewelry and paintings are not intangible property Intangiblesrelating to the same business entity may be aggregated for example CDsand savings accounts with the same bank Property owned as tenants bythe entirety or as joint tenants with right of survivorship should be valued at100 The value of a leased vehicle is the vehiclersquos present value minusthe lease residual (a number found on the lease document)

Filers have the option of reporting based on either thresholds that are comparative (usually based on percentage values) orthresholds that are based on absolute dollar values The instructions on the following pages specifically describe the differentthresholds Check the box that reflects the choice you have made You must use the type of threshold you have chosen for eachpart of the form In other words if you choose to report based on absolute dollar value thresholds you cannot use a percentagethreshold on any part of the form

MANNER OF CALCULATING REPORTABLE INTEREST

IF YOU HAVE CHOSEN DOLLAR VALUE THRESHOLDSTHE FOLLOWING INSTRUCTIONS APPLY

CE FORM 1 - Effective January 1 2020 Incorporated by reference in Rule 34-8202 FAC PAGE 4

PART E mdash LIABILITIES [Required by s 1123145(3)(b)4 FS] List the name and address of each creditor to whom you owed more

than $10000 at any time during the disclosure period The amount of theliability of a vehicle lease is the sum of any past-due payments and allunpaid prospective lease payments You are not required to list the amountof any debt You do not have to disclose credit card and retail installmentaccounts taxes owed (unless reduced to a judgment) indebtedness ona life insurance policy owed to the company of issuance or contingentliabilities A ldquocontingent liabilityrdquo is one that will become an actual liabilityonly when one or more future events occur or fail to occur such as whereyou are liable only as a guarantor surety or endorser on a promissorynote If you are a ldquoco-makerrdquo and are jointly liable or jointly and severallyliable then it is not a contingent liability

PART F mdash INTERESTS IN SPECIFIED BUSINESSES [Required by s 1123145(6) FS] The types of businesses covered in this disclosure include state and

federally chartered banks state and federal savings and loan associationscemetery companies insurance companies mortgage companies creditunions small loan companies alcoholic beverage licensees pari-mutuelwagering companies utility companies entities controlled by the PublicService Commission and entities granted a franchise to operate by either acity or a county government

Disclose in this part the fact that you owned during the disclosure period aninterest in or held any of certain positions with the types of businesses listedabove You must make this disclosure if you own or owned (either directly orindirectly in the form of an equitable or beneficial interest) at any time duringthe disclosure period more than 5 of the total assets or capital stock ofone of the types of business entities listed above You also must completethis part of the form for each of these types of businesses for which youare or were at any time during the disclosure period an officer directorpartner proprietor or agent (other than a resident agent solely for service ofprocess)

If you have or held such a position or ownership interest in one ofthese types of businesses list the name of the business its address andprincipal business activity and the position held with the business (if any) Ifyou own(ed) more than a 5 interest in the business indicate that fact anddescribe the nature of your interest

PART G mdash TRAINING CERTIFICATION [Required by s 1123142 FS] If you are a Constitutional or elected municipal officer whose

service began before March 31 of the year for which you are filingyou are required to complete four hours of ethics training which addresses Article II Section 8 of the Florida Constitution the Code of Ethics for Public Officers and Employees and the public recordsand open meetings laws of the state You are required to certify onthis form that you have taken such training

(End of Dollar Value Thresholds Instructions)

IF YOU HAVE CHOSEN COMPARATIVE (PERCENTAGE) THRESHOLDS THE FOLLOWING INSTRUCTIONS APPLY

PART A mdash PRIMARY SOURCES OF INCOME [Required by s 1123145(3)(a)1 FS] Part A is intended to require the disclosure of your principal

sources of income during the disclosure period You do not haveto disclose any public salary or public position(s) but income from these public sources should be included when calculating your gross income for the disclosure period The income of your spouse need not be disclosed however if there is joint income to you and your spouse from property you own jointly (such as interest or dividends from a bank account or stocks) you should include all of that income when calculating your gross income and disclose the source of that income if it exceeded the threshold

Please list in this part of the form the name address and principal business activity of each source of your income whichexceeded 5 of the gross income received by you in your own name or by any other person for your benefit or use during the disclosure period

Gross income means the same as it does for income tax purposes even if the income is not actually taxable such as interest on tax-free bonds Examples include compensation for servicesincome from business gains from property dealings interest rents dividends pensions IRA distributions social security distributive share of partnership gross income and alimony but not child support

Examples mdash If you were employed by a company that manufactures computers and received more than 5 of your gross income from the company list the name of the company its address and its principal business activity (computer manufacturing) mdash If you were a partner in a law firm and your distributive share of partnership gross income exceeded 5 of your gross income then list the name of the firm its address and its principal business activity (practice of law) mdash If you were the sole proprietor of a retail gift business andyour gross income from the business exceeded 5 of your total gross income list the name of the business its addressand its principal business activity (retail gift sales) mdash If you received income from investments in stocks and bonds list each individual company from which you derived

more than 5 of your gross income Do not aggregate all of your investment income mdash If more than 5 of your gross income was gain from the sale of property (not just the selling price) list as a source of income the purchaserrsquos name address and principal business activityIf the purchasers identity is unknown such as where securities listed on an exchange are sold through a brokerage firm the source of income should be listed as sale of (name of company)stock for example mdash If more than 5 of your gross income was in the form of interest from one particular financial institution (aggregatinginterest from all CDrsquos accounts etc at that institution) list the name of the institution its address and its principal business activity

PART B mdash SECONDARY SOURCES OF INCOME [Required by s 1123145(3)(a)2 FS] This part is intended to require the disclosure of major customers

clients and other sources of income to businesses in which you ownan interest It is not for reporting income from second jobs That kindof income should be reported in Part A Primary Sources of Incomeif it meets the reporting threshold You will not have anything to report unless during the disclosure period

(1) You owned (either directly or indirectly in the form of anequitable or beneficial interest) more than 5 of the total assetsor capital stock of a business entity (a corporation partnershipLLC limited partnership proprietorship joint venture trust firmetc doing business in Florida) and (2) You received more than 10 of your gross income from thatbusiness entity and (3) You received more than $1500 in gross income from thatbusiness entity

If your interests and gross income exceeded these thresholds thenfor that business entity you must list every source of income to thebusiness entity which exceeded 10 of the business entityrsquos grossincome (computed on the basis of the business entityrsquos most recentlycompleted fiscal year) the sourcersquos address and the sourcersquos principal business activity

CE FORM 1 - Effective January 1 2020 Incorporated by reference in Rule 34-8202 FAC PAGE 5

NOTICE Annual Statements of Financial Interests are due July 1 If the annual form is not filed or postmarked by September 1 an automatic fine of $25 for each day late will be imposed up to a maximum penalty of $1500 Failure to file also can result in removal from public office or employment [s 1123145 FS]

In addition failure to make any required disclosure constitutes grounds for and may be punished by one or more of the following disqualification from being on the ballot impeachment removal or suspension from office or employment demotion reduction in salary reprimand or a civil penalty not exceeding $10000 [s 112317 FS]

1) Elected public officials not serving in a political subdivision of thestate and any person appointed to fill a vacancy in such office unlessrequired to file full disclosure on Form 62) Appointed members of each board commission authority

or council having statewide jurisdiction excluding members of solelyadvisory bodies but including judicial nominating commission membersDirectors of Enterprise Florida Scripps Florida Funding Corporationand Career Source Florida and members of the Council on the SocialStatus of Black Men and Boys the Executive Director Governors and senior managers of Citizens Property Insurance CorporationGovernors and senior managers of Florida Workers Compensation JointUnderwriting Association board members of the Northeast Fla RegionalTransportation Commission board members of Triumph Gulf Coast Incboard members of Florida Is For Veterans Inc and members of theTechnology Advisory Council within the Agency for State Technology3) The Commissioner of Education members of the State Board

of Education the Board of Governors the local Boards of Trustees andPresidents of state universities and the Florida Prepaid College Board4) Persons elected to office in any political subdivision (such a s

municipalities counties and special districts) and any person appointedto fill a vacancy in such office unless required to file Form 65) Appointed members of the following boards councils

commissions authorities or other bodies of county municipality schooldistrict independent special district or other political subdivision thegoverning body of the subdivision community college or junior collegedistrict boards of trustees boards having the power to enforce local codeprovisions boards of adjustment community redevelopment agenciesplanning or zoning boards having the power to recommend create ormodify land planning or zoning within a political subdivision except forcitizen advisory committees technical coordinating committees andsimilar groups who only have the power to make recommendationsto planning or zoning boards and except for representatives of amilitary installation acting on behalf of all military installations within thatjurisdiction pension or retirement boards empowered to invest pensionor retirement funds or determine entitlement to or amount of pensions orother retirement benefits and the Pinellas County Construction LicensingBoard6) Any appointed member of a local government board who

is required to file a statement of financial interests by the appointingauthority or the enabling legislation ordinance or resolution creating theboard7) Persons holding any of these positions in local government

mayor county or city manager chief administrative employee or finance

director of a county municipality or other political subdivision countyor municipal attorney chief county or municipal building inspectorcounty or municipal water resources coordinator county or municipalpollution control director county or municipal environmental controldirector county or municipal administrator with power to grant or denya land development permit chief of police fire chief municipal clerkappointed district school superintendent community college presidentdistrict medical examiner purchasing agent (regardless of title) havingthe authority to make any purchase exceeding $35000 for the localgovernmental unit8) Officers and employees of entities serving as chief administrative

officer of a political subdivision9) Members of governing boards of charter schools operated by a

city or other public entity10) Employees in the office of the Governor or of a Cabinet member

who are exempt from the Career Service System excluding secretarialclerical and similar positions11) The following positions in each state department commission

board or council Secretary Assistant or Deputy Secretary ExecutiveDirector Assistant or Deputy Executive Director and anyone having thepower normally conferred upon such persons regardless of title12) The following positions in each state department or division

Director Assistant or Deputy Director Bureau Chief and any personhaving the power normally conferred upon such persons regardless oftitle13) Assistant State Attorneys Assistant Public Defenders criminal

conflict and civil regional counsel and assistant criminal conflict and civilregional counsel Public Counsel full-time state employees serving ascounsel or assistant counsel to a state agency administrative law judgesand hearing officers14) The Superintendent or Director of a state mental health institute

established for training and research in the mental health field or anymajor state institution or facility established for corrections trainingtreatment or rehabilitation15) State agency Business Managers Finance and Accounting

Directors Personnel Officers Grant Coordinators and purchasingagents (regardless of title) with power to make a purchase exceeding$3500016) The following positions in legislative branch agencies each

employee (other than those employed in maintenance clerical secretarial or similar positions and legislative assistants exemptedby the presiding officer of their house) and each employee of theCommission on Ethics

INSTRUCTIONS FOR COMPLETING FORM 1INTRODUCTORY INFORMATION (Top of Form) If your name mailing address public agency and position are already printed on the form you do not need to provide this information unless it should be changed To change any of this information write the correct information on the form and contact your agencys financial disclosure coordinator You can find your coordinator on the Commission on Ethics website wwwethicsstateflus NAME OF AGENCY The name of the governmental unit which you serve or served by which you are or were employed or for which you are a candidate DISCLOSURE PERIOD The ldquodisclosure periodrdquo for your report is the calendar year ending December 31 2019

OFFICE OR POSITION HELD OR SOUGHT The title of the office or position you hold are seeking or held during the disclosure period even if you have since left that position If you are a candidate for office or are a new employee or appointee check the appropriate boxPUBLIC RECORD The disclosure form and everythingattached to it is a public record Your Social Security Number is not required and you should redact it from any documents you file If you are an active or former officer or employee listed in Section 119071 FS whose home address is exempt from disclosure the Commission will maintain that confidentiality if you submit a written request

WHO MUST FILE FORM 1

CE FORM 1 - Effective January 1 2020 Incorporated by reference in Rule 34-8202 FAC PAGE 3

Examples PART E mdash LIABILITIES mdash You are the sole proprietor of a dry cleaning business from [Required by s 1123145(3)(b)4 FS]which you received more than 10 of your gross incomemdashan List the name and address of each creditor to whom you owed amount that was more than $1500 If only one customer a any amount that at any time during the disclosure period exceeded uniform rental company provided more than 10 of your dry your net worth You are not required to list the amount of any debt cleaning business you must list the name of the uniform rental or your net worth You do not have to disclose credit card and retail company its address and its principal business activity (uniform installment accounts taxes owed (unless reduced to a judgment) rentals) indebtedness on a life insurance policy owed to the company of mdash You are a 20 partner in a partnership that owns a shopping issuance or contingent liabilities A ldquocontingent liabilityrdquo is one mall and your partnership income exceeded the thresholds that will become an actual liability only when one or more future listed above You should list each tenant of the mall that events occur or fail to occur such as where you are liable only as provided more than 10 of the partnershiprsquos gross income and a guarantor surety or endorser on a promissory note If you are a the tenantrsquos address and principal business activity ldquoco-makerrdquo and are jointly liable or jointly and severally liable it is not

a contingent liability PART C mdash REAL PROPERTY Calculations To determine whether the debt exceeds your

[Required by s 1123145(3)(a)3 FS] net worth total all of your liabilities (including promissory notes mortgages credit card debts judgments against you etc) TheIn this part list the location or description of all real property in amount of the liability of a vehicle lease is the sum of any past-due Florida in which you owned directly or indirectly at any time during payments and all unpaid prospective lease payments Subtract the disclosure period in excess of 5 of the propertyrsquos value You the sum total of your liabilities from the value of all your assets are not required to list your residences You should list any vacation as calculated above for Part D This is your ldquonet worthrdquo List each homes if you derive income from them creditor to whom your debt exceeded this amount unless it is one of

Indirect ownership includes situations where you are a the types of indebtedness listed in the paragraph above (credit card beneficiary of a trust that owns the property as well as situations and retail installment accounts etc) Joint liabilities with others for where you own more than 5 of a partnership or corporation that which you are ldquojointly and severally liablerdquo meaning that you may owns the property The value of the property may be determined by be liable for either your part or the whole of the obligation should be the most recently assessed value for tax purposes in the absence included in your calculations at 100 of the amount owed of a more current appraisal

Example You owe $15000 to a bank for student loans $5000 The location or description of the property should be sufficient for credit card debts and $60000 (with spouse) to a savings to enable anyone who looks at the form to identify the property A and loan for a home mortgage Your home (owned by you and street address should be used if one exists your spouse) is worth $80000 and your other property is worth PART D mdash INTANGIBLE PERSONAL PROPERTY $20000 Since your net worth is $20000 ($100000 minus

$80000) you must report only the name and address of the [Required by s 1123145(3)(a)3 FS] savings and loan Describe any intangible personal property that at any time

during the disclosure period was worth more than 10 of your PART F mdash INTERESTS IN SPECIFIED BUSINESSES total assets and state the business entity to which the property [Required by s 1123145 FS] related Intangible personal property includes things such as cash on hand stocks bonds certificates of deposit vehicle leases The types of businesses covered in this disclosure include interests in businesses beneficial interests in trusts money owed state and federally chartered banks state and federal savings and you Deferred Retirement Option Program (DROP) accounts loan associations cemetery companies insurance companies the Florida Prepaid College Plan and bank accounts Intangible mortgage companies credit unions small loan companies alcoholic personal property also includes investment products held in IRAs beverage licensees pari-mutuel wagering companies utilitybrokerage accounts and the Florida College Investment Plan companies entities controlled by the Public Service Commission Note that the product contained in a brokerage account IRA or the and entities granted a franchise to operate by either a city or a Florida College Investment Plan is your assetmdashnot the account or county governmentplan itself Things like automobiles and houses you own jewelry Disclose in this part the fact that you owned during the and paintings are not intangible property Intangibles relating to the disclosure period an interest in or held any of certain positions same business entity may be aggregated for example CDrsquos and with the types of businesses listed above You are requiredsavings accounts with the same bank to make this disclosure if you own or owned (either directly or

Calculations To determine whether the intangible property indirectly in the form of an equitable or beneficial interest) at any exceeds 10 of your total assets total the fair market value of time during the disclosure period more than 5 of the total assets all of your assets (including real property intangible property and or capital stock of one of the types of business entities listed above tangible personal property such as jewelry furniture etc) When You also must complete this part of the form for each of these types making this calculation do not subtract any liabilities (debts) that of businesses for which you are or were at any time during themay relate to the property Multiply the total figure by 10 to arrive disclosure period an officer director partner proprietor or agent at the disclosure threshold List only the intangibles that exceed (other than a resident agent solely for service of process) this threshold amount The value of a leased vehicle is the vehiclersquos If you have or held such a position or ownership interest in present value minus the lease residual (a number which can be one of these types of businesses list the name of the business its found on the lease document) Property that is only jointly owned address and principal business activity and the position held with property should be valued according to the percentage of your the business (if any) If you own(ed) more than a 5 interest in the joint ownership Property owned as tenants by the entirety or as business indicate that fact and describe the nature of your interest joint tenants with right of survivorship should be valued at 100 None of your calculations or the value of the property have to be PART G mdash TRAINING CERTIFICATIONdisclosed on the form

[Required by s 1123142 FS] Example You own 50 of the stock of a small corporation that is worth $100000 the estimated fair market value of If you are a Constitutional or elected municipal officer whoseyour home and other property (bank accounts automobile service began before March 31 of the year for which you are filing furniture etc) is $200000 As your total assets are worth you are required to complete four hours of ethics training which $250000 you must disclose intangibles worth over $25000 addresses Article II Section 8 of the Florida Constitution the Code Since the value of the stock exceeds this threshold you of Ethics for Public Officers and Employees and the public records should list ldquostockrdquo and the name of the corporation If your and open meetings laws of the state You are required to certify on accounts with a particular bank exceed $25000 you should this form that you have taken such training list ldquobank accountsrdquo and bankrsquos name

(

End of Percentage Thresholds Instructions) CE FORM 1 - Effective January 1 2020 Incorporated by reference in Rule 34-8202 FAC PAGE 6

  • 0 HP Cover Page v2
  • 1 Hawks Point Meeting Invite Draft v2
  • 2 Agenda Draft v3
  • 3 EXHIBIT 1
  • 7 HP 05-19-2020 Meeting Minutes Approved
  • 6 EXHIBIT 2
  • 9 HP May FY20 Fin
  • 8 EXHIBIT 3
  • 4 Vacant Position Qualification Requirements for Hawks Point CDD
    • Vacant Position on the Board of Supervisors of the Hawkrsquos Point Community Development District
      • Qualification Requirements
      • Instructions for Interested Candidates
      • Additional Notes
          • 5 Shami Choon Vacant Position - updated 11-5-11 resume
            • 1803 Oak Pond Street Ruskin Fl 33570 E-mailchoons27gmailcom
              • PROFESSIONAL HISTORY
                • Operations Manager Florida Distribution 2002 ndash 2005
                • Operations Manager for Florida Branch Distribution 1999 ndash 2002
                • Warehouse Manager of Miami Distribution Center 1998 ndash 1999
                • Branch Manager of West Palm Beach 1994 ndash 1998
                • Assistant Branch Manager 1991 ndash 1994
                • Customer Service Agent 1990 ndash 1991
                  • 10 EXHIBIT 4
                  • 11 New Business - Hawks Point CDD - MI proposal
                  • 12 EXHIBIT 5
                  • 13 CertaPro Proposal to Paint Exterior Wall 18th to 24th Avenue
                  • 14 Shazam Construction Proposal to Paint Exterior Wall 18th to 24th Street
                    • QUOTE
                      • TO
                          • 15 Photo to accompany Shazam Proposal
                          • 16 EXHIBIT 6
                          • 17 CertaPro Proposal for Pressure Washing Exterior Wall 18th St to 24th Street
                          • 18 Shazam Construction Proposal for Pressure Washing Exterion Wall 18th Street to 24th Street
                            • QUOTE
                              • TO
                                  • 19 EXHIBIT 7
                                  • 20 Form 1_2019i
                                      1. LAST NAME
                                      2. FIRST NAME
                                      3. MIDDLE NAME
                                      4. MAILING ADDRESS ROW 1
                                      5. MAILING ADDRESS ROW 2
                                      6. CITY
                                      7. ZIP
                                      8. COUNTY
                                      9. NAME OF AGENCY
                                      10. NAME OF OFFICE OR POSITION HELD OR SOUGHT
                                      11. CANDIDATE Off
                                      12. NEW EMPLOYEE OR APPOINTEE Off
                                      13. COMPARATIVE (PERCENTAGE) THRESHOLDS Off
                                      14. DOLLAR VALUE THRESHOLDS Off
                                      15. NAME OF SOURCE INCOME ROW 1
                                      16. ADDRESS ROW 1
                                      17. DESCRIPTION OF THE SOURCES PRINCIPAL BUSINESS ACTIVITY ROW 1
                                      18. NAME OF SOURCE INCOME ROW 2
                                      19. ADDRESS ROW 2
                                      20. DESCRIPTION OF THE SOURCES PRINCIPAL BUSINESS ACTIVITY ROW 2
                                      21. NAME OF SOURCE INCOME ROW 3
                                      22. ADDRESS ROW 3
                                      23. DESCRIPTION OF THE SOURCES PRINCIPAL BUSINESS ACTIVITY ROW 3
                                      24. NAME OF SOURCE INCOME ROW 4
                                      25. ADDRESS ROW 4
                                      26. DESCRIPTION OF THE SOURCES PRINCIPAL BUSINESS ACTIVITY ROW 4
                                      27. NAME OF BUSINESS ENTITY ROW 1
                                      28. NAME OF MAJOR SOURCES OF BUSINESS INCOME ROW 1
                                      29. ADDRESS OF SOURCE ROW 1
                                      30. PRINCIPAL BUSINESS ACTIVITY OF SOURCE ROW 1
                                      31. NAME OF BUSINESS ENTITY ROW 2
                                      32. NAME OF MAJOR SOURCES OF BUSINESS INCOME ROW 2
                                      33. ADDRESS OF SOURCE ROW 2
                                      34. PRINCIPAL BUSINESS ACTIVITY OF SOURCE ROW 2
                                      35. NAME OF BUSINESS ENTITY ROW 3
                                      36. NAME OF MAJOR SOURCES OF BUSINESS INCOME ROW 3
                                      37. ADDRESS OF SOURCE ROW 3
                                      38. PRINCIPAL BUSINESS ACTIVITY OF SOURCE ROW 3
                                      39. REAL PROPERTY ROW 1
                                      40. REAL PROPERTY ROW 2
                                      41. REAL PROPERTY ROW 3
                                      42. REAL PROPERTY ROW 4
                                      43. TYPE OF INTANGIBLE ROW 1
                                      44. BUSINESS ENTITY TO WHICH THE PROPERTY RELATES ROW 1
                                      45. TYPE OF INTANGIBLE ROW 2
                                      46. BUSINESS ENTITY TO WHICH THE PROPERTY RELATES ROW 2
                                      47. NAME OF CREDITOR ROW 1
                                      48. ADDRESS OF CREDITOR ROW 1
                                      49. NAME OF CREDITOR ROW 2
                                      50. ADDRESS OF CREDITOR ROW 2
                                      51. ADDRESS OF BUSINESS ENTITY 1
                                      52. PRINCIPAL BUSINESS ACTIVITY 1
                                      53. POSITION HELD WITH ENTITY 1
                                      54. I OWN MORE THAN A 5 INTEREST IN THE BUSINESS 1
                                      55. NATURE OF MY OWNERSHIP INTEREST 1
                                      56. ADDRESS OF BUSINESS ENTITY 2
                                      57. PRINCIPAL BUSINESS ACTIVITY 2
                                      58. POSITION HELD WITH ENTITY 2
                                      59. I OWN MORE THAN A 5 INTEREST IN THE BUSINESS 2
                                      60. NATURE OF MY OWNERSHIP INTEREST 2
                                      61. FOR ELECTED MUNICIPAL OFFICERS REQUIRED TO COMPLETE ANNUAL ETHICS TRAINING PURSUANT TO SECTION 112
                                        1. 3142 F
                                          1. S Off
                                              1. IF ANY OF PARTS A THROUGH G ARE CONTINUED ON A SEPARATE SHEET PLEASE CHECK HERE Off
                                              2. SIGNATURE
                                              3. Date Signed
Page 18: HAWKS POINT COMMUNITY DEVELOPMENT …...2020/06/16  · Hawks Point Community Development District Board of Supervisors Meeting Tuesday, June 16th at 6:30 PM via Zoom All: We welcome

Date Num Name Memo Receipts Disbursements Balance

Bank United EOY Balance 9460943

10012019 9035 DPFG MANAGEMENT amp CONSULTING LLC CDD Mgmt - October 385833 9075110

10022019 Hawks Point West HOA 2019-245- HPW 18866 9093976

10082019 646 Hawks Point HOA 2019245 - HPA 21225 9115201

10082019 Hawks Point West HOA 201956 - HPW 208516 9323717

10082019 1115 Egis Insurance amp Risk Advisors Ins - FY 2020 563800 8759917

10112019 9036 JAYMAN ENTERPRISES LLC Replace Bulbs at Entrances Rcvd 10119 23000 8736917

10112019 9037 Landscape Maintenance Professionals Inc Landscape Maint - October 1105000 7631917

10162019 1116 FLORIDA DEPT OF ECONOMIC OPPORTUNIT Annual Filing FY 2020 17500 7614417

10182019 9041 TAMPA BAY TIMES Legal Ad - Meeting Schedule 55200 7559217

10212019 9038 DPFG MANAGEMENT amp CONSULTING LLC Special Assessment - FY 2020 Continuing Disclosure ADA Compliance 650000 6909217

10212019 9039 JAYMAN ENTERPRISES LLC Replace Bulbs 7000 6902217

10212019 9040 STANTEC CONSULTING SERVICES INC Lake amp Pond Maint - Sept 10500 6891717

10242019 ACH102419 TAMPA ELECTRIC 830-930 - 1416 Little Hawk Dr 7637 6884080

10242019 ACH1024192 TAMPA ELECTRIC 830-930 - 2160 Golden Falcon Dr 7083 6876997

10242019 000652 Hawks Point HOA 20197-HPA 4921 6881918

10252019 694003DD ANDREW HERON Bos Mtg - 101519 18470 6863448

10252019 ACH102519 Innovative Employer Soltuions Bos Mtg - 101519 17140 6846308

10252019 694005DD KAREN OBRIEN Bos Mtg - 101519 18470 6827838

10252019 694004DD SHERRI KEENE Bos Mtg - 101519 18470 6809368

10252019 694002DD WILLIAM J HATHAWAY Bos Mtg - 101519 18470 6790898

10312019 Bank United Interest 691 6791589

Bank United EOM Balance 254219 2923573 6791589

11012019 9042 DPFG MANAGEMENT amp CONSULTING LLC CDD Mgmt - November 385833 6405756

11012019 9043 STANTEC CONSULTING SERVICES INC Lake amp Pond Maint - Pond 201-19 amp 21 - Sept 274000 6131756

11012019 9044 STRALEY ROBIN VERICKER Legal Svcs thru 101519 65999 6065757

11122019 1117 HAWKS POINT CDD DS 2017 Tax Collection Share co Wells Fargo 762290 5303467

11152019 9045 Landscape Maintenance Professionals Inc Landscape Maint - November amp Irrigation Repairs 1229369 4074098

11152019 9046 STANTEC CONSULTING SERVICES INC Lake amp Pond Maint - Oct 333600 3740498

11202019 9048 TAMPA BAY TIMES Legal Ad - Audit Meeting 42050 3698448

11222019 9047 STANTEC CONSULTING SERVICES INC Lake amp Pond Maint - Pond 20 - Oct 10500 3687948

11252019 ACH1125191 TAMPA ELECTRIC 101-1030 - 1416 Little Hawk Dr 7431 3680517

11252019 ACH1125192 TAMPA ELECTRIC 101-1030 - 2160 Golden Falcon Dr 8753 3671764

11292019 703783DD ANDREW HERON Bos Mtg - 111919 18470 3653294

11292019 ACH112919 Innovative Employer Soltuions Bos Mtg - 111919 20200 3633094

11292019 703785DD KAREN OBRIEN Bos Mtg - 111919 18470 3614624

11292019 703781DD MARIE CHANTAL COPELAND Bos Mtg - 111919 18470 3596154

11292019 703784DD SHERRI KEENE Bos Mtg - 111919 18470 3577684

11292019 703782DD WILLIAM J HATHAWAY Bos Mtg - 111919 18470 3559214

11302019 Bank United Interest 450 3559664

Bank United EOM Balance 450 3232375 3559664

12022019 9049 DPFG MANAGEMENT amp CONSULTING LLC CDD Mgmt - December 385833 3173831

12042019 694 Hawks Point HOA 20198-HPA 5105 3178936

12042019 503 Hawks Point West HOA 20197-HPW amp 20198-HPW 7388 3186324

12042019 1118 Site Masters of Florida LLC Investigation of pipe discharge Townhome Yard Drain Blockage 150000 3036324

12112019 9050 Illuminations Holiday Lighting Electrical Fix Holiday Lights - Deposit 261250 2775074

12132019 Bank United Funds Transfer - MMK to Opt Acct 4500000 7275074

12132019 Bank United Funds Transfer - MMK to Opt Acct 50834407 58109481

12162019 9055 TAMPA BAY TIMES Legal Ad - RFP Auditing Svc 36100 58073381

12182019 9051 Flatwoods Environmental Cut amp Dispose Brazilian Pepper 396500 57676881

12182019 9052 Landscape Maintenance Professionals Inc Landscape Maint - December 1105000 56571881

12182019 9053 STANTEC CONSULTING SERVICES INC Misc Environmental Services 137000 56434881

12182019 9054 STRALEY ROBIN VERICKER Legal Svcs thru 111519 57500 56377381

12182019 1119 HAWKS POINT CDD DS 2017 Tax Collection Share co Wells Fargo 49544765 6832616

12182019 1120 Innersync ADA Compliant website 124942 6707674

12262019 ACH1226191 TAMPA ELECTRIC 1031-122 - 2160 Golden Falcon Dr 8771 6698903

12262019 ACH1226192 TAMPA ELECTRIC 1031-1202 - 1416 Little Hawk Dr 9315 6689588

12272019 711993DD ANDREW HERON Bos Mtg - 121719 18470 6671118

12272019 ACH122719 Innovative Employer Soltuions Bos Mtg - 121719 20200 6650918

12272019 711995DD KAREN OBRIEN Bos Mtg - 121719 18470 6632448

12272019 711991DD MARIE CHANTAL COPELAND Bos Mtg - 121719 18470 6613978

12272019 711994DD SHERRI KEENE Bos Mtg - 121719 18470 6595508

12272019 711992DD WILLIAM J HATHAWAY Bos Mtg - 121719 18470 6577038

12312019 Bank United Interest 3091 6580129

Bank United EOM Balance 55349991 52329526 6580129

01022020 9056 DPFG MANAGEMENT amp CONSULTING LLC CDD Mgmt - January 385833 6194296

01082020 9057 Landscape Maintenance Professionals Inc Station decoders 82908 6111388

01082020 9058 STRALEY ROBIN VERICKER Legal Svcs thru 121519 10000 6101388

01102020 9159 Landscape Maintenance Professionals Inc Landscape Maint - January 1105000 4996388

01102020 9160 Mike White LLC Entry Monument repair 54119 4942269

01132020 1121 HAWKS POINT CDD DS 2017 Tax Collection Share co Wells Fargo 868256 4074013

01172020 9161 Illuminations Holiday Lighting Holiday Lights - Balance Due 231250 3842763

01172020 000534 Hawks Point West HOA 20201-HPW 4493 3847256

01272020 1122 STANTEC CONSULTING SERVICES INC Pond Maint - December Engineering Svcs thru 122719 353400 3493856

01272020 ACH012720 TAMPA ELECTRIC 123-1231 - 2160 Golden Falcon Dr 8116 3485740

01272020 ACH0127202 TAMPA ELECTRIC 1203-1231 - 1416 Little Hawk Dr 6682 3479058

01312020 072704 Innovative Employer Soltuions Bos Mtg - 12120 17140 3461918

01312020 721948DD KAREN OBRIEN Bos Mtg - 12120 18470 3443448

01312020 721945DD MARIE CHANTAL COPELAND Bos Mtg - 12120 18470 3424978

01312020 721947DD SHERRI KEENE Bos Mtg - 12120 18470 3406508

01312020 721946DD WILLIAM J HATHAWAY Bos Mtg - 12120 18470 3388038

01312020 Bank United Interest 1406 3389444

Bank United EOM Balance 5899 3196584 3389444

02052020 1124 DPFG MANAGEMENT amp CONSULTING LLC CDD Mgmt - February 385833 3003611

02052020 1125 Landscape Maintenance Professionals Inc Landscape Maint - February 1105000 1898611

02052020 1126 TAMPA ELECTRIC 101-1030 - 1416 Little Hawk Dr 308 1898303

02252020 1127 Landscape Maintenance Professionals Inc Landscape Maint - March 1105000 793303

02252020 02252020ACH TAMPA ELECTRIC 11-130 - 1416 Little Hawk Dr 7840 785463

02252020 02252020ACH TAMPA ELECTRIC 11-130 - 2160 Golden Falcon Dr 9092 776371

02282020 02182020ACH Innovative Employer Soltuions Bos Mtg - 21820 14080 762291

02282020 730271DD MARIE CHANTAL COPELAND Bos Mtg - 21820 18470 743821

02282020 730273DD SHERRI KEENE Bos Mtg - 21820 18470 725351

02282020 7302272DD WILLIAM J HATHAWAY Bos Mtg - 21820 18470 706881

02292020 Bank United Interest 203 707084

HAWKS POINT CDDCASH REGISTER

FY 2020

Page 7

Date Num Name Memo Receipts Disbursements Balance

HAWKS POINT CDDCASH REGISTER

FY 2020

Bank United EOM Balance 203 2682563 707084

03042020 1128 DPFG MANAGEMENT amp CONSULTING LLC CDD Mgmt - March 385833 321251

03122020 1129 STANTEC CONSULTING SERVICES INC Engineering Svcs thru 012420 73950 247301

03122020 ACH032520 TAMPA ELECTRIC 13120 - 22820 - 2160 Golden Falcon Dr 8527 238774

03122020 ACH0325202 TAMPA ELECTRIC 013120 - 22820 - 1416 Little Hawk Dr 6592 232182

03192020 BankUnited Funds Transfer 5000000 5232182

03192020 1130 HAWKS POINT CDD DS 2017 Tax Collection Share co Wells Fargo thru 030420 1437199 3794983

03242020 1131 Landscape Maintenance Professionals Inc Pencil Pruning of Crape Myrtles Landscape Maint -042020 1360500 2434483

03242020 1132 STANTEC CONSULTING SERVICES INC Pond Maint - January Feb 295000 2139483

03242020 1133 STRALEY ROBIN VERICKER Legal Svcs thru 021520 23250 2116233

03272020 1134 DPFG MANAGEMENT amp CONSULTING LLC CDD Mgmt - April 2020 385833 1730400

03272020 1135 Landscape Maintenance Professionals Inc Irrigation Inspection repairs 74858 1655542

03312020 BankUnited Interest 200 1655742

Bank United EOM Balance 5000200 4051542 1655742

04082020 1136 Accurate Drilling Solutions Service call - 032520 - Replacement for Controller on pump 4 60234 1595508

04082020 1137 STANTEC CONSULTING SERVICES INC Engineering Svcs thru 032020 61250 1534258

04082020 1138 STRALEY ROBIN VERICKER Legal Svcs thru 031520 93270 1440988

04082020 1139 TAMPA ELECTRIC 229-330 - Electricity 16915 1424073

04162020 1140 HAWKS POINT CDD DS 2017 Tax Collection Share co Wells Fargo thru 041320 298431 1125642

04232020 BankUnited Funds Transfer 5000000 6125642

04232020 1141 Accurate Drilling Solutions Well Drilling and new pump system installation 1816480 4309162

04282020 1142 STRALEY ROBIN VERICKER Legal Svcs thru 041520 57460 4251702

04302020 BankUnited Interest 241 4251943

Bank United EOM Balance 5000241 2404040 4251943

05012020 1143 DPFG MANAGEMENT amp CONSULTING LLC CDD Mgmt - May 2020 385833 3866110

05012020 ACH050120 Innovative Employer Soltuions Bos Mtg - 42120 14080 3852030

05012020 747666DD MARIE CHANTAL COPELAND Bos Mtg - 42120 18470 3833560

05012020 747667DD WILLIAM J HATHAWAY Bos Mtg - 42120 18470 3815090

05012020 747668DD SHERRI KEENE Bos Mtg - 42120 18470 3796620

05082020 ACH050820 Innovative Employer Soltuions Bos Mtg - 42120 8620 3788000

05082020 1 Caryn Williams BOS 04212020 18470 3769530

05112020 1144 Landscape Maintenance Professionals Inc Landscape Maint -052020 1105000 2664530

05112020 1145 STANTEC CONSULTING SERVICES INC Engineering Svcs thru 042420 25400 2639130

05112020 1146 TAMPA ELECTRIC 330-429 - Electricity 19915 2619215

05212020 1147 BUSINESS OBSERVER Legal Ad - Notice of Qualifying Period 51520 5250 2613965

05212020 1148 CertaPro Painters Paint exterior wall 24th to 30th Street 635000 1978965

05212020 1149 STANTEC CONSULTING SERVICES INC Pond Maint - March-April 295000 1683965

05292020 BankUnited Funds Transfer 5000000 6683965

05292020 755486DD Caryn Williams Bos Mtg - 51920 18470 6665495

05292020 ACH052920 Innovative Employer Soltuions Bos Mtg - 51920 14740 6650755

05292020 755485DD SHERRI KEENE Bos Mtg - 51920 18470 6632285

05292020 755484DD WILLIAM J HATHAWAY Bos Mtg - 51920 18470 6613815

05312020 BankUnited Interest 350 6614165

Bank United EOM Balance 5000350 2638128 6614165

Page 8

EXHIBIT 3

Vacant Position on the Board of Supervisors of the Hawkrsquos Point Community Development District The Hawkrsquos Point Community Development District (CDD) is soliciting interested candidates to fill a vacant position on the Board of Supervisors of the CDD (Board) The CDD is a local unit of special-purpose government which is created pursuant to Chapter 190 Florida Statutes The Board is comprised of 5 members who are public officials who are normally elected on the November General Elections who serve in staggered terms The vacancy is a result of a resignation of a board member due to a relocation The remaining term of the vacant supervisorrsquos seat is through November 2022

Qualification Requirements

1 Resident of the CDD

2 At least 18 years of age

3 Citizen of the United States

4 Legal resident of Florida and of the CDD

5 Registered to vote with the Hillsborough County Supervisor of Elections

Instructions for Interested Candidates

Interested candidates must submit a letter of interest and resume to Raymondlotitodpfgcom by 4 pm on Friday June 5 2020 The subject line in the email should read ldquoVacant Position on the Board of Supervisors of the Hawkrsquos Point CDDrdquo

The Letter of Interest must contain

1 A statement stating why you believe you are well suited for the position

2 Your vision for the CDD and what you would like to see the Community evolve into Please be specific

The Resume must contain

1 Your academic background and professional experience

2 Previous and current experience with governmental agencies and governing boards

Interested candidates should attend the Board meeting on Tuesday June 16 2020 at 630 pm and present a brief presentation about themselves and be prepared for a brief question and answer period with the current Board members

Additional Notes

The current Board members will discuss the candidates and may make an appointment at the June meeting If the Board cannot come to a consensus on one candidate or if they determine to not appoint any candidate to the vacant seat they may revisit the vacancy at a future meeting or leave the seat vacant until the November 2022 General Election

Please note that the person appointed to serve in the vacant seat will be required to submit a financial disclosure statement to the State and will be subject to Floridarsquos Government in the Sunshine Laws Public Records laws and Ethics laws

1

Sookdeo (Shami) Choon Phone number (813) 731-5564 1803 Oak Pond Street Ruskin Fl 33570 E-mailchoons27gmailcom

PROFESSIONAL HISTORY Firkins GroupGarber Nissan December 2013 to Present Commercial Vehicle Sales ManagerFinance Manager Auto Nation From January 2006 to December 2013 Sales 2006- 2007 Finance Manager 2007- 2008 Sales Manager Training Manager 2008-2009 Sales Finance 2009- 2011 Commercial Sales Manager Finance Manager 2011- 2020 Parts Depot Inc From 1990 to 2005 ___________________________________________________________________________________________ Operations Manager Florida Distribution 2002 ndash 2005 bull Responsible for total inventory control of all Florida warehouses frac12 of the corporationrsquos revenue bull Directed top management to complete acquisition consolidations which resulted in the corporationrsquos

expansion bull Managed all Florida branch warehouse managers and employees totaling 200 employees bull Increased productivity and shipping efficiency in all departments developed new delivery logistics

improved product availability to all customers as well a hired and efficiently trained employees bull Reviewed all customer service statistics daily and contacted customer directly on all issues bull Reviewed PampLrsquos for all units monthly bull Presented weekly productivity and financial reports to senior management bull Directed DOT monthly guidelines maintained driver files in accordance with DOT regulations and

implemented loss prevention programs Operations Manager for Florida Branch Distribution 1999 ndash 2002 bull Improved customer service by increasing product availability to customers by implementing new

delivery logistics bull Developed employee training implemented safety awareness and monthly safety programs Warehouse Manager of Miami Distribution Center 1998 ndash 1999 bull Developed and implemented productivity guidelines implemented delivery cost saving programs

and improved product availability to the corporationrsquos customers Branch Manager of West Palm Beach 1994 ndash 1998 bull Responsible for the opening of this new branch set the building layout as well as the delivery and

logistics systems

2

bull Increased sales by 80 over budget and kept operating cost as of sales Implemented new customer service department Hired and trained all employees

Assistant Branch Manager 1991 ndash 1994 bull Increased productivity by 20 and improved delivery service Customer Service Agent 1990 ndash 1991 bull Created and implemented customer service guidelines Wingate Automotive Group 1987ndash 1990 Trinidad amp Tobago Government National Security 1984- 1987 Field Operation

EXHIBIT 4

PO Box 267 Seffner FL 33583 O 813-757-6500 F 813-757-6501 Estimate

Submitted To Hawks Point CDD 250 International Parkway Suite 280 Lake Mary FL 32746

CDD - controller 4 - zones 1 and 2

Date 5232020

Estimate 66077

LMP REPRESENTATIVE

DG-TI

PO

W ork Order

DESCRIPTION QTY COST TOTAL

Controller 4 34 inch poly pipe 34 inch poly pipe clamps Labor 2 men $ 8500 per hour

Irrigation inspection repairs needed Repair 6 - 34 inch poly pipe line leaks

6 12 05

072 129

8500

432 1548 4250

TERMS AND CONDITIONS TOTAL $6230

LMP reserves the right to withdraw this proposal if not accepted within 30 days of the date listed above Any alteration or deviation to scope of work involving additional costs must be agreed upon in writing as a separate proposal or change order to this proposal Periodic invoices may be submitted if job is substantial in nature with final invoice being submitted at completion of project Any work performed requiring more than 5 days to complete is subject to progressive payments as portions of the work are completed No finance charge will be imposed if the total of said work is paid in full within 30 days of invoice date If not paid in full within 30 days then customer is subject to finance charges on the balance of the work from the invoice date at a rate of 15 per month until paid LMP shall have the right to stop work under this contract until all outstanding amounts including finance charges are paid in full Payments will be applied to the oldest invoices

ACCEPTANCE OF PROPOSAL The above prices scope of work and terms and conditions are hereby satisfactorily agreed upon LMP Inc has been authorized to perform the work as outlined and payment will be made as outlined above The above pricing does not include any unforeseen modifications to the said irrigation system that could not be reasonably accounted for prior to job start All plant material carries a one (1) year warranty provided LMP Inc is performing landscape maintenance services to the area installed or enhanced at the time of installation If not then there is no warranty on the plant material

OWNER AGENT

DATE

EXHIBIT 5

Independent Franchise Owner Job TBE8F300154 Terry Beamer 9266 Lazy Ln

Date 06012020

EXTERIOR PROPOSALEXTERIOR PROPOSALEXTERIOR PROPOSALEXTERIOR PROPOSAL Tampa FL 33614 813-936-9242

Fax 813 936-9172

1-800-462-3782

License PA2508

Full Workers Compensation Coverage$2000000 General Liability Insurance

DPFG Management amp Consulting LLC (Hawks Point) Raymond Lotito (SB) Hawks Point CDD Ruskin FL 33570 Phone 813-418-7473 Cell 813-220-6089 Email raymondlotitodpfgcom

Special Notes CERTAPRO PAINTERS WILL PAINT WALL FACING 19ST FROM 18TH-24TH

SPECIAL ATTENTION ADDRESSING STUCCO CRACKS USING CONCRETE AND MASONRY PATCH

SPECIAL ATTENTION PRESSURE WASHING LOOSE PEELING PAINT PRIOR TO PAINTING

CERTAPRO PAINTERS WILL ONLY PAINT STREET FACING SIDE- HOMEOWNERS SIDE EXCLUDED FROM PROPOSAL

CUSTOMER RESPONSIBILITIES Please cut back all shrubs bushes and palms away from wall

GENERAL DESCRIPTION Painting to Exterior Wall 18th-24th Facing 19th Ave

PREPARATION Washing To remove dirt mildew and loose paint so the new finish coat will adhere properly

Caulking To fill all cracks and gaps around windows and doorswood work to seal out moisture and drafts Stair step

cracks

Scraping Scrape all loose and peeling paint to ensure a firm base for the new paint

Masonry Repair to all cracks gaps and holes with elastemeric caulking or masonry patch as required

Sanding To degloss where necessary to promote adhesion of the top coat

Surface TypeArea Primer PurposePRIMING

Masonry Loxon sealerprimer Latex For propor top coat adhesion

Conditioner Loxon sealerprimer to all Latex For proper top coat adhesion

masonry surfaces

FINISH COATS

Surface Area

Exterior

ManufacturePaint Type

Sherwin Williams Resilience Ext Satin

Coats

1 primer-sealer 1 spray 1 backroll stucco

Color

Same As Existing

Clean Up Daily and upon completion

$1132900 All Labor Paint Materials

$1132900 TOTAL

Signature of Authorized Franchise Representative Date

Payment is due In Full upon Job Completion

(IWE HAVE READ THE TERMS STATED HEREIN THEY HAVE (IWE) HAVE EXAMINED THE JOB STATED HEREIN THEY EXPLAINED TO (MEUS) AND (IWE) FIND THEM TO BE HAVE SHOWN TO (MEUS) AND (IWE) FIND THE JOB TO SATISFACTORY AND HEREBY ACCEPT THEM BE SATISFACTORY AND HEREBY ACCEPT THE JOB AS

COMPLETE

SIGNATURE Date SIGNATURE Date

QUOTE

Shazam Construction LLC DATE MAY 13 2020

Shazam Hera 6773 Waterton Drive Riverview FL 33578 813-385-4591 ShazamConstructionLLCgmailcom Hawks Point CDD

TO Bill to Development Planning and Financing Group 15310 Amberly Drive Suite 175 Tampa FL 33647

QUANITY DESCRIPTION UNIT PRICE LINE TOTAL

Pressure wash the wall that parallels 19th avenue from 18th street to 24th street in Hawks Point CDD in Ruskin

$1270000

Repair any cracks with caulk or elastomeric as neededPrep for paint

Paint the wall that parallels 19th avenue from 18th street to 24th street in Hawks Point CDD in Ruskin

Paint using body trim and caps of exterior wall facing 19th avenue

Paint while matching existing colors

Paint using Sherwin Williams

All paint materials and labor is included

SUBTOTAL

SALES TAX

TOTAL $1270000

Make all checks payable to Shazam Construction LLC

THANK YOU FOR YOUR BUSINESS

EXHIBIT 6

Independent Franchise Owner Job TB443B00157 Terry Beamer 9266 Lazy Ln

Date 06052020

EXTERIOR PROPOSALEXTERIOR PROPOSALEXTERIOR PROPOSALEXTERIOR PROPOSAL Tampa FL 33614 813-936-9242

Fax 813 936-9172

1-800-462-3782

License PA2508

Full Workers Compensation Coverage$2000000 General Liability Insurance

DPFG Management amp Consulting LLC (Hawks Point) Raymond Lotito (SB) Hawks Point CDD Ruskin FL 33570 Phone 813-418-7473 Cell 813-220-6089 Email raymondlotitodpfgcom

Special Notes CERTAPRO PAINTERS PRESSURE WASHING PROPOSAL 18TH-24TH

CERTAPRO PAINTERS WILL PRESSURE WASH WALL FACING 19TH ST ONLY

GENERAL DESCRIPTION Painting to

PREPARATION Washing To remove dirt mildew and loose paint so the new finish coat will adhere properly

PRIMING Surface TypeArea Primer Purpose

Clean Up Daily and upon completion

All Labor Paint Materials

TOTAL

$195000

$195000

Signature of Authorized Franchise Representative Date

Payment is due In Full upon Job Completion

(IWE HAVE READ THE TERMS STATED HEREIN THEY HAVE (IWE) HAVE EXAMINED THE JOB STATED HEREIN THEY EXPLAINED TO (MEUS) AND (IWE) FIND THEM TO BE HAVE SHOWN TO (MEUS) AND (IWE) FIND THE JOB TO SATISFACTORY AND HEREBY ACCEPT THEM BE SATISFACTORY AND HEREBY ACCEPT THE JOB AS

COMPLETE

SIGNATURE Date SIGNATURE Date

QUOTE

Shazam Construction LLC DATE JUNE 5 2020

Shazam Hera 6773 Waterton Drive Riverview FL 33578 813-385-4591 ShazamConstructionLLCgmailcom Hawks Point CDD

TO Bill to Development Planning and Financing Group 15310 Amberly Drive Suite 175 Tampa FL 33647

QUANITY DESCRIPTION UNIT PRICE LINE TOTAL

Pressure wash the wall that parallels 19th avenue from 18th street to 24th street in Hawks Point CDD in Ruskin

$160000

All materials and labor is included

SUBTOTAL

SALES TAX

TOTAL $160000

Make all checks payable to Shazam Construction LLC

THANK YOU FOR YOUR BUSINESS

EXHIBIT 7

2019FORM 1 STATEMENT OF

Please print or type your name mailing FOR OFFICE USE ONLY FINANCIAL INTERESTS address agency name and position below

LAST NAME -- FIRST NAME -- MIDDLE NAME

MAILING ADDRESS

CITY ZIP COUNTY

NAME OF AGENCY

NAME OF OFFICE OR POSITION HELD OR SOUGHT

CHECK ONLY IF CANDIDATE OR NEW EMPLOYEE OR APPOINTEE

THIS SECTION MUST BE COMPLETED DISCLOSURE PERIOD THIS STATEMENT REFLECTS YOUR FINANCIAL INTERESTS FOR CALENDAR YEAR ENDING DECEMBER 31 2019

MANNER OF CALCULATING REPORTABLE INTERESTS FILERS HAVE THE OPTION OF USING REPORTING THRESHOLDS THAT ARE ABSOLUTE DOLLAR VALUES WHICH REQUIRES FEWER CALCULATIONS OR USING COMPARATIVE THRESHOLDS WHICH ARE USUALLY BASED ON PERCENTAGE VALUES (see instructions for further details) CHECK THE ONE YOU ARE USING (must check one)

COMPARATIVE (PERCENTAGE) THRESHOLDS OR DOLLAR VALUE THRESHOLDS

PART A -- PRIMARY SOURCES OF INCOME [Major sources of income to the reporting person - See instructions] (If you have nothing to report write none or na)

NAME OF SOURCE SOURCES DESCRIPTION OF THE SOURCES OF INCOME ADDRESS PRINCIPAL BUSINESS ACTIVITY

PART B -- SECONDARY SOURCES OF INCOME [Major customers clients and other sources of income to businesses owned by the reporting person - See instructions] (If you have nothing to report write none or na)

NAME OF NAME OF MAJOR SOURCES ADDRESS PRINCIPAL BUSINESS BUSINESS ENTITY OF BUSINESS INCOME OF SOURCE ACTIVITY OF SOURCE

PART C -- REAL PROPERTY [Land buildings owned by the reporting person - See instructions] You are not limited to the space on the (If you have nothing to report write none or na) lines on this form Attach additional

sheets if necessary

FILING INSTRUCTIONS for when and where to file this form are located at the bottom of page 2

INSTRUCTIONS on who must file this form and how to fill it out begin on page 3

CE FORM 1 - Effective January 1 2020 (Continued on reverse side) PAGE 1 Incorporated by reference in Rule 34-8202(1) FAC

FILING INSTRUCTIONS

IF ANY OF PARTS A THROUGH G ARE CONTINUED ON A SEPARATE SHEET PLEASE CHECK HERE

PART D mdash INTANGIBLE PERSONAL PROPERTY [Stocks bonds certificates of deposit etc - See instructions] (If you have nothing to report write none or na) TYPE OF INTANGIBLE BUSINESS ENTITY TO WHICH THE PROPERTY RELATES

PART E mdash LIABILITIES [Major debts - See instructions] (If you have nothing to report write none or na)

NAME OF CREDITOR ADDRESS OF CREDITOR

PART F mdash INTERESTS IN SPECIFIED BUSINESSES [Ownership or positions in certain types of businesses - See instructions] (If you have nothing to report write none or na)

BUSINESS ENTITY 1 BUSINESS ENTITY 2

NAME OF BUSINESS ENTITY

ADDRESS OF BUSINESS ENTITY

PRINCIPAL BUSINESS ACTIVITY

POSITION HELD WITH ENTITY

I OWN MORE THAN A 5 INTEREST IN THE BUSINESS

NATURE OF MY OWNERSHIP INTEREST

If you were mailed the form by the Commission on Ethics or a County Supervisor of Elections for your annual disclosure filing return the form to that location To determine what category your position falls under see page 3 of instructions Local officersemployees file with the Supervisor of Elections of the county in which they permanently reside (If you do not permanently reside in Florida file with the Supervisor of the county where your agency has its headquarters) Form 1 filers who file with the Supervisor of Elections may file by mail or email Contact your Supervisor of Elections for the mailing address or email address to use Do not email your form to the Commission on Ethics it will be returned State officers or specified state employees who file with the Commission on Ethics may file by mail or email To file by mail send the completed form to PO Drawer 15709 Tallahassee FL32317-5709 physical address 325 John Knox Rd Bldg E Ste 200 Tallahassee FL 32303 To file with the Commission by email scan your completed form and any attachments as a pdf (do not use any other format) send it to CEForm1legstateflus and retain a copy for your records Do not file by both mail and email Choose only one filing method Form 6s will not be accepted via email

Candidates file this form together with their filing papers MULTIPLE FILING UNNECESSARY A candidate who files a Form 1 with a qualifying officer is not required to file with the Commission or Supervisor of Elections WHEN TO FILE Initially each local officeremployee state officer and specified state employee must file within 30 days of the date of his or her appointment or of the beginning of employment Appointees who must be confirmed by the Senate must file prior to confirmation even if that is less than 30 days from the date of their appointment Candidates must file at the same time they file their qualifying papers Thereafter file by July 1 following each calendar year in which they hold their positions Finally file a final disclosure form (Form 1F) within 60 days of leaving office or employment Filing a CE Form 1F (Final Statement of Financial Interests) does not relieve the filer of filing a CE Form 1 if the filer was in his or her position on December 31 2019

SIGNATURE OF FILER Signature

____________________________________________

Date Signed

____________________________________________

CPA or ATTORNEY SIGNATURE ONLY If a certified public accountant licensed under Chapter 473 or attorney in good standing with the Florida Bar prepared this form for you he or she must complete the following statement

I _______________________________________ prepared the CE Form 1 in accordance with Section 1123145 Florida Statutes and the instructions to the form Upon my reasonable knowledge and belief the disclosure herein is true and correct

CPAAttorney Signature ______________________________

Date Signed _______________________________________

PART G mdash TRAINING For elected municipal officers required to complete annual ethics training pursuant to section 1123142 FS

I CERTIFY THAT I HAVE COMPLETED THE REQUIRED TRAINING

CE FORM 1 - Effective January 1 2020 PAGE 2 Incorporated by reference in Rule 34-8202(1) FAC

Examplesmdash You are the sole proprietor of a dry cleaning business fromwhich you received more than 10 of your gross incomemdashanamount that was more than $1500 If only one customer auniform rental company provided more than 10 of your drycleaning business you must list the name of the uniform rentalcompany its address and its principal business activity (uniform rentals) mdash You are a 20 partner in a partnership that owns a shopping mall and your partnership income exceeded the thresholds listed above You should list each tenant of the mall that provided more than 10 of the partnershiprsquos gross income and the tenantrsquos address and principal business activity

PART C mdash REAL PROPERTY[Required by s 1123145(3)(a)3 FS]In this part list the location or description of all real property in

Florida in which you owned directly or indirectly at any time during the disclosure period in excess of 5 of the propertyrsquos value You are not required to list your residences You should list any vacation homes if you derive income from them

Indirect ownership includes situations where you are abeneficiary of a trust that owns the property as well as situations where you own more than 5 of a partnership or corporation thatowns the property The value of the property may be determined by the most recently assessed value for tax purposes in the absence of a more current appraisal

The location or description of the property should be sufficient to enable anyone who looks at the form to identify the property Astreet address should be used if one exists PART D mdash INTANGIBLE PERSONAL PROPERTY

[Required by s 1123145(3)(a)3 FS]Describe any intangible personal property that at any time

during the disclosure period was worth more than 10 of your total assets and state the business entity to which the property related Intangible personal property includes things such as cash on hand stocks bonds certificates of deposit vehicle leases interests in businesses beneficial interests in trusts money owed you Deferred Retirement Option Program (DROP) accounts the Florida Prepaid College Plan and bank accounts Intangiblepersonal property also includes investment products held in IRAs brokerage accounts and the Florida College Investment Plan Note that the product contained in a brokerage account IRA or the Florida College Investment Plan is your assetmdashnot the account or plan itself Things like automobiles and houses you own jewelryand paintings are not intangible property Intangibles relating to the same business entity may be aggregated for example CDrsquos and savings accounts with the same bank

Calculations To determine whether the intangible property exceeds 10 of your total assets total the fair market value of all of your assets (including real property intangible property and tangible personal property such as jewelry furniture etc) When making this calculation do not subtract any liabilities (debts) that may relate to the property Multiply the total figure by 10 to arrive at the disclosure threshold List only the intangibles that exceed this threshold amount The value of a leased vehicle is the vehiclersquos present value minus the lease residual (a number which can be found on the lease document) Property that is only jointly owned property should be valued according to the percentage of your joint ownership Property owned as tenants by the entirety or as joint tenants with right of survivorship should be valued at 100 None of your calculations or the value of the property have to be disclosed on the form

Example You own 50 of the stock of a small corporation that is worth $100000 the estimated fair market value of your home and other property (bank accounts automobile furniture etc) is $200000 As your total assets are worth $250000 you must disclose intangibles worth over $25000 Since the value of the stock exceeds this threshold you should list ldquostockrdquo and the name of the corporation If your accounts with a particular bank exceed $25000 you should list ldquobank accountsrdquo and bankrsquos name

PART E mdash LIABILITIES[Required by s 1123145(3)(b)4 FS]List the name and address of each creditor to whom you owed

any amount that at any time during the disclosure period exceeded your net worth You are not required to list the amount of any debt or your net worth You do not have to disclose credit card and retail installment accounts taxes owed (unless reduced to a judgment) indebtedness on a life insurance policy owed to the company of issuance or contingent liabilities A ldquocontingent liabilityrdquo is one that will become an actual liability only when one or more future events occur or fail to occur such as where you are liable only as a guarantor surety or endorser on a promissory note If you are a ldquoco-makerrdquo and are jointly liable or jointly and severally liable it is not a contingent liability

Calculations To determine whether the debt exceeds your net worth total all of your liabilities (including promissory notes mortgages credit card debts judgments against you etc) Theamount of the liability of a vehicle lease is the sum of any past-due payments and all unpaid prospective lease payments Subtract the sum total of your liabilities from the value of all your assets as calculated above for Part D This is your ldquonet worthrdquo List each creditor to whom your debt exceeded this amount unless it is one of the types of indebtedness listed in the paragraph above (credit card and retail installment accounts etc) Joint liabilities with others for which you are ldquojointly and severally liablerdquo meaning that you may be liable for either your part or the whole of the obligation should be included in your calculations at 100 of the amount owed

Example You owe $15000 to a bank for student loans $5000 for credit card debts and $60000 (with spouse) to a savings and loan for a home mortgage Your home (owned by you and your spouse) is worth $80000 and your other property is worth $20000 Since your net worth is $20000 ($100000 minus $80000) you must report only the name and address of the savings and loan

PART F mdash INTERESTS IN SPECIFIED BUSINESSES[Required by s 1123145 FS]The types of businesses covered in this disclosure include

state and federally chartered banks state and federal savings and loan associations cemetery companies insurance companies mortgage companies credit unions small loan companies alcoholic beverage licensees pari-mutuel wagering companies utilitycompanies entities controlled by the Public Service Commission and entities granted a franchise to operate by either a city or acounty government

Disclose in this part the fact that you owned during the disclosure period an interest in or held any of certain positions with the types of businesses listed above You are required to make this disclosure if you own or owned (either directly orindirectly in the form of an equitable or beneficial interest) at any time during the disclosure period more than 5 of the total assets or capital stock of one of the types of business entities listed above You also must complete this part of the form for each of these types of businesses for which you are or were at any time during thedisclosure period an officer director partner proprietor or agent (other than a resident agent solely for service of process)

If you have or held such a position or ownership interest in one of these types of businesses list the name of the business its address and principal business activity and the position held with the business (if any) If you own(ed) more than a 5 interest in the business indicate that fact and describe the nature of your interest

PART G mdash TRAINING CERTIFICATION[Required by s 1123142 FS]If you are a Constitutional or elected municipal officer whose

service began before March 31 of the year for which you are filing you are required to complete four hours of ethics training which addresses Article II Section 8 of the Florida Constitution the Code of Ethics for Public Officers and Employees and the public records and open meetings laws of the state You are required to certify on this form that you have taken such training (End of Percentage Thresholds Instructions)

CE FORM 1 - Effective January 1 2020 Incorporated by reference in Rule 34-8202 FAC PAGE 6

NOTICE Annual Statements of Financial Interests are due July 1 If the annual form is not filed or postmarked by September 1 an automatic fine of $25 for each day late will be imposed up to a maximum penalty of $1500 Failure to file also can result in removal from public office or employment [s 1123145 FS]

In addition failure to make any required disclosure constitutes grounds for and may be punished by one or more of the following disqualification from being on the ballot impeachment removal or suspension from office or employment demotion reduction in salary reprimand or a civil penalty not exceeding $10000 [s 112317 FS]

WHO MUST FILE FORM 1 1) Elected public officials not serving in a political subdivision of the

state and any person appointed to fill a vacancy in such office unlessrequired to file full disclosure on Form 62) Appointed members of each board commission authority

or council having statewide jurisdiction excluding members of solelyadvisory bodies but including judicial nominating commission membersDirectors of Enterprise Florida Scripps Florida Funding Corporationand Career Source Florida and members of the Council on the Social Status of Black Men and Boys the Executive Director Governors and senior managers of Citizens Property Insurance CorporationGovernors and senior managers of Florida Workers Compensation JointUnderwriting Association board members of the Northeast Fla RegionalTransportation Commission board members of Triumph Gulf Coast Incboard members of Florida Is For Veterans Inc and members of the Technology Advisory Council within the Agency for State Technology3) The Commissioner of Education members of the State Board

of Education the Board of Governors the local Boards of Trustees and Presidents of state universities and the Florida Prepaid College Board 4) Persons elected to office in any political subdivision (such as

municipalities counties and special districts) and any person appointedto fill a vacancy in such office unless required to file Form 65) Appointed members of the following boards councils

commissions authorities or other bodies of county municipality schooldistrict independent special district or other political subdivision thegoverning body of the subdivision community college or junior collegedistrict boards of trustees boards having the power to enforce local codeprovisions boards of adjustment community redevelopment agenciesplanning or zoning boards having the power to recommend create ormodify land planning or zoning within a political subdivision except forcitizen advisory committees technical coordinating committees andsimilar groups who only have the power to make recommendationsto planning or zoning boards and except for representatives of a military installation acting on behalf of all military installations within thatjurisdiction pension or retirement boards empowered to invest pensionor retirement funds or determine entitlement to or amount of pensions orother retirement benefits and the Pinellas County Construction LicensingBoard 6) Any appointed member of a local government board who

is required to file a statement of financial interests by the appointingauthority or the enabling legislation ordinance or resolution creating theboard 7) Persons holding any of these positions in local government

mayor county or city manager chief administrative employee or finance

director of a county municipality or other political subdivision county or municipal attorney chief county or municipal building inspectorcounty or municipal water resources coordinator county or municipalpollution control director county or municipal environmental control director county or municipal administrator with power to grant or denya land development permit chief of police fire chief municipal clerkappointed district school superintendent community college presidentdistrict medical examiner purchasing agent (regardless of title) havingthe authority to make any purchase exceeding $35000 for the localgovernmental unit8) Officers and employees of entities serving as chief administrative

officer of a political subdivision9) Members of governing boards of charter schools operated by a

city or other public entity10) Employees in the office of the Governor or of a Cabinet member

who are exempt from the Career Service System excluding secretarialclerical and similar positions11) The following positions in each state department commission

board or council Secretary Assistant or Deputy Secretary ExecutiveDirector Assistant or Deputy Executive Director and anyone having thepower normally conferred upon such persons regardless of title12) The following positions in each state department or division

Director Assistant or Deputy Director Bureau Chief and any personhaving the power normally conferred upon such persons regardless oftitle 13) Assistant State Attorneys Assistant Public Defenders criminal

conflict and civil regional counsel and assistant criminal conflict and civilregional counsel Public Counsel full-time state employees serving ascounsel or assistant counsel to a state agency administrative law judgesand hearing officers14) The Superintendent or Director of a state mental health institute

established for training and research in the mental health field or anymajor state institution or facility established for corrections trainingtreatment or rehabilitation 15) State agency Business Managers Finance and Accounting

Directors Personnel Officers Grant Coordinators and purchasingagents (regardless of title) with power to make a purchase exceeding$35000 16) The following positions in legislative branch agencies each

employee (other than those employed in maintenance clerical secretarial or similar positions and legislative assistants exempted by the presiding officer of their house) and each employee of theCommission on Ethics

INSTRUCTIONS FOR COMPLETING FORM 1 INTRODUCTORY INFORMATION (Top of Form) If your name mailing address public agency and position are already printed on the form you do not need to provide this information unless it should be changed To change any of this information write the correct information on the form and contact your agencys financial disclosure coordinator You can find your coordinator on the Commission on Ethics website wwwethics stateflus NAME OF AGENCY The name of the governmental unit which you serve or served by which you are or were employed or for which you are a candidate DISCLOSURE PERIOD The ldquodisclosure periodrdquo for your report is the calendar year ending December 31 2019

OFFICE OR POSITION HELD OR SOUGHT The title of the office or position you hold are seeking or held during the disclosure period even if you have since left that position If you are a candidate for office or are a new employee or appointee check the appropriate box PUBLIC RECORD The disclosure form and everythingattached to it is a public record Your Social Security Number is not required and you should redact it from any documents you file If you are an active or former officer or employee listed in Section 119071 FS whose home address is exempt from disclosure the Commission will maintain that confidentiality if you submit a written request

CE FORM 1 - Effective January 1 2020 Incorporated by reference in Rule 34-8202 FAC PAGE 3

PART E mdash LIABILITIES[Required by s 1123145(3)(b)4 FS]List the name and address of each creditor to whom you owed more

than $10000 at any time during the disclosure period The amount of theliability of a vehicle lease is the sum of any past-due payments and allunpaid prospective lease payments You are not required to list the amountof any debt You do not have to disclose credit card and retail installmentaccounts taxes owed (unless reduced to a judgment) indebtedness ona life insurance policy owed to the company of issuance or contingentliabilities A ldquocontingent liabilityrdquo is one that will become an actual liabilityonly when one or more future events occur or fail to occur such as whereyou are liable only as a guarantor surety or endorser on a promissorynote If you are a ldquoco-makerrdquo and are jointly liable or jointly and severallyliable then it is not a contingent liability

PART F mdash INTERESTS IN SPECIFIED BUSINESSES[Required by s 1123145(6) FS]The types of businesses covered in this disclosure include state and

federally chartered banks state and federal savings and loan associationscemetery companies insurance companies mortgage companies creditunions small loan companies alcoholic beverage licensees pari-mutuelwagering companies utility companies entities controlled by the PublicService Commission and entities granted a franchise to operate by either acity or a county government

Disclose in this part the fact that you owned during the disclosure period aninterest in or held any of certain positions with the types of businesses listedabove You must make this disclosure if you own or owned (either directly orindirectly in the form of an equitable or beneficial interest) at any time duringthe disclosure period more than 5 of the total assets or capital stock ofone of the types of business entities listed above You also must completethis part of the form for each of these types of businesses for which youare or were at any time during the disclosure period an officer directorpartner proprietor or agent (other than a resident agent solely for service ofprocess)

If you have or held such a position or ownership interest in one ofthese types of businesses list the name of the business its address andprincipal business activity and the position held with the business (if any) Ifyou own(ed) more than a 5 interest in the business indicate that fact anddescribe the nature of your interest

PART G mdash TRAINING CERTIFICATION[Required by s 1123142 FS]If you are a Constitutional or elected municipal officer whose

service began before March 31 of the year for which you are filingyou are required to complete four hours of ethics training which addresses Article II Section 8 of the Florida Constitution the Codeof Ethics for Public Officers and Employees and the public recordsand open meetings laws of the state You are required to certify onthis form that you have taken such training

(End of Dollar Value Thresholds Instructions)

PART A mdash PRIMARY SOURCES OF INCOME[Required by s 1123145(3)(a)1 FS]Part A is intended to require the disclosure of your principal

sources of income during the disclosure period You do not haveto disclose any public salary or public position(s) but income from these public sources should be included when calculating your gross income for the disclosure period The income of your spouse need not be disclosed however if there is joint income to you and your spouse from property you own jointly (such as interest or dividends from a bank account or stocks) you should include all of that income when calculating your gross income and disclose the source of that income if it exceeded the threshold

Please list in this part of the form the name address and principal business activity of each source of your income whichexceeded 5 of the gross income received by you in your own name or by any other person for your benefit or use during the disclosure period

Gross income means the same as it does for income tax purposes even if the income is not actually taxable such as interest on tax-free bonds Examples include compensation for servicesincome from business gains from property dealings interest rents dividends pensions IRA distributions social security distributive share of partnership gross income and alimony but not child support

Examplesmdash If you were employed by a company that manufactures computers and received more than 5 of your gross income from the company list the name of the company its address and its principal business activity (computer manufacturing)mdash If you were a partner in a law firm and your distributive share of partnership gross income exceeded 5 of your gross income then list the name of the firm its address and its principal business activity (practice of law)mdash If you were the sole proprietor of a retail gift business andyour gross income from the business exceeded 5 of your total gross income list the name of the business its addressand its principal business activity (retail gift sales)mdash If you received income from investments in stocks and bonds list each individual company from which you derived

more than 5 of your gross income Do not aggregate all of your investment incomemdash If more than 5 of your gross income was gain from the sale of property (not just the selling price) list as a source of income the purchaserrsquos name address and principal business activityIf the purchasers identity is unknown such as where securities listed on an exchange are sold through a brokerage firm the source of income should be listed as sale of (name of company)stock for examplemdash If more than 5 of your gross income was in the form of interest from one particular financial institution (aggregatinginterest from all CDrsquos accounts etc at that institution) list the name of the institution its address and its principal business activity

PART B mdash SECONDARY SOURCES OF INCOME[Required by s 1123145(3)(a)2 FS]This part is intended to require the disclosure of major customers

clients and other sources of income to businesses in which you ownan interest It is not for reporting income from second jobs That kindof income should be reported in Part A Primary Sources of Incomeif it meets the reporting threshold You will not have anything to reportunless during the disclosure period

(1) You owned (either directly or indirectly in the form of anequitable or beneficial interest) more than 5 of the total assetsor capital stock of a business entity (a corporation partnershipLLC limited partnership proprietorship joint venture trust firmetc doing business in Florida) and(2) You received more than 10 of your gross income from thatbusiness entity and(3) You received more than $1500 in gross income from thatbusiness entity

If your interests and gross income exceeded these thresholds thenfor that business entity you must list every source of income to thebusiness entity which exceeded 10 of the business entityrsquos grossincome (computed on the basis of the business entityrsquos most recentlycompleted fiscal year) the sourcersquos address and the sourcersquosprincipal business activity

IF YOU HAVE CHOSEN COMPARATIVE (PERCENTAGE) THRESHOLDSTHE FOLLOWING INSTRUCTIONS APPLY

CE FORM 1 - Effective January 1 2020 Incorporated by reference in Rule 34-8202 FAC PAGE 5

MANNER OF CALCULATING REPORTABLE INTEREST Filers have the option of reporting based on either thresholds that are comparative (usually based on percentage values) or thresholds that are based on absolute dollar values The instructions on the following pages specifically describe the different thresholds Check the box that reflects the choice you have made You must use the type of threshold you have chosen for each part of the form In other words if you choose to report based on absolute dollar value thresholds you cannot use a percentage threshold on any part of the form

IF YOU HAVE CHOSEN DOLLAR VALUE THRESHOLDS THE FOLLOWING INSTRUCTIONS APPLY

PART A mdash PRIMARY SOURCES OF INCOME [Required by s 1123145(3)(b)1 FS] Part A is intended to require the disclosure of your principal

sources of income during the disclosure period You do not have todisclose any public salary or public position(s) The income of yourspouse need not be disclosed however if there is joint income toyou and your spouse from property you own jointly (such as interestor dividends from a bank account or stocks) you should disclose thesource of that income if it exceeded the threshold

Please list in this part of the form the name address andprincipal business activity of each source of your income whichexceeded $2500 of gross income received by you in your own name or by any other person for your use or benefit

Gross income means the same as it does for income tax purposes even if the income is not actually taxable such as interest on tax-free bonds Examples include compensation for servicesincome from business gains from property dealings interest rentsdividends pensions IRA distributions social security distributive share of partnership gross income and alimony but not child support

Examples mdash If you were employed by a company that manufacturescomputers and received more than $2500 list the name of thecompany its address and its principal business activity (computermanufacturing) mdash If you were a partner in a law firm and your distributive shareof partnership gross income exceeded $2500 list the name ofthe firm its address and its principal business activity (practice oflaw) mdash If you were the sole proprietor of a retail gift business and yourgross income from the business exceeded $2500 list the nameof the business its address and its principal business activity(retail gift sales) mdash If you received income from investments in stocks and bondslist each individual company from which you derived more than$2500 Do not aggregate all of your investment income mdash If more than $2500 of your gross income was gain from thesale of property (not just the selling price) list as a source ofincome the purchaserrsquos name address and principal businessactivity If the purchaserrsquos identity is unknown such as wheresecurities listed on an exchange are sold through a brokeragefirm the source of income should be listed as sale of (name of company) stock for example mdash If more than $2500 of your gross income was in the formof interest from one particular financial institution (aggregatinginterest from all CDrsquos accounts etc at that institution) list the name of the institution its address and its principal business activity

PART B mdash SECONDARY SOURCES OF INCOME [Required by s 1123145(3)(b)2 FS] This part is intended to require the disclosure of major customers

clients and other sources of income to businesses in which you own aninterest It is not for reporting income from second jobs That kind of incomeshould be reported in Part A Primary Sources of Income if it meets thereporting threshold You will not have anything to report unless during thedisclosure period

(1) You owned (either directly or indirectly in the form of an equitableor beneficial interest) more than 5 of the total assets or capitalstock of a business entity (a corporation partnership LLC limitedpartnership proprietorship joint venture trust firm etc doing business in Florida) and (2) You received more than $5000 of your gross income during thedisclosure period from that business entity

If your interests and gross income exceeded these thresholds then for thatbusiness entity you must list every source of income to the business entitywhich exceeded 10 of the business entityrsquos gross income (computed onthe basis of the business entitys most recently completed fiscal year) thesourcersquos address and the sources principal business activity

Examples mdash You are the sole proprietor of a dry cleaning business from whichyou received more than $5000 If only one customer a uniform rentalcompany provided more than 10 of your dry cleaning business youmust list the name of the uniform rental company its address and itsprincipal business activity (uniform rentals) mdash You are a 20 partner in a partnership that owns a shopping malland your partnership income exceeded the above thresholds List eachtenant of the mall that provided more than 10 of the partnershipsgross income and the tenants address and principal business activity

PART C mdash REAL PROPERTY [Required by s 1123145(3)(b)3 FS] In this part list the location or description of all real property in Florida

in which you owned directly or indirectly at any time during the disclosureperiod in excess of 5 of the propertyrsquos value You are not required to listyour residences You should list any vacation homes if you derive incomefrom them

Indirect ownership includes situations where you are a beneficiary of atrust that owns the property as well as situations where you own more than5 of a partnership or corporation that owns the property The value of theproperty may be determined by the most recently assessed value for taxpurposes in the absence of a more current appraisal

The location or description of the property should be sufficient toenable anyone who looks at the form to identify the property A streetaddress should be used if one exists

PART D mdash INTANGIBLE PERSONAL PROPERTY [Required by s 1123145(3)(b)3 FS] Describe any intangible personal property that at any time during the

disclosure period was worth more than $10000 and state the businessentity to which the property related Intangible personal property includesthings such as cash on hand stocks bonds certificates of deposit vehicleleases interests in businesses beneficial interests in trusts money owedyou Deferred Retirement Option Program (DROP) accounts the FloridaPrepaid College Plan and bank accounts Intangible personal propertyalso includes investment products held in IRAs brokerage accounts andthe Florida College Investment Plan Note that the product contained in a brokerage account IRA or the Florida College Investment Plan is yourassetmdashnot the account or plan itself Things like automobiles and housesyou own jewelry and paintings are not intangible property Intangiblesrelating to the same business entity may be aggregated for example CDsand savings accounts with the same bank Property owned as tenants bythe entirety or as joint tenants with right of survivorship should be valued at100 The value of a leased vehicle is the vehiclersquos present value minusthe lease residual (a number found on the lease document)

CE FORM 1 - Effective January 1 2020 Incorporated by reference in Rule 34-8202 FAC PAGE 4

PART A mdash PRIMARY SOURCES OF INCOME[Required by s 1123145(3)(b)1 FS]Part A is intended to require the disclosure of your principal

sources of income during the disclosure period You do not have todisclose any public salary or public position(s) The income of yourspouse need not be disclosed however if there is joint income t oyou and your spouse from property you own jointly (such as interestor dividends from a bank account or stocks) you should disclose thesource of that income if it exceeded the threshold

Please list in this part of the form the name address andprincipal business activity of each source of your income whichexceeded $2500 of gross income received by you in your own name or by any other person for your use or benefit

Gross income means the same as it does for income taxpurposes even if the income is not actually taxable such as intereston tax-free bonds Examples include compensation for servicesincome from business gains from property dealings interest rentsdividends pensions IRA distributions social security distributiveshare of partnership gross income and alimony but not child support

Examplesmdash If you were employed by a company that manufacturescomputers and received more than $2500 list the name of thecompany its address and its principal business activity (computermanufacturing)mdash If you were a partner in a law firm and your distributive shareof partnership gross income exceeded $2500 list the name ofthe firm its address and its principal business activity (practice oflaw)mdash If you were the sole proprietor of a retail gift business and yourgross income from the business exceeded $2500 list the nameof the business its address and its principal business activity(retail gift sales)mdash If you received income from investments in stocks and bondslist each individual company from which you derived more than$2500 Do not aggregate all of your investment incomemdash If more than $2500 of your gross income was gain from thesale of property (not just the selling price) list as a source o fincome the purchaserrsquos name address and principal businessactivity If the purchaserrsquos identity is unknown such as wheresecurities listed on an exchange are sold through a brokeragefirm the source of income should be listed as sale of (name of company) stock for examplemdash If more than $2500 of your gross income was in the formof interest from one particular financial institution (aggregatinginterest from all CDrsquos accounts etc at that institution) list thename of the institution its address and its principal business activity

PART B mdash SECONDARY SOURCES OF INCOME[Required by s 1123145(3)(b)2 FS]This part is intended to require the disclosure of major customers

clients and other sources of income to businesses in which you own aninterest It is not for reporting income from second jobs That kind of incomeshould be reported in Part A Primary Sources of Income if it meets thereporting threshold You will not have anything to report unless during thedisclosure period

(1) You owned (either directly or indirectly in the form of an equitableor beneficial interest) more than 5 of the total assets or capitalstock of a business entity (a corporation partnership LLC limitedpartnership proprietorship joint venture trust firm etc doing business in Florida) and(2) You received more than $5000 of your gross income during thedisclosure period from that business entity

If your interests and gross income exceeded these thresholds then for thatbusiness entity you must list every source of income to the business entitywhich exceeded 10 of the business entityrsquos gross income (computed onthe basis of the business entitys most recently completed fiscal year) thesourcersquos address and the sources principal business activity

Examplesmdash You are the sole proprietor of a dry cleaning business from whichyou received more than $5000 If only one customer a uniform rentalcompany provided more than 10 of your dry cleaning business youmust list the name of the uniform rental company its address and itsprincipal business activity (uniform rentals)mdash You are a 20 partner in a partnership that owns a shopping malland your partnership income exceeded the above thresholds List eachtenant of the mall that provided more than 10 of the partnershipsgross income and the tenants address and principal business activity

PART C mdash REAL PROPERTY[Required by s 1123145(3)(b)3 FS]In this part list the location or description of all real property in Florida

in which you owned directly or indirectly at any time during the disclosureperiod in excess of 5 of the propertyrsquos value You are not required to listyour residences You should list any vacation homes if you derive incomefrom them

Indirect ownership includes situations where you are a beneficiary of atrust that owns the property as well as situations where you own more than5 of a partnership or corporation that owns the property The value of theproperty may be determined by the most recently assessed value for taxpurposes in the absence of a more current appraisal

The location or description of the property should be sufficient toenable anyone who looks at the form to identify the property A streetaddress should be used if one exists

PART D mdash INTANGIBLE PERSONAL PROPERTY[Required by s 1123145(3)(b)3 FS]Describe any intangible personal property that at any time during the

disclosure period was worth more than $10000 and state the businessentity to which the property related Intangible personal property includesthings such as cash on hand stocks bonds certificates of deposit vehicleleases interests in businesses beneficial interests in trusts money owedyou Deferred Retirement Option Program (DROP) accounts the FloridaPrepaid College Plan and bank accounts Intangible personal propertyalso includes investment products held in IRAs brokerage accounts andthe Florida College Investment Plan Note that the product contained ina brokerage account IRA or the Florida College Investment Plan is yourassetmdashnot the account or plan itself Things like automobiles and housesyou own jewelry and paintings are not intangible property Intangiblesrelating to the same business entity may be aggregated for example CDsand savings accounts with the same bank Property owned as tenants bythe entirety or as joint tenants with right of survivorship should be valued at100 The value of a leased vehicle is the vehiclersquos present value minusthe lease residual (a number found on the lease document)

Filers have the option of reporting based on either thresholds that are comparative (usually based on percentage values) orthresholds that are based on absolute dollar values The instructions on the following pages specifically describe the differentthresholds Check the box that reflects the choice you have made You must use the type of threshold you have chosen for eachpart of the form In other words if you choose to report based on absolute dollar value thresholds you cannot use a percentagethreshold on any part of the form

MANNER OF CALCULATING REPORTABLE INTEREST

IF YOU HAVE CHOSEN DOLLAR VALUE THRESHOLDSTHE FOLLOWING INSTRUCTIONS APPLY

CE FORM 1 - Effective January 1 2020 Incorporated by reference in Rule 34-8202 FAC PAGE 4

PART E mdash LIABILITIES [Required by s 1123145(3)(b)4 FS] List the name and address of each creditor to whom you owed more

than $10000 at any time during the disclosure period The amount of theliability of a vehicle lease is the sum of any past-due payments and allunpaid prospective lease payments You are not required to list the amountof any debt You do not have to disclose credit card and retail installmentaccounts taxes owed (unless reduced to a judgment) indebtedness ona life insurance policy owed to the company of issuance or contingentliabilities A ldquocontingent liabilityrdquo is one that will become an actual liabilityonly when one or more future events occur or fail to occur such as whereyou are liable only as a guarantor surety or endorser on a promissorynote If you are a ldquoco-makerrdquo and are jointly liable or jointly and severallyliable then it is not a contingent liability

PART F mdash INTERESTS IN SPECIFIED BUSINESSES [Required by s 1123145(6) FS] The types of businesses covered in this disclosure include state and

federally chartered banks state and federal savings and loan associationscemetery companies insurance companies mortgage companies creditunions small loan companies alcoholic beverage licensees pari-mutuelwagering companies utility companies entities controlled by the PublicService Commission and entities granted a franchise to operate by either acity or a county government

Disclose in this part the fact that you owned during the disclosure period aninterest in or held any of certain positions with the types of businesses listedabove You must make this disclosure if you own or owned (either directly orindirectly in the form of an equitable or beneficial interest) at any time duringthe disclosure period more than 5 of the total assets or capital stock ofone of the types of business entities listed above You also must completethis part of the form for each of these types of businesses for which youare or were at any time during the disclosure period an officer directorpartner proprietor or agent (other than a resident agent solely for service ofprocess)

If you have or held such a position or ownership interest in one ofthese types of businesses list the name of the business its address andprincipal business activity and the position held with the business (if any) Ifyou own(ed) more than a 5 interest in the business indicate that fact anddescribe the nature of your interest

PART G mdash TRAINING CERTIFICATION [Required by s 1123142 FS] If you are a Constitutional or elected municipal officer whose

service began before March 31 of the year for which you are filingyou are required to complete four hours of ethics training which addresses Article II Section 8 of the Florida Constitution the Code of Ethics for Public Officers and Employees and the public recordsand open meetings laws of the state You are required to certify onthis form that you have taken such training

(End of Dollar Value Thresholds Instructions)

IF YOU HAVE CHOSEN COMPARATIVE (PERCENTAGE) THRESHOLDS THE FOLLOWING INSTRUCTIONS APPLY

PART A mdash PRIMARY SOURCES OF INCOME [Required by s 1123145(3)(a)1 FS] Part A is intended to require the disclosure of your principal

sources of income during the disclosure period You do not haveto disclose any public salary or public position(s) but income from these public sources should be included when calculating your gross income for the disclosure period The income of your spouse need not be disclosed however if there is joint income to you and your spouse from property you own jointly (such as interest or dividends from a bank account or stocks) you should include all of that income when calculating your gross income and disclose the source of that income if it exceeded the threshold

Please list in this part of the form the name address and principal business activity of each source of your income whichexceeded 5 of the gross income received by you in your own name or by any other person for your benefit or use during the disclosure period

Gross income means the same as it does for income tax purposes even if the income is not actually taxable such as interest on tax-free bonds Examples include compensation for servicesincome from business gains from property dealings interest rents dividends pensions IRA distributions social security distributive share of partnership gross income and alimony but not child support

Examples mdash If you were employed by a company that manufactures computers and received more than 5 of your gross income from the company list the name of the company its address and its principal business activity (computer manufacturing) mdash If you were a partner in a law firm and your distributive share of partnership gross income exceeded 5 of your gross income then list the name of the firm its address and its principal business activity (practice of law) mdash If you were the sole proprietor of a retail gift business andyour gross income from the business exceeded 5 of your total gross income list the name of the business its addressand its principal business activity (retail gift sales) mdash If you received income from investments in stocks and bonds list each individual company from which you derived

more than 5 of your gross income Do not aggregate all of your investment income mdash If more than 5 of your gross income was gain from the sale of property (not just the selling price) list as a source of income the purchaserrsquos name address and principal business activityIf the purchasers identity is unknown such as where securities listed on an exchange are sold through a brokerage firm the source of income should be listed as sale of (name of company)stock for example mdash If more than 5 of your gross income was in the form of interest from one particular financial institution (aggregatinginterest from all CDrsquos accounts etc at that institution) list the name of the institution its address and its principal business activity

PART B mdash SECONDARY SOURCES OF INCOME [Required by s 1123145(3)(a)2 FS] This part is intended to require the disclosure of major customers

clients and other sources of income to businesses in which you ownan interest It is not for reporting income from second jobs That kindof income should be reported in Part A Primary Sources of Incomeif it meets the reporting threshold You will not have anything to report unless during the disclosure period

(1) You owned (either directly or indirectly in the form of anequitable or beneficial interest) more than 5 of the total assetsor capital stock of a business entity (a corporation partnershipLLC limited partnership proprietorship joint venture trust firmetc doing business in Florida) and (2) You received more than 10 of your gross income from thatbusiness entity and (3) You received more than $1500 in gross income from thatbusiness entity

If your interests and gross income exceeded these thresholds thenfor that business entity you must list every source of income to thebusiness entity which exceeded 10 of the business entityrsquos grossincome (computed on the basis of the business entityrsquos most recentlycompleted fiscal year) the sourcersquos address and the sourcersquos principal business activity

CE FORM 1 - Effective January 1 2020 Incorporated by reference in Rule 34-8202 FAC PAGE 5

NOTICE Annual Statements of Financial Interests are due July 1 If the annual form is not filed or postmarked by September 1 an automatic fine of $25 for each day late will be imposed up to a maximum penalty of $1500 Failure to file also can result in removal from public office or employment [s 1123145 FS]

In addition failure to make any required disclosure constitutes grounds for and may be punished by one or more of the following disqualification from being on the ballot impeachment removal or suspension from office or employment demotion reduction in salary reprimand or a civil penalty not exceeding $10000 [s 112317 FS]

1) Elected public officials not serving in a political subdivision of thestate and any person appointed to fill a vacancy in such office unlessrequired to file full disclosure on Form 62) Appointed members of each board commission authority

or council having statewide jurisdiction excluding members of solelyadvisory bodies but including judicial nominating commission membersDirectors of Enterprise Florida Scripps Florida Funding Corporationand Career Source Florida and members of the Council on the SocialStatus of Black Men and Boys the Executive Director Governors and senior managers of Citizens Property Insurance CorporationGovernors and senior managers of Florida Workers Compensation JointUnderwriting Association board members of the Northeast Fla RegionalTransportation Commission board members of Triumph Gulf Coast Incboard members of Florida Is For Veterans Inc and members of theTechnology Advisory Council within the Agency for State Technology3) The Commissioner of Education members of the State Board

of Education the Board of Governors the local Boards of Trustees andPresidents of state universities and the Florida Prepaid College Board4) Persons elected to office in any political subdivision (such a s

municipalities counties and special districts) and any person appointedto fill a vacancy in such office unless required to file Form 65) Appointed members of the following boards councils

commissions authorities or other bodies of county municipality schooldistrict independent special district or other political subdivision thegoverning body of the subdivision community college or junior collegedistrict boards of trustees boards having the power to enforce local codeprovisions boards of adjustment community redevelopment agenciesplanning or zoning boards having the power to recommend create ormodify land planning or zoning within a political subdivision except forcitizen advisory committees technical coordinating committees andsimilar groups who only have the power to make recommendationsto planning or zoning boards and except for representatives of amilitary installation acting on behalf of all military installations within thatjurisdiction pension or retirement boards empowered to invest pensionor retirement funds or determine entitlement to or amount of pensions orother retirement benefits and the Pinellas County Construction LicensingBoard6) Any appointed member of a local government board who

is required to file a statement of financial interests by the appointingauthority or the enabling legislation ordinance or resolution creating theboard7) Persons holding any of these positions in local government

mayor county or city manager chief administrative employee or finance

director of a county municipality or other political subdivision countyor municipal attorney chief county or municipal building inspectorcounty or municipal water resources coordinator county or municipalpollution control director county or municipal environmental controldirector county or municipal administrator with power to grant or denya land development permit chief of police fire chief municipal clerkappointed district school superintendent community college presidentdistrict medical examiner purchasing agent (regardless of title) havingthe authority to make any purchase exceeding $35000 for the localgovernmental unit8) Officers and employees of entities serving as chief administrative

officer of a political subdivision9) Members of governing boards of charter schools operated by a

city or other public entity10) Employees in the office of the Governor or of a Cabinet member

who are exempt from the Career Service System excluding secretarialclerical and similar positions11) The following positions in each state department commission

board or council Secretary Assistant or Deputy Secretary ExecutiveDirector Assistant or Deputy Executive Director and anyone having thepower normally conferred upon such persons regardless of title12) The following positions in each state department or division

Director Assistant or Deputy Director Bureau Chief and any personhaving the power normally conferred upon such persons regardless oftitle13) Assistant State Attorneys Assistant Public Defenders criminal

conflict and civil regional counsel and assistant criminal conflict and civilregional counsel Public Counsel full-time state employees serving ascounsel or assistant counsel to a state agency administrative law judgesand hearing officers14) The Superintendent or Director of a state mental health institute

established for training and research in the mental health field or anymajor state institution or facility established for corrections trainingtreatment or rehabilitation15) State agency Business Managers Finance and Accounting

Directors Personnel Officers Grant Coordinators and purchasingagents (regardless of title) with power to make a purchase exceeding$3500016) The following positions in legislative branch agencies each

employee (other than those employed in maintenance clerical secretarial or similar positions and legislative assistants exemptedby the presiding officer of their house) and each employee of theCommission on Ethics

INSTRUCTIONS FOR COMPLETING FORM 1INTRODUCTORY INFORMATION (Top of Form) If your name mailing address public agency and position are already printed on the form you do not need to provide this information unless it should be changed To change any of this information write the correct information on the form and contact your agencys financial disclosure coordinator You can find your coordinator on the Commission on Ethics website wwwethicsstateflus NAME OF AGENCY The name of the governmental unit which you serve or served by which you are or were employed or for which you are a candidate DISCLOSURE PERIOD The ldquodisclosure periodrdquo for your report is the calendar year ending December 31 2019

OFFICE OR POSITION HELD OR SOUGHT The title of the office or position you hold are seeking or held during the disclosure period even if you have since left that position If you are a candidate for office or are a new employee or appointee check the appropriate boxPUBLIC RECORD The disclosure form and everythingattached to it is a public record Your Social Security Number is not required and you should redact it from any documents you file If you are an active or former officer or employee listed in Section 119071 FS whose home address is exempt from disclosure the Commission will maintain that confidentiality if you submit a written request

WHO MUST FILE FORM 1

CE FORM 1 - Effective January 1 2020 Incorporated by reference in Rule 34-8202 FAC PAGE 3

Examples PART E mdash LIABILITIES mdash You are the sole proprietor of a dry cleaning business from [Required by s 1123145(3)(b)4 FS]which you received more than 10 of your gross incomemdashan List the name and address of each creditor to whom you owed amount that was more than $1500 If only one customer a any amount that at any time during the disclosure period exceeded uniform rental company provided more than 10 of your dry your net worth You are not required to list the amount of any debt cleaning business you must list the name of the uniform rental or your net worth You do not have to disclose credit card and retail company its address and its principal business activity (uniform installment accounts taxes owed (unless reduced to a judgment) rentals) indebtedness on a life insurance policy owed to the company of mdash You are a 20 partner in a partnership that owns a shopping issuance or contingent liabilities A ldquocontingent liabilityrdquo is one mall and your partnership income exceeded the thresholds that will become an actual liability only when one or more future listed above You should list each tenant of the mall that events occur or fail to occur such as where you are liable only as provided more than 10 of the partnershiprsquos gross income and a guarantor surety or endorser on a promissory note If you are a the tenantrsquos address and principal business activity ldquoco-makerrdquo and are jointly liable or jointly and severally liable it is not

a contingent liability PART C mdash REAL PROPERTY Calculations To determine whether the debt exceeds your

[Required by s 1123145(3)(a)3 FS] net worth total all of your liabilities (including promissory notes mortgages credit card debts judgments against you etc) TheIn this part list the location or description of all real property in amount of the liability of a vehicle lease is the sum of any past-due Florida in which you owned directly or indirectly at any time during payments and all unpaid prospective lease payments Subtract the disclosure period in excess of 5 of the propertyrsquos value You the sum total of your liabilities from the value of all your assets are not required to list your residences You should list any vacation as calculated above for Part D This is your ldquonet worthrdquo List each homes if you derive income from them creditor to whom your debt exceeded this amount unless it is one of

Indirect ownership includes situations where you are a the types of indebtedness listed in the paragraph above (credit card beneficiary of a trust that owns the property as well as situations and retail installment accounts etc) Joint liabilities with others for where you own more than 5 of a partnership or corporation that which you are ldquojointly and severally liablerdquo meaning that you may owns the property The value of the property may be determined by be liable for either your part or the whole of the obligation should be the most recently assessed value for tax purposes in the absence included in your calculations at 100 of the amount owed of a more current appraisal

Example You owe $15000 to a bank for student loans $5000 The location or description of the property should be sufficient for credit card debts and $60000 (with spouse) to a savings to enable anyone who looks at the form to identify the property A and loan for a home mortgage Your home (owned by you and street address should be used if one exists your spouse) is worth $80000 and your other property is worth PART D mdash INTANGIBLE PERSONAL PROPERTY $20000 Since your net worth is $20000 ($100000 minus

$80000) you must report only the name and address of the [Required by s 1123145(3)(a)3 FS] savings and loan Describe any intangible personal property that at any time

during the disclosure period was worth more than 10 of your PART F mdash INTERESTS IN SPECIFIED BUSINESSES total assets and state the business entity to which the property [Required by s 1123145 FS] related Intangible personal property includes things such as cash on hand stocks bonds certificates of deposit vehicle leases The types of businesses covered in this disclosure include interests in businesses beneficial interests in trusts money owed state and federally chartered banks state and federal savings and you Deferred Retirement Option Program (DROP) accounts loan associations cemetery companies insurance companies the Florida Prepaid College Plan and bank accounts Intangible mortgage companies credit unions small loan companies alcoholic personal property also includes investment products held in IRAs beverage licensees pari-mutuel wagering companies utilitybrokerage accounts and the Florida College Investment Plan companies entities controlled by the Public Service Commission Note that the product contained in a brokerage account IRA or the and entities granted a franchise to operate by either a city or a Florida College Investment Plan is your assetmdashnot the account or county governmentplan itself Things like automobiles and houses you own jewelry Disclose in this part the fact that you owned during the and paintings are not intangible property Intangibles relating to the disclosure period an interest in or held any of certain positions same business entity may be aggregated for example CDrsquos and with the types of businesses listed above You are requiredsavings accounts with the same bank to make this disclosure if you own or owned (either directly or

Calculations To determine whether the intangible property indirectly in the form of an equitable or beneficial interest) at any exceeds 10 of your total assets total the fair market value of time during the disclosure period more than 5 of the total assets all of your assets (including real property intangible property and or capital stock of one of the types of business entities listed above tangible personal property such as jewelry furniture etc) When You also must complete this part of the form for each of these types making this calculation do not subtract any liabilities (debts) that of businesses for which you are or were at any time during themay relate to the property Multiply the total figure by 10 to arrive disclosure period an officer director partner proprietor or agent at the disclosure threshold List only the intangibles that exceed (other than a resident agent solely for service of process) this threshold amount The value of a leased vehicle is the vehiclersquos If you have or held such a position or ownership interest in present value minus the lease residual (a number which can be one of these types of businesses list the name of the business its found on the lease document) Property that is only jointly owned address and principal business activity and the position held with property should be valued according to the percentage of your the business (if any) If you own(ed) more than a 5 interest in the joint ownership Property owned as tenants by the entirety or as business indicate that fact and describe the nature of your interest joint tenants with right of survivorship should be valued at 100 None of your calculations or the value of the property have to be PART G mdash TRAINING CERTIFICATIONdisclosed on the form

[Required by s 1123142 FS] Example You own 50 of the stock of a small corporation that is worth $100000 the estimated fair market value of If you are a Constitutional or elected municipal officer whoseyour home and other property (bank accounts automobile service began before March 31 of the year for which you are filing furniture etc) is $200000 As your total assets are worth you are required to complete four hours of ethics training which $250000 you must disclose intangibles worth over $25000 addresses Article II Section 8 of the Florida Constitution the Code Since the value of the stock exceeds this threshold you of Ethics for Public Officers and Employees and the public records should list ldquostockrdquo and the name of the corporation If your and open meetings laws of the state You are required to certify on accounts with a particular bank exceed $25000 you should this form that you have taken such training list ldquobank accountsrdquo and bankrsquos name

(

End of Percentage Thresholds Instructions) CE FORM 1 - Effective January 1 2020 Incorporated by reference in Rule 34-8202 FAC PAGE 6

  • 0 HP Cover Page v2
  • 1 Hawks Point Meeting Invite Draft v2
  • 2 Agenda Draft v3
  • 3 EXHIBIT 1
  • 7 HP 05-19-2020 Meeting Minutes Approved
  • 6 EXHIBIT 2
  • 9 HP May FY20 Fin
  • 8 EXHIBIT 3
  • 4 Vacant Position Qualification Requirements for Hawks Point CDD
    • Vacant Position on the Board of Supervisors of the Hawkrsquos Point Community Development District
      • Qualification Requirements
      • Instructions for Interested Candidates
      • Additional Notes
          • 5 Shami Choon Vacant Position - updated 11-5-11 resume
            • 1803 Oak Pond Street Ruskin Fl 33570 E-mailchoons27gmailcom
              • PROFESSIONAL HISTORY
                • Operations Manager Florida Distribution 2002 ndash 2005
                • Operations Manager for Florida Branch Distribution 1999 ndash 2002
                • Warehouse Manager of Miami Distribution Center 1998 ndash 1999
                • Branch Manager of West Palm Beach 1994 ndash 1998
                • Assistant Branch Manager 1991 ndash 1994
                • Customer Service Agent 1990 ndash 1991
                  • 10 EXHIBIT 4
                  • 11 New Business - Hawks Point CDD - MI proposal
                  • 12 EXHIBIT 5
                  • 13 CertaPro Proposal to Paint Exterior Wall 18th to 24th Avenue
                  • 14 Shazam Construction Proposal to Paint Exterior Wall 18th to 24th Street
                    • QUOTE
                      • TO
                          • 15 Photo to accompany Shazam Proposal
                          • 16 EXHIBIT 6
                          • 17 CertaPro Proposal for Pressure Washing Exterior Wall 18th St to 24th Street
                          • 18 Shazam Construction Proposal for Pressure Washing Exterion Wall 18th Street to 24th Street
                            • QUOTE
                              • TO
                                  • 19 EXHIBIT 7
                                  • 20 Form 1_2019i
                                      1. LAST NAME
                                      2. FIRST NAME
                                      3. MIDDLE NAME
                                      4. MAILING ADDRESS ROW 1
                                      5. MAILING ADDRESS ROW 2
                                      6. CITY
                                      7. ZIP
                                      8. COUNTY
                                      9. NAME OF AGENCY
                                      10. NAME OF OFFICE OR POSITION HELD OR SOUGHT
                                      11. CANDIDATE Off
                                      12. NEW EMPLOYEE OR APPOINTEE Off
                                      13. COMPARATIVE (PERCENTAGE) THRESHOLDS Off
                                      14. DOLLAR VALUE THRESHOLDS Off
                                      15. NAME OF SOURCE INCOME ROW 1
                                      16. ADDRESS ROW 1
                                      17. DESCRIPTION OF THE SOURCES PRINCIPAL BUSINESS ACTIVITY ROW 1
                                      18. NAME OF SOURCE INCOME ROW 2
                                      19. ADDRESS ROW 2
                                      20. DESCRIPTION OF THE SOURCES PRINCIPAL BUSINESS ACTIVITY ROW 2
                                      21. NAME OF SOURCE INCOME ROW 3
                                      22. ADDRESS ROW 3
                                      23. DESCRIPTION OF THE SOURCES PRINCIPAL BUSINESS ACTIVITY ROW 3
                                      24. NAME OF SOURCE INCOME ROW 4
                                      25. ADDRESS ROW 4
                                      26. DESCRIPTION OF THE SOURCES PRINCIPAL BUSINESS ACTIVITY ROW 4
                                      27. NAME OF BUSINESS ENTITY ROW 1
                                      28. NAME OF MAJOR SOURCES OF BUSINESS INCOME ROW 1
                                      29. ADDRESS OF SOURCE ROW 1
                                      30. PRINCIPAL BUSINESS ACTIVITY OF SOURCE ROW 1
                                      31. NAME OF BUSINESS ENTITY ROW 2
                                      32. NAME OF MAJOR SOURCES OF BUSINESS INCOME ROW 2
                                      33. ADDRESS OF SOURCE ROW 2
                                      34. PRINCIPAL BUSINESS ACTIVITY OF SOURCE ROW 2
                                      35. NAME OF BUSINESS ENTITY ROW 3
                                      36. NAME OF MAJOR SOURCES OF BUSINESS INCOME ROW 3
                                      37. ADDRESS OF SOURCE ROW 3
                                      38. PRINCIPAL BUSINESS ACTIVITY OF SOURCE ROW 3
                                      39. REAL PROPERTY ROW 1
                                      40. REAL PROPERTY ROW 2
                                      41. REAL PROPERTY ROW 3
                                      42. REAL PROPERTY ROW 4
                                      43. TYPE OF INTANGIBLE ROW 1
                                      44. BUSINESS ENTITY TO WHICH THE PROPERTY RELATES ROW 1
                                      45. TYPE OF INTANGIBLE ROW 2
                                      46. BUSINESS ENTITY TO WHICH THE PROPERTY RELATES ROW 2
                                      47. NAME OF CREDITOR ROW 1
                                      48. ADDRESS OF CREDITOR ROW 1
                                      49. NAME OF CREDITOR ROW 2
                                      50. ADDRESS OF CREDITOR ROW 2
                                      51. ADDRESS OF BUSINESS ENTITY 1
                                      52. PRINCIPAL BUSINESS ACTIVITY 1
                                      53. POSITION HELD WITH ENTITY 1
                                      54. I OWN MORE THAN A 5 INTEREST IN THE BUSINESS 1
                                      55. NATURE OF MY OWNERSHIP INTEREST 1
                                      56. ADDRESS OF BUSINESS ENTITY 2
                                      57. PRINCIPAL BUSINESS ACTIVITY 2
                                      58. POSITION HELD WITH ENTITY 2
                                      59. I OWN MORE THAN A 5 INTEREST IN THE BUSINESS 2
                                      60. NATURE OF MY OWNERSHIP INTEREST 2
                                      61. FOR ELECTED MUNICIPAL OFFICERS REQUIRED TO COMPLETE ANNUAL ETHICS TRAINING PURSUANT TO SECTION 112
                                        1. 3142 F
                                          1. S Off
                                              1. IF ANY OF PARTS A THROUGH G ARE CONTINUED ON A SEPARATE SHEET PLEASE CHECK HERE Off
                                              2. SIGNATURE
                                              3. Date Signed
Page 19: HAWKS POINT COMMUNITY DEVELOPMENT …...2020/06/16  · Hawks Point Community Development District Board of Supervisors Meeting Tuesday, June 16th at 6:30 PM via Zoom All: We welcome

Date Num Name Memo Receipts Disbursements Balance

HAWKS POINT CDDCASH REGISTER

FY 2020

Bank United EOM Balance 203 2682563 707084

03042020 1128 DPFG MANAGEMENT amp CONSULTING LLC CDD Mgmt - March 385833 321251

03122020 1129 STANTEC CONSULTING SERVICES INC Engineering Svcs thru 012420 73950 247301

03122020 ACH032520 TAMPA ELECTRIC 13120 - 22820 - 2160 Golden Falcon Dr 8527 238774

03122020 ACH0325202 TAMPA ELECTRIC 013120 - 22820 - 1416 Little Hawk Dr 6592 232182

03192020 BankUnited Funds Transfer 5000000 5232182

03192020 1130 HAWKS POINT CDD DS 2017 Tax Collection Share co Wells Fargo thru 030420 1437199 3794983

03242020 1131 Landscape Maintenance Professionals Inc Pencil Pruning of Crape Myrtles Landscape Maint -042020 1360500 2434483

03242020 1132 STANTEC CONSULTING SERVICES INC Pond Maint - January Feb 295000 2139483

03242020 1133 STRALEY ROBIN VERICKER Legal Svcs thru 021520 23250 2116233

03272020 1134 DPFG MANAGEMENT amp CONSULTING LLC CDD Mgmt - April 2020 385833 1730400

03272020 1135 Landscape Maintenance Professionals Inc Irrigation Inspection repairs 74858 1655542

03312020 BankUnited Interest 200 1655742

Bank United EOM Balance 5000200 4051542 1655742

04082020 1136 Accurate Drilling Solutions Service call - 032520 - Replacement for Controller on pump 4 60234 1595508

04082020 1137 STANTEC CONSULTING SERVICES INC Engineering Svcs thru 032020 61250 1534258

04082020 1138 STRALEY ROBIN VERICKER Legal Svcs thru 031520 93270 1440988

04082020 1139 TAMPA ELECTRIC 229-330 - Electricity 16915 1424073

04162020 1140 HAWKS POINT CDD DS 2017 Tax Collection Share co Wells Fargo thru 041320 298431 1125642

04232020 BankUnited Funds Transfer 5000000 6125642

04232020 1141 Accurate Drilling Solutions Well Drilling and new pump system installation 1816480 4309162

04282020 1142 STRALEY ROBIN VERICKER Legal Svcs thru 041520 57460 4251702

04302020 BankUnited Interest 241 4251943

Bank United EOM Balance 5000241 2404040 4251943

05012020 1143 DPFG MANAGEMENT amp CONSULTING LLC CDD Mgmt - May 2020 385833 3866110

05012020 ACH050120 Innovative Employer Soltuions Bos Mtg - 42120 14080 3852030

05012020 747666DD MARIE CHANTAL COPELAND Bos Mtg - 42120 18470 3833560

05012020 747667DD WILLIAM J HATHAWAY Bos Mtg - 42120 18470 3815090

05012020 747668DD SHERRI KEENE Bos Mtg - 42120 18470 3796620

05082020 ACH050820 Innovative Employer Soltuions Bos Mtg - 42120 8620 3788000

05082020 1 Caryn Williams BOS 04212020 18470 3769530

05112020 1144 Landscape Maintenance Professionals Inc Landscape Maint -052020 1105000 2664530

05112020 1145 STANTEC CONSULTING SERVICES INC Engineering Svcs thru 042420 25400 2639130

05112020 1146 TAMPA ELECTRIC 330-429 - Electricity 19915 2619215

05212020 1147 BUSINESS OBSERVER Legal Ad - Notice of Qualifying Period 51520 5250 2613965

05212020 1148 CertaPro Painters Paint exterior wall 24th to 30th Street 635000 1978965

05212020 1149 STANTEC CONSULTING SERVICES INC Pond Maint - March-April 295000 1683965

05292020 BankUnited Funds Transfer 5000000 6683965

05292020 755486DD Caryn Williams Bos Mtg - 51920 18470 6665495

05292020 ACH052920 Innovative Employer Soltuions Bos Mtg - 51920 14740 6650755

05292020 755485DD SHERRI KEENE Bos Mtg - 51920 18470 6632285

05292020 755484DD WILLIAM J HATHAWAY Bos Mtg - 51920 18470 6613815

05312020 BankUnited Interest 350 6614165

Bank United EOM Balance 5000350 2638128 6614165

Page 8

EXHIBIT 3

Vacant Position on the Board of Supervisors of the Hawkrsquos Point Community Development District The Hawkrsquos Point Community Development District (CDD) is soliciting interested candidates to fill a vacant position on the Board of Supervisors of the CDD (Board) The CDD is a local unit of special-purpose government which is created pursuant to Chapter 190 Florida Statutes The Board is comprised of 5 members who are public officials who are normally elected on the November General Elections who serve in staggered terms The vacancy is a result of a resignation of a board member due to a relocation The remaining term of the vacant supervisorrsquos seat is through November 2022

Qualification Requirements

1 Resident of the CDD

2 At least 18 years of age

3 Citizen of the United States

4 Legal resident of Florida and of the CDD

5 Registered to vote with the Hillsborough County Supervisor of Elections

Instructions for Interested Candidates

Interested candidates must submit a letter of interest and resume to Raymondlotitodpfgcom by 4 pm on Friday June 5 2020 The subject line in the email should read ldquoVacant Position on the Board of Supervisors of the Hawkrsquos Point CDDrdquo

The Letter of Interest must contain

1 A statement stating why you believe you are well suited for the position

2 Your vision for the CDD and what you would like to see the Community evolve into Please be specific

The Resume must contain

1 Your academic background and professional experience

2 Previous and current experience with governmental agencies and governing boards

Interested candidates should attend the Board meeting on Tuesday June 16 2020 at 630 pm and present a brief presentation about themselves and be prepared for a brief question and answer period with the current Board members

Additional Notes

The current Board members will discuss the candidates and may make an appointment at the June meeting If the Board cannot come to a consensus on one candidate or if they determine to not appoint any candidate to the vacant seat they may revisit the vacancy at a future meeting or leave the seat vacant until the November 2022 General Election

Please note that the person appointed to serve in the vacant seat will be required to submit a financial disclosure statement to the State and will be subject to Floridarsquos Government in the Sunshine Laws Public Records laws and Ethics laws

1

Sookdeo (Shami) Choon Phone number (813) 731-5564 1803 Oak Pond Street Ruskin Fl 33570 E-mailchoons27gmailcom

PROFESSIONAL HISTORY Firkins GroupGarber Nissan December 2013 to Present Commercial Vehicle Sales ManagerFinance Manager Auto Nation From January 2006 to December 2013 Sales 2006- 2007 Finance Manager 2007- 2008 Sales Manager Training Manager 2008-2009 Sales Finance 2009- 2011 Commercial Sales Manager Finance Manager 2011- 2020 Parts Depot Inc From 1990 to 2005 ___________________________________________________________________________________________ Operations Manager Florida Distribution 2002 ndash 2005 bull Responsible for total inventory control of all Florida warehouses frac12 of the corporationrsquos revenue bull Directed top management to complete acquisition consolidations which resulted in the corporationrsquos

expansion bull Managed all Florida branch warehouse managers and employees totaling 200 employees bull Increased productivity and shipping efficiency in all departments developed new delivery logistics

improved product availability to all customers as well a hired and efficiently trained employees bull Reviewed all customer service statistics daily and contacted customer directly on all issues bull Reviewed PampLrsquos for all units monthly bull Presented weekly productivity and financial reports to senior management bull Directed DOT monthly guidelines maintained driver files in accordance with DOT regulations and

implemented loss prevention programs Operations Manager for Florida Branch Distribution 1999 ndash 2002 bull Improved customer service by increasing product availability to customers by implementing new

delivery logistics bull Developed employee training implemented safety awareness and monthly safety programs Warehouse Manager of Miami Distribution Center 1998 ndash 1999 bull Developed and implemented productivity guidelines implemented delivery cost saving programs

and improved product availability to the corporationrsquos customers Branch Manager of West Palm Beach 1994 ndash 1998 bull Responsible for the opening of this new branch set the building layout as well as the delivery and

logistics systems

2

bull Increased sales by 80 over budget and kept operating cost as of sales Implemented new customer service department Hired and trained all employees

Assistant Branch Manager 1991 ndash 1994 bull Increased productivity by 20 and improved delivery service Customer Service Agent 1990 ndash 1991 bull Created and implemented customer service guidelines Wingate Automotive Group 1987ndash 1990 Trinidad amp Tobago Government National Security 1984- 1987 Field Operation

EXHIBIT 4

PO Box 267 Seffner FL 33583 O 813-757-6500 F 813-757-6501 Estimate

Submitted To Hawks Point CDD 250 International Parkway Suite 280 Lake Mary FL 32746

CDD - controller 4 - zones 1 and 2

Date 5232020

Estimate 66077

LMP REPRESENTATIVE

DG-TI

PO

W ork Order

DESCRIPTION QTY COST TOTAL

Controller 4 34 inch poly pipe 34 inch poly pipe clamps Labor 2 men $ 8500 per hour

Irrigation inspection repairs needed Repair 6 - 34 inch poly pipe line leaks

6 12 05

072 129

8500

432 1548 4250

TERMS AND CONDITIONS TOTAL $6230

LMP reserves the right to withdraw this proposal if not accepted within 30 days of the date listed above Any alteration or deviation to scope of work involving additional costs must be agreed upon in writing as a separate proposal or change order to this proposal Periodic invoices may be submitted if job is substantial in nature with final invoice being submitted at completion of project Any work performed requiring more than 5 days to complete is subject to progressive payments as portions of the work are completed No finance charge will be imposed if the total of said work is paid in full within 30 days of invoice date If not paid in full within 30 days then customer is subject to finance charges on the balance of the work from the invoice date at a rate of 15 per month until paid LMP shall have the right to stop work under this contract until all outstanding amounts including finance charges are paid in full Payments will be applied to the oldest invoices

ACCEPTANCE OF PROPOSAL The above prices scope of work and terms and conditions are hereby satisfactorily agreed upon LMP Inc has been authorized to perform the work as outlined and payment will be made as outlined above The above pricing does not include any unforeseen modifications to the said irrigation system that could not be reasonably accounted for prior to job start All plant material carries a one (1) year warranty provided LMP Inc is performing landscape maintenance services to the area installed or enhanced at the time of installation If not then there is no warranty on the plant material

OWNER AGENT

DATE

EXHIBIT 5

Independent Franchise Owner Job TBE8F300154 Terry Beamer 9266 Lazy Ln

Date 06012020

EXTERIOR PROPOSALEXTERIOR PROPOSALEXTERIOR PROPOSALEXTERIOR PROPOSAL Tampa FL 33614 813-936-9242

Fax 813 936-9172

1-800-462-3782

License PA2508

Full Workers Compensation Coverage$2000000 General Liability Insurance

DPFG Management amp Consulting LLC (Hawks Point) Raymond Lotito (SB) Hawks Point CDD Ruskin FL 33570 Phone 813-418-7473 Cell 813-220-6089 Email raymondlotitodpfgcom

Special Notes CERTAPRO PAINTERS WILL PAINT WALL FACING 19ST FROM 18TH-24TH

SPECIAL ATTENTION ADDRESSING STUCCO CRACKS USING CONCRETE AND MASONRY PATCH

SPECIAL ATTENTION PRESSURE WASHING LOOSE PEELING PAINT PRIOR TO PAINTING

CERTAPRO PAINTERS WILL ONLY PAINT STREET FACING SIDE- HOMEOWNERS SIDE EXCLUDED FROM PROPOSAL

CUSTOMER RESPONSIBILITIES Please cut back all shrubs bushes and palms away from wall

GENERAL DESCRIPTION Painting to Exterior Wall 18th-24th Facing 19th Ave

PREPARATION Washing To remove dirt mildew and loose paint so the new finish coat will adhere properly

Caulking To fill all cracks and gaps around windows and doorswood work to seal out moisture and drafts Stair step

cracks

Scraping Scrape all loose and peeling paint to ensure a firm base for the new paint

Masonry Repair to all cracks gaps and holes with elastemeric caulking or masonry patch as required

Sanding To degloss where necessary to promote adhesion of the top coat

Surface TypeArea Primer PurposePRIMING

Masonry Loxon sealerprimer Latex For propor top coat adhesion

Conditioner Loxon sealerprimer to all Latex For proper top coat adhesion

masonry surfaces

FINISH COATS

Surface Area

Exterior

ManufacturePaint Type

Sherwin Williams Resilience Ext Satin

Coats

1 primer-sealer 1 spray 1 backroll stucco

Color

Same As Existing

Clean Up Daily and upon completion

$1132900 All Labor Paint Materials

$1132900 TOTAL

Signature of Authorized Franchise Representative Date

Payment is due In Full upon Job Completion

(IWE HAVE READ THE TERMS STATED HEREIN THEY HAVE (IWE) HAVE EXAMINED THE JOB STATED HEREIN THEY EXPLAINED TO (MEUS) AND (IWE) FIND THEM TO BE HAVE SHOWN TO (MEUS) AND (IWE) FIND THE JOB TO SATISFACTORY AND HEREBY ACCEPT THEM BE SATISFACTORY AND HEREBY ACCEPT THE JOB AS

COMPLETE

SIGNATURE Date SIGNATURE Date

QUOTE

Shazam Construction LLC DATE MAY 13 2020

Shazam Hera 6773 Waterton Drive Riverview FL 33578 813-385-4591 ShazamConstructionLLCgmailcom Hawks Point CDD

TO Bill to Development Planning and Financing Group 15310 Amberly Drive Suite 175 Tampa FL 33647

QUANITY DESCRIPTION UNIT PRICE LINE TOTAL

Pressure wash the wall that parallels 19th avenue from 18th street to 24th street in Hawks Point CDD in Ruskin

$1270000

Repair any cracks with caulk or elastomeric as neededPrep for paint

Paint the wall that parallels 19th avenue from 18th street to 24th street in Hawks Point CDD in Ruskin

Paint using body trim and caps of exterior wall facing 19th avenue

Paint while matching existing colors

Paint using Sherwin Williams

All paint materials and labor is included

SUBTOTAL

SALES TAX

TOTAL $1270000

Make all checks payable to Shazam Construction LLC

THANK YOU FOR YOUR BUSINESS

EXHIBIT 6

Independent Franchise Owner Job TB443B00157 Terry Beamer 9266 Lazy Ln

Date 06052020

EXTERIOR PROPOSALEXTERIOR PROPOSALEXTERIOR PROPOSALEXTERIOR PROPOSAL Tampa FL 33614 813-936-9242

Fax 813 936-9172

1-800-462-3782

License PA2508

Full Workers Compensation Coverage$2000000 General Liability Insurance

DPFG Management amp Consulting LLC (Hawks Point) Raymond Lotito (SB) Hawks Point CDD Ruskin FL 33570 Phone 813-418-7473 Cell 813-220-6089 Email raymondlotitodpfgcom

Special Notes CERTAPRO PAINTERS PRESSURE WASHING PROPOSAL 18TH-24TH

CERTAPRO PAINTERS WILL PRESSURE WASH WALL FACING 19TH ST ONLY

GENERAL DESCRIPTION Painting to

PREPARATION Washing To remove dirt mildew and loose paint so the new finish coat will adhere properly

PRIMING Surface TypeArea Primer Purpose

Clean Up Daily and upon completion

All Labor Paint Materials

TOTAL

$195000

$195000

Signature of Authorized Franchise Representative Date

Payment is due In Full upon Job Completion

(IWE HAVE READ THE TERMS STATED HEREIN THEY HAVE (IWE) HAVE EXAMINED THE JOB STATED HEREIN THEY EXPLAINED TO (MEUS) AND (IWE) FIND THEM TO BE HAVE SHOWN TO (MEUS) AND (IWE) FIND THE JOB TO SATISFACTORY AND HEREBY ACCEPT THEM BE SATISFACTORY AND HEREBY ACCEPT THE JOB AS

COMPLETE

SIGNATURE Date SIGNATURE Date

QUOTE

Shazam Construction LLC DATE JUNE 5 2020

Shazam Hera 6773 Waterton Drive Riverview FL 33578 813-385-4591 ShazamConstructionLLCgmailcom Hawks Point CDD

TO Bill to Development Planning and Financing Group 15310 Amberly Drive Suite 175 Tampa FL 33647

QUANITY DESCRIPTION UNIT PRICE LINE TOTAL

Pressure wash the wall that parallels 19th avenue from 18th street to 24th street in Hawks Point CDD in Ruskin

$160000

All materials and labor is included

SUBTOTAL

SALES TAX

TOTAL $160000

Make all checks payable to Shazam Construction LLC

THANK YOU FOR YOUR BUSINESS

EXHIBIT 7

2019FORM 1 STATEMENT OF

Please print or type your name mailing FOR OFFICE USE ONLY FINANCIAL INTERESTS address agency name and position below

LAST NAME -- FIRST NAME -- MIDDLE NAME

MAILING ADDRESS

CITY ZIP COUNTY

NAME OF AGENCY

NAME OF OFFICE OR POSITION HELD OR SOUGHT

CHECK ONLY IF CANDIDATE OR NEW EMPLOYEE OR APPOINTEE

THIS SECTION MUST BE COMPLETED DISCLOSURE PERIOD THIS STATEMENT REFLECTS YOUR FINANCIAL INTERESTS FOR CALENDAR YEAR ENDING DECEMBER 31 2019

MANNER OF CALCULATING REPORTABLE INTERESTS FILERS HAVE THE OPTION OF USING REPORTING THRESHOLDS THAT ARE ABSOLUTE DOLLAR VALUES WHICH REQUIRES FEWER CALCULATIONS OR USING COMPARATIVE THRESHOLDS WHICH ARE USUALLY BASED ON PERCENTAGE VALUES (see instructions for further details) CHECK THE ONE YOU ARE USING (must check one)

COMPARATIVE (PERCENTAGE) THRESHOLDS OR DOLLAR VALUE THRESHOLDS

PART A -- PRIMARY SOURCES OF INCOME [Major sources of income to the reporting person - See instructions] (If you have nothing to report write none or na)

NAME OF SOURCE SOURCES DESCRIPTION OF THE SOURCES OF INCOME ADDRESS PRINCIPAL BUSINESS ACTIVITY

PART B -- SECONDARY SOURCES OF INCOME [Major customers clients and other sources of income to businesses owned by the reporting person - See instructions] (If you have nothing to report write none or na)

NAME OF NAME OF MAJOR SOURCES ADDRESS PRINCIPAL BUSINESS BUSINESS ENTITY OF BUSINESS INCOME OF SOURCE ACTIVITY OF SOURCE

PART C -- REAL PROPERTY [Land buildings owned by the reporting person - See instructions] You are not limited to the space on the (If you have nothing to report write none or na) lines on this form Attach additional

sheets if necessary

FILING INSTRUCTIONS for when and where to file this form are located at the bottom of page 2

INSTRUCTIONS on who must file this form and how to fill it out begin on page 3

CE FORM 1 - Effective January 1 2020 (Continued on reverse side) PAGE 1 Incorporated by reference in Rule 34-8202(1) FAC

FILING INSTRUCTIONS

IF ANY OF PARTS A THROUGH G ARE CONTINUED ON A SEPARATE SHEET PLEASE CHECK HERE

PART D mdash INTANGIBLE PERSONAL PROPERTY [Stocks bonds certificates of deposit etc - See instructions] (If you have nothing to report write none or na) TYPE OF INTANGIBLE BUSINESS ENTITY TO WHICH THE PROPERTY RELATES

PART E mdash LIABILITIES [Major debts - See instructions] (If you have nothing to report write none or na)

NAME OF CREDITOR ADDRESS OF CREDITOR

PART F mdash INTERESTS IN SPECIFIED BUSINESSES [Ownership or positions in certain types of businesses - See instructions] (If you have nothing to report write none or na)

BUSINESS ENTITY 1 BUSINESS ENTITY 2

NAME OF BUSINESS ENTITY

ADDRESS OF BUSINESS ENTITY

PRINCIPAL BUSINESS ACTIVITY

POSITION HELD WITH ENTITY

I OWN MORE THAN A 5 INTEREST IN THE BUSINESS

NATURE OF MY OWNERSHIP INTEREST

If you were mailed the form by the Commission on Ethics or a County Supervisor of Elections for your annual disclosure filing return the form to that location To determine what category your position falls under see page 3 of instructions Local officersemployees file with the Supervisor of Elections of the county in which they permanently reside (If you do not permanently reside in Florida file with the Supervisor of the county where your agency has its headquarters) Form 1 filers who file with the Supervisor of Elections may file by mail or email Contact your Supervisor of Elections for the mailing address or email address to use Do not email your form to the Commission on Ethics it will be returned State officers or specified state employees who file with the Commission on Ethics may file by mail or email To file by mail send the completed form to PO Drawer 15709 Tallahassee FL32317-5709 physical address 325 John Knox Rd Bldg E Ste 200 Tallahassee FL 32303 To file with the Commission by email scan your completed form and any attachments as a pdf (do not use any other format) send it to CEForm1legstateflus and retain a copy for your records Do not file by both mail and email Choose only one filing method Form 6s will not be accepted via email

Candidates file this form together with their filing papers MULTIPLE FILING UNNECESSARY A candidate who files a Form 1 with a qualifying officer is not required to file with the Commission or Supervisor of Elections WHEN TO FILE Initially each local officeremployee state officer and specified state employee must file within 30 days of the date of his or her appointment or of the beginning of employment Appointees who must be confirmed by the Senate must file prior to confirmation even if that is less than 30 days from the date of their appointment Candidates must file at the same time they file their qualifying papers Thereafter file by July 1 following each calendar year in which they hold their positions Finally file a final disclosure form (Form 1F) within 60 days of leaving office or employment Filing a CE Form 1F (Final Statement of Financial Interests) does not relieve the filer of filing a CE Form 1 if the filer was in his or her position on December 31 2019

SIGNATURE OF FILER Signature

____________________________________________

Date Signed

____________________________________________

CPA or ATTORNEY SIGNATURE ONLY If a certified public accountant licensed under Chapter 473 or attorney in good standing with the Florida Bar prepared this form for you he or she must complete the following statement

I _______________________________________ prepared the CE Form 1 in accordance with Section 1123145 Florida Statutes and the instructions to the form Upon my reasonable knowledge and belief the disclosure herein is true and correct

CPAAttorney Signature ______________________________

Date Signed _______________________________________

PART G mdash TRAINING For elected municipal officers required to complete annual ethics training pursuant to section 1123142 FS

I CERTIFY THAT I HAVE COMPLETED THE REQUIRED TRAINING

CE FORM 1 - Effective January 1 2020 PAGE 2 Incorporated by reference in Rule 34-8202(1) FAC

Examplesmdash You are the sole proprietor of a dry cleaning business fromwhich you received more than 10 of your gross incomemdashanamount that was more than $1500 If only one customer auniform rental company provided more than 10 of your drycleaning business you must list the name of the uniform rentalcompany its address and its principal business activity (uniform rentals) mdash You are a 20 partner in a partnership that owns a shopping mall and your partnership income exceeded the thresholds listed above You should list each tenant of the mall that provided more than 10 of the partnershiprsquos gross income and the tenantrsquos address and principal business activity

PART C mdash REAL PROPERTY[Required by s 1123145(3)(a)3 FS]In this part list the location or description of all real property in

Florida in which you owned directly or indirectly at any time during the disclosure period in excess of 5 of the propertyrsquos value You are not required to list your residences You should list any vacation homes if you derive income from them

Indirect ownership includes situations where you are abeneficiary of a trust that owns the property as well as situations where you own more than 5 of a partnership or corporation thatowns the property The value of the property may be determined by the most recently assessed value for tax purposes in the absence of a more current appraisal

The location or description of the property should be sufficient to enable anyone who looks at the form to identify the property Astreet address should be used if one exists PART D mdash INTANGIBLE PERSONAL PROPERTY

[Required by s 1123145(3)(a)3 FS]Describe any intangible personal property that at any time

during the disclosure period was worth more than 10 of your total assets and state the business entity to which the property related Intangible personal property includes things such as cash on hand stocks bonds certificates of deposit vehicle leases interests in businesses beneficial interests in trusts money owed you Deferred Retirement Option Program (DROP) accounts the Florida Prepaid College Plan and bank accounts Intangiblepersonal property also includes investment products held in IRAs brokerage accounts and the Florida College Investment Plan Note that the product contained in a brokerage account IRA or the Florida College Investment Plan is your assetmdashnot the account or plan itself Things like automobiles and houses you own jewelryand paintings are not intangible property Intangibles relating to the same business entity may be aggregated for example CDrsquos and savings accounts with the same bank

Calculations To determine whether the intangible property exceeds 10 of your total assets total the fair market value of all of your assets (including real property intangible property and tangible personal property such as jewelry furniture etc) When making this calculation do not subtract any liabilities (debts) that may relate to the property Multiply the total figure by 10 to arrive at the disclosure threshold List only the intangibles that exceed this threshold amount The value of a leased vehicle is the vehiclersquos present value minus the lease residual (a number which can be found on the lease document) Property that is only jointly owned property should be valued according to the percentage of your joint ownership Property owned as tenants by the entirety or as joint tenants with right of survivorship should be valued at 100 None of your calculations or the value of the property have to be disclosed on the form

Example You own 50 of the stock of a small corporation that is worth $100000 the estimated fair market value of your home and other property (bank accounts automobile furniture etc) is $200000 As your total assets are worth $250000 you must disclose intangibles worth over $25000 Since the value of the stock exceeds this threshold you should list ldquostockrdquo and the name of the corporation If your accounts with a particular bank exceed $25000 you should list ldquobank accountsrdquo and bankrsquos name

PART E mdash LIABILITIES[Required by s 1123145(3)(b)4 FS]List the name and address of each creditor to whom you owed

any amount that at any time during the disclosure period exceeded your net worth You are not required to list the amount of any debt or your net worth You do not have to disclose credit card and retail installment accounts taxes owed (unless reduced to a judgment) indebtedness on a life insurance policy owed to the company of issuance or contingent liabilities A ldquocontingent liabilityrdquo is one that will become an actual liability only when one or more future events occur or fail to occur such as where you are liable only as a guarantor surety or endorser on a promissory note If you are a ldquoco-makerrdquo and are jointly liable or jointly and severally liable it is not a contingent liability

Calculations To determine whether the debt exceeds your net worth total all of your liabilities (including promissory notes mortgages credit card debts judgments against you etc) Theamount of the liability of a vehicle lease is the sum of any past-due payments and all unpaid prospective lease payments Subtract the sum total of your liabilities from the value of all your assets as calculated above for Part D This is your ldquonet worthrdquo List each creditor to whom your debt exceeded this amount unless it is one of the types of indebtedness listed in the paragraph above (credit card and retail installment accounts etc) Joint liabilities with others for which you are ldquojointly and severally liablerdquo meaning that you may be liable for either your part or the whole of the obligation should be included in your calculations at 100 of the amount owed

Example You owe $15000 to a bank for student loans $5000 for credit card debts and $60000 (with spouse) to a savings and loan for a home mortgage Your home (owned by you and your spouse) is worth $80000 and your other property is worth $20000 Since your net worth is $20000 ($100000 minus $80000) you must report only the name and address of the savings and loan

PART F mdash INTERESTS IN SPECIFIED BUSINESSES[Required by s 1123145 FS]The types of businesses covered in this disclosure include

state and federally chartered banks state and federal savings and loan associations cemetery companies insurance companies mortgage companies credit unions small loan companies alcoholic beverage licensees pari-mutuel wagering companies utilitycompanies entities controlled by the Public Service Commission and entities granted a franchise to operate by either a city or acounty government

Disclose in this part the fact that you owned during the disclosure period an interest in or held any of certain positions with the types of businesses listed above You are required to make this disclosure if you own or owned (either directly orindirectly in the form of an equitable or beneficial interest) at any time during the disclosure period more than 5 of the total assets or capital stock of one of the types of business entities listed above You also must complete this part of the form for each of these types of businesses for which you are or were at any time during thedisclosure period an officer director partner proprietor or agent (other than a resident agent solely for service of process)

If you have or held such a position or ownership interest in one of these types of businesses list the name of the business its address and principal business activity and the position held with the business (if any) If you own(ed) more than a 5 interest in the business indicate that fact and describe the nature of your interest

PART G mdash TRAINING CERTIFICATION[Required by s 1123142 FS]If you are a Constitutional or elected municipal officer whose

service began before March 31 of the year for which you are filing you are required to complete four hours of ethics training which addresses Article II Section 8 of the Florida Constitution the Code of Ethics for Public Officers and Employees and the public records and open meetings laws of the state You are required to certify on this form that you have taken such training (End of Percentage Thresholds Instructions)

CE FORM 1 - Effective January 1 2020 Incorporated by reference in Rule 34-8202 FAC PAGE 6

NOTICE Annual Statements of Financial Interests are due July 1 If the annual form is not filed or postmarked by September 1 an automatic fine of $25 for each day late will be imposed up to a maximum penalty of $1500 Failure to file also can result in removal from public office or employment [s 1123145 FS]

In addition failure to make any required disclosure constitutes grounds for and may be punished by one or more of the following disqualification from being on the ballot impeachment removal or suspension from office or employment demotion reduction in salary reprimand or a civil penalty not exceeding $10000 [s 112317 FS]

WHO MUST FILE FORM 1 1) Elected public officials not serving in a political subdivision of the

state and any person appointed to fill a vacancy in such office unlessrequired to file full disclosure on Form 62) Appointed members of each board commission authority

or council having statewide jurisdiction excluding members of solelyadvisory bodies but including judicial nominating commission membersDirectors of Enterprise Florida Scripps Florida Funding Corporationand Career Source Florida and members of the Council on the Social Status of Black Men and Boys the Executive Director Governors and senior managers of Citizens Property Insurance CorporationGovernors and senior managers of Florida Workers Compensation JointUnderwriting Association board members of the Northeast Fla RegionalTransportation Commission board members of Triumph Gulf Coast Incboard members of Florida Is For Veterans Inc and members of the Technology Advisory Council within the Agency for State Technology3) The Commissioner of Education members of the State Board

of Education the Board of Governors the local Boards of Trustees and Presidents of state universities and the Florida Prepaid College Board 4) Persons elected to office in any political subdivision (such as

municipalities counties and special districts) and any person appointedto fill a vacancy in such office unless required to file Form 65) Appointed members of the following boards councils

commissions authorities or other bodies of county municipality schooldistrict independent special district or other political subdivision thegoverning body of the subdivision community college or junior collegedistrict boards of trustees boards having the power to enforce local codeprovisions boards of adjustment community redevelopment agenciesplanning or zoning boards having the power to recommend create ormodify land planning or zoning within a political subdivision except forcitizen advisory committees technical coordinating committees andsimilar groups who only have the power to make recommendationsto planning or zoning boards and except for representatives of a military installation acting on behalf of all military installations within thatjurisdiction pension or retirement boards empowered to invest pensionor retirement funds or determine entitlement to or amount of pensions orother retirement benefits and the Pinellas County Construction LicensingBoard 6) Any appointed member of a local government board who

is required to file a statement of financial interests by the appointingauthority or the enabling legislation ordinance or resolution creating theboard 7) Persons holding any of these positions in local government

mayor county or city manager chief administrative employee or finance

director of a county municipality or other political subdivision county or municipal attorney chief county or municipal building inspectorcounty or municipal water resources coordinator county or municipalpollution control director county or municipal environmental control director county or municipal administrator with power to grant or denya land development permit chief of police fire chief municipal clerkappointed district school superintendent community college presidentdistrict medical examiner purchasing agent (regardless of title) havingthe authority to make any purchase exceeding $35000 for the localgovernmental unit8) Officers and employees of entities serving as chief administrative

officer of a political subdivision9) Members of governing boards of charter schools operated by a

city or other public entity10) Employees in the office of the Governor or of a Cabinet member

who are exempt from the Career Service System excluding secretarialclerical and similar positions11) The following positions in each state department commission

board or council Secretary Assistant or Deputy Secretary ExecutiveDirector Assistant or Deputy Executive Director and anyone having thepower normally conferred upon such persons regardless of title12) The following positions in each state department or division

Director Assistant or Deputy Director Bureau Chief and any personhaving the power normally conferred upon such persons regardless oftitle 13) Assistant State Attorneys Assistant Public Defenders criminal

conflict and civil regional counsel and assistant criminal conflict and civilregional counsel Public Counsel full-time state employees serving ascounsel or assistant counsel to a state agency administrative law judgesand hearing officers14) The Superintendent or Director of a state mental health institute

established for training and research in the mental health field or anymajor state institution or facility established for corrections trainingtreatment or rehabilitation 15) State agency Business Managers Finance and Accounting

Directors Personnel Officers Grant Coordinators and purchasingagents (regardless of title) with power to make a purchase exceeding$35000 16) The following positions in legislative branch agencies each

employee (other than those employed in maintenance clerical secretarial or similar positions and legislative assistants exempted by the presiding officer of their house) and each employee of theCommission on Ethics

INSTRUCTIONS FOR COMPLETING FORM 1 INTRODUCTORY INFORMATION (Top of Form) If your name mailing address public agency and position are already printed on the form you do not need to provide this information unless it should be changed To change any of this information write the correct information on the form and contact your agencys financial disclosure coordinator You can find your coordinator on the Commission on Ethics website wwwethics stateflus NAME OF AGENCY The name of the governmental unit which you serve or served by which you are or were employed or for which you are a candidate DISCLOSURE PERIOD The ldquodisclosure periodrdquo for your report is the calendar year ending December 31 2019

OFFICE OR POSITION HELD OR SOUGHT The title of the office or position you hold are seeking or held during the disclosure period even if you have since left that position If you are a candidate for office or are a new employee or appointee check the appropriate box PUBLIC RECORD The disclosure form and everythingattached to it is a public record Your Social Security Number is not required and you should redact it from any documents you file If you are an active or former officer or employee listed in Section 119071 FS whose home address is exempt from disclosure the Commission will maintain that confidentiality if you submit a written request

CE FORM 1 - Effective January 1 2020 Incorporated by reference in Rule 34-8202 FAC PAGE 3

PART E mdash LIABILITIES[Required by s 1123145(3)(b)4 FS]List the name and address of each creditor to whom you owed more

than $10000 at any time during the disclosure period The amount of theliability of a vehicle lease is the sum of any past-due payments and allunpaid prospective lease payments You are not required to list the amountof any debt You do not have to disclose credit card and retail installmentaccounts taxes owed (unless reduced to a judgment) indebtedness ona life insurance policy owed to the company of issuance or contingentliabilities A ldquocontingent liabilityrdquo is one that will become an actual liabilityonly when one or more future events occur or fail to occur such as whereyou are liable only as a guarantor surety or endorser on a promissorynote If you are a ldquoco-makerrdquo and are jointly liable or jointly and severallyliable then it is not a contingent liability

PART F mdash INTERESTS IN SPECIFIED BUSINESSES[Required by s 1123145(6) FS]The types of businesses covered in this disclosure include state and

federally chartered banks state and federal savings and loan associationscemetery companies insurance companies mortgage companies creditunions small loan companies alcoholic beverage licensees pari-mutuelwagering companies utility companies entities controlled by the PublicService Commission and entities granted a franchise to operate by either acity or a county government

Disclose in this part the fact that you owned during the disclosure period aninterest in or held any of certain positions with the types of businesses listedabove You must make this disclosure if you own or owned (either directly orindirectly in the form of an equitable or beneficial interest) at any time duringthe disclosure period more than 5 of the total assets or capital stock ofone of the types of business entities listed above You also must completethis part of the form for each of these types of businesses for which youare or were at any time during the disclosure period an officer directorpartner proprietor or agent (other than a resident agent solely for service ofprocess)

If you have or held such a position or ownership interest in one ofthese types of businesses list the name of the business its address andprincipal business activity and the position held with the business (if any) Ifyou own(ed) more than a 5 interest in the business indicate that fact anddescribe the nature of your interest

PART G mdash TRAINING CERTIFICATION[Required by s 1123142 FS]If you are a Constitutional or elected municipal officer whose

service began before March 31 of the year for which you are filingyou are required to complete four hours of ethics training which addresses Article II Section 8 of the Florida Constitution the Codeof Ethics for Public Officers and Employees and the public recordsand open meetings laws of the state You are required to certify onthis form that you have taken such training

(End of Dollar Value Thresholds Instructions)

PART A mdash PRIMARY SOURCES OF INCOME[Required by s 1123145(3)(a)1 FS]Part A is intended to require the disclosure of your principal

sources of income during the disclosure period You do not haveto disclose any public salary or public position(s) but income from these public sources should be included when calculating your gross income for the disclosure period The income of your spouse need not be disclosed however if there is joint income to you and your spouse from property you own jointly (such as interest or dividends from a bank account or stocks) you should include all of that income when calculating your gross income and disclose the source of that income if it exceeded the threshold

Please list in this part of the form the name address and principal business activity of each source of your income whichexceeded 5 of the gross income received by you in your own name or by any other person for your benefit or use during the disclosure period

Gross income means the same as it does for income tax purposes even if the income is not actually taxable such as interest on tax-free bonds Examples include compensation for servicesincome from business gains from property dealings interest rents dividends pensions IRA distributions social security distributive share of partnership gross income and alimony but not child support

Examplesmdash If you were employed by a company that manufactures computers and received more than 5 of your gross income from the company list the name of the company its address and its principal business activity (computer manufacturing)mdash If you were a partner in a law firm and your distributive share of partnership gross income exceeded 5 of your gross income then list the name of the firm its address and its principal business activity (practice of law)mdash If you were the sole proprietor of a retail gift business andyour gross income from the business exceeded 5 of your total gross income list the name of the business its addressand its principal business activity (retail gift sales)mdash If you received income from investments in stocks and bonds list each individual company from which you derived

more than 5 of your gross income Do not aggregate all of your investment incomemdash If more than 5 of your gross income was gain from the sale of property (not just the selling price) list as a source of income the purchaserrsquos name address and principal business activityIf the purchasers identity is unknown such as where securities listed on an exchange are sold through a brokerage firm the source of income should be listed as sale of (name of company)stock for examplemdash If more than 5 of your gross income was in the form of interest from one particular financial institution (aggregatinginterest from all CDrsquos accounts etc at that institution) list the name of the institution its address and its principal business activity

PART B mdash SECONDARY SOURCES OF INCOME[Required by s 1123145(3)(a)2 FS]This part is intended to require the disclosure of major customers

clients and other sources of income to businesses in which you ownan interest It is not for reporting income from second jobs That kindof income should be reported in Part A Primary Sources of Incomeif it meets the reporting threshold You will not have anything to reportunless during the disclosure period

(1) You owned (either directly or indirectly in the form of anequitable or beneficial interest) more than 5 of the total assetsor capital stock of a business entity (a corporation partnershipLLC limited partnership proprietorship joint venture trust firmetc doing business in Florida) and(2) You received more than 10 of your gross income from thatbusiness entity and(3) You received more than $1500 in gross income from thatbusiness entity

If your interests and gross income exceeded these thresholds thenfor that business entity you must list every source of income to thebusiness entity which exceeded 10 of the business entityrsquos grossincome (computed on the basis of the business entityrsquos most recentlycompleted fiscal year) the sourcersquos address and the sourcersquosprincipal business activity

IF YOU HAVE CHOSEN COMPARATIVE (PERCENTAGE) THRESHOLDSTHE FOLLOWING INSTRUCTIONS APPLY

CE FORM 1 - Effective January 1 2020 Incorporated by reference in Rule 34-8202 FAC PAGE 5

MANNER OF CALCULATING REPORTABLE INTEREST Filers have the option of reporting based on either thresholds that are comparative (usually based on percentage values) or thresholds that are based on absolute dollar values The instructions on the following pages specifically describe the different thresholds Check the box that reflects the choice you have made You must use the type of threshold you have chosen for each part of the form In other words if you choose to report based on absolute dollar value thresholds you cannot use a percentage threshold on any part of the form

IF YOU HAVE CHOSEN DOLLAR VALUE THRESHOLDS THE FOLLOWING INSTRUCTIONS APPLY

PART A mdash PRIMARY SOURCES OF INCOME [Required by s 1123145(3)(b)1 FS] Part A is intended to require the disclosure of your principal

sources of income during the disclosure period You do not have todisclose any public salary or public position(s) The income of yourspouse need not be disclosed however if there is joint income toyou and your spouse from property you own jointly (such as interestor dividends from a bank account or stocks) you should disclose thesource of that income if it exceeded the threshold

Please list in this part of the form the name address andprincipal business activity of each source of your income whichexceeded $2500 of gross income received by you in your own name or by any other person for your use or benefit

Gross income means the same as it does for income tax purposes even if the income is not actually taxable such as interest on tax-free bonds Examples include compensation for servicesincome from business gains from property dealings interest rentsdividends pensions IRA distributions social security distributive share of partnership gross income and alimony but not child support

Examples mdash If you were employed by a company that manufacturescomputers and received more than $2500 list the name of thecompany its address and its principal business activity (computermanufacturing) mdash If you were a partner in a law firm and your distributive shareof partnership gross income exceeded $2500 list the name ofthe firm its address and its principal business activity (practice oflaw) mdash If you were the sole proprietor of a retail gift business and yourgross income from the business exceeded $2500 list the nameof the business its address and its principal business activity(retail gift sales) mdash If you received income from investments in stocks and bondslist each individual company from which you derived more than$2500 Do not aggregate all of your investment income mdash If more than $2500 of your gross income was gain from thesale of property (not just the selling price) list as a source ofincome the purchaserrsquos name address and principal businessactivity If the purchaserrsquos identity is unknown such as wheresecurities listed on an exchange are sold through a brokeragefirm the source of income should be listed as sale of (name of company) stock for example mdash If more than $2500 of your gross income was in the formof interest from one particular financial institution (aggregatinginterest from all CDrsquos accounts etc at that institution) list the name of the institution its address and its principal business activity

PART B mdash SECONDARY SOURCES OF INCOME [Required by s 1123145(3)(b)2 FS] This part is intended to require the disclosure of major customers

clients and other sources of income to businesses in which you own aninterest It is not for reporting income from second jobs That kind of incomeshould be reported in Part A Primary Sources of Income if it meets thereporting threshold You will not have anything to report unless during thedisclosure period

(1) You owned (either directly or indirectly in the form of an equitableor beneficial interest) more than 5 of the total assets or capitalstock of a business entity (a corporation partnership LLC limitedpartnership proprietorship joint venture trust firm etc doing business in Florida) and (2) You received more than $5000 of your gross income during thedisclosure period from that business entity

If your interests and gross income exceeded these thresholds then for thatbusiness entity you must list every source of income to the business entitywhich exceeded 10 of the business entityrsquos gross income (computed onthe basis of the business entitys most recently completed fiscal year) thesourcersquos address and the sources principal business activity

Examples mdash You are the sole proprietor of a dry cleaning business from whichyou received more than $5000 If only one customer a uniform rentalcompany provided more than 10 of your dry cleaning business youmust list the name of the uniform rental company its address and itsprincipal business activity (uniform rentals) mdash You are a 20 partner in a partnership that owns a shopping malland your partnership income exceeded the above thresholds List eachtenant of the mall that provided more than 10 of the partnershipsgross income and the tenants address and principal business activity

PART C mdash REAL PROPERTY [Required by s 1123145(3)(b)3 FS] In this part list the location or description of all real property in Florida

in which you owned directly or indirectly at any time during the disclosureperiod in excess of 5 of the propertyrsquos value You are not required to listyour residences You should list any vacation homes if you derive incomefrom them

Indirect ownership includes situations where you are a beneficiary of atrust that owns the property as well as situations where you own more than5 of a partnership or corporation that owns the property The value of theproperty may be determined by the most recently assessed value for taxpurposes in the absence of a more current appraisal

The location or description of the property should be sufficient toenable anyone who looks at the form to identify the property A streetaddress should be used if one exists

PART D mdash INTANGIBLE PERSONAL PROPERTY [Required by s 1123145(3)(b)3 FS] Describe any intangible personal property that at any time during the

disclosure period was worth more than $10000 and state the businessentity to which the property related Intangible personal property includesthings such as cash on hand stocks bonds certificates of deposit vehicleleases interests in businesses beneficial interests in trusts money owedyou Deferred Retirement Option Program (DROP) accounts the FloridaPrepaid College Plan and bank accounts Intangible personal propertyalso includes investment products held in IRAs brokerage accounts andthe Florida College Investment Plan Note that the product contained in a brokerage account IRA or the Florida College Investment Plan is yourassetmdashnot the account or plan itself Things like automobiles and housesyou own jewelry and paintings are not intangible property Intangiblesrelating to the same business entity may be aggregated for example CDsand savings accounts with the same bank Property owned as tenants bythe entirety or as joint tenants with right of survivorship should be valued at100 The value of a leased vehicle is the vehiclersquos present value minusthe lease residual (a number found on the lease document)

CE FORM 1 - Effective January 1 2020 Incorporated by reference in Rule 34-8202 FAC PAGE 4

PART A mdash PRIMARY SOURCES OF INCOME[Required by s 1123145(3)(b)1 FS]Part A is intended to require the disclosure of your principal

sources of income during the disclosure period You do not have todisclose any public salary or public position(s) The income of yourspouse need not be disclosed however if there is joint income t oyou and your spouse from property you own jointly (such as interestor dividends from a bank account or stocks) you should disclose thesource of that income if it exceeded the threshold

Please list in this part of the form the name address andprincipal business activity of each source of your income whichexceeded $2500 of gross income received by you in your own name or by any other person for your use or benefit

Gross income means the same as it does for income taxpurposes even if the income is not actually taxable such as intereston tax-free bonds Examples include compensation for servicesincome from business gains from property dealings interest rentsdividends pensions IRA distributions social security distributiveshare of partnership gross income and alimony but not child support

Examplesmdash If you were employed by a company that manufacturescomputers and received more than $2500 list the name of thecompany its address and its principal business activity (computermanufacturing)mdash If you were a partner in a law firm and your distributive shareof partnership gross income exceeded $2500 list the name ofthe firm its address and its principal business activity (practice oflaw)mdash If you were the sole proprietor of a retail gift business and yourgross income from the business exceeded $2500 list the nameof the business its address and its principal business activity(retail gift sales)mdash If you received income from investments in stocks and bondslist each individual company from which you derived more than$2500 Do not aggregate all of your investment incomemdash If more than $2500 of your gross income was gain from thesale of property (not just the selling price) list as a source o fincome the purchaserrsquos name address and principal businessactivity If the purchaserrsquos identity is unknown such as wheresecurities listed on an exchange are sold through a brokeragefirm the source of income should be listed as sale of (name of company) stock for examplemdash If more than $2500 of your gross income was in the formof interest from one particular financial institution (aggregatinginterest from all CDrsquos accounts etc at that institution) list thename of the institution its address and its principal business activity

PART B mdash SECONDARY SOURCES OF INCOME[Required by s 1123145(3)(b)2 FS]This part is intended to require the disclosure of major customers

clients and other sources of income to businesses in which you own aninterest It is not for reporting income from second jobs That kind of incomeshould be reported in Part A Primary Sources of Income if it meets thereporting threshold You will not have anything to report unless during thedisclosure period

(1) You owned (either directly or indirectly in the form of an equitableor beneficial interest) more than 5 of the total assets or capitalstock of a business entity (a corporation partnership LLC limitedpartnership proprietorship joint venture trust firm etc doing business in Florida) and(2) You received more than $5000 of your gross income during thedisclosure period from that business entity

If your interests and gross income exceeded these thresholds then for thatbusiness entity you must list every source of income to the business entitywhich exceeded 10 of the business entityrsquos gross income (computed onthe basis of the business entitys most recently completed fiscal year) thesourcersquos address and the sources principal business activity

Examplesmdash You are the sole proprietor of a dry cleaning business from whichyou received more than $5000 If only one customer a uniform rentalcompany provided more than 10 of your dry cleaning business youmust list the name of the uniform rental company its address and itsprincipal business activity (uniform rentals)mdash You are a 20 partner in a partnership that owns a shopping malland your partnership income exceeded the above thresholds List eachtenant of the mall that provided more than 10 of the partnershipsgross income and the tenants address and principal business activity

PART C mdash REAL PROPERTY[Required by s 1123145(3)(b)3 FS]In this part list the location or description of all real property in Florida

in which you owned directly or indirectly at any time during the disclosureperiod in excess of 5 of the propertyrsquos value You are not required to listyour residences You should list any vacation homes if you derive incomefrom them

Indirect ownership includes situations where you are a beneficiary of atrust that owns the property as well as situations where you own more than5 of a partnership or corporation that owns the property The value of theproperty may be determined by the most recently assessed value for taxpurposes in the absence of a more current appraisal

The location or description of the property should be sufficient toenable anyone who looks at the form to identify the property A streetaddress should be used if one exists

PART D mdash INTANGIBLE PERSONAL PROPERTY[Required by s 1123145(3)(b)3 FS]Describe any intangible personal property that at any time during the

disclosure period was worth more than $10000 and state the businessentity to which the property related Intangible personal property includesthings such as cash on hand stocks bonds certificates of deposit vehicleleases interests in businesses beneficial interests in trusts money owedyou Deferred Retirement Option Program (DROP) accounts the FloridaPrepaid College Plan and bank accounts Intangible personal propertyalso includes investment products held in IRAs brokerage accounts andthe Florida College Investment Plan Note that the product contained ina brokerage account IRA or the Florida College Investment Plan is yourassetmdashnot the account or plan itself Things like automobiles and housesyou own jewelry and paintings are not intangible property Intangiblesrelating to the same business entity may be aggregated for example CDsand savings accounts with the same bank Property owned as tenants bythe entirety or as joint tenants with right of survivorship should be valued at100 The value of a leased vehicle is the vehiclersquos present value minusthe lease residual (a number found on the lease document)

Filers have the option of reporting based on either thresholds that are comparative (usually based on percentage values) orthresholds that are based on absolute dollar values The instructions on the following pages specifically describe the differentthresholds Check the box that reflects the choice you have made You must use the type of threshold you have chosen for eachpart of the form In other words if you choose to report based on absolute dollar value thresholds you cannot use a percentagethreshold on any part of the form

MANNER OF CALCULATING REPORTABLE INTEREST

IF YOU HAVE CHOSEN DOLLAR VALUE THRESHOLDSTHE FOLLOWING INSTRUCTIONS APPLY

CE FORM 1 - Effective January 1 2020 Incorporated by reference in Rule 34-8202 FAC PAGE 4

PART E mdash LIABILITIES [Required by s 1123145(3)(b)4 FS] List the name and address of each creditor to whom you owed more

than $10000 at any time during the disclosure period The amount of theliability of a vehicle lease is the sum of any past-due payments and allunpaid prospective lease payments You are not required to list the amountof any debt You do not have to disclose credit card and retail installmentaccounts taxes owed (unless reduced to a judgment) indebtedness ona life insurance policy owed to the company of issuance or contingentliabilities A ldquocontingent liabilityrdquo is one that will become an actual liabilityonly when one or more future events occur or fail to occur such as whereyou are liable only as a guarantor surety or endorser on a promissorynote If you are a ldquoco-makerrdquo and are jointly liable or jointly and severallyliable then it is not a contingent liability

PART F mdash INTERESTS IN SPECIFIED BUSINESSES [Required by s 1123145(6) FS] The types of businesses covered in this disclosure include state and

federally chartered banks state and federal savings and loan associationscemetery companies insurance companies mortgage companies creditunions small loan companies alcoholic beverage licensees pari-mutuelwagering companies utility companies entities controlled by the PublicService Commission and entities granted a franchise to operate by either acity or a county government

Disclose in this part the fact that you owned during the disclosure period aninterest in or held any of certain positions with the types of businesses listedabove You must make this disclosure if you own or owned (either directly orindirectly in the form of an equitable or beneficial interest) at any time duringthe disclosure period more than 5 of the total assets or capital stock ofone of the types of business entities listed above You also must completethis part of the form for each of these types of businesses for which youare or were at any time during the disclosure period an officer directorpartner proprietor or agent (other than a resident agent solely for service ofprocess)

If you have or held such a position or ownership interest in one ofthese types of businesses list the name of the business its address andprincipal business activity and the position held with the business (if any) Ifyou own(ed) more than a 5 interest in the business indicate that fact anddescribe the nature of your interest

PART G mdash TRAINING CERTIFICATION [Required by s 1123142 FS] If you are a Constitutional or elected municipal officer whose

service began before March 31 of the year for which you are filingyou are required to complete four hours of ethics training which addresses Article II Section 8 of the Florida Constitution the Code of Ethics for Public Officers and Employees and the public recordsand open meetings laws of the state You are required to certify onthis form that you have taken such training

(End of Dollar Value Thresholds Instructions)

IF YOU HAVE CHOSEN COMPARATIVE (PERCENTAGE) THRESHOLDS THE FOLLOWING INSTRUCTIONS APPLY

PART A mdash PRIMARY SOURCES OF INCOME [Required by s 1123145(3)(a)1 FS] Part A is intended to require the disclosure of your principal

sources of income during the disclosure period You do not haveto disclose any public salary or public position(s) but income from these public sources should be included when calculating your gross income for the disclosure period The income of your spouse need not be disclosed however if there is joint income to you and your spouse from property you own jointly (such as interest or dividends from a bank account or stocks) you should include all of that income when calculating your gross income and disclose the source of that income if it exceeded the threshold

Please list in this part of the form the name address and principal business activity of each source of your income whichexceeded 5 of the gross income received by you in your own name or by any other person for your benefit or use during the disclosure period

Gross income means the same as it does for income tax purposes even if the income is not actually taxable such as interest on tax-free bonds Examples include compensation for servicesincome from business gains from property dealings interest rents dividends pensions IRA distributions social security distributive share of partnership gross income and alimony but not child support

Examples mdash If you were employed by a company that manufactures computers and received more than 5 of your gross income from the company list the name of the company its address and its principal business activity (computer manufacturing) mdash If you were a partner in a law firm and your distributive share of partnership gross income exceeded 5 of your gross income then list the name of the firm its address and its principal business activity (practice of law) mdash If you were the sole proprietor of a retail gift business andyour gross income from the business exceeded 5 of your total gross income list the name of the business its addressand its principal business activity (retail gift sales) mdash If you received income from investments in stocks and bonds list each individual company from which you derived

more than 5 of your gross income Do not aggregate all of your investment income mdash If more than 5 of your gross income was gain from the sale of property (not just the selling price) list as a source of income the purchaserrsquos name address and principal business activityIf the purchasers identity is unknown such as where securities listed on an exchange are sold through a brokerage firm the source of income should be listed as sale of (name of company)stock for example mdash If more than 5 of your gross income was in the form of interest from one particular financial institution (aggregatinginterest from all CDrsquos accounts etc at that institution) list the name of the institution its address and its principal business activity

PART B mdash SECONDARY SOURCES OF INCOME [Required by s 1123145(3)(a)2 FS] This part is intended to require the disclosure of major customers

clients and other sources of income to businesses in which you ownan interest It is not for reporting income from second jobs That kindof income should be reported in Part A Primary Sources of Incomeif it meets the reporting threshold You will not have anything to report unless during the disclosure period

(1) You owned (either directly or indirectly in the form of anequitable or beneficial interest) more than 5 of the total assetsor capital stock of a business entity (a corporation partnershipLLC limited partnership proprietorship joint venture trust firmetc doing business in Florida) and (2) You received more than 10 of your gross income from thatbusiness entity and (3) You received more than $1500 in gross income from thatbusiness entity

If your interests and gross income exceeded these thresholds thenfor that business entity you must list every source of income to thebusiness entity which exceeded 10 of the business entityrsquos grossincome (computed on the basis of the business entityrsquos most recentlycompleted fiscal year) the sourcersquos address and the sourcersquos principal business activity

CE FORM 1 - Effective January 1 2020 Incorporated by reference in Rule 34-8202 FAC PAGE 5

NOTICE Annual Statements of Financial Interests are due July 1 If the annual form is not filed or postmarked by September 1 an automatic fine of $25 for each day late will be imposed up to a maximum penalty of $1500 Failure to file also can result in removal from public office or employment [s 1123145 FS]

In addition failure to make any required disclosure constitutes grounds for and may be punished by one or more of the following disqualification from being on the ballot impeachment removal or suspension from office or employment demotion reduction in salary reprimand or a civil penalty not exceeding $10000 [s 112317 FS]

1) Elected public officials not serving in a political subdivision of thestate and any person appointed to fill a vacancy in such office unlessrequired to file full disclosure on Form 62) Appointed members of each board commission authority

or council having statewide jurisdiction excluding members of solelyadvisory bodies but including judicial nominating commission membersDirectors of Enterprise Florida Scripps Florida Funding Corporationand Career Source Florida and members of the Council on the SocialStatus of Black Men and Boys the Executive Director Governors and senior managers of Citizens Property Insurance CorporationGovernors and senior managers of Florida Workers Compensation JointUnderwriting Association board members of the Northeast Fla RegionalTransportation Commission board members of Triumph Gulf Coast Incboard members of Florida Is For Veterans Inc and members of theTechnology Advisory Council within the Agency for State Technology3) The Commissioner of Education members of the State Board

of Education the Board of Governors the local Boards of Trustees andPresidents of state universities and the Florida Prepaid College Board4) Persons elected to office in any political subdivision (such a s

municipalities counties and special districts) and any person appointedto fill a vacancy in such office unless required to file Form 65) Appointed members of the following boards councils

commissions authorities or other bodies of county municipality schooldistrict independent special district or other political subdivision thegoverning body of the subdivision community college or junior collegedistrict boards of trustees boards having the power to enforce local codeprovisions boards of adjustment community redevelopment agenciesplanning or zoning boards having the power to recommend create ormodify land planning or zoning within a political subdivision except forcitizen advisory committees technical coordinating committees andsimilar groups who only have the power to make recommendationsto planning or zoning boards and except for representatives of amilitary installation acting on behalf of all military installations within thatjurisdiction pension or retirement boards empowered to invest pensionor retirement funds or determine entitlement to or amount of pensions orother retirement benefits and the Pinellas County Construction LicensingBoard6) Any appointed member of a local government board who

is required to file a statement of financial interests by the appointingauthority or the enabling legislation ordinance or resolution creating theboard7) Persons holding any of these positions in local government

mayor county or city manager chief administrative employee or finance

director of a county municipality or other political subdivision countyor municipal attorney chief county or municipal building inspectorcounty or municipal water resources coordinator county or municipalpollution control director county or municipal environmental controldirector county or municipal administrator with power to grant or denya land development permit chief of police fire chief municipal clerkappointed district school superintendent community college presidentdistrict medical examiner purchasing agent (regardless of title) havingthe authority to make any purchase exceeding $35000 for the localgovernmental unit8) Officers and employees of entities serving as chief administrative

officer of a political subdivision9) Members of governing boards of charter schools operated by a

city or other public entity10) Employees in the office of the Governor or of a Cabinet member

who are exempt from the Career Service System excluding secretarialclerical and similar positions11) The following positions in each state department commission

board or council Secretary Assistant or Deputy Secretary ExecutiveDirector Assistant or Deputy Executive Director and anyone having thepower normally conferred upon such persons regardless of title12) The following positions in each state department or division

Director Assistant or Deputy Director Bureau Chief and any personhaving the power normally conferred upon such persons regardless oftitle13) Assistant State Attorneys Assistant Public Defenders criminal

conflict and civil regional counsel and assistant criminal conflict and civilregional counsel Public Counsel full-time state employees serving ascounsel or assistant counsel to a state agency administrative law judgesand hearing officers14) The Superintendent or Director of a state mental health institute

established for training and research in the mental health field or anymajor state institution or facility established for corrections trainingtreatment or rehabilitation15) State agency Business Managers Finance and Accounting

Directors Personnel Officers Grant Coordinators and purchasingagents (regardless of title) with power to make a purchase exceeding$3500016) The following positions in legislative branch agencies each

employee (other than those employed in maintenance clerical secretarial or similar positions and legislative assistants exemptedby the presiding officer of their house) and each employee of theCommission on Ethics

INSTRUCTIONS FOR COMPLETING FORM 1INTRODUCTORY INFORMATION (Top of Form) If your name mailing address public agency and position are already printed on the form you do not need to provide this information unless it should be changed To change any of this information write the correct information on the form and contact your agencys financial disclosure coordinator You can find your coordinator on the Commission on Ethics website wwwethicsstateflus NAME OF AGENCY The name of the governmental unit which you serve or served by which you are or were employed or for which you are a candidate DISCLOSURE PERIOD The ldquodisclosure periodrdquo for your report is the calendar year ending December 31 2019

OFFICE OR POSITION HELD OR SOUGHT The title of the office or position you hold are seeking or held during the disclosure period even if you have since left that position If you are a candidate for office or are a new employee or appointee check the appropriate boxPUBLIC RECORD The disclosure form and everythingattached to it is a public record Your Social Security Number is not required and you should redact it from any documents you file If you are an active or former officer or employee listed in Section 119071 FS whose home address is exempt from disclosure the Commission will maintain that confidentiality if you submit a written request

WHO MUST FILE FORM 1

CE FORM 1 - Effective January 1 2020 Incorporated by reference in Rule 34-8202 FAC PAGE 3

Examples PART E mdash LIABILITIES mdash You are the sole proprietor of a dry cleaning business from [Required by s 1123145(3)(b)4 FS]which you received more than 10 of your gross incomemdashan List the name and address of each creditor to whom you owed amount that was more than $1500 If only one customer a any amount that at any time during the disclosure period exceeded uniform rental company provided more than 10 of your dry your net worth You are not required to list the amount of any debt cleaning business you must list the name of the uniform rental or your net worth You do not have to disclose credit card and retail company its address and its principal business activity (uniform installment accounts taxes owed (unless reduced to a judgment) rentals) indebtedness on a life insurance policy owed to the company of mdash You are a 20 partner in a partnership that owns a shopping issuance or contingent liabilities A ldquocontingent liabilityrdquo is one mall and your partnership income exceeded the thresholds that will become an actual liability only when one or more future listed above You should list each tenant of the mall that events occur or fail to occur such as where you are liable only as provided more than 10 of the partnershiprsquos gross income and a guarantor surety or endorser on a promissory note If you are a the tenantrsquos address and principal business activity ldquoco-makerrdquo and are jointly liable or jointly and severally liable it is not

a contingent liability PART C mdash REAL PROPERTY Calculations To determine whether the debt exceeds your

[Required by s 1123145(3)(a)3 FS] net worth total all of your liabilities (including promissory notes mortgages credit card debts judgments against you etc) TheIn this part list the location or description of all real property in amount of the liability of a vehicle lease is the sum of any past-due Florida in which you owned directly or indirectly at any time during payments and all unpaid prospective lease payments Subtract the disclosure period in excess of 5 of the propertyrsquos value You the sum total of your liabilities from the value of all your assets are not required to list your residences You should list any vacation as calculated above for Part D This is your ldquonet worthrdquo List each homes if you derive income from them creditor to whom your debt exceeded this amount unless it is one of

Indirect ownership includes situations where you are a the types of indebtedness listed in the paragraph above (credit card beneficiary of a trust that owns the property as well as situations and retail installment accounts etc) Joint liabilities with others for where you own more than 5 of a partnership or corporation that which you are ldquojointly and severally liablerdquo meaning that you may owns the property The value of the property may be determined by be liable for either your part or the whole of the obligation should be the most recently assessed value for tax purposes in the absence included in your calculations at 100 of the amount owed of a more current appraisal

Example You owe $15000 to a bank for student loans $5000 The location or description of the property should be sufficient for credit card debts and $60000 (with spouse) to a savings to enable anyone who looks at the form to identify the property A and loan for a home mortgage Your home (owned by you and street address should be used if one exists your spouse) is worth $80000 and your other property is worth PART D mdash INTANGIBLE PERSONAL PROPERTY $20000 Since your net worth is $20000 ($100000 minus

$80000) you must report only the name and address of the [Required by s 1123145(3)(a)3 FS] savings and loan Describe any intangible personal property that at any time

during the disclosure period was worth more than 10 of your PART F mdash INTERESTS IN SPECIFIED BUSINESSES total assets and state the business entity to which the property [Required by s 1123145 FS] related Intangible personal property includes things such as cash on hand stocks bonds certificates of deposit vehicle leases The types of businesses covered in this disclosure include interests in businesses beneficial interests in trusts money owed state and federally chartered banks state and federal savings and you Deferred Retirement Option Program (DROP) accounts loan associations cemetery companies insurance companies the Florida Prepaid College Plan and bank accounts Intangible mortgage companies credit unions small loan companies alcoholic personal property also includes investment products held in IRAs beverage licensees pari-mutuel wagering companies utilitybrokerage accounts and the Florida College Investment Plan companies entities controlled by the Public Service Commission Note that the product contained in a brokerage account IRA or the and entities granted a franchise to operate by either a city or a Florida College Investment Plan is your assetmdashnot the account or county governmentplan itself Things like automobiles and houses you own jewelry Disclose in this part the fact that you owned during the and paintings are not intangible property Intangibles relating to the disclosure period an interest in or held any of certain positions same business entity may be aggregated for example CDrsquos and with the types of businesses listed above You are requiredsavings accounts with the same bank to make this disclosure if you own or owned (either directly or

Calculations To determine whether the intangible property indirectly in the form of an equitable or beneficial interest) at any exceeds 10 of your total assets total the fair market value of time during the disclosure period more than 5 of the total assets all of your assets (including real property intangible property and or capital stock of one of the types of business entities listed above tangible personal property such as jewelry furniture etc) When You also must complete this part of the form for each of these types making this calculation do not subtract any liabilities (debts) that of businesses for which you are or were at any time during themay relate to the property Multiply the total figure by 10 to arrive disclosure period an officer director partner proprietor or agent at the disclosure threshold List only the intangibles that exceed (other than a resident agent solely for service of process) this threshold amount The value of a leased vehicle is the vehiclersquos If you have or held such a position or ownership interest in present value minus the lease residual (a number which can be one of these types of businesses list the name of the business its found on the lease document) Property that is only jointly owned address and principal business activity and the position held with property should be valued according to the percentage of your the business (if any) If you own(ed) more than a 5 interest in the joint ownership Property owned as tenants by the entirety or as business indicate that fact and describe the nature of your interest joint tenants with right of survivorship should be valued at 100 None of your calculations or the value of the property have to be PART G mdash TRAINING CERTIFICATIONdisclosed on the form

[Required by s 1123142 FS] Example You own 50 of the stock of a small corporation that is worth $100000 the estimated fair market value of If you are a Constitutional or elected municipal officer whoseyour home and other property (bank accounts automobile service began before March 31 of the year for which you are filing furniture etc) is $200000 As your total assets are worth you are required to complete four hours of ethics training which $250000 you must disclose intangibles worth over $25000 addresses Article II Section 8 of the Florida Constitution the Code Since the value of the stock exceeds this threshold you of Ethics for Public Officers and Employees and the public records should list ldquostockrdquo and the name of the corporation If your and open meetings laws of the state You are required to certify on accounts with a particular bank exceed $25000 you should this form that you have taken such training list ldquobank accountsrdquo and bankrsquos name

(

End of Percentage Thresholds Instructions) CE FORM 1 - Effective January 1 2020 Incorporated by reference in Rule 34-8202 FAC PAGE 6

  • 0 HP Cover Page v2
  • 1 Hawks Point Meeting Invite Draft v2
  • 2 Agenda Draft v3
  • 3 EXHIBIT 1
  • 7 HP 05-19-2020 Meeting Minutes Approved
  • 6 EXHIBIT 2
  • 9 HP May FY20 Fin
  • 8 EXHIBIT 3
  • 4 Vacant Position Qualification Requirements for Hawks Point CDD
    • Vacant Position on the Board of Supervisors of the Hawkrsquos Point Community Development District
      • Qualification Requirements
      • Instructions for Interested Candidates
      • Additional Notes
          • 5 Shami Choon Vacant Position - updated 11-5-11 resume
            • 1803 Oak Pond Street Ruskin Fl 33570 E-mailchoons27gmailcom
              • PROFESSIONAL HISTORY
                • Operations Manager Florida Distribution 2002 ndash 2005
                • Operations Manager for Florida Branch Distribution 1999 ndash 2002
                • Warehouse Manager of Miami Distribution Center 1998 ndash 1999
                • Branch Manager of West Palm Beach 1994 ndash 1998
                • Assistant Branch Manager 1991 ndash 1994
                • Customer Service Agent 1990 ndash 1991
                  • 10 EXHIBIT 4
                  • 11 New Business - Hawks Point CDD - MI proposal
                  • 12 EXHIBIT 5
                  • 13 CertaPro Proposal to Paint Exterior Wall 18th to 24th Avenue
                  • 14 Shazam Construction Proposal to Paint Exterior Wall 18th to 24th Street
                    • QUOTE
                      • TO
                          • 15 Photo to accompany Shazam Proposal
                          • 16 EXHIBIT 6
                          • 17 CertaPro Proposal for Pressure Washing Exterior Wall 18th St to 24th Street
                          • 18 Shazam Construction Proposal for Pressure Washing Exterion Wall 18th Street to 24th Street
                            • QUOTE
                              • TO
                                  • 19 EXHIBIT 7
                                  • 20 Form 1_2019i
                                      1. LAST NAME
                                      2. FIRST NAME
                                      3. MIDDLE NAME
                                      4. MAILING ADDRESS ROW 1
                                      5. MAILING ADDRESS ROW 2
                                      6. CITY
                                      7. ZIP
                                      8. COUNTY
                                      9. NAME OF AGENCY
                                      10. NAME OF OFFICE OR POSITION HELD OR SOUGHT
                                      11. CANDIDATE Off
                                      12. NEW EMPLOYEE OR APPOINTEE Off
                                      13. COMPARATIVE (PERCENTAGE) THRESHOLDS Off
                                      14. DOLLAR VALUE THRESHOLDS Off
                                      15. NAME OF SOURCE INCOME ROW 1
                                      16. ADDRESS ROW 1
                                      17. DESCRIPTION OF THE SOURCES PRINCIPAL BUSINESS ACTIVITY ROW 1
                                      18. NAME OF SOURCE INCOME ROW 2
                                      19. ADDRESS ROW 2
                                      20. DESCRIPTION OF THE SOURCES PRINCIPAL BUSINESS ACTIVITY ROW 2
                                      21. NAME OF SOURCE INCOME ROW 3
                                      22. ADDRESS ROW 3
                                      23. DESCRIPTION OF THE SOURCES PRINCIPAL BUSINESS ACTIVITY ROW 3
                                      24. NAME OF SOURCE INCOME ROW 4
                                      25. ADDRESS ROW 4
                                      26. DESCRIPTION OF THE SOURCES PRINCIPAL BUSINESS ACTIVITY ROW 4
                                      27. NAME OF BUSINESS ENTITY ROW 1
                                      28. NAME OF MAJOR SOURCES OF BUSINESS INCOME ROW 1
                                      29. ADDRESS OF SOURCE ROW 1
                                      30. PRINCIPAL BUSINESS ACTIVITY OF SOURCE ROW 1
                                      31. NAME OF BUSINESS ENTITY ROW 2
                                      32. NAME OF MAJOR SOURCES OF BUSINESS INCOME ROW 2
                                      33. ADDRESS OF SOURCE ROW 2
                                      34. PRINCIPAL BUSINESS ACTIVITY OF SOURCE ROW 2
                                      35. NAME OF BUSINESS ENTITY ROW 3
                                      36. NAME OF MAJOR SOURCES OF BUSINESS INCOME ROW 3
                                      37. ADDRESS OF SOURCE ROW 3
                                      38. PRINCIPAL BUSINESS ACTIVITY OF SOURCE ROW 3
                                      39. REAL PROPERTY ROW 1
                                      40. REAL PROPERTY ROW 2
                                      41. REAL PROPERTY ROW 3
                                      42. REAL PROPERTY ROW 4
                                      43. TYPE OF INTANGIBLE ROW 1
                                      44. BUSINESS ENTITY TO WHICH THE PROPERTY RELATES ROW 1
                                      45. TYPE OF INTANGIBLE ROW 2
                                      46. BUSINESS ENTITY TO WHICH THE PROPERTY RELATES ROW 2
                                      47. NAME OF CREDITOR ROW 1
                                      48. ADDRESS OF CREDITOR ROW 1
                                      49. NAME OF CREDITOR ROW 2
                                      50. ADDRESS OF CREDITOR ROW 2
                                      51. ADDRESS OF BUSINESS ENTITY 1
                                      52. PRINCIPAL BUSINESS ACTIVITY 1
                                      53. POSITION HELD WITH ENTITY 1
                                      54. I OWN MORE THAN A 5 INTEREST IN THE BUSINESS 1
                                      55. NATURE OF MY OWNERSHIP INTEREST 1
                                      56. ADDRESS OF BUSINESS ENTITY 2
                                      57. PRINCIPAL BUSINESS ACTIVITY 2
                                      58. POSITION HELD WITH ENTITY 2
                                      59. I OWN MORE THAN A 5 INTEREST IN THE BUSINESS 2
                                      60. NATURE OF MY OWNERSHIP INTEREST 2
                                      61. FOR ELECTED MUNICIPAL OFFICERS REQUIRED TO COMPLETE ANNUAL ETHICS TRAINING PURSUANT TO SECTION 112
                                        1. 3142 F
                                          1. S Off
                                              1. IF ANY OF PARTS A THROUGH G ARE CONTINUED ON A SEPARATE SHEET PLEASE CHECK HERE Off
                                              2. SIGNATURE
                                              3. Date Signed
Page 20: HAWKS POINT COMMUNITY DEVELOPMENT …...2020/06/16  · Hawks Point Community Development District Board of Supervisors Meeting Tuesday, June 16th at 6:30 PM via Zoom All: We welcome

EXHIBIT 3

Vacant Position on the Board of Supervisors of the Hawkrsquos Point Community Development District The Hawkrsquos Point Community Development District (CDD) is soliciting interested candidates to fill a vacant position on the Board of Supervisors of the CDD (Board) The CDD is a local unit of special-purpose government which is created pursuant to Chapter 190 Florida Statutes The Board is comprised of 5 members who are public officials who are normally elected on the November General Elections who serve in staggered terms The vacancy is a result of a resignation of a board member due to a relocation The remaining term of the vacant supervisorrsquos seat is through November 2022

Qualification Requirements

1 Resident of the CDD

2 At least 18 years of age

3 Citizen of the United States

4 Legal resident of Florida and of the CDD

5 Registered to vote with the Hillsborough County Supervisor of Elections

Instructions for Interested Candidates

Interested candidates must submit a letter of interest and resume to Raymondlotitodpfgcom by 4 pm on Friday June 5 2020 The subject line in the email should read ldquoVacant Position on the Board of Supervisors of the Hawkrsquos Point CDDrdquo

The Letter of Interest must contain

1 A statement stating why you believe you are well suited for the position

2 Your vision for the CDD and what you would like to see the Community evolve into Please be specific

The Resume must contain

1 Your academic background and professional experience

2 Previous and current experience with governmental agencies and governing boards

Interested candidates should attend the Board meeting on Tuesday June 16 2020 at 630 pm and present a brief presentation about themselves and be prepared for a brief question and answer period with the current Board members

Additional Notes

The current Board members will discuss the candidates and may make an appointment at the June meeting If the Board cannot come to a consensus on one candidate or if they determine to not appoint any candidate to the vacant seat they may revisit the vacancy at a future meeting or leave the seat vacant until the November 2022 General Election

Please note that the person appointed to serve in the vacant seat will be required to submit a financial disclosure statement to the State and will be subject to Floridarsquos Government in the Sunshine Laws Public Records laws and Ethics laws

1

Sookdeo (Shami) Choon Phone number (813) 731-5564 1803 Oak Pond Street Ruskin Fl 33570 E-mailchoons27gmailcom

PROFESSIONAL HISTORY Firkins GroupGarber Nissan December 2013 to Present Commercial Vehicle Sales ManagerFinance Manager Auto Nation From January 2006 to December 2013 Sales 2006- 2007 Finance Manager 2007- 2008 Sales Manager Training Manager 2008-2009 Sales Finance 2009- 2011 Commercial Sales Manager Finance Manager 2011- 2020 Parts Depot Inc From 1990 to 2005 ___________________________________________________________________________________________ Operations Manager Florida Distribution 2002 ndash 2005 bull Responsible for total inventory control of all Florida warehouses frac12 of the corporationrsquos revenue bull Directed top management to complete acquisition consolidations which resulted in the corporationrsquos

expansion bull Managed all Florida branch warehouse managers and employees totaling 200 employees bull Increased productivity and shipping efficiency in all departments developed new delivery logistics

improved product availability to all customers as well a hired and efficiently trained employees bull Reviewed all customer service statistics daily and contacted customer directly on all issues bull Reviewed PampLrsquos for all units monthly bull Presented weekly productivity and financial reports to senior management bull Directed DOT monthly guidelines maintained driver files in accordance with DOT regulations and

implemented loss prevention programs Operations Manager for Florida Branch Distribution 1999 ndash 2002 bull Improved customer service by increasing product availability to customers by implementing new

delivery logistics bull Developed employee training implemented safety awareness and monthly safety programs Warehouse Manager of Miami Distribution Center 1998 ndash 1999 bull Developed and implemented productivity guidelines implemented delivery cost saving programs

and improved product availability to the corporationrsquos customers Branch Manager of West Palm Beach 1994 ndash 1998 bull Responsible for the opening of this new branch set the building layout as well as the delivery and

logistics systems

2

bull Increased sales by 80 over budget and kept operating cost as of sales Implemented new customer service department Hired and trained all employees

Assistant Branch Manager 1991 ndash 1994 bull Increased productivity by 20 and improved delivery service Customer Service Agent 1990 ndash 1991 bull Created and implemented customer service guidelines Wingate Automotive Group 1987ndash 1990 Trinidad amp Tobago Government National Security 1984- 1987 Field Operation

EXHIBIT 4

PO Box 267 Seffner FL 33583 O 813-757-6500 F 813-757-6501 Estimate

Submitted To Hawks Point CDD 250 International Parkway Suite 280 Lake Mary FL 32746

CDD - controller 4 - zones 1 and 2

Date 5232020

Estimate 66077

LMP REPRESENTATIVE

DG-TI

PO

W ork Order

DESCRIPTION QTY COST TOTAL

Controller 4 34 inch poly pipe 34 inch poly pipe clamps Labor 2 men $ 8500 per hour

Irrigation inspection repairs needed Repair 6 - 34 inch poly pipe line leaks

6 12 05

072 129

8500

432 1548 4250

TERMS AND CONDITIONS TOTAL $6230

LMP reserves the right to withdraw this proposal if not accepted within 30 days of the date listed above Any alteration or deviation to scope of work involving additional costs must be agreed upon in writing as a separate proposal or change order to this proposal Periodic invoices may be submitted if job is substantial in nature with final invoice being submitted at completion of project Any work performed requiring more than 5 days to complete is subject to progressive payments as portions of the work are completed No finance charge will be imposed if the total of said work is paid in full within 30 days of invoice date If not paid in full within 30 days then customer is subject to finance charges on the balance of the work from the invoice date at a rate of 15 per month until paid LMP shall have the right to stop work under this contract until all outstanding amounts including finance charges are paid in full Payments will be applied to the oldest invoices

ACCEPTANCE OF PROPOSAL The above prices scope of work and terms and conditions are hereby satisfactorily agreed upon LMP Inc has been authorized to perform the work as outlined and payment will be made as outlined above The above pricing does not include any unforeseen modifications to the said irrigation system that could not be reasonably accounted for prior to job start All plant material carries a one (1) year warranty provided LMP Inc is performing landscape maintenance services to the area installed or enhanced at the time of installation If not then there is no warranty on the plant material

OWNER AGENT

DATE

EXHIBIT 5

Independent Franchise Owner Job TBE8F300154 Terry Beamer 9266 Lazy Ln

Date 06012020

EXTERIOR PROPOSALEXTERIOR PROPOSALEXTERIOR PROPOSALEXTERIOR PROPOSAL Tampa FL 33614 813-936-9242

Fax 813 936-9172

1-800-462-3782

License PA2508

Full Workers Compensation Coverage$2000000 General Liability Insurance

DPFG Management amp Consulting LLC (Hawks Point) Raymond Lotito (SB) Hawks Point CDD Ruskin FL 33570 Phone 813-418-7473 Cell 813-220-6089 Email raymondlotitodpfgcom

Special Notes CERTAPRO PAINTERS WILL PAINT WALL FACING 19ST FROM 18TH-24TH

SPECIAL ATTENTION ADDRESSING STUCCO CRACKS USING CONCRETE AND MASONRY PATCH

SPECIAL ATTENTION PRESSURE WASHING LOOSE PEELING PAINT PRIOR TO PAINTING

CERTAPRO PAINTERS WILL ONLY PAINT STREET FACING SIDE- HOMEOWNERS SIDE EXCLUDED FROM PROPOSAL

CUSTOMER RESPONSIBILITIES Please cut back all shrubs bushes and palms away from wall

GENERAL DESCRIPTION Painting to Exterior Wall 18th-24th Facing 19th Ave

PREPARATION Washing To remove dirt mildew and loose paint so the new finish coat will adhere properly

Caulking To fill all cracks and gaps around windows and doorswood work to seal out moisture and drafts Stair step

cracks

Scraping Scrape all loose and peeling paint to ensure a firm base for the new paint

Masonry Repair to all cracks gaps and holes with elastemeric caulking or masonry patch as required

Sanding To degloss where necessary to promote adhesion of the top coat

Surface TypeArea Primer PurposePRIMING

Masonry Loxon sealerprimer Latex For propor top coat adhesion

Conditioner Loxon sealerprimer to all Latex For proper top coat adhesion

masonry surfaces

FINISH COATS

Surface Area

Exterior

ManufacturePaint Type

Sherwin Williams Resilience Ext Satin

Coats

1 primer-sealer 1 spray 1 backroll stucco

Color

Same As Existing

Clean Up Daily and upon completion

$1132900 All Labor Paint Materials

$1132900 TOTAL

Signature of Authorized Franchise Representative Date

Payment is due In Full upon Job Completion

(IWE HAVE READ THE TERMS STATED HEREIN THEY HAVE (IWE) HAVE EXAMINED THE JOB STATED HEREIN THEY EXPLAINED TO (MEUS) AND (IWE) FIND THEM TO BE HAVE SHOWN TO (MEUS) AND (IWE) FIND THE JOB TO SATISFACTORY AND HEREBY ACCEPT THEM BE SATISFACTORY AND HEREBY ACCEPT THE JOB AS

COMPLETE

SIGNATURE Date SIGNATURE Date

QUOTE

Shazam Construction LLC DATE MAY 13 2020

Shazam Hera 6773 Waterton Drive Riverview FL 33578 813-385-4591 ShazamConstructionLLCgmailcom Hawks Point CDD

TO Bill to Development Planning and Financing Group 15310 Amberly Drive Suite 175 Tampa FL 33647

QUANITY DESCRIPTION UNIT PRICE LINE TOTAL

Pressure wash the wall that parallels 19th avenue from 18th street to 24th street in Hawks Point CDD in Ruskin

$1270000

Repair any cracks with caulk or elastomeric as neededPrep for paint

Paint the wall that parallels 19th avenue from 18th street to 24th street in Hawks Point CDD in Ruskin

Paint using body trim and caps of exterior wall facing 19th avenue

Paint while matching existing colors

Paint using Sherwin Williams

All paint materials and labor is included

SUBTOTAL

SALES TAX

TOTAL $1270000

Make all checks payable to Shazam Construction LLC

THANK YOU FOR YOUR BUSINESS

EXHIBIT 6

Independent Franchise Owner Job TB443B00157 Terry Beamer 9266 Lazy Ln

Date 06052020

EXTERIOR PROPOSALEXTERIOR PROPOSALEXTERIOR PROPOSALEXTERIOR PROPOSAL Tampa FL 33614 813-936-9242

Fax 813 936-9172

1-800-462-3782

License PA2508

Full Workers Compensation Coverage$2000000 General Liability Insurance

DPFG Management amp Consulting LLC (Hawks Point) Raymond Lotito (SB) Hawks Point CDD Ruskin FL 33570 Phone 813-418-7473 Cell 813-220-6089 Email raymondlotitodpfgcom

Special Notes CERTAPRO PAINTERS PRESSURE WASHING PROPOSAL 18TH-24TH

CERTAPRO PAINTERS WILL PRESSURE WASH WALL FACING 19TH ST ONLY

GENERAL DESCRIPTION Painting to

PREPARATION Washing To remove dirt mildew and loose paint so the new finish coat will adhere properly

PRIMING Surface TypeArea Primer Purpose

Clean Up Daily and upon completion

All Labor Paint Materials

TOTAL

$195000

$195000

Signature of Authorized Franchise Representative Date

Payment is due In Full upon Job Completion

(IWE HAVE READ THE TERMS STATED HEREIN THEY HAVE (IWE) HAVE EXAMINED THE JOB STATED HEREIN THEY EXPLAINED TO (MEUS) AND (IWE) FIND THEM TO BE HAVE SHOWN TO (MEUS) AND (IWE) FIND THE JOB TO SATISFACTORY AND HEREBY ACCEPT THEM BE SATISFACTORY AND HEREBY ACCEPT THE JOB AS

COMPLETE

SIGNATURE Date SIGNATURE Date

QUOTE

Shazam Construction LLC DATE JUNE 5 2020

Shazam Hera 6773 Waterton Drive Riverview FL 33578 813-385-4591 ShazamConstructionLLCgmailcom Hawks Point CDD

TO Bill to Development Planning and Financing Group 15310 Amberly Drive Suite 175 Tampa FL 33647

QUANITY DESCRIPTION UNIT PRICE LINE TOTAL

Pressure wash the wall that parallels 19th avenue from 18th street to 24th street in Hawks Point CDD in Ruskin

$160000

All materials and labor is included

SUBTOTAL

SALES TAX

TOTAL $160000

Make all checks payable to Shazam Construction LLC

THANK YOU FOR YOUR BUSINESS

EXHIBIT 7

2019FORM 1 STATEMENT OF

Please print or type your name mailing FOR OFFICE USE ONLY FINANCIAL INTERESTS address agency name and position below

LAST NAME -- FIRST NAME -- MIDDLE NAME

MAILING ADDRESS

CITY ZIP COUNTY

NAME OF AGENCY

NAME OF OFFICE OR POSITION HELD OR SOUGHT

CHECK ONLY IF CANDIDATE OR NEW EMPLOYEE OR APPOINTEE

THIS SECTION MUST BE COMPLETED DISCLOSURE PERIOD THIS STATEMENT REFLECTS YOUR FINANCIAL INTERESTS FOR CALENDAR YEAR ENDING DECEMBER 31 2019

MANNER OF CALCULATING REPORTABLE INTERESTS FILERS HAVE THE OPTION OF USING REPORTING THRESHOLDS THAT ARE ABSOLUTE DOLLAR VALUES WHICH REQUIRES FEWER CALCULATIONS OR USING COMPARATIVE THRESHOLDS WHICH ARE USUALLY BASED ON PERCENTAGE VALUES (see instructions for further details) CHECK THE ONE YOU ARE USING (must check one)

COMPARATIVE (PERCENTAGE) THRESHOLDS OR DOLLAR VALUE THRESHOLDS

PART A -- PRIMARY SOURCES OF INCOME [Major sources of income to the reporting person - See instructions] (If you have nothing to report write none or na)

NAME OF SOURCE SOURCES DESCRIPTION OF THE SOURCES OF INCOME ADDRESS PRINCIPAL BUSINESS ACTIVITY

PART B -- SECONDARY SOURCES OF INCOME [Major customers clients and other sources of income to businesses owned by the reporting person - See instructions] (If you have nothing to report write none or na)

NAME OF NAME OF MAJOR SOURCES ADDRESS PRINCIPAL BUSINESS BUSINESS ENTITY OF BUSINESS INCOME OF SOURCE ACTIVITY OF SOURCE

PART C -- REAL PROPERTY [Land buildings owned by the reporting person - See instructions] You are not limited to the space on the (If you have nothing to report write none or na) lines on this form Attach additional

sheets if necessary

FILING INSTRUCTIONS for when and where to file this form are located at the bottom of page 2

INSTRUCTIONS on who must file this form and how to fill it out begin on page 3

CE FORM 1 - Effective January 1 2020 (Continued on reverse side) PAGE 1 Incorporated by reference in Rule 34-8202(1) FAC

FILING INSTRUCTIONS

IF ANY OF PARTS A THROUGH G ARE CONTINUED ON A SEPARATE SHEET PLEASE CHECK HERE

PART D mdash INTANGIBLE PERSONAL PROPERTY [Stocks bonds certificates of deposit etc - See instructions] (If you have nothing to report write none or na) TYPE OF INTANGIBLE BUSINESS ENTITY TO WHICH THE PROPERTY RELATES

PART E mdash LIABILITIES [Major debts - See instructions] (If you have nothing to report write none or na)

NAME OF CREDITOR ADDRESS OF CREDITOR

PART F mdash INTERESTS IN SPECIFIED BUSINESSES [Ownership or positions in certain types of businesses - See instructions] (If you have nothing to report write none or na)

BUSINESS ENTITY 1 BUSINESS ENTITY 2

NAME OF BUSINESS ENTITY

ADDRESS OF BUSINESS ENTITY

PRINCIPAL BUSINESS ACTIVITY

POSITION HELD WITH ENTITY

I OWN MORE THAN A 5 INTEREST IN THE BUSINESS

NATURE OF MY OWNERSHIP INTEREST

If you were mailed the form by the Commission on Ethics or a County Supervisor of Elections for your annual disclosure filing return the form to that location To determine what category your position falls under see page 3 of instructions Local officersemployees file with the Supervisor of Elections of the county in which they permanently reside (If you do not permanently reside in Florida file with the Supervisor of the county where your agency has its headquarters) Form 1 filers who file with the Supervisor of Elections may file by mail or email Contact your Supervisor of Elections for the mailing address or email address to use Do not email your form to the Commission on Ethics it will be returned State officers or specified state employees who file with the Commission on Ethics may file by mail or email To file by mail send the completed form to PO Drawer 15709 Tallahassee FL32317-5709 physical address 325 John Knox Rd Bldg E Ste 200 Tallahassee FL 32303 To file with the Commission by email scan your completed form and any attachments as a pdf (do not use any other format) send it to CEForm1legstateflus and retain a copy for your records Do not file by both mail and email Choose only one filing method Form 6s will not be accepted via email

Candidates file this form together with their filing papers MULTIPLE FILING UNNECESSARY A candidate who files a Form 1 with a qualifying officer is not required to file with the Commission or Supervisor of Elections WHEN TO FILE Initially each local officeremployee state officer and specified state employee must file within 30 days of the date of his or her appointment or of the beginning of employment Appointees who must be confirmed by the Senate must file prior to confirmation even if that is less than 30 days from the date of their appointment Candidates must file at the same time they file their qualifying papers Thereafter file by July 1 following each calendar year in which they hold their positions Finally file a final disclosure form (Form 1F) within 60 days of leaving office or employment Filing a CE Form 1F (Final Statement of Financial Interests) does not relieve the filer of filing a CE Form 1 if the filer was in his or her position on December 31 2019

SIGNATURE OF FILER Signature

____________________________________________

Date Signed

____________________________________________

CPA or ATTORNEY SIGNATURE ONLY If a certified public accountant licensed under Chapter 473 or attorney in good standing with the Florida Bar prepared this form for you he or she must complete the following statement

I _______________________________________ prepared the CE Form 1 in accordance with Section 1123145 Florida Statutes and the instructions to the form Upon my reasonable knowledge and belief the disclosure herein is true and correct

CPAAttorney Signature ______________________________

Date Signed _______________________________________

PART G mdash TRAINING For elected municipal officers required to complete annual ethics training pursuant to section 1123142 FS

I CERTIFY THAT I HAVE COMPLETED THE REQUIRED TRAINING

CE FORM 1 - Effective January 1 2020 PAGE 2 Incorporated by reference in Rule 34-8202(1) FAC

Examplesmdash You are the sole proprietor of a dry cleaning business fromwhich you received more than 10 of your gross incomemdashanamount that was more than $1500 If only one customer auniform rental company provided more than 10 of your drycleaning business you must list the name of the uniform rentalcompany its address and its principal business activity (uniform rentals) mdash You are a 20 partner in a partnership that owns a shopping mall and your partnership income exceeded the thresholds listed above You should list each tenant of the mall that provided more than 10 of the partnershiprsquos gross income and the tenantrsquos address and principal business activity

PART C mdash REAL PROPERTY[Required by s 1123145(3)(a)3 FS]In this part list the location or description of all real property in

Florida in which you owned directly or indirectly at any time during the disclosure period in excess of 5 of the propertyrsquos value You are not required to list your residences You should list any vacation homes if you derive income from them

Indirect ownership includes situations where you are abeneficiary of a trust that owns the property as well as situations where you own more than 5 of a partnership or corporation thatowns the property The value of the property may be determined by the most recently assessed value for tax purposes in the absence of a more current appraisal

The location or description of the property should be sufficient to enable anyone who looks at the form to identify the property Astreet address should be used if one exists PART D mdash INTANGIBLE PERSONAL PROPERTY

[Required by s 1123145(3)(a)3 FS]Describe any intangible personal property that at any time

during the disclosure period was worth more than 10 of your total assets and state the business entity to which the property related Intangible personal property includes things such as cash on hand stocks bonds certificates of deposit vehicle leases interests in businesses beneficial interests in trusts money owed you Deferred Retirement Option Program (DROP) accounts the Florida Prepaid College Plan and bank accounts Intangiblepersonal property also includes investment products held in IRAs brokerage accounts and the Florida College Investment Plan Note that the product contained in a brokerage account IRA or the Florida College Investment Plan is your assetmdashnot the account or plan itself Things like automobiles and houses you own jewelryand paintings are not intangible property Intangibles relating to the same business entity may be aggregated for example CDrsquos and savings accounts with the same bank

Calculations To determine whether the intangible property exceeds 10 of your total assets total the fair market value of all of your assets (including real property intangible property and tangible personal property such as jewelry furniture etc) When making this calculation do not subtract any liabilities (debts) that may relate to the property Multiply the total figure by 10 to arrive at the disclosure threshold List only the intangibles that exceed this threshold amount The value of a leased vehicle is the vehiclersquos present value minus the lease residual (a number which can be found on the lease document) Property that is only jointly owned property should be valued according to the percentage of your joint ownership Property owned as tenants by the entirety or as joint tenants with right of survivorship should be valued at 100 None of your calculations or the value of the property have to be disclosed on the form

Example You own 50 of the stock of a small corporation that is worth $100000 the estimated fair market value of your home and other property (bank accounts automobile furniture etc) is $200000 As your total assets are worth $250000 you must disclose intangibles worth over $25000 Since the value of the stock exceeds this threshold you should list ldquostockrdquo and the name of the corporation If your accounts with a particular bank exceed $25000 you should list ldquobank accountsrdquo and bankrsquos name

PART E mdash LIABILITIES[Required by s 1123145(3)(b)4 FS]List the name and address of each creditor to whom you owed

any amount that at any time during the disclosure period exceeded your net worth You are not required to list the amount of any debt or your net worth You do not have to disclose credit card and retail installment accounts taxes owed (unless reduced to a judgment) indebtedness on a life insurance policy owed to the company of issuance or contingent liabilities A ldquocontingent liabilityrdquo is one that will become an actual liability only when one or more future events occur or fail to occur such as where you are liable only as a guarantor surety or endorser on a promissory note If you are a ldquoco-makerrdquo and are jointly liable or jointly and severally liable it is not a contingent liability

Calculations To determine whether the debt exceeds your net worth total all of your liabilities (including promissory notes mortgages credit card debts judgments against you etc) Theamount of the liability of a vehicle lease is the sum of any past-due payments and all unpaid prospective lease payments Subtract the sum total of your liabilities from the value of all your assets as calculated above for Part D This is your ldquonet worthrdquo List each creditor to whom your debt exceeded this amount unless it is one of the types of indebtedness listed in the paragraph above (credit card and retail installment accounts etc) Joint liabilities with others for which you are ldquojointly and severally liablerdquo meaning that you may be liable for either your part or the whole of the obligation should be included in your calculations at 100 of the amount owed

Example You owe $15000 to a bank for student loans $5000 for credit card debts and $60000 (with spouse) to a savings and loan for a home mortgage Your home (owned by you and your spouse) is worth $80000 and your other property is worth $20000 Since your net worth is $20000 ($100000 minus $80000) you must report only the name and address of the savings and loan

PART F mdash INTERESTS IN SPECIFIED BUSINESSES[Required by s 1123145 FS]The types of businesses covered in this disclosure include

state and federally chartered banks state and federal savings and loan associations cemetery companies insurance companies mortgage companies credit unions small loan companies alcoholic beverage licensees pari-mutuel wagering companies utilitycompanies entities controlled by the Public Service Commission and entities granted a franchise to operate by either a city or acounty government

Disclose in this part the fact that you owned during the disclosure period an interest in or held any of certain positions with the types of businesses listed above You are required to make this disclosure if you own or owned (either directly orindirectly in the form of an equitable or beneficial interest) at any time during the disclosure period more than 5 of the total assets or capital stock of one of the types of business entities listed above You also must complete this part of the form for each of these types of businesses for which you are or were at any time during thedisclosure period an officer director partner proprietor or agent (other than a resident agent solely for service of process)

If you have or held such a position or ownership interest in one of these types of businesses list the name of the business its address and principal business activity and the position held with the business (if any) If you own(ed) more than a 5 interest in the business indicate that fact and describe the nature of your interest

PART G mdash TRAINING CERTIFICATION[Required by s 1123142 FS]If you are a Constitutional or elected municipal officer whose

service began before March 31 of the year for which you are filing you are required to complete four hours of ethics training which addresses Article II Section 8 of the Florida Constitution the Code of Ethics for Public Officers and Employees and the public records and open meetings laws of the state You are required to certify on this form that you have taken such training (End of Percentage Thresholds Instructions)

CE FORM 1 - Effective January 1 2020 Incorporated by reference in Rule 34-8202 FAC PAGE 6

NOTICE Annual Statements of Financial Interests are due July 1 If the annual form is not filed or postmarked by September 1 an automatic fine of $25 for each day late will be imposed up to a maximum penalty of $1500 Failure to file also can result in removal from public office or employment [s 1123145 FS]

In addition failure to make any required disclosure constitutes grounds for and may be punished by one or more of the following disqualification from being on the ballot impeachment removal or suspension from office or employment demotion reduction in salary reprimand or a civil penalty not exceeding $10000 [s 112317 FS]

WHO MUST FILE FORM 1 1) Elected public officials not serving in a political subdivision of the

state and any person appointed to fill a vacancy in such office unlessrequired to file full disclosure on Form 62) Appointed members of each board commission authority

or council having statewide jurisdiction excluding members of solelyadvisory bodies but including judicial nominating commission membersDirectors of Enterprise Florida Scripps Florida Funding Corporationand Career Source Florida and members of the Council on the Social Status of Black Men and Boys the Executive Director Governors and senior managers of Citizens Property Insurance CorporationGovernors and senior managers of Florida Workers Compensation JointUnderwriting Association board members of the Northeast Fla RegionalTransportation Commission board members of Triumph Gulf Coast Incboard members of Florida Is For Veterans Inc and members of the Technology Advisory Council within the Agency for State Technology3) The Commissioner of Education members of the State Board

of Education the Board of Governors the local Boards of Trustees and Presidents of state universities and the Florida Prepaid College Board 4) Persons elected to office in any political subdivision (such as

municipalities counties and special districts) and any person appointedto fill a vacancy in such office unless required to file Form 65) Appointed members of the following boards councils

commissions authorities or other bodies of county municipality schooldistrict independent special district or other political subdivision thegoverning body of the subdivision community college or junior collegedistrict boards of trustees boards having the power to enforce local codeprovisions boards of adjustment community redevelopment agenciesplanning or zoning boards having the power to recommend create ormodify land planning or zoning within a political subdivision except forcitizen advisory committees technical coordinating committees andsimilar groups who only have the power to make recommendationsto planning or zoning boards and except for representatives of a military installation acting on behalf of all military installations within thatjurisdiction pension or retirement boards empowered to invest pensionor retirement funds or determine entitlement to or amount of pensions orother retirement benefits and the Pinellas County Construction LicensingBoard 6) Any appointed member of a local government board who

is required to file a statement of financial interests by the appointingauthority or the enabling legislation ordinance or resolution creating theboard 7) Persons holding any of these positions in local government

mayor county or city manager chief administrative employee or finance

director of a county municipality or other political subdivision county or municipal attorney chief county or municipal building inspectorcounty or municipal water resources coordinator county or municipalpollution control director county or municipal environmental control director county or municipal administrator with power to grant or denya land development permit chief of police fire chief municipal clerkappointed district school superintendent community college presidentdistrict medical examiner purchasing agent (regardless of title) havingthe authority to make any purchase exceeding $35000 for the localgovernmental unit8) Officers and employees of entities serving as chief administrative

officer of a political subdivision9) Members of governing boards of charter schools operated by a

city or other public entity10) Employees in the office of the Governor or of a Cabinet member

who are exempt from the Career Service System excluding secretarialclerical and similar positions11) The following positions in each state department commission

board or council Secretary Assistant or Deputy Secretary ExecutiveDirector Assistant or Deputy Executive Director and anyone having thepower normally conferred upon such persons regardless of title12) The following positions in each state department or division

Director Assistant or Deputy Director Bureau Chief and any personhaving the power normally conferred upon such persons regardless oftitle 13) Assistant State Attorneys Assistant Public Defenders criminal

conflict and civil regional counsel and assistant criminal conflict and civilregional counsel Public Counsel full-time state employees serving ascounsel or assistant counsel to a state agency administrative law judgesand hearing officers14) The Superintendent or Director of a state mental health institute

established for training and research in the mental health field or anymajor state institution or facility established for corrections trainingtreatment or rehabilitation 15) State agency Business Managers Finance and Accounting

Directors Personnel Officers Grant Coordinators and purchasingagents (regardless of title) with power to make a purchase exceeding$35000 16) The following positions in legislative branch agencies each

employee (other than those employed in maintenance clerical secretarial or similar positions and legislative assistants exempted by the presiding officer of their house) and each employee of theCommission on Ethics

INSTRUCTIONS FOR COMPLETING FORM 1 INTRODUCTORY INFORMATION (Top of Form) If your name mailing address public agency and position are already printed on the form you do not need to provide this information unless it should be changed To change any of this information write the correct information on the form and contact your agencys financial disclosure coordinator You can find your coordinator on the Commission on Ethics website wwwethics stateflus NAME OF AGENCY The name of the governmental unit which you serve or served by which you are or were employed or for which you are a candidate DISCLOSURE PERIOD The ldquodisclosure periodrdquo for your report is the calendar year ending December 31 2019

OFFICE OR POSITION HELD OR SOUGHT The title of the office or position you hold are seeking or held during the disclosure period even if you have since left that position If you are a candidate for office or are a new employee or appointee check the appropriate box PUBLIC RECORD The disclosure form and everythingattached to it is a public record Your Social Security Number is not required and you should redact it from any documents you file If you are an active or former officer or employee listed in Section 119071 FS whose home address is exempt from disclosure the Commission will maintain that confidentiality if you submit a written request

CE FORM 1 - Effective January 1 2020 Incorporated by reference in Rule 34-8202 FAC PAGE 3

PART E mdash LIABILITIES[Required by s 1123145(3)(b)4 FS]List the name and address of each creditor to whom you owed more

than $10000 at any time during the disclosure period The amount of theliability of a vehicle lease is the sum of any past-due payments and allunpaid prospective lease payments You are not required to list the amountof any debt You do not have to disclose credit card and retail installmentaccounts taxes owed (unless reduced to a judgment) indebtedness ona life insurance policy owed to the company of issuance or contingentliabilities A ldquocontingent liabilityrdquo is one that will become an actual liabilityonly when one or more future events occur or fail to occur such as whereyou are liable only as a guarantor surety or endorser on a promissorynote If you are a ldquoco-makerrdquo and are jointly liable or jointly and severallyliable then it is not a contingent liability

PART F mdash INTERESTS IN SPECIFIED BUSINESSES[Required by s 1123145(6) FS]The types of businesses covered in this disclosure include state and

federally chartered banks state and federal savings and loan associationscemetery companies insurance companies mortgage companies creditunions small loan companies alcoholic beverage licensees pari-mutuelwagering companies utility companies entities controlled by the PublicService Commission and entities granted a franchise to operate by either acity or a county government

Disclose in this part the fact that you owned during the disclosure period aninterest in or held any of certain positions with the types of businesses listedabove You must make this disclosure if you own or owned (either directly orindirectly in the form of an equitable or beneficial interest) at any time duringthe disclosure period more than 5 of the total assets or capital stock ofone of the types of business entities listed above You also must completethis part of the form for each of these types of businesses for which youare or were at any time during the disclosure period an officer directorpartner proprietor or agent (other than a resident agent solely for service ofprocess)

If you have or held such a position or ownership interest in one ofthese types of businesses list the name of the business its address andprincipal business activity and the position held with the business (if any) Ifyou own(ed) more than a 5 interest in the business indicate that fact anddescribe the nature of your interest

PART G mdash TRAINING CERTIFICATION[Required by s 1123142 FS]If you are a Constitutional or elected municipal officer whose

service began before March 31 of the year for which you are filingyou are required to complete four hours of ethics training which addresses Article II Section 8 of the Florida Constitution the Codeof Ethics for Public Officers and Employees and the public recordsand open meetings laws of the state You are required to certify onthis form that you have taken such training

(End of Dollar Value Thresholds Instructions)

PART A mdash PRIMARY SOURCES OF INCOME[Required by s 1123145(3)(a)1 FS]Part A is intended to require the disclosure of your principal

sources of income during the disclosure period You do not haveto disclose any public salary or public position(s) but income from these public sources should be included when calculating your gross income for the disclosure period The income of your spouse need not be disclosed however if there is joint income to you and your spouse from property you own jointly (such as interest or dividends from a bank account or stocks) you should include all of that income when calculating your gross income and disclose the source of that income if it exceeded the threshold

Please list in this part of the form the name address and principal business activity of each source of your income whichexceeded 5 of the gross income received by you in your own name or by any other person for your benefit or use during the disclosure period

Gross income means the same as it does for income tax purposes even if the income is not actually taxable such as interest on tax-free bonds Examples include compensation for servicesincome from business gains from property dealings interest rents dividends pensions IRA distributions social security distributive share of partnership gross income and alimony but not child support

Examplesmdash If you were employed by a company that manufactures computers and received more than 5 of your gross income from the company list the name of the company its address and its principal business activity (computer manufacturing)mdash If you were a partner in a law firm and your distributive share of partnership gross income exceeded 5 of your gross income then list the name of the firm its address and its principal business activity (practice of law)mdash If you were the sole proprietor of a retail gift business andyour gross income from the business exceeded 5 of your total gross income list the name of the business its addressand its principal business activity (retail gift sales)mdash If you received income from investments in stocks and bonds list each individual company from which you derived

more than 5 of your gross income Do not aggregate all of your investment incomemdash If more than 5 of your gross income was gain from the sale of property (not just the selling price) list as a source of income the purchaserrsquos name address and principal business activityIf the purchasers identity is unknown such as where securities listed on an exchange are sold through a brokerage firm the source of income should be listed as sale of (name of company)stock for examplemdash If more than 5 of your gross income was in the form of interest from one particular financial institution (aggregatinginterest from all CDrsquos accounts etc at that institution) list the name of the institution its address and its principal business activity

PART B mdash SECONDARY SOURCES OF INCOME[Required by s 1123145(3)(a)2 FS]This part is intended to require the disclosure of major customers

clients and other sources of income to businesses in which you ownan interest It is not for reporting income from second jobs That kindof income should be reported in Part A Primary Sources of Incomeif it meets the reporting threshold You will not have anything to reportunless during the disclosure period

(1) You owned (either directly or indirectly in the form of anequitable or beneficial interest) more than 5 of the total assetsor capital stock of a business entity (a corporation partnershipLLC limited partnership proprietorship joint venture trust firmetc doing business in Florida) and(2) You received more than 10 of your gross income from thatbusiness entity and(3) You received more than $1500 in gross income from thatbusiness entity

If your interests and gross income exceeded these thresholds thenfor that business entity you must list every source of income to thebusiness entity which exceeded 10 of the business entityrsquos grossincome (computed on the basis of the business entityrsquos most recentlycompleted fiscal year) the sourcersquos address and the sourcersquosprincipal business activity

IF YOU HAVE CHOSEN COMPARATIVE (PERCENTAGE) THRESHOLDSTHE FOLLOWING INSTRUCTIONS APPLY

CE FORM 1 - Effective January 1 2020 Incorporated by reference in Rule 34-8202 FAC PAGE 5

MANNER OF CALCULATING REPORTABLE INTEREST Filers have the option of reporting based on either thresholds that are comparative (usually based on percentage values) or thresholds that are based on absolute dollar values The instructions on the following pages specifically describe the different thresholds Check the box that reflects the choice you have made You must use the type of threshold you have chosen for each part of the form In other words if you choose to report based on absolute dollar value thresholds you cannot use a percentage threshold on any part of the form

IF YOU HAVE CHOSEN DOLLAR VALUE THRESHOLDS THE FOLLOWING INSTRUCTIONS APPLY

PART A mdash PRIMARY SOURCES OF INCOME [Required by s 1123145(3)(b)1 FS] Part A is intended to require the disclosure of your principal

sources of income during the disclosure period You do not have todisclose any public salary or public position(s) The income of yourspouse need not be disclosed however if there is joint income toyou and your spouse from property you own jointly (such as interestor dividends from a bank account or stocks) you should disclose thesource of that income if it exceeded the threshold

Please list in this part of the form the name address andprincipal business activity of each source of your income whichexceeded $2500 of gross income received by you in your own name or by any other person for your use or benefit

Gross income means the same as it does for income tax purposes even if the income is not actually taxable such as interest on tax-free bonds Examples include compensation for servicesincome from business gains from property dealings interest rentsdividends pensions IRA distributions social security distributive share of partnership gross income and alimony but not child support

Examples mdash If you were employed by a company that manufacturescomputers and received more than $2500 list the name of thecompany its address and its principal business activity (computermanufacturing) mdash If you were a partner in a law firm and your distributive shareof partnership gross income exceeded $2500 list the name ofthe firm its address and its principal business activity (practice oflaw) mdash If you were the sole proprietor of a retail gift business and yourgross income from the business exceeded $2500 list the nameof the business its address and its principal business activity(retail gift sales) mdash If you received income from investments in stocks and bondslist each individual company from which you derived more than$2500 Do not aggregate all of your investment income mdash If more than $2500 of your gross income was gain from thesale of property (not just the selling price) list as a source ofincome the purchaserrsquos name address and principal businessactivity If the purchaserrsquos identity is unknown such as wheresecurities listed on an exchange are sold through a brokeragefirm the source of income should be listed as sale of (name of company) stock for example mdash If more than $2500 of your gross income was in the formof interest from one particular financial institution (aggregatinginterest from all CDrsquos accounts etc at that institution) list the name of the institution its address and its principal business activity

PART B mdash SECONDARY SOURCES OF INCOME [Required by s 1123145(3)(b)2 FS] This part is intended to require the disclosure of major customers

clients and other sources of income to businesses in which you own aninterest It is not for reporting income from second jobs That kind of incomeshould be reported in Part A Primary Sources of Income if it meets thereporting threshold You will not have anything to report unless during thedisclosure period

(1) You owned (either directly or indirectly in the form of an equitableor beneficial interest) more than 5 of the total assets or capitalstock of a business entity (a corporation partnership LLC limitedpartnership proprietorship joint venture trust firm etc doing business in Florida) and (2) You received more than $5000 of your gross income during thedisclosure period from that business entity

If your interests and gross income exceeded these thresholds then for thatbusiness entity you must list every source of income to the business entitywhich exceeded 10 of the business entityrsquos gross income (computed onthe basis of the business entitys most recently completed fiscal year) thesourcersquos address and the sources principal business activity

Examples mdash You are the sole proprietor of a dry cleaning business from whichyou received more than $5000 If only one customer a uniform rentalcompany provided more than 10 of your dry cleaning business youmust list the name of the uniform rental company its address and itsprincipal business activity (uniform rentals) mdash You are a 20 partner in a partnership that owns a shopping malland your partnership income exceeded the above thresholds List eachtenant of the mall that provided more than 10 of the partnershipsgross income and the tenants address and principal business activity

PART C mdash REAL PROPERTY [Required by s 1123145(3)(b)3 FS] In this part list the location or description of all real property in Florida

in which you owned directly or indirectly at any time during the disclosureperiod in excess of 5 of the propertyrsquos value You are not required to listyour residences You should list any vacation homes if you derive incomefrom them

Indirect ownership includes situations where you are a beneficiary of atrust that owns the property as well as situations where you own more than5 of a partnership or corporation that owns the property The value of theproperty may be determined by the most recently assessed value for taxpurposes in the absence of a more current appraisal

The location or description of the property should be sufficient toenable anyone who looks at the form to identify the property A streetaddress should be used if one exists

PART D mdash INTANGIBLE PERSONAL PROPERTY [Required by s 1123145(3)(b)3 FS] Describe any intangible personal property that at any time during the

disclosure period was worth more than $10000 and state the businessentity to which the property related Intangible personal property includesthings such as cash on hand stocks bonds certificates of deposit vehicleleases interests in businesses beneficial interests in trusts money owedyou Deferred Retirement Option Program (DROP) accounts the FloridaPrepaid College Plan and bank accounts Intangible personal propertyalso includes investment products held in IRAs brokerage accounts andthe Florida College Investment Plan Note that the product contained in a brokerage account IRA or the Florida College Investment Plan is yourassetmdashnot the account or plan itself Things like automobiles and housesyou own jewelry and paintings are not intangible property Intangiblesrelating to the same business entity may be aggregated for example CDsand savings accounts with the same bank Property owned as tenants bythe entirety or as joint tenants with right of survivorship should be valued at100 The value of a leased vehicle is the vehiclersquos present value minusthe lease residual (a number found on the lease document)

CE FORM 1 - Effective January 1 2020 Incorporated by reference in Rule 34-8202 FAC PAGE 4

PART A mdash PRIMARY SOURCES OF INCOME[Required by s 1123145(3)(b)1 FS]Part A is intended to require the disclosure of your principal

sources of income during the disclosure period You do not have todisclose any public salary or public position(s) The income of yourspouse need not be disclosed however if there is joint income t oyou and your spouse from property you own jointly (such as interestor dividends from a bank account or stocks) you should disclose thesource of that income if it exceeded the threshold

Please list in this part of the form the name address andprincipal business activity of each source of your income whichexceeded $2500 of gross income received by you in your own name or by any other person for your use or benefit

Gross income means the same as it does for income taxpurposes even if the income is not actually taxable such as intereston tax-free bonds Examples include compensation for servicesincome from business gains from property dealings interest rentsdividends pensions IRA distributions social security distributiveshare of partnership gross income and alimony but not child support

Examplesmdash If you were employed by a company that manufacturescomputers and received more than $2500 list the name of thecompany its address and its principal business activity (computermanufacturing)mdash If you were a partner in a law firm and your distributive shareof partnership gross income exceeded $2500 list the name ofthe firm its address and its principal business activity (practice oflaw)mdash If you were the sole proprietor of a retail gift business and yourgross income from the business exceeded $2500 list the nameof the business its address and its principal business activity(retail gift sales)mdash If you received income from investments in stocks and bondslist each individual company from which you derived more than$2500 Do not aggregate all of your investment incomemdash If more than $2500 of your gross income was gain from thesale of property (not just the selling price) list as a source o fincome the purchaserrsquos name address and principal businessactivity If the purchaserrsquos identity is unknown such as wheresecurities listed on an exchange are sold through a brokeragefirm the source of income should be listed as sale of (name of company) stock for examplemdash If more than $2500 of your gross income was in the formof interest from one particular financial institution (aggregatinginterest from all CDrsquos accounts etc at that institution) list thename of the institution its address and its principal business activity

PART B mdash SECONDARY SOURCES OF INCOME[Required by s 1123145(3)(b)2 FS]This part is intended to require the disclosure of major customers

clients and other sources of income to businesses in which you own aninterest It is not for reporting income from second jobs That kind of incomeshould be reported in Part A Primary Sources of Income if it meets thereporting threshold You will not have anything to report unless during thedisclosure period

(1) You owned (either directly or indirectly in the form of an equitableor beneficial interest) more than 5 of the total assets or capitalstock of a business entity (a corporation partnership LLC limitedpartnership proprietorship joint venture trust firm etc doing business in Florida) and(2) You received more than $5000 of your gross income during thedisclosure period from that business entity

If your interests and gross income exceeded these thresholds then for thatbusiness entity you must list every source of income to the business entitywhich exceeded 10 of the business entityrsquos gross income (computed onthe basis of the business entitys most recently completed fiscal year) thesourcersquos address and the sources principal business activity

Examplesmdash You are the sole proprietor of a dry cleaning business from whichyou received more than $5000 If only one customer a uniform rentalcompany provided more than 10 of your dry cleaning business youmust list the name of the uniform rental company its address and itsprincipal business activity (uniform rentals)mdash You are a 20 partner in a partnership that owns a shopping malland your partnership income exceeded the above thresholds List eachtenant of the mall that provided more than 10 of the partnershipsgross income and the tenants address and principal business activity

PART C mdash REAL PROPERTY[Required by s 1123145(3)(b)3 FS]In this part list the location or description of all real property in Florida

in which you owned directly or indirectly at any time during the disclosureperiod in excess of 5 of the propertyrsquos value You are not required to listyour residences You should list any vacation homes if you derive incomefrom them

Indirect ownership includes situations where you are a beneficiary of atrust that owns the property as well as situations where you own more than5 of a partnership or corporation that owns the property The value of theproperty may be determined by the most recently assessed value for taxpurposes in the absence of a more current appraisal

The location or description of the property should be sufficient toenable anyone who looks at the form to identify the property A streetaddress should be used if one exists

PART D mdash INTANGIBLE PERSONAL PROPERTY[Required by s 1123145(3)(b)3 FS]Describe any intangible personal property that at any time during the

disclosure period was worth more than $10000 and state the businessentity to which the property related Intangible personal property includesthings such as cash on hand stocks bonds certificates of deposit vehicleleases interests in businesses beneficial interests in trusts money owedyou Deferred Retirement Option Program (DROP) accounts the FloridaPrepaid College Plan and bank accounts Intangible personal propertyalso includes investment products held in IRAs brokerage accounts andthe Florida College Investment Plan Note that the product contained ina brokerage account IRA or the Florida College Investment Plan is yourassetmdashnot the account or plan itself Things like automobiles and housesyou own jewelry and paintings are not intangible property Intangiblesrelating to the same business entity may be aggregated for example CDsand savings accounts with the same bank Property owned as tenants bythe entirety or as joint tenants with right of survivorship should be valued at100 The value of a leased vehicle is the vehiclersquos present value minusthe lease residual (a number found on the lease document)

Filers have the option of reporting based on either thresholds that are comparative (usually based on percentage values) orthresholds that are based on absolute dollar values The instructions on the following pages specifically describe the differentthresholds Check the box that reflects the choice you have made You must use the type of threshold you have chosen for eachpart of the form In other words if you choose to report based on absolute dollar value thresholds you cannot use a percentagethreshold on any part of the form

MANNER OF CALCULATING REPORTABLE INTEREST

IF YOU HAVE CHOSEN DOLLAR VALUE THRESHOLDSTHE FOLLOWING INSTRUCTIONS APPLY

CE FORM 1 - Effective January 1 2020 Incorporated by reference in Rule 34-8202 FAC PAGE 4

PART E mdash LIABILITIES [Required by s 1123145(3)(b)4 FS] List the name and address of each creditor to whom you owed more

than $10000 at any time during the disclosure period The amount of theliability of a vehicle lease is the sum of any past-due payments and allunpaid prospective lease payments You are not required to list the amountof any debt You do not have to disclose credit card and retail installmentaccounts taxes owed (unless reduced to a judgment) indebtedness ona life insurance policy owed to the company of issuance or contingentliabilities A ldquocontingent liabilityrdquo is one that will become an actual liabilityonly when one or more future events occur or fail to occur such as whereyou are liable only as a guarantor surety or endorser on a promissorynote If you are a ldquoco-makerrdquo and are jointly liable or jointly and severallyliable then it is not a contingent liability

PART F mdash INTERESTS IN SPECIFIED BUSINESSES [Required by s 1123145(6) FS] The types of businesses covered in this disclosure include state and

federally chartered banks state and federal savings and loan associationscemetery companies insurance companies mortgage companies creditunions small loan companies alcoholic beverage licensees pari-mutuelwagering companies utility companies entities controlled by the PublicService Commission and entities granted a franchise to operate by either acity or a county government

Disclose in this part the fact that you owned during the disclosure period aninterest in or held any of certain positions with the types of businesses listedabove You must make this disclosure if you own or owned (either directly orindirectly in the form of an equitable or beneficial interest) at any time duringthe disclosure period more than 5 of the total assets or capital stock ofone of the types of business entities listed above You also must completethis part of the form for each of these types of businesses for which youare or were at any time during the disclosure period an officer directorpartner proprietor or agent (other than a resident agent solely for service ofprocess)

If you have or held such a position or ownership interest in one ofthese types of businesses list the name of the business its address andprincipal business activity and the position held with the business (if any) Ifyou own(ed) more than a 5 interest in the business indicate that fact anddescribe the nature of your interest

PART G mdash TRAINING CERTIFICATION [Required by s 1123142 FS] If you are a Constitutional or elected municipal officer whose

service began before March 31 of the year for which you are filingyou are required to complete four hours of ethics training which addresses Article II Section 8 of the Florida Constitution the Code of Ethics for Public Officers and Employees and the public recordsand open meetings laws of the state You are required to certify onthis form that you have taken such training

(End of Dollar Value Thresholds Instructions)

IF YOU HAVE CHOSEN COMPARATIVE (PERCENTAGE) THRESHOLDS THE FOLLOWING INSTRUCTIONS APPLY

PART A mdash PRIMARY SOURCES OF INCOME [Required by s 1123145(3)(a)1 FS] Part A is intended to require the disclosure of your principal

sources of income during the disclosure period You do not haveto disclose any public salary or public position(s) but income from these public sources should be included when calculating your gross income for the disclosure period The income of your spouse need not be disclosed however if there is joint income to you and your spouse from property you own jointly (such as interest or dividends from a bank account or stocks) you should include all of that income when calculating your gross income and disclose the source of that income if it exceeded the threshold

Please list in this part of the form the name address and principal business activity of each source of your income whichexceeded 5 of the gross income received by you in your own name or by any other person for your benefit or use during the disclosure period

Gross income means the same as it does for income tax purposes even if the income is not actually taxable such as interest on tax-free bonds Examples include compensation for servicesincome from business gains from property dealings interest rents dividends pensions IRA distributions social security distributive share of partnership gross income and alimony but not child support

Examples mdash If you were employed by a company that manufactures computers and received more than 5 of your gross income from the company list the name of the company its address and its principal business activity (computer manufacturing) mdash If you were a partner in a law firm and your distributive share of partnership gross income exceeded 5 of your gross income then list the name of the firm its address and its principal business activity (practice of law) mdash If you were the sole proprietor of a retail gift business andyour gross income from the business exceeded 5 of your total gross income list the name of the business its addressand its principal business activity (retail gift sales) mdash If you received income from investments in stocks and bonds list each individual company from which you derived

more than 5 of your gross income Do not aggregate all of your investment income mdash If more than 5 of your gross income was gain from the sale of property (not just the selling price) list as a source of income the purchaserrsquos name address and principal business activityIf the purchasers identity is unknown such as where securities listed on an exchange are sold through a brokerage firm the source of income should be listed as sale of (name of company)stock for example mdash If more than 5 of your gross income was in the form of interest from one particular financial institution (aggregatinginterest from all CDrsquos accounts etc at that institution) list the name of the institution its address and its principal business activity

PART B mdash SECONDARY SOURCES OF INCOME [Required by s 1123145(3)(a)2 FS] This part is intended to require the disclosure of major customers

clients and other sources of income to businesses in which you ownan interest It is not for reporting income from second jobs That kindof income should be reported in Part A Primary Sources of Incomeif it meets the reporting threshold You will not have anything to report unless during the disclosure period

(1) You owned (either directly or indirectly in the form of anequitable or beneficial interest) more than 5 of the total assetsor capital stock of a business entity (a corporation partnershipLLC limited partnership proprietorship joint venture trust firmetc doing business in Florida) and (2) You received more than 10 of your gross income from thatbusiness entity and (3) You received more than $1500 in gross income from thatbusiness entity

If your interests and gross income exceeded these thresholds thenfor that business entity you must list every source of income to thebusiness entity which exceeded 10 of the business entityrsquos grossincome (computed on the basis of the business entityrsquos most recentlycompleted fiscal year) the sourcersquos address and the sourcersquos principal business activity

CE FORM 1 - Effective January 1 2020 Incorporated by reference in Rule 34-8202 FAC PAGE 5

NOTICE Annual Statements of Financial Interests are due July 1 If the annual form is not filed or postmarked by September 1 an automatic fine of $25 for each day late will be imposed up to a maximum penalty of $1500 Failure to file also can result in removal from public office or employment [s 1123145 FS]

In addition failure to make any required disclosure constitutes grounds for and may be punished by one or more of the following disqualification from being on the ballot impeachment removal or suspension from office or employment demotion reduction in salary reprimand or a civil penalty not exceeding $10000 [s 112317 FS]

1) Elected public officials not serving in a political subdivision of thestate and any person appointed to fill a vacancy in such office unlessrequired to file full disclosure on Form 62) Appointed members of each board commission authority

or council having statewide jurisdiction excluding members of solelyadvisory bodies but including judicial nominating commission membersDirectors of Enterprise Florida Scripps Florida Funding Corporationand Career Source Florida and members of the Council on the SocialStatus of Black Men and Boys the Executive Director Governors and senior managers of Citizens Property Insurance CorporationGovernors and senior managers of Florida Workers Compensation JointUnderwriting Association board members of the Northeast Fla RegionalTransportation Commission board members of Triumph Gulf Coast Incboard members of Florida Is For Veterans Inc and members of theTechnology Advisory Council within the Agency for State Technology3) The Commissioner of Education members of the State Board

of Education the Board of Governors the local Boards of Trustees andPresidents of state universities and the Florida Prepaid College Board4) Persons elected to office in any political subdivision (such a s

municipalities counties and special districts) and any person appointedto fill a vacancy in such office unless required to file Form 65) Appointed members of the following boards councils

commissions authorities or other bodies of county municipality schooldistrict independent special district or other political subdivision thegoverning body of the subdivision community college or junior collegedistrict boards of trustees boards having the power to enforce local codeprovisions boards of adjustment community redevelopment agenciesplanning or zoning boards having the power to recommend create ormodify land planning or zoning within a political subdivision except forcitizen advisory committees technical coordinating committees andsimilar groups who only have the power to make recommendationsto planning or zoning boards and except for representatives of amilitary installation acting on behalf of all military installations within thatjurisdiction pension or retirement boards empowered to invest pensionor retirement funds or determine entitlement to or amount of pensions orother retirement benefits and the Pinellas County Construction LicensingBoard6) Any appointed member of a local government board who

is required to file a statement of financial interests by the appointingauthority or the enabling legislation ordinance or resolution creating theboard7) Persons holding any of these positions in local government

mayor county or city manager chief administrative employee or finance

director of a county municipality or other political subdivision countyor municipal attorney chief county or municipal building inspectorcounty or municipal water resources coordinator county or municipalpollution control director county or municipal environmental controldirector county or municipal administrator with power to grant or denya land development permit chief of police fire chief municipal clerkappointed district school superintendent community college presidentdistrict medical examiner purchasing agent (regardless of title) havingthe authority to make any purchase exceeding $35000 for the localgovernmental unit8) Officers and employees of entities serving as chief administrative

officer of a political subdivision9) Members of governing boards of charter schools operated by a

city or other public entity10) Employees in the office of the Governor or of a Cabinet member

who are exempt from the Career Service System excluding secretarialclerical and similar positions11) The following positions in each state department commission

board or council Secretary Assistant or Deputy Secretary ExecutiveDirector Assistant or Deputy Executive Director and anyone having thepower normally conferred upon such persons regardless of title12) The following positions in each state department or division

Director Assistant or Deputy Director Bureau Chief and any personhaving the power normally conferred upon such persons regardless oftitle13) Assistant State Attorneys Assistant Public Defenders criminal

conflict and civil regional counsel and assistant criminal conflict and civilregional counsel Public Counsel full-time state employees serving ascounsel or assistant counsel to a state agency administrative law judgesand hearing officers14) The Superintendent or Director of a state mental health institute

established for training and research in the mental health field or anymajor state institution or facility established for corrections trainingtreatment or rehabilitation15) State agency Business Managers Finance and Accounting

Directors Personnel Officers Grant Coordinators and purchasingagents (regardless of title) with power to make a purchase exceeding$3500016) The following positions in legislative branch agencies each

employee (other than those employed in maintenance clerical secretarial or similar positions and legislative assistants exemptedby the presiding officer of their house) and each employee of theCommission on Ethics

INSTRUCTIONS FOR COMPLETING FORM 1INTRODUCTORY INFORMATION (Top of Form) If your name mailing address public agency and position are already printed on the form you do not need to provide this information unless it should be changed To change any of this information write the correct information on the form and contact your agencys financial disclosure coordinator You can find your coordinator on the Commission on Ethics website wwwethicsstateflus NAME OF AGENCY The name of the governmental unit which you serve or served by which you are or were employed or for which you are a candidate DISCLOSURE PERIOD The ldquodisclosure periodrdquo for your report is the calendar year ending December 31 2019

OFFICE OR POSITION HELD OR SOUGHT The title of the office or position you hold are seeking or held during the disclosure period even if you have since left that position If you are a candidate for office or are a new employee or appointee check the appropriate boxPUBLIC RECORD The disclosure form and everythingattached to it is a public record Your Social Security Number is not required and you should redact it from any documents you file If you are an active or former officer or employee listed in Section 119071 FS whose home address is exempt from disclosure the Commission will maintain that confidentiality if you submit a written request

WHO MUST FILE FORM 1

CE FORM 1 - Effective January 1 2020 Incorporated by reference in Rule 34-8202 FAC PAGE 3

Examples PART E mdash LIABILITIES mdash You are the sole proprietor of a dry cleaning business from [Required by s 1123145(3)(b)4 FS]which you received more than 10 of your gross incomemdashan List the name and address of each creditor to whom you owed amount that was more than $1500 If only one customer a any amount that at any time during the disclosure period exceeded uniform rental company provided more than 10 of your dry your net worth You are not required to list the amount of any debt cleaning business you must list the name of the uniform rental or your net worth You do not have to disclose credit card and retail company its address and its principal business activity (uniform installment accounts taxes owed (unless reduced to a judgment) rentals) indebtedness on a life insurance policy owed to the company of mdash You are a 20 partner in a partnership that owns a shopping issuance or contingent liabilities A ldquocontingent liabilityrdquo is one mall and your partnership income exceeded the thresholds that will become an actual liability only when one or more future listed above You should list each tenant of the mall that events occur or fail to occur such as where you are liable only as provided more than 10 of the partnershiprsquos gross income and a guarantor surety or endorser on a promissory note If you are a the tenantrsquos address and principal business activity ldquoco-makerrdquo and are jointly liable or jointly and severally liable it is not

a contingent liability PART C mdash REAL PROPERTY Calculations To determine whether the debt exceeds your

[Required by s 1123145(3)(a)3 FS] net worth total all of your liabilities (including promissory notes mortgages credit card debts judgments against you etc) TheIn this part list the location or description of all real property in amount of the liability of a vehicle lease is the sum of any past-due Florida in which you owned directly or indirectly at any time during payments and all unpaid prospective lease payments Subtract the disclosure period in excess of 5 of the propertyrsquos value You the sum total of your liabilities from the value of all your assets are not required to list your residences You should list any vacation as calculated above for Part D This is your ldquonet worthrdquo List each homes if you derive income from them creditor to whom your debt exceeded this amount unless it is one of

Indirect ownership includes situations where you are a the types of indebtedness listed in the paragraph above (credit card beneficiary of a trust that owns the property as well as situations and retail installment accounts etc) Joint liabilities with others for where you own more than 5 of a partnership or corporation that which you are ldquojointly and severally liablerdquo meaning that you may owns the property The value of the property may be determined by be liable for either your part or the whole of the obligation should be the most recently assessed value for tax purposes in the absence included in your calculations at 100 of the amount owed of a more current appraisal

Example You owe $15000 to a bank for student loans $5000 The location or description of the property should be sufficient for credit card debts and $60000 (with spouse) to a savings to enable anyone who looks at the form to identify the property A and loan for a home mortgage Your home (owned by you and street address should be used if one exists your spouse) is worth $80000 and your other property is worth PART D mdash INTANGIBLE PERSONAL PROPERTY $20000 Since your net worth is $20000 ($100000 minus

$80000) you must report only the name and address of the [Required by s 1123145(3)(a)3 FS] savings and loan Describe any intangible personal property that at any time

during the disclosure period was worth more than 10 of your PART F mdash INTERESTS IN SPECIFIED BUSINESSES total assets and state the business entity to which the property [Required by s 1123145 FS] related Intangible personal property includes things such as cash on hand stocks bonds certificates of deposit vehicle leases The types of businesses covered in this disclosure include interests in businesses beneficial interests in trusts money owed state and federally chartered banks state and federal savings and you Deferred Retirement Option Program (DROP) accounts loan associations cemetery companies insurance companies the Florida Prepaid College Plan and bank accounts Intangible mortgage companies credit unions small loan companies alcoholic personal property also includes investment products held in IRAs beverage licensees pari-mutuel wagering companies utilitybrokerage accounts and the Florida College Investment Plan companies entities controlled by the Public Service Commission Note that the product contained in a brokerage account IRA or the and entities granted a franchise to operate by either a city or a Florida College Investment Plan is your assetmdashnot the account or county governmentplan itself Things like automobiles and houses you own jewelry Disclose in this part the fact that you owned during the and paintings are not intangible property Intangibles relating to the disclosure period an interest in or held any of certain positions same business entity may be aggregated for example CDrsquos and with the types of businesses listed above You are requiredsavings accounts with the same bank to make this disclosure if you own or owned (either directly or

Calculations To determine whether the intangible property indirectly in the form of an equitable or beneficial interest) at any exceeds 10 of your total assets total the fair market value of time during the disclosure period more than 5 of the total assets all of your assets (including real property intangible property and or capital stock of one of the types of business entities listed above tangible personal property such as jewelry furniture etc) When You also must complete this part of the form for each of these types making this calculation do not subtract any liabilities (debts) that of businesses for which you are or were at any time during themay relate to the property Multiply the total figure by 10 to arrive disclosure period an officer director partner proprietor or agent at the disclosure threshold List only the intangibles that exceed (other than a resident agent solely for service of process) this threshold amount The value of a leased vehicle is the vehiclersquos If you have or held such a position or ownership interest in present value minus the lease residual (a number which can be one of these types of businesses list the name of the business its found on the lease document) Property that is only jointly owned address and principal business activity and the position held with property should be valued according to the percentage of your the business (if any) If you own(ed) more than a 5 interest in the joint ownership Property owned as tenants by the entirety or as business indicate that fact and describe the nature of your interest joint tenants with right of survivorship should be valued at 100 None of your calculations or the value of the property have to be PART G mdash TRAINING CERTIFICATIONdisclosed on the form

[Required by s 1123142 FS] Example You own 50 of the stock of a small corporation that is worth $100000 the estimated fair market value of If you are a Constitutional or elected municipal officer whoseyour home and other property (bank accounts automobile service began before March 31 of the year for which you are filing furniture etc) is $200000 As your total assets are worth you are required to complete four hours of ethics training which $250000 you must disclose intangibles worth over $25000 addresses Article II Section 8 of the Florida Constitution the Code Since the value of the stock exceeds this threshold you of Ethics for Public Officers and Employees and the public records should list ldquostockrdquo and the name of the corporation If your and open meetings laws of the state You are required to certify on accounts with a particular bank exceed $25000 you should this form that you have taken such training list ldquobank accountsrdquo and bankrsquos name

(

End of Percentage Thresholds Instructions) CE FORM 1 - Effective January 1 2020 Incorporated by reference in Rule 34-8202 FAC PAGE 6

  • 0 HP Cover Page v2
  • 1 Hawks Point Meeting Invite Draft v2
  • 2 Agenda Draft v3
  • 3 EXHIBIT 1
  • 7 HP 05-19-2020 Meeting Minutes Approved
  • 6 EXHIBIT 2
  • 9 HP May FY20 Fin
  • 8 EXHIBIT 3
  • 4 Vacant Position Qualification Requirements for Hawks Point CDD
    • Vacant Position on the Board of Supervisors of the Hawkrsquos Point Community Development District
      • Qualification Requirements
      • Instructions for Interested Candidates
      • Additional Notes
          • 5 Shami Choon Vacant Position - updated 11-5-11 resume
            • 1803 Oak Pond Street Ruskin Fl 33570 E-mailchoons27gmailcom
              • PROFESSIONAL HISTORY
                • Operations Manager Florida Distribution 2002 ndash 2005
                • Operations Manager for Florida Branch Distribution 1999 ndash 2002
                • Warehouse Manager of Miami Distribution Center 1998 ndash 1999
                • Branch Manager of West Palm Beach 1994 ndash 1998
                • Assistant Branch Manager 1991 ndash 1994
                • Customer Service Agent 1990 ndash 1991
                  • 10 EXHIBIT 4
                  • 11 New Business - Hawks Point CDD - MI proposal
                  • 12 EXHIBIT 5
                  • 13 CertaPro Proposal to Paint Exterior Wall 18th to 24th Avenue
                  • 14 Shazam Construction Proposal to Paint Exterior Wall 18th to 24th Street
                    • QUOTE
                      • TO
                          • 15 Photo to accompany Shazam Proposal
                          • 16 EXHIBIT 6
                          • 17 CertaPro Proposal for Pressure Washing Exterior Wall 18th St to 24th Street
                          • 18 Shazam Construction Proposal for Pressure Washing Exterion Wall 18th Street to 24th Street
                            • QUOTE
                              • TO
                                  • 19 EXHIBIT 7
                                  • 20 Form 1_2019i
                                      1. LAST NAME
                                      2. FIRST NAME
                                      3. MIDDLE NAME
                                      4. MAILING ADDRESS ROW 1
                                      5. MAILING ADDRESS ROW 2
                                      6. CITY
                                      7. ZIP
                                      8. COUNTY
                                      9. NAME OF AGENCY
                                      10. NAME OF OFFICE OR POSITION HELD OR SOUGHT
                                      11. CANDIDATE Off
                                      12. NEW EMPLOYEE OR APPOINTEE Off
                                      13. COMPARATIVE (PERCENTAGE) THRESHOLDS Off
                                      14. DOLLAR VALUE THRESHOLDS Off
                                      15. NAME OF SOURCE INCOME ROW 1
                                      16. ADDRESS ROW 1
                                      17. DESCRIPTION OF THE SOURCES PRINCIPAL BUSINESS ACTIVITY ROW 1
                                      18. NAME OF SOURCE INCOME ROW 2
                                      19. ADDRESS ROW 2
                                      20. DESCRIPTION OF THE SOURCES PRINCIPAL BUSINESS ACTIVITY ROW 2
                                      21. NAME OF SOURCE INCOME ROW 3
                                      22. ADDRESS ROW 3
                                      23. DESCRIPTION OF THE SOURCES PRINCIPAL BUSINESS ACTIVITY ROW 3
                                      24. NAME OF SOURCE INCOME ROW 4
                                      25. ADDRESS ROW 4
                                      26. DESCRIPTION OF THE SOURCES PRINCIPAL BUSINESS ACTIVITY ROW 4
                                      27. NAME OF BUSINESS ENTITY ROW 1
                                      28. NAME OF MAJOR SOURCES OF BUSINESS INCOME ROW 1
                                      29. ADDRESS OF SOURCE ROW 1
                                      30. PRINCIPAL BUSINESS ACTIVITY OF SOURCE ROW 1
                                      31. NAME OF BUSINESS ENTITY ROW 2
                                      32. NAME OF MAJOR SOURCES OF BUSINESS INCOME ROW 2
                                      33. ADDRESS OF SOURCE ROW 2
                                      34. PRINCIPAL BUSINESS ACTIVITY OF SOURCE ROW 2
                                      35. NAME OF BUSINESS ENTITY ROW 3
                                      36. NAME OF MAJOR SOURCES OF BUSINESS INCOME ROW 3
                                      37. ADDRESS OF SOURCE ROW 3
                                      38. PRINCIPAL BUSINESS ACTIVITY OF SOURCE ROW 3
                                      39. REAL PROPERTY ROW 1
                                      40. REAL PROPERTY ROW 2
                                      41. REAL PROPERTY ROW 3
                                      42. REAL PROPERTY ROW 4
                                      43. TYPE OF INTANGIBLE ROW 1
                                      44. BUSINESS ENTITY TO WHICH THE PROPERTY RELATES ROW 1
                                      45. TYPE OF INTANGIBLE ROW 2
                                      46. BUSINESS ENTITY TO WHICH THE PROPERTY RELATES ROW 2
                                      47. NAME OF CREDITOR ROW 1
                                      48. ADDRESS OF CREDITOR ROW 1
                                      49. NAME OF CREDITOR ROW 2
                                      50. ADDRESS OF CREDITOR ROW 2
                                      51. ADDRESS OF BUSINESS ENTITY 1
                                      52. PRINCIPAL BUSINESS ACTIVITY 1
                                      53. POSITION HELD WITH ENTITY 1
                                      54. I OWN MORE THAN A 5 INTEREST IN THE BUSINESS 1
                                      55. NATURE OF MY OWNERSHIP INTEREST 1
                                      56. ADDRESS OF BUSINESS ENTITY 2
                                      57. PRINCIPAL BUSINESS ACTIVITY 2
                                      58. POSITION HELD WITH ENTITY 2
                                      59. I OWN MORE THAN A 5 INTEREST IN THE BUSINESS 2
                                      60. NATURE OF MY OWNERSHIP INTEREST 2
                                      61. FOR ELECTED MUNICIPAL OFFICERS REQUIRED TO COMPLETE ANNUAL ETHICS TRAINING PURSUANT TO SECTION 112
                                        1. 3142 F
                                          1. S Off
                                              1. IF ANY OF PARTS A THROUGH G ARE CONTINUED ON A SEPARATE SHEET PLEASE CHECK HERE Off
                                              2. SIGNATURE
                                              3. Date Signed
Page 21: HAWKS POINT COMMUNITY DEVELOPMENT …...2020/06/16  · Hawks Point Community Development District Board of Supervisors Meeting Tuesday, June 16th at 6:30 PM via Zoom All: We welcome

Vacant Position on the Board of Supervisors of the Hawkrsquos Point Community Development District The Hawkrsquos Point Community Development District (CDD) is soliciting interested candidates to fill a vacant position on the Board of Supervisors of the CDD (Board) The CDD is a local unit of special-purpose government which is created pursuant to Chapter 190 Florida Statutes The Board is comprised of 5 members who are public officials who are normally elected on the November General Elections who serve in staggered terms The vacancy is a result of a resignation of a board member due to a relocation The remaining term of the vacant supervisorrsquos seat is through November 2022

Qualification Requirements

1 Resident of the CDD

2 At least 18 years of age

3 Citizen of the United States

4 Legal resident of Florida and of the CDD

5 Registered to vote with the Hillsborough County Supervisor of Elections

Instructions for Interested Candidates

Interested candidates must submit a letter of interest and resume to Raymondlotitodpfgcom by 4 pm on Friday June 5 2020 The subject line in the email should read ldquoVacant Position on the Board of Supervisors of the Hawkrsquos Point CDDrdquo

The Letter of Interest must contain

1 A statement stating why you believe you are well suited for the position

2 Your vision for the CDD and what you would like to see the Community evolve into Please be specific

The Resume must contain

1 Your academic background and professional experience

2 Previous and current experience with governmental agencies and governing boards

Interested candidates should attend the Board meeting on Tuesday June 16 2020 at 630 pm and present a brief presentation about themselves and be prepared for a brief question and answer period with the current Board members

Additional Notes

The current Board members will discuss the candidates and may make an appointment at the June meeting If the Board cannot come to a consensus on one candidate or if they determine to not appoint any candidate to the vacant seat they may revisit the vacancy at a future meeting or leave the seat vacant until the November 2022 General Election

Please note that the person appointed to serve in the vacant seat will be required to submit a financial disclosure statement to the State and will be subject to Floridarsquos Government in the Sunshine Laws Public Records laws and Ethics laws

1

Sookdeo (Shami) Choon Phone number (813) 731-5564 1803 Oak Pond Street Ruskin Fl 33570 E-mailchoons27gmailcom

PROFESSIONAL HISTORY Firkins GroupGarber Nissan December 2013 to Present Commercial Vehicle Sales ManagerFinance Manager Auto Nation From January 2006 to December 2013 Sales 2006- 2007 Finance Manager 2007- 2008 Sales Manager Training Manager 2008-2009 Sales Finance 2009- 2011 Commercial Sales Manager Finance Manager 2011- 2020 Parts Depot Inc From 1990 to 2005 ___________________________________________________________________________________________ Operations Manager Florida Distribution 2002 ndash 2005 bull Responsible for total inventory control of all Florida warehouses frac12 of the corporationrsquos revenue bull Directed top management to complete acquisition consolidations which resulted in the corporationrsquos

expansion bull Managed all Florida branch warehouse managers and employees totaling 200 employees bull Increased productivity and shipping efficiency in all departments developed new delivery logistics

improved product availability to all customers as well a hired and efficiently trained employees bull Reviewed all customer service statistics daily and contacted customer directly on all issues bull Reviewed PampLrsquos for all units monthly bull Presented weekly productivity and financial reports to senior management bull Directed DOT monthly guidelines maintained driver files in accordance with DOT regulations and

implemented loss prevention programs Operations Manager for Florida Branch Distribution 1999 ndash 2002 bull Improved customer service by increasing product availability to customers by implementing new

delivery logistics bull Developed employee training implemented safety awareness and monthly safety programs Warehouse Manager of Miami Distribution Center 1998 ndash 1999 bull Developed and implemented productivity guidelines implemented delivery cost saving programs

and improved product availability to the corporationrsquos customers Branch Manager of West Palm Beach 1994 ndash 1998 bull Responsible for the opening of this new branch set the building layout as well as the delivery and

logistics systems

2

bull Increased sales by 80 over budget and kept operating cost as of sales Implemented new customer service department Hired and trained all employees

Assistant Branch Manager 1991 ndash 1994 bull Increased productivity by 20 and improved delivery service Customer Service Agent 1990 ndash 1991 bull Created and implemented customer service guidelines Wingate Automotive Group 1987ndash 1990 Trinidad amp Tobago Government National Security 1984- 1987 Field Operation

EXHIBIT 4

PO Box 267 Seffner FL 33583 O 813-757-6500 F 813-757-6501 Estimate

Submitted To Hawks Point CDD 250 International Parkway Suite 280 Lake Mary FL 32746

CDD - controller 4 - zones 1 and 2

Date 5232020

Estimate 66077

LMP REPRESENTATIVE

DG-TI

PO

W ork Order

DESCRIPTION QTY COST TOTAL

Controller 4 34 inch poly pipe 34 inch poly pipe clamps Labor 2 men $ 8500 per hour

Irrigation inspection repairs needed Repair 6 - 34 inch poly pipe line leaks

6 12 05

072 129

8500

432 1548 4250

TERMS AND CONDITIONS TOTAL $6230

LMP reserves the right to withdraw this proposal if not accepted within 30 days of the date listed above Any alteration or deviation to scope of work involving additional costs must be agreed upon in writing as a separate proposal or change order to this proposal Periodic invoices may be submitted if job is substantial in nature with final invoice being submitted at completion of project Any work performed requiring more than 5 days to complete is subject to progressive payments as portions of the work are completed No finance charge will be imposed if the total of said work is paid in full within 30 days of invoice date If not paid in full within 30 days then customer is subject to finance charges on the balance of the work from the invoice date at a rate of 15 per month until paid LMP shall have the right to stop work under this contract until all outstanding amounts including finance charges are paid in full Payments will be applied to the oldest invoices

ACCEPTANCE OF PROPOSAL The above prices scope of work and terms and conditions are hereby satisfactorily agreed upon LMP Inc has been authorized to perform the work as outlined and payment will be made as outlined above The above pricing does not include any unforeseen modifications to the said irrigation system that could not be reasonably accounted for prior to job start All plant material carries a one (1) year warranty provided LMP Inc is performing landscape maintenance services to the area installed or enhanced at the time of installation If not then there is no warranty on the plant material

OWNER AGENT

DATE

EXHIBIT 5

Independent Franchise Owner Job TBE8F300154 Terry Beamer 9266 Lazy Ln

Date 06012020

EXTERIOR PROPOSALEXTERIOR PROPOSALEXTERIOR PROPOSALEXTERIOR PROPOSAL Tampa FL 33614 813-936-9242

Fax 813 936-9172

1-800-462-3782

License PA2508

Full Workers Compensation Coverage$2000000 General Liability Insurance

DPFG Management amp Consulting LLC (Hawks Point) Raymond Lotito (SB) Hawks Point CDD Ruskin FL 33570 Phone 813-418-7473 Cell 813-220-6089 Email raymondlotitodpfgcom

Special Notes CERTAPRO PAINTERS WILL PAINT WALL FACING 19ST FROM 18TH-24TH

SPECIAL ATTENTION ADDRESSING STUCCO CRACKS USING CONCRETE AND MASONRY PATCH

SPECIAL ATTENTION PRESSURE WASHING LOOSE PEELING PAINT PRIOR TO PAINTING

CERTAPRO PAINTERS WILL ONLY PAINT STREET FACING SIDE- HOMEOWNERS SIDE EXCLUDED FROM PROPOSAL

CUSTOMER RESPONSIBILITIES Please cut back all shrubs bushes and palms away from wall

GENERAL DESCRIPTION Painting to Exterior Wall 18th-24th Facing 19th Ave

PREPARATION Washing To remove dirt mildew and loose paint so the new finish coat will adhere properly

Caulking To fill all cracks and gaps around windows and doorswood work to seal out moisture and drafts Stair step

cracks

Scraping Scrape all loose and peeling paint to ensure a firm base for the new paint

Masonry Repair to all cracks gaps and holes with elastemeric caulking or masonry patch as required

Sanding To degloss where necessary to promote adhesion of the top coat

Surface TypeArea Primer PurposePRIMING

Masonry Loxon sealerprimer Latex For propor top coat adhesion

Conditioner Loxon sealerprimer to all Latex For proper top coat adhesion

masonry surfaces

FINISH COATS

Surface Area

Exterior

ManufacturePaint Type

Sherwin Williams Resilience Ext Satin

Coats

1 primer-sealer 1 spray 1 backroll stucco

Color

Same As Existing

Clean Up Daily and upon completion

$1132900 All Labor Paint Materials

$1132900 TOTAL

Signature of Authorized Franchise Representative Date

Payment is due In Full upon Job Completion

(IWE HAVE READ THE TERMS STATED HEREIN THEY HAVE (IWE) HAVE EXAMINED THE JOB STATED HEREIN THEY EXPLAINED TO (MEUS) AND (IWE) FIND THEM TO BE HAVE SHOWN TO (MEUS) AND (IWE) FIND THE JOB TO SATISFACTORY AND HEREBY ACCEPT THEM BE SATISFACTORY AND HEREBY ACCEPT THE JOB AS

COMPLETE

SIGNATURE Date SIGNATURE Date

QUOTE

Shazam Construction LLC DATE MAY 13 2020

Shazam Hera 6773 Waterton Drive Riverview FL 33578 813-385-4591 ShazamConstructionLLCgmailcom Hawks Point CDD

TO Bill to Development Planning and Financing Group 15310 Amberly Drive Suite 175 Tampa FL 33647

QUANITY DESCRIPTION UNIT PRICE LINE TOTAL

Pressure wash the wall that parallels 19th avenue from 18th street to 24th street in Hawks Point CDD in Ruskin

$1270000

Repair any cracks with caulk or elastomeric as neededPrep for paint

Paint the wall that parallels 19th avenue from 18th street to 24th street in Hawks Point CDD in Ruskin

Paint using body trim and caps of exterior wall facing 19th avenue

Paint while matching existing colors

Paint using Sherwin Williams

All paint materials and labor is included

SUBTOTAL

SALES TAX

TOTAL $1270000

Make all checks payable to Shazam Construction LLC

THANK YOU FOR YOUR BUSINESS

EXHIBIT 6

Independent Franchise Owner Job TB443B00157 Terry Beamer 9266 Lazy Ln

Date 06052020

EXTERIOR PROPOSALEXTERIOR PROPOSALEXTERIOR PROPOSALEXTERIOR PROPOSAL Tampa FL 33614 813-936-9242

Fax 813 936-9172

1-800-462-3782

License PA2508

Full Workers Compensation Coverage$2000000 General Liability Insurance

DPFG Management amp Consulting LLC (Hawks Point) Raymond Lotito (SB) Hawks Point CDD Ruskin FL 33570 Phone 813-418-7473 Cell 813-220-6089 Email raymondlotitodpfgcom

Special Notes CERTAPRO PAINTERS PRESSURE WASHING PROPOSAL 18TH-24TH

CERTAPRO PAINTERS WILL PRESSURE WASH WALL FACING 19TH ST ONLY

GENERAL DESCRIPTION Painting to

PREPARATION Washing To remove dirt mildew and loose paint so the new finish coat will adhere properly

PRIMING Surface TypeArea Primer Purpose

Clean Up Daily and upon completion

All Labor Paint Materials

TOTAL

$195000

$195000

Signature of Authorized Franchise Representative Date

Payment is due In Full upon Job Completion

(IWE HAVE READ THE TERMS STATED HEREIN THEY HAVE (IWE) HAVE EXAMINED THE JOB STATED HEREIN THEY EXPLAINED TO (MEUS) AND (IWE) FIND THEM TO BE HAVE SHOWN TO (MEUS) AND (IWE) FIND THE JOB TO SATISFACTORY AND HEREBY ACCEPT THEM BE SATISFACTORY AND HEREBY ACCEPT THE JOB AS

COMPLETE

SIGNATURE Date SIGNATURE Date

QUOTE

Shazam Construction LLC DATE JUNE 5 2020

Shazam Hera 6773 Waterton Drive Riverview FL 33578 813-385-4591 ShazamConstructionLLCgmailcom Hawks Point CDD

TO Bill to Development Planning and Financing Group 15310 Amberly Drive Suite 175 Tampa FL 33647

QUANITY DESCRIPTION UNIT PRICE LINE TOTAL

Pressure wash the wall that parallels 19th avenue from 18th street to 24th street in Hawks Point CDD in Ruskin

$160000

All materials and labor is included

SUBTOTAL

SALES TAX

TOTAL $160000

Make all checks payable to Shazam Construction LLC

THANK YOU FOR YOUR BUSINESS

EXHIBIT 7

2019FORM 1 STATEMENT OF

Please print or type your name mailing FOR OFFICE USE ONLY FINANCIAL INTERESTS address agency name and position below

LAST NAME -- FIRST NAME -- MIDDLE NAME

MAILING ADDRESS

CITY ZIP COUNTY

NAME OF AGENCY

NAME OF OFFICE OR POSITION HELD OR SOUGHT

CHECK ONLY IF CANDIDATE OR NEW EMPLOYEE OR APPOINTEE

THIS SECTION MUST BE COMPLETED DISCLOSURE PERIOD THIS STATEMENT REFLECTS YOUR FINANCIAL INTERESTS FOR CALENDAR YEAR ENDING DECEMBER 31 2019

MANNER OF CALCULATING REPORTABLE INTERESTS FILERS HAVE THE OPTION OF USING REPORTING THRESHOLDS THAT ARE ABSOLUTE DOLLAR VALUES WHICH REQUIRES FEWER CALCULATIONS OR USING COMPARATIVE THRESHOLDS WHICH ARE USUALLY BASED ON PERCENTAGE VALUES (see instructions for further details) CHECK THE ONE YOU ARE USING (must check one)

COMPARATIVE (PERCENTAGE) THRESHOLDS OR DOLLAR VALUE THRESHOLDS

PART A -- PRIMARY SOURCES OF INCOME [Major sources of income to the reporting person - See instructions] (If you have nothing to report write none or na)

NAME OF SOURCE SOURCES DESCRIPTION OF THE SOURCES OF INCOME ADDRESS PRINCIPAL BUSINESS ACTIVITY

PART B -- SECONDARY SOURCES OF INCOME [Major customers clients and other sources of income to businesses owned by the reporting person - See instructions] (If you have nothing to report write none or na)

NAME OF NAME OF MAJOR SOURCES ADDRESS PRINCIPAL BUSINESS BUSINESS ENTITY OF BUSINESS INCOME OF SOURCE ACTIVITY OF SOURCE

PART C -- REAL PROPERTY [Land buildings owned by the reporting person - See instructions] You are not limited to the space on the (If you have nothing to report write none or na) lines on this form Attach additional

sheets if necessary

FILING INSTRUCTIONS for when and where to file this form are located at the bottom of page 2

INSTRUCTIONS on who must file this form and how to fill it out begin on page 3

CE FORM 1 - Effective January 1 2020 (Continued on reverse side) PAGE 1 Incorporated by reference in Rule 34-8202(1) FAC

FILING INSTRUCTIONS

IF ANY OF PARTS A THROUGH G ARE CONTINUED ON A SEPARATE SHEET PLEASE CHECK HERE

PART D mdash INTANGIBLE PERSONAL PROPERTY [Stocks bonds certificates of deposit etc - See instructions] (If you have nothing to report write none or na) TYPE OF INTANGIBLE BUSINESS ENTITY TO WHICH THE PROPERTY RELATES

PART E mdash LIABILITIES [Major debts - See instructions] (If you have nothing to report write none or na)

NAME OF CREDITOR ADDRESS OF CREDITOR

PART F mdash INTERESTS IN SPECIFIED BUSINESSES [Ownership or positions in certain types of businesses - See instructions] (If you have nothing to report write none or na)

BUSINESS ENTITY 1 BUSINESS ENTITY 2

NAME OF BUSINESS ENTITY

ADDRESS OF BUSINESS ENTITY

PRINCIPAL BUSINESS ACTIVITY

POSITION HELD WITH ENTITY

I OWN MORE THAN A 5 INTEREST IN THE BUSINESS

NATURE OF MY OWNERSHIP INTEREST

If you were mailed the form by the Commission on Ethics or a County Supervisor of Elections for your annual disclosure filing return the form to that location To determine what category your position falls under see page 3 of instructions Local officersemployees file with the Supervisor of Elections of the county in which they permanently reside (If you do not permanently reside in Florida file with the Supervisor of the county where your agency has its headquarters) Form 1 filers who file with the Supervisor of Elections may file by mail or email Contact your Supervisor of Elections for the mailing address or email address to use Do not email your form to the Commission on Ethics it will be returned State officers or specified state employees who file with the Commission on Ethics may file by mail or email To file by mail send the completed form to PO Drawer 15709 Tallahassee FL32317-5709 physical address 325 John Knox Rd Bldg E Ste 200 Tallahassee FL 32303 To file with the Commission by email scan your completed form and any attachments as a pdf (do not use any other format) send it to CEForm1legstateflus and retain a copy for your records Do not file by both mail and email Choose only one filing method Form 6s will not be accepted via email

Candidates file this form together with their filing papers MULTIPLE FILING UNNECESSARY A candidate who files a Form 1 with a qualifying officer is not required to file with the Commission or Supervisor of Elections WHEN TO FILE Initially each local officeremployee state officer and specified state employee must file within 30 days of the date of his or her appointment or of the beginning of employment Appointees who must be confirmed by the Senate must file prior to confirmation even if that is less than 30 days from the date of their appointment Candidates must file at the same time they file their qualifying papers Thereafter file by July 1 following each calendar year in which they hold their positions Finally file a final disclosure form (Form 1F) within 60 days of leaving office or employment Filing a CE Form 1F (Final Statement of Financial Interests) does not relieve the filer of filing a CE Form 1 if the filer was in his or her position on December 31 2019

SIGNATURE OF FILER Signature

____________________________________________

Date Signed

____________________________________________

CPA or ATTORNEY SIGNATURE ONLY If a certified public accountant licensed under Chapter 473 or attorney in good standing with the Florida Bar prepared this form for you he or she must complete the following statement

I _______________________________________ prepared the CE Form 1 in accordance with Section 1123145 Florida Statutes and the instructions to the form Upon my reasonable knowledge and belief the disclosure herein is true and correct

CPAAttorney Signature ______________________________

Date Signed _______________________________________

PART G mdash TRAINING For elected municipal officers required to complete annual ethics training pursuant to section 1123142 FS

I CERTIFY THAT I HAVE COMPLETED THE REQUIRED TRAINING

CE FORM 1 - Effective January 1 2020 PAGE 2 Incorporated by reference in Rule 34-8202(1) FAC

Examplesmdash You are the sole proprietor of a dry cleaning business fromwhich you received more than 10 of your gross incomemdashanamount that was more than $1500 If only one customer auniform rental company provided more than 10 of your drycleaning business you must list the name of the uniform rentalcompany its address and its principal business activity (uniform rentals) mdash You are a 20 partner in a partnership that owns a shopping mall and your partnership income exceeded the thresholds listed above You should list each tenant of the mall that provided more than 10 of the partnershiprsquos gross income and the tenantrsquos address and principal business activity

PART C mdash REAL PROPERTY[Required by s 1123145(3)(a)3 FS]In this part list the location or description of all real property in

Florida in which you owned directly or indirectly at any time during the disclosure period in excess of 5 of the propertyrsquos value You are not required to list your residences You should list any vacation homes if you derive income from them

Indirect ownership includes situations where you are abeneficiary of a trust that owns the property as well as situations where you own more than 5 of a partnership or corporation thatowns the property The value of the property may be determined by the most recently assessed value for tax purposes in the absence of a more current appraisal

The location or description of the property should be sufficient to enable anyone who looks at the form to identify the property Astreet address should be used if one exists PART D mdash INTANGIBLE PERSONAL PROPERTY

[Required by s 1123145(3)(a)3 FS]Describe any intangible personal property that at any time

during the disclosure period was worth more than 10 of your total assets and state the business entity to which the property related Intangible personal property includes things such as cash on hand stocks bonds certificates of deposit vehicle leases interests in businesses beneficial interests in trusts money owed you Deferred Retirement Option Program (DROP) accounts the Florida Prepaid College Plan and bank accounts Intangiblepersonal property also includes investment products held in IRAs brokerage accounts and the Florida College Investment Plan Note that the product contained in a brokerage account IRA or the Florida College Investment Plan is your assetmdashnot the account or plan itself Things like automobiles and houses you own jewelryand paintings are not intangible property Intangibles relating to the same business entity may be aggregated for example CDrsquos and savings accounts with the same bank

Calculations To determine whether the intangible property exceeds 10 of your total assets total the fair market value of all of your assets (including real property intangible property and tangible personal property such as jewelry furniture etc) When making this calculation do not subtract any liabilities (debts) that may relate to the property Multiply the total figure by 10 to arrive at the disclosure threshold List only the intangibles that exceed this threshold amount The value of a leased vehicle is the vehiclersquos present value minus the lease residual (a number which can be found on the lease document) Property that is only jointly owned property should be valued according to the percentage of your joint ownership Property owned as tenants by the entirety or as joint tenants with right of survivorship should be valued at 100 None of your calculations or the value of the property have to be disclosed on the form

Example You own 50 of the stock of a small corporation that is worth $100000 the estimated fair market value of your home and other property (bank accounts automobile furniture etc) is $200000 As your total assets are worth $250000 you must disclose intangibles worth over $25000 Since the value of the stock exceeds this threshold you should list ldquostockrdquo and the name of the corporation If your accounts with a particular bank exceed $25000 you should list ldquobank accountsrdquo and bankrsquos name

PART E mdash LIABILITIES[Required by s 1123145(3)(b)4 FS]List the name and address of each creditor to whom you owed

any amount that at any time during the disclosure period exceeded your net worth You are not required to list the amount of any debt or your net worth You do not have to disclose credit card and retail installment accounts taxes owed (unless reduced to a judgment) indebtedness on a life insurance policy owed to the company of issuance or contingent liabilities A ldquocontingent liabilityrdquo is one that will become an actual liability only when one or more future events occur or fail to occur such as where you are liable only as a guarantor surety or endorser on a promissory note If you are a ldquoco-makerrdquo and are jointly liable or jointly and severally liable it is not a contingent liability

Calculations To determine whether the debt exceeds your net worth total all of your liabilities (including promissory notes mortgages credit card debts judgments against you etc) Theamount of the liability of a vehicle lease is the sum of any past-due payments and all unpaid prospective lease payments Subtract the sum total of your liabilities from the value of all your assets as calculated above for Part D This is your ldquonet worthrdquo List each creditor to whom your debt exceeded this amount unless it is one of the types of indebtedness listed in the paragraph above (credit card and retail installment accounts etc) Joint liabilities with others for which you are ldquojointly and severally liablerdquo meaning that you may be liable for either your part or the whole of the obligation should be included in your calculations at 100 of the amount owed

Example You owe $15000 to a bank for student loans $5000 for credit card debts and $60000 (with spouse) to a savings and loan for a home mortgage Your home (owned by you and your spouse) is worth $80000 and your other property is worth $20000 Since your net worth is $20000 ($100000 minus $80000) you must report only the name and address of the savings and loan

PART F mdash INTERESTS IN SPECIFIED BUSINESSES[Required by s 1123145 FS]The types of businesses covered in this disclosure include

state and federally chartered banks state and federal savings and loan associations cemetery companies insurance companies mortgage companies credit unions small loan companies alcoholic beverage licensees pari-mutuel wagering companies utilitycompanies entities controlled by the Public Service Commission and entities granted a franchise to operate by either a city or acounty government

Disclose in this part the fact that you owned during the disclosure period an interest in or held any of certain positions with the types of businesses listed above You are required to make this disclosure if you own or owned (either directly orindirectly in the form of an equitable or beneficial interest) at any time during the disclosure period more than 5 of the total assets or capital stock of one of the types of business entities listed above You also must complete this part of the form for each of these types of businesses for which you are or were at any time during thedisclosure period an officer director partner proprietor or agent (other than a resident agent solely for service of process)

If you have or held such a position or ownership interest in one of these types of businesses list the name of the business its address and principal business activity and the position held with the business (if any) If you own(ed) more than a 5 interest in the business indicate that fact and describe the nature of your interest

PART G mdash TRAINING CERTIFICATION[Required by s 1123142 FS]If you are a Constitutional or elected municipal officer whose

service began before March 31 of the year for which you are filing you are required to complete four hours of ethics training which addresses Article II Section 8 of the Florida Constitution the Code of Ethics for Public Officers and Employees and the public records and open meetings laws of the state You are required to certify on this form that you have taken such training (End of Percentage Thresholds Instructions)

CE FORM 1 - Effective January 1 2020 Incorporated by reference in Rule 34-8202 FAC PAGE 6

NOTICE Annual Statements of Financial Interests are due July 1 If the annual form is not filed or postmarked by September 1 an automatic fine of $25 for each day late will be imposed up to a maximum penalty of $1500 Failure to file also can result in removal from public office or employment [s 1123145 FS]

In addition failure to make any required disclosure constitutes grounds for and may be punished by one or more of the following disqualification from being on the ballot impeachment removal or suspension from office or employment demotion reduction in salary reprimand or a civil penalty not exceeding $10000 [s 112317 FS]

WHO MUST FILE FORM 1 1) Elected public officials not serving in a political subdivision of the

state and any person appointed to fill a vacancy in such office unlessrequired to file full disclosure on Form 62) Appointed members of each board commission authority

or council having statewide jurisdiction excluding members of solelyadvisory bodies but including judicial nominating commission membersDirectors of Enterprise Florida Scripps Florida Funding Corporationand Career Source Florida and members of the Council on the Social Status of Black Men and Boys the Executive Director Governors and senior managers of Citizens Property Insurance CorporationGovernors and senior managers of Florida Workers Compensation JointUnderwriting Association board members of the Northeast Fla RegionalTransportation Commission board members of Triumph Gulf Coast Incboard members of Florida Is For Veterans Inc and members of the Technology Advisory Council within the Agency for State Technology3) The Commissioner of Education members of the State Board

of Education the Board of Governors the local Boards of Trustees and Presidents of state universities and the Florida Prepaid College Board 4) Persons elected to office in any political subdivision (such as

municipalities counties and special districts) and any person appointedto fill a vacancy in such office unless required to file Form 65) Appointed members of the following boards councils

commissions authorities or other bodies of county municipality schooldistrict independent special district or other political subdivision thegoverning body of the subdivision community college or junior collegedistrict boards of trustees boards having the power to enforce local codeprovisions boards of adjustment community redevelopment agenciesplanning or zoning boards having the power to recommend create ormodify land planning or zoning within a political subdivision except forcitizen advisory committees technical coordinating committees andsimilar groups who only have the power to make recommendationsto planning or zoning boards and except for representatives of a military installation acting on behalf of all military installations within thatjurisdiction pension or retirement boards empowered to invest pensionor retirement funds or determine entitlement to or amount of pensions orother retirement benefits and the Pinellas County Construction LicensingBoard 6) Any appointed member of a local government board who

is required to file a statement of financial interests by the appointingauthority or the enabling legislation ordinance or resolution creating theboard 7) Persons holding any of these positions in local government

mayor county or city manager chief administrative employee or finance

director of a county municipality or other political subdivision county or municipal attorney chief county or municipal building inspectorcounty or municipal water resources coordinator county or municipalpollution control director county or municipal environmental control director county or municipal administrator with power to grant or denya land development permit chief of police fire chief municipal clerkappointed district school superintendent community college presidentdistrict medical examiner purchasing agent (regardless of title) havingthe authority to make any purchase exceeding $35000 for the localgovernmental unit8) Officers and employees of entities serving as chief administrative

officer of a political subdivision9) Members of governing boards of charter schools operated by a

city or other public entity10) Employees in the office of the Governor or of a Cabinet member

who are exempt from the Career Service System excluding secretarialclerical and similar positions11) The following positions in each state department commission

board or council Secretary Assistant or Deputy Secretary ExecutiveDirector Assistant or Deputy Executive Director and anyone having thepower normally conferred upon such persons regardless of title12) The following positions in each state department or division

Director Assistant or Deputy Director Bureau Chief and any personhaving the power normally conferred upon such persons regardless oftitle 13) Assistant State Attorneys Assistant Public Defenders criminal

conflict and civil regional counsel and assistant criminal conflict and civilregional counsel Public Counsel full-time state employees serving ascounsel or assistant counsel to a state agency administrative law judgesand hearing officers14) The Superintendent or Director of a state mental health institute

established for training and research in the mental health field or anymajor state institution or facility established for corrections trainingtreatment or rehabilitation 15) State agency Business Managers Finance and Accounting

Directors Personnel Officers Grant Coordinators and purchasingagents (regardless of title) with power to make a purchase exceeding$35000 16) The following positions in legislative branch agencies each

employee (other than those employed in maintenance clerical secretarial or similar positions and legislative assistants exempted by the presiding officer of their house) and each employee of theCommission on Ethics

INSTRUCTIONS FOR COMPLETING FORM 1 INTRODUCTORY INFORMATION (Top of Form) If your name mailing address public agency and position are already printed on the form you do not need to provide this information unless it should be changed To change any of this information write the correct information on the form and contact your agencys financial disclosure coordinator You can find your coordinator on the Commission on Ethics website wwwethics stateflus NAME OF AGENCY The name of the governmental unit which you serve or served by which you are or were employed or for which you are a candidate DISCLOSURE PERIOD The ldquodisclosure periodrdquo for your report is the calendar year ending December 31 2019

OFFICE OR POSITION HELD OR SOUGHT The title of the office or position you hold are seeking or held during the disclosure period even if you have since left that position If you are a candidate for office or are a new employee or appointee check the appropriate box PUBLIC RECORD The disclosure form and everythingattached to it is a public record Your Social Security Number is not required and you should redact it from any documents you file If you are an active or former officer or employee listed in Section 119071 FS whose home address is exempt from disclosure the Commission will maintain that confidentiality if you submit a written request

CE FORM 1 - Effective January 1 2020 Incorporated by reference in Rule 34-8202 FAC PAGE 3

PART E mdash LIABILITIES[Required by s 1123145(3)(b)4 FS]List the name and address of each creditor to whom you owed more

than $10000 at any time during the disclosure period The amount of theliability of a vehicle lease is the sum of any past-due payments and allunpaid prospective lease payments You are not required to list the amountof any debt You do not have to disclose credit card and retail installmentaccounts taxes owed (unless reduced to a judgment) indebtedness ona life insurance policy owed to the company of issuance or contingentliabilities A ldquocontingent liabilityrdquo is one that will become an actual liabilityonly when one or more future events occur or fail to occur such as whereyou are liable only as a guarantor surety or endorser on a promissorynote If you are a ldquoco-makerrdquo and are jointly liable or jointly and severallyliable then it is not a contingent liability

PART F mdash INTERESTS IN SPECIFIED BUSINESSES[Required by s 1123145(6) FS]The types of businesses covered in this disclosure include state and

federally chartered banks state and federal savings and loan associationscemetery companies insurance companies mortgage companies creditunions small loan companies alcoholic beverage licensees pari-mutuelwagering companies utility companies entities controlled by the PublicService Commission and entities granted a franchise to operate by either acity or a county government

Disclose in this part the fact that you owned during the disclosure period aninterest in or held any of certain positions with the types of businesses listedabove You must make this disclosure if you own or owned (either directly orindirectly in the form of an equitable or beneficial interest) at any time duringthe disclosure period more than 5 of the total assets or capital stock ofone of the types of business entities listed above You also must completethis part of the form for each of these types of businesses for which youare or were at any time during the disclosure period an officer directorpartner proprietor or agent (other than a resident agent solely for service ofprocess)

If you have or held such a position or ownership interest in one ofthese types of businesses list the name of the business its address andprincipal business activity and the position held with the business (if any) Ifyou own(ed) more than a 5 interest in the business indicate that fact anddescribe the nature of your interest

PART G mdash TRAINING CERTIFICATION[Required by s 1123142 FS]If you are a Constitutional or elected municipal officer whose

service began before March 31 of the year for which you are filingyou are required to complete four hours of ethics training which addresses Article II Section 8 of the Florida Constitution the Codeof Ethics for Public Officers and Employees and the public recordsand open meetings laws of the state You are required to certify onthis form that you have taken such training

(End of Dollar Value Thresholds Instructions)

PART A mdash PRIMARY SOURCES OF INCOME[Required by s 1123145(3)(a)1 FS]Part A is intended to require the disclosure of your principal

sources of income during the disclosure period You do not haveto disclose any public salary or public position(s) but income from these public sources should be included when calculating your gross income for the disclosure period The income of your spouse need not be disclosed however if there is joint income to you and your spouse from property you own jointly (such as interest or dividends from a bank account or stocks) you should include all of that income when calculating your gross income and disclose the source of that income if it exceeded the threshold

Please list in this part of the form the name address and principal business activity of each source of your income whichexceeded 5 of the gross income received by you in your own name or by any other person for your benefit or use during the disclosure period

Gross income means the same as it does for income tax purposes even if the income is not actually taxable such as interest on tax-free bonds Examples include compensation for servicesincome from business gains from property dealings interest rents dividends pensions IRA distributions social security distributive share of partnership gross income and alimony but not child support

Examplesmdash If you were employed by a company that manufactures computers and received more than 5 of your gross income from the company list the name of the company its address and its principal business activity (computer manufacturing)mdash If you were a partner in a law firm and your distributive share of partnership gross income exceeded 5 of your gross income then list the name of the firm its address and its principal business activity (practice of law)mdash If you were the sole proprietor of a retail gift business andyour gross income from the business exceeded 5 of your total gross income list the name of the business its addressand its principal business activity (retail gift sales)mdash If you received income from investments in stocks and bonds list each individual company from which you derived

more than 5 of your gross income Do not aggregate all of your investment incomemdash If more than 5 of your gross income was gain from the sale of property (not just the selling price) list as a source of income the purchaserrsquos name address and principal business activityIf the purchasers identity is unknown such as where securities listed on an exchange are sold through a brokerage firm the source of income should be listed as sale of (name of company)stock for examplemdash If more than 5 of your gross income was in the form of interest from one particular financial institution (aggregatinginterest from all CDrsquos accounts etc at that institution) list the name of the institution its address and its principal business activity

PART B mdash SECONDARY SOURCES OF INCOME[Required by s 1123145(3)(a)2 FS]This part is intended to require the disclosure of major customers

clients and other sources of income to businesses in which you ownan interest It is not for reporting income from second jobs That kindof income should be reported in Part A Primary Sources of Incomeif it meets the reporting threshold You will not have anything to reportunless during the disclosure period

(1) You owned (either directly or indirectly in the form of anequitable or beneficial interest) more than 5 of the total assetsor capital stock of a business entity (a corporation partnershipLLC limited partnership proprietorship joint venture trust firmetc doing business in Florida) and(2) You received more than 10 of your gross income from thatbusiness entity and(3) You received more than $1500 in gross income from thatbusiness entity

If your interests and gross income exceeded these thresholds thenfor that business entity you must list every source of income to thebusiness entity which exceeded 10 of the business entityrsquos grossincome (computed on the basis of the business entityrsquos most recentlycompleted fiscal year) the sourcersquos address and the sourcersquosprincipal business activity

IF YOU HAVE CHOSEN COMPARATIVE (PERCENTAGE) THRESHOLDSTHE FOLLOWING INSTRUCTIONS APPLY

CE FORM 1 - Effective January 1 2020 Incorporated by reference in Rule 34-8202 FAC PAGE 5

MANNER OF CALCULATING REPORTABLE INTEREST Filers have the option of reporting based on either thresholds that are comparative (usually based on percentage values) or thresholds that are based on absolute dollar values The instructions on the following pages specifically describe the different thresholds Check the box that reflects the choice you have made You must use the type of threshold you have chosen for each part of the form In other words if you choose to report based on absolute dollar value thresholds you cannot use a percentage threshold on any part of the form

IF YOU HAVE CHOSEN DOLLAR VALUE THRESHOLDS THE FOLLOWING INSTRUCTIONS APPLY

PART A mdash PRIMARY SOURCES OF INCOME [Required by s 1123145(3)(b)1 FS] Part A is intended to require the disclosure of your principal

sources of income during the disclosure period You do not have todisclose any public salary or public position(s) The income of yourspouse need not be disclosed however if there is joint income toyou and your spouse from property you own jointly (such as interestor dividends from a bank account or stocks) you should disclose thesource of that income if it exceeded the threshold

Please list in this part of the form the name address andprincipal business activity of each source of your income whichexceeded $2500 of gross income received by you in your own name or by any other person for your use or benefit

Gross income means the same as it does for income tax purposes even if the income is not actually taxable such as interest on tax-free bonds Examples include compensation for servicesincome from business gains from property dealings interest rentsdividends pensions IRA distributions social security distributive share of partnership gross income and alimony but not child support

Examples mdash If you were employed by a company that manufacturescomputers and received more than $2500 list the name of thecompany its address and its principal business activity (computermanufacturing) mdash If you were a partner in a law firm and your distributive shareof partnership gross income exceeded $2500 list the name ofthe firm its address and its principal business activity (practice oflaw) mdash If you were the sole proprietor of a retail gift business and yourgross income from the business exceeded $2500 list the nameof the business its address and its principal business activity(retail gift sales) mdash If you received income from investments in stocks and bondslist each individual company from which you derived more than$2500 Do not aggregate all of your investment income mdash If more than $2500 of your gross income was gain from thesale of property (not just the selling price) list as a source ofincome the purchaserrsquos name address and principal businessactivity If the purchaserrsquos identity is unknown such as wheresecurities listed on an exchange are sold through a brokeragefirm the source of income should be listed as sale of (name of company) stock for example mdash If more than $2500 of your gross income was in the formof interest from one particular financial institution (aggregatinginterest from all CDrsquos accounts etc at that institution) list the name of the institution its address and its principal business activity

PART B mdash SECONDARY SOURCES OF INCOME [Required by s 1123145(3)(b)2 FS] This part is intended to require the disclosure of major customers

clients and other sources of income to businesses in which you own aninterest It is not for reporting income from second jobs That kind of incomeshould be reported in Part A Primary Sources of Income if it meets thereporting threshold You will not have anything to report unless during thedisclosure period

(1) You owned (either directly or indirectly in the form of an equitableor beneficial interest) more than 5 of the total assets or capitalstock of a business entity (a corporation partnership LLC limitedpartnership proprietorship joint venture trust firm etc doing business in Florida) and (2) You received more than $5000 of your gross income during thedisclosure period from that business entity

If your interests and gross income exceeded these thresholds then for thatbusiness entity you must list every source of income to the business entitywhich exceeded 10 of the business entityrsquos gross income (computed onthe basis of the business entitys most recently completed fiscal year) thesourcersquos address and the sources principal business activity

Examples mdash You are the sole proprietor of a dry cleaning business from whichyou received more than $5000 If only one customer a uniform rentalcompany provided more than 10 of your dry cleaning business youmust list the name of the uniform rental company its address and itsprincipal business activity (uniform rentals) mdash You are a 20 partner in a partnership that owns a shopping malland your partnership income exceeded the above thresholds List eachtenant of the mall that provided more than 10 of the partnershipsgross income and the tenants address and principal business activity

PART C mdash REAL PROPERTY [Required by s 1123145(3)(b)3 FS] In this part list the location or description of all real property in Florida

in which you owned directly or indirectly at any time during the disclosureperiod in excess of 5 of the propertyrsquos value You are not required to listyour residences You should list any vacation homes if you derive incomefrom them

Indirect ownership includes situations where you are a beneficiary of atrust that owns the property as well as situations where you own more than5 of a partnership or corporation that owns the property The value of theproperty may be determined by the most recently assessed value for taxpurposes in the absence of a more current appraisal

The location or description of the property should be sufficient toenable anyone who looks at the form to identify the property A streetaddress should be used if one exists

PART D mdash INTANGIBLE PERSONAL PROPERTY [Required by s 1123145(3)(b)3 FS] Describe any intangible personal property that at any time during the

disclosure period was worth more than $10000 and state the businessentity to which the property related Intangible personal property includesthings such as cash on hand stocks bonds certificates of deposit vehicleleases interests in businesses beneficial interests in trusts money owedyou Deferred Retirement Option Program (DROP) accounts the FloridaPrepaid College Plan and bank accounts Intangible personal propertyalso includes investment products held in IRAs brokerage accounts andthe Florida College Investment Plan Note that the product contained in a brokerage account IRA or the Florida College Investment Plan is yourassetmdashnot the account or plan itself Things like automobiles and housesyou own jewelry and paintings are not intangible property Intangiblesrelating to the same business entity may be aggregated for example CDsand savings accounts with the same bank Property owned as tenants bythe entirety or as joint tenants with right of survivorship should be valued at100 The value of a leased vehicle is the vehiclersquos present value minusthe lease residual (a number found on the lease document)

CE FORM 1 - Effective January 1 2020 Incorporated by reference in Rule 34-8202 FAC PAGE 4

PART A mdash PRIMARY SOURCES OF INCOME[Required by s 1123145(3)(b)1 FS]Part A is intended to require the disclosure of your principal

sources of income during the disclosure period You do not have todisclose any public salary or public position(s) The income of yourspouse need not be disclosed however if there is joint income t oyou and your spouse from property you own jointly (such as interestor dividends from a bank account or stocks) you should disclose thesource of that income if it exceeded the threshold

Please list in this part of the form the name address andprincipal business activity of each source of your income whichexceeded $2500 of gross income received by you in your own name or by any other person for your use or benefit

Gross income means the same as it does for income taxpurposes even if the income is not actually taxable such as intereston tax-free bonds Examples include compensation for servicesincome from business gains from property dealings interest rentsdividends pensions IRA distributions social security distributiveshare of partnership gross income and alimony but not child support

Examplesmdash If you were employed by a company that manufacturescomputers and received more than $2500 list the name of thecompany its address and its principal business activity (computermanufacturing)mdash If you were a partner in a law firm and your distributive shareof partnership gross income exceeded $2500 list the name ofthe firm its address and its principal business activity (practice oflaw)mdash If you were the sole proprietor of a retail gift business and yourgross income from the business exceeded $2500 list the nameof the business its address and its principal business activity(retail gift sales)mdash If you received income from investments in stocks and bondslist each individual company from which you derived more than$2500 Do not aggregate all of your investment incomemdash If more than $2500 of your gross income was gain from thesale of property (not just the selling price) list as a source o fincome the purchaserrsquos name address and principal businessactivity If the purchaserrsquos identity is unknown such as wheresecurities listed on an exchange are sold through a brokeragefirm the source of income should be listed as sale of (name of company) stock for examplemdash If more than $2500 of your gross income was in the formof interest from one particular financial institution (aggregatinginterest from all CDrsquos accounts etc at that institution) list thename of the institution its address and its principal business activity

PART B mdash SECONDARY SOURCES OF INCOME[Required by s 1123145(3)(b)2 FS]This part is intended to require the disclosure of major customers

clients and other sources of income to businesses in which you own aninterest It is not for reporting income from second jobs That kind of incomeshould be reported in Part A Primary Sources of Income if it meets thereporting threshold You will not have anything to report unless during thedisclosure period

(1) You owned (either directly or indirectly in the form of an equitableor beneficial interest) more than 5 of the total assets or capitalstock of a business entity (a corporation partnership LLC limitedpartnership proprietorship joint venture trust firm etc doing business in Florida) and(2) You received more than $5000 of your gross income during thedisclosure period from that business entity

If your interests and gross income exceeded these thresholds then for thatbusiness entity you must list every source of income to the business entitywhich exceeded 10 of the business entityrsquos gross income (computed onthe basis of the business entitys most recently completed fiscal year) thesourcersquos address and the sources principal business activity

Examplesmdash You are the sole proprietor of a dry cleaning business from whichyou received more than $5000 If only one customer a uniform rentalcompany provided more than 10 of your dry cleaning business youmust list the name of the uniform rental company its address and itsprincipal business activity (uniform rentals)mdash You are a 20 partner in a partnership that owns a shopping malland your partnership income exceeded the above thresholds List eachtenant of the mall that provided more than 10 of the partnershipsgross income and the tenants address and principal business activity

PART C mdash REAL PROPERTY[Required by s 1123145(3)(b)3 FS]In this part list the location or description of all real property in Florida

in which you owned directly or indirectly at any time during the disclosureperiod in excess of 5 of the propertyrsquos value You are not required to listyour residences You should list any vacation homes if you derive incomefrom them

Indirect ownership includes situations where you are a beneficiary of atrust that owns the property as well as situations where you own more than5 of a partnership or corporation that owns the property The value of theproperty may be determined by the most recently assessed value for taxpurposes in the absence of a more current appraisal

The location or description of the property should be sufficient toenable anyone who looks at the form to identify the property A streetaddress should be used if one exists

PART D mdash INTANGIBLE PERSONAL PROPERTY[Required by s 1123145(3)(b)3 FS]Describe any intangible personal property that at any time during the

disclosure period was worth more than $10000 and state the businessentity to which the property related Intangible personal property includesthings such as cash on hand stocks bonds certificates of deposit vehicleleases interests in businesses beneficial interests in trusts money owedyou Deferred Retirement Option Program (DROP) accounts the FloridaPrepaid College Plan and bank accounts Intangible personal propertyalso includes investment products held in IRAs brokerage accounts andthe Florida College Investment Plan Note that the product contained ina brokerage account IRA or the Florida College Investment Plan is yourassetmdashnot the account or plan itself Things like automobiles and housesyou own jewelry and paintings are not intangible property Intangiblesrelating to the same business entity may be aggregated for example CDsand savings accounts with the same bank Property owned as tenants bythe entirety or as joint tenants with right of survivorship should be valued at100 The value of a leased vehicle is the vehiclersquos present value minusthe lease residual (a number found on the lease document)

Filers have the option of reporting based on either thresholds that are comparative (usually based on percentage values) orthresholds that are based on absolute dollar values The instructions on the following pages specifically describe the differentthresholds Check the box that reflects the choice you have made You must use the type of threshold you have chosen for eachpart of the form In other words if you choose to report based on absolute dollar value thresholds you cannot use a percentagethreshold on any part of the form

MANNER OF CALCULATING REPORTABLE INTEREST

IF YOU HAVE CHOSEN DOLLAR VALUE THRESHOLDSTHE FOLLOWING INSTRUCTIONS APPLY

CE FORM 1 - Effective January 1 2020 Incorporated by reference in Rule 34-8202 FAC PAGE 4

PART E mdash LIABILITIES [Required by s 1123145(3)(b)4 FS] List the name and address of each creditor to whom you owed more

than $10000 at any time during the disclosure period The amount of theliability of a vehicle lease is the sum of any past-due payments and allunpaid prospective lease payments You are not required to list the amountof any debt You do not have to disclose credit card and retail installmentaccounts taxes owed (unless reduced to a judgment) indebtedness ona life insurance policy owed to the company of issuance or contingentliabilities A ldquocontingent liabilityrdquo is one that will become an actual liabilityonly when one or more future events occur or fail to occur such as whereyou are liable only as a guarantor surety or endorser on a promissorynote If you are a ldquoco-makerrdquo and are jointly liable or jointly and severallyliable then it is not a contingent liability

PART F mdash INTERESTS IN SPECIFIED BUSINESSES [Required by s 1123145(6) FS] The types of businesses covered in this disclosure include state and

federally chartered banks state and federal savings and loan associationscemetery companies insurance companies mortgage companies creditunions small loan companies alcoholic beverage licensees pari-mutuelwagering companies utility companies entities controlled by the PublicService Commission and entities granted a franchise to operate by either acity or a county government

Disclose in this part the fact that you owned during the disclosure period aninterest in or held any of certain positions with the types of businesses listedabove You must make this disclosure if you own or owned (either directly orindirectly in the form of an equitable or beneficial interest) at any time duringthe disclosure period more than 5 of the total assets or capital stock ofone of the types of business entities listed above You also must completethis part of the form for each of these types of businesses for which youare or were at any time during the disclosure period an officer directorpartner proprietor or agent (other than a resident agent solely for service ofprocess)

If you have or held such a position or ownership interest in one ofthese types of businesses list the name of the business its address andprincipal business activity and the position held with the business (if any) Ifyou own(ed) more than a 5 interest in the business indicate that fact anddescribe the nature of your interest

PART G mdash TRAINING CERTIFICATION [Required by s 1123142 FS] If you are a Constitutional or elected municipal officer whose

service began before March 31 of the year for which you are filingyou are required to complete four hours of ethics training which addresses Article II Section 8 of the Florida Constitution the Code of Ethics for Public Officers and Employees and the public recordsand open meetings laws of the state You are required to certify onthis form that you have taken such training

(End of Dollar Value Thresholds Instructions)

IF YOU HAVE CHOSEN COMPARATIVE (PERCENTAGE) THRESHOLDS THE FOLLOWING INSTRUCTIONS APPLY

PART A mdash PRIMARY SOURCES OF INCOME [Required by s 1123145(3)(a)1 FS] Part A is intended to require the disclosure of your principal

sources of income during the disclosure period You do not haveto disclose any public salary or public position(s) but income from these public sources should be included when calculating your gross income for the disclosure period The income of your spouse need not be disclosed however if there is joint income to you and your spouse from property you own jointly (such as interest or dividends from a bank account or stocks) you should include all of that income when calculating your gross income and disclose the source of that income if it exceeded the threshold

Please list in this part of the form the name address and principal business activity of each source of your income whichexceeded 5 of the gross income received by you in your own name or by any other person for your benefit or use during the disclosure period

Gross income means the same as it does for income tax purposes even if the income is not actually taxable such as interest on tax-free bonds Examples include compensation for servicesincome from business gains from property dealings interest rents dividends pensions IRA distributions social security distributive share of partnership gross income and alimony but not child support

Examples mdash If you were employed by a company that manufactures computers and received more than 5 of your gross income from the company list the name of the company its address and its principal business activity (computer manufacturing) mdash If you were a partner in a law firm and your distributive share of partnership gross income exceeded 5 of your gross income then list the name of the firm its address and its principal business activity (practice of law) mdash If you were the sole proprietor of a retail gift business andyour gross income from the business exceeded 5 of your total gross income list the name of the business its addressand its principal business activity (retail gift sales) mdash If you received income from investments in stocks and bonds list each individual company from which you derived

more than 5 of your gross income Do not aggregate all of your investment income mdash If more than 5 of your gross income was gain from the sale of property (not just the selling price) list as a source of income the purchaserrsquos name address and principal business activityIf the purchasers identity is unknown such as where securities listed on an exchange are sold through a brokerage firm the source of income should be listed as sale of (name of company)stock for example mdash If more than 5 of your gross income was in the form of interest from one particular financial institution (aggregatinginterest from all CDrsquos accounts etc at that institution) list the name of the institution its address and its principal business activity

PART B mdash SECONDARY SOURCES OF INCOME [Required by s 1123145(3)(a)2 FS] This part is intended to require the disclosure of major customers

clients and other sources of income to businesses in which you ownan interest It is not for reporting income from second jobs That kindof income should be reported in Part A Primary Sources of Incomeif it meets the reporting threshold You will not have anything to report unless during the disclosure period

(1) You owned (either directly or indirectly in the form of anequitable or beneficial interest) more than 5 of the total assetsor capital stock of a business entity (a corporation partnershipLLC limited partnership proprietorship joint venture trust firmetc doing business in Florida) and (2) You received more than 10 of your gross income from thatbusiness entity and (3) You received more than $1500 in gross income from thatbusiness entity

If your interests and gross income exceeded these thresholds thenfor that business entity you must list every source of income to thebusiness entity which exceeded 10 of the business entityrsquos grossincome (computed on the basis of the business entityrsquos most recentlycompleted fiscal year) the sourcersquos address and the sourcersquos principal business activity

CE FORM 1 - Effective January 1 2020 Incorporated by reference in Rule 34-8202 FAC PAGE 5

NOTICE Annual Statements of Financial Interests are due July 1 If the annual form is not filed or postmarked by September 1 an automatic fine of $25 for each day late will be imposed up to a maximum penalty of $1500 Failure to file also can result in removal from public office or employment [s 1123145 FS]

In addition failure to make any required disclosure constitutes grounds for and may be punished by one or more of the following disqualification from being on the ballot impeachment removal or suspension from office or employment demotion reduction in salary reprimand or a civil penalty not exceeding $10000 [s 112317 FS]

1) Elected public officials not serving in a political subdivision of thestate and any person appointed to fill a vacancy in such office unlessrequired to file full disclosure on Form 62) Appointed members of each board commission authority

or council having statewide jurisdiction excluding members of solelyadvisory bodies but including judicial nominating commission membersDirectors of Enterprise Florida Scripps Florida Funding Corporationand Career Source Florida and members of the Council on the SocialStatus of Black Men and Boys the Executive Director Governors and senior managers of Citizens Property Insurance CorporationGovernors and senior managers of Florida Workers Compensation JointUnderwriting Association board members of the Northeast Fla RegionalTransportation Commission board members of Triumph Gulf Coast Incboard members of Florida Is For Veterans Inc and members of theTechnology Advisory Council within the Agency for State Technology3) The Commissioner of Education members of the State Board

of Education the Board of Governors the local Boards of Trustees andPresidents of state universities and the Florida Prepaid College Board4) Persons elected to office in any political subdivision (such a s

municipalities counties and special districts) and any person appointedto fill a vacancy in such office unless required to file Form 65) Appointed members of the following boards councils

commissions authorities or other bodies of county municipality schooldistrict independent special district or other political subdivision thegoverning body of the subdivision community college or junior collegedistrict boards of trustees boards having the power to enforce local codeprovisions boards of adjustment community redevelopment agenciesplanning or zoning boards having the power to recommend create ormodify land planning or zoning within a political subdivision except forcitizen advisory committees technical coordinating committees andsimilar groups who only have the power to make recommendationsto planning or zoning boards and except for representatives of amilitary installation acting on behalf of all military installations within thatjurisdiction pension or retirement boards empowered to invest pensionor retirement funds or determine entitlement to or amount of pensions orother retirement benefits and the Pinellas County Construction LicensingBoard6) Any appointed member of a local government board who

is required to file a statement of financial interests by the appointingauthority or the enabling legislation ordinance or resolution creating theboard7) Persons holding any of these positions in local government

mayor county or city manager chief administrative employee or finance

director of a county municipality or other political subdivision countyor municipal attorney chief county or municipal building inspectorcounty or municipal water resources coordinator county or municipalpollution control director county or municipal environmental controldirector county or municipal administrator with power to grant or denya land development permit chief of police fire chief municipal clerkappointed district school superintendent community college presidentdistrict medical examiner purchasing agent (regardless of title) havingthe authority to make any purchase exceeding $35000 for the localgovernmental unit8) Officers and employees of entities serving as chief administrative

officer of a political subdivision9) Members of governing boards of charter schools operated by a

city or other public entity10) Employees in the office of the Governor or of a Cabinet member

who are exempt from the Career Service System excluding secretarialclerical and similar positions11) The following positions in each state department commission

board or council Secretary Assistant or Deputy Secretary ExecutiveDirector Assistant or Deputy Executive Director and anyone having thepower normally conferred upon such persons regardless of title12) The following positions in each state department or division

Director Assistant or Deputy Director Bureau Chief and any personhaving the power normally conferred upon such persons regardless oftitle13) Assistant State Attorneys Assistant Public Defenders criminal

conflict and civil regional counsel and assistant criminal conflict and civilregional counsel Public Counsel full-time state employees serving ascounsel or assistant counsel to a state agency administrative law judgesand hearing officers14) The Superintendent or Director of a state mental health institute

established for training and research in the mental health field or anymajor state institution or facility established for corrections trainingtreatment or rehabilitation15) State agency Business Managers Finance and Accounting

Directors Personnel Officers Grant Coordinators and purchasingagents (regardless of title) with power to make a purchase exceeding$3500016) The following positions in legislative branch agencies each

employee (other than those employed in maintenance clerical secretarial or similar positions and legislative assistants exemptedby the presiding officer of their house) and each employee of theCommission on Ethics

INSTRUCTIONS FOR COMPLETING FORM 1INTRODUCTORY INFORMATION (Top of Form) If your name mailing address public agency and position are already printed on the form you do not need to provide this information unless it should be changed To change any of this information write the correct information on the form and contact your agencys financial disclosure coordinator You can find your coordinator on the Commission on Ethics website wwwethicsstateflus NAME OF AGENCY The name of the governmental unit which you serve or served by which you are or were employed or for which you are a candidate DISCLOSURE PERIOD The ldquodisclosure periodrdquo for your report is the calendar year ending December 31 2019

OFFICE OR POSITION HELD OR SOUGHT The title of the office or position you hold are seeking or held during the disclosure period even if you have since left that position If you are a candidate for office or are a new employee or appointee check the appropriate boxPUBLIC RECORD The disclosure form and everythingattached to it is a public record Your Social Security Number is not required and you should redact it from any documents you file If you are an active or former officer or employee listed in Section 119071 FS whose home address is exempt from disclosure the Commission will maintain that confidentiality if you submit a written request

WHO MUST FILE FORM 1

CE FORM 1 - Effective January 1 2020 Incorporated by reference in Rule 34-8202 FAC PAGE 3

Examples PART E mdash LIABILITIES mdash You are the sole proprietor of a dry cleaning business from [Required by s 1123145(3)(b)4 FS]which you received more than 10 of your gross incomemdashan List the name and address of each creditor to whom you owed amount that was more than $1500 If only one customer a any amount that at any time during the disclosure period exceeded uniform rental company provided more than 10 of your dry your net worth You are not required to list the amount of any debt cleaning business you must list the name of the uniform rental or your net worth You do not have to disclose credit card and retail company its address and its principal business activity (uniform installment accounts taxes owed (unless reduced to a judgment) rentals) indebtedness on a life insurance policy owed to the company of mdash You are a 20 partner in a partnership that owns a shopping issuance or contingent liabilities A ldquocontingent liabilityrdquo is one mall and your partnership income exceeded the thresholds that will become an actual liability only when one or more future listed above You should list each tenant of the mall that events occur or fail to occur such as where you are liable only as provided more than 10 of the partnershiprsquos gross income and a guarantor surety or endorser on a promissory note If you are a the tenantrsquos address and principal business activity ldquoco-makerrdquo and are jointly liable or jointly and severally liable it is not

a contingent liability PART C mdash REAL PROPERTY Calculations To determine whether the debt exceeds your

[Required by s 1123145(3)(a)3 FS] net worth total all of your liabilities (including promissory notes mortgages credit card debts judgments against you etc) TheIn this part list the location or description of all real property in amount of the liability of a vehicle lease is the sum of any past-due Florida in which you owned directly or indirectly at any time during payments and all unpaid prospective lease payments Subtract the disclosure period in excess of 5 of the propertyrsquos value You the sum total of your liabilities from the value of all your assets are not required to list your residences You should list any vacation as calculated above for Part D This is your ldquonet worthrdquo List each homes if you derive income from them creditor to whom your debt exceeded this amount unless it is one of

Indirect ownership includes situations where you are a the types of indebtedness listed in the paragraph above (credit card beneficiary of a trust that owns the property as well as situations and retail installment accounts etc) Joint liabilities with others for where you own more than 5 of a partnership or corporation that which you are ldquojointly and severally liablerdquo meaning that you may owns the property The value of the property may be determined by be liable for either your part or the whole of the obligation should be the most recently assessed value for tax purposes in the absence included in your calculations at 100 of the amount owed of a more current appraisal

Example You owe $15000 to a bank for student loans $5000 The location or description of the property should be sufficient for credit card debts and $60000 (with spouse) to a savings to enable anyone who looks at the form to identify the property A and loan for a home mortgage Your home (owned by you and street address should be used if one exists your spouse) is worth $80000 and your other property is worth PART D mdash INTANGIBLE PERSONAL PROPERTY $20000 Since your net worth is $20000 ($100000 minus

$80000) you must report only the name and address of the [Required by s 1123145(3)(a)3 FS] savings and loan Describe any intangible personal property that at any time

during the disclosure period was worth more than 10 of your PART F mdash INTERESTS IN SPECIFIED BUSINESSES total assets and state the business entity to which the property [Required by s 1123145 FS] related Intangible personal property includes things such as cash on hand stocks bonds certificates of deposit vehicle leases The types of businesses covered in this disclosure include interests in businesses beneficial interests in trusts money owed state and federally chartered banks state and federal savings and you Deferred Retirement Option Program (DROP) accounts loan associations cemetery companies insurance companies the Florida Prepaid College Plan and bank accounts Intangible mortgage companies credit unions small loan companies alcoholic personal property also includes investment products held in IRAs beverage licensees pari-mutuel wagering companies utilitybrokerage accounts and the Florida College Investment Plan companies entities controlled by the Public Service Commission Note that the product contained in a brokerage account IRA or the and entities granted a franchise to operate by either a city or a Florida College Investment Plan is your assetmdashnot the account or county governmentplan itself Things like automobiles and houses you own jewelry Disclose in this part the fact that you owned during the and paintings are not intangible property Intangibles relating to the disclosure period an interest in or held any of certain positions same business entity may be aggregated for example CDrsquos and with the types of businesses listed above You are requiredsavings accounts with the same bank to make this disclosure if you own or owned (either directly or

Calculations To determine whether the intangible property indirectly in the form of an equitable or beneficial interest) at any exceeds 10 of your total assets total the fair market value of time during the disclosure period more than 5 of the total assets all of your assets (including real property intangible property and or capital stock of one of the types of business entities listed above tangible personal property such as jewelry furniture etc) When You also must complete this part of the form for each of these types making this calculation do not subtract any liabilities (debts) that of businesses for which you are or were at any time during themay relate to the property Multiply the total figure by 10 to arrive disclosure period an officer director partner proprietor or agent at the disclosure threshold List only the intangibles that exceed (other than a resident agent solely for service of process) this threshold amount The value of a leased vehicle is the vehiclersquos If you have or held such a position or ownership interest in present value minus the lease residual (a number which can be one of these types of businesses list the name of the business its found on the lease document) Property that is only jointly owned address and principal business activity and the position held with property should be valued according to the percentage of your the business (if any) If you own(ed) more than a 5 interest in the joint ownership Property owned as tenants by the entirety or as business indicate that fact and describe the nature of your interest joint tenants with right of survivorship should be valued at 100 None of your calculations or the value of the property have to be PART G mdash TRAINING CERTIFICATIONdisclosed on the form

[Required by s 1123142 FS] Example You own 50 of the stock of a small corporation that is worth $100000 the estimated fair market value of If you are a Constitutional or elected municipal officer whoseyour home and other property (bank accounts automobile service began before March 31 of the year for which you are filing furniture etc) is $200000 As your total assets are worth you are required to complete four hours of ethics training which $250000 you must disclose intangibles worth over $25000 addresses Article II Section 8 of the Florida Constitution the Code Since the value of the stock exceeds this threshold you of Ethics for Public Officers and Employees and the public records should list ldquostockrdquo and the name of the corporation If your and open meetings laws of the state You are required to certify on accounts with a particular bank exceed $25000 you should this form that you have taken such training list ldquobank accountsrdquo and bankrsquos name

(

End of Percentage Thresholds Instructions) CE FORM 1 - Effective January 1 2020 Incorporated by reference in Rule 34-8202 FAC PAGE 6

  • 0 HP Cover Page v2
  • 1 Hawks Point Meeting Invite Draft v2
  • 2 Agenda Draft v3
  • 3 EXHIBIT 1
  • 7 HP 05-19-2020 Meeting Minutes Approved
  • 6 EXHIBIT 2
  • 9 HP May FY20 Fin
  • 8 EXHIBIT 3
  • 4 Vacant Position Qualification Requirements for Hawks Point CDD
    • Vacant Position on the Board of Supervisors of the Hawkrsquos Point Community Development District
      • Qualification Requirements
      • Instructions for Interested Candidates
      • Additional Notes
          • 5 Shami Choon Vacant Position - updated 11-5-11 resume
            • 1803 Oak Pond Street Ruskin Fl 33570 E-mailchoons27gmailcom
              • PROFESSIONAL HISTORY
                • Operations Manager Florida Distribution 2002 ndash 2005
                • Operations Manager for Florida Branch Distribution 1999 ndash 2002
                • Warehouse Manager of Miami Distribution Center 1998 ndash 1999
                • Branch Manager of West Palm Beach 1994 ndash 1998
                • Assistant Branch Manager 1991 ndash 1994
                • Customer Service Agent 1990 ndash 1991
                  • 10 EXHIBIT 4
                  • 11 New Business - Hawks Point CDD - MI proposal
                  • 12 EXHIBIT 5
                  • 13 CertaPro Proposal to Paint Exterior Wall 18th to 24th Avenue
                  • 14 Shazam Construction Proposal to Paint Exterior Wall 18th to 24th Street
                    • QUOTE
                      • TO
                          • 15 Photo to accompany Shazam Proposal
                          • 16 EXHIBIT 6
                          • 17 CertaPro Proposal for Pressure Washing Exterior Wall 18th St to 24th Street
                          • 18 Shazam Construction Proposal for Pressure Washing Exterion Wall 18th Street to 24th Street
                            • QUOTE
                              • TO
                                  • 19 EXHIBIT 7
                                  • 20 Form 1_2019i
                                      1. LAST NAME
                                      2. FIRST NAME
                                      3. MIDDLE NAME
                                      4. MAILING ADDRESS ROW 1
                                      5. MAILING ADDRESS ROW 2
                                      6. CITY
                                      7. ZIP
                                      8. COUNTY
                                      9. NAME OF AGENCY
                                      10. NAME OF OFFICE OR POSITION HELD OR SOUGHT
                                      11. CANDIDATE Off
                                      12. NEW EMPLOYEE OR APPOINTEE Off
                                      13. COMPARATIVE (PERCENTAGE) THRESHOLDS Off
                                      14. DOLLAR VALUE THRESHOLDS Off
                                      15. NAME OF SOURCE INCOME ROW 1
                                      16. ADDRESS ROW 1
                                      17. DESCRIPTION OF THE SOURCES PRINCIPAL BUSINESS ACTIVITY ROW 1
                                      18. NAME OF SOURCE INCOME ROW 2
                                      19. ADDRESS ROW 2
                                      20. DESCRIPTION OF THE SOURCES PRINCIPAL BUSINESS ACTIVITY ROW 2
                                      21. NAME OF SOURCE INCOME ROW 3
                                      22. ADDRESS ROW 3
                                      23. DESCRIPTION OF THE SOURCES PRINCIPAL BUSINESS ACTIVITY ROW 3
                                      24. NAME OF SOURCE INCOME ROW 4
                                      25. ADDRESS ROW 4
                                      26. DESCRIPTION OF THE SOURCES PRINCIPAL BUSINESS ACTIVITY ROW 4
                                      27. NAME OF BUSINESS ENTITY ROW 1
                                      28. NAME OF MAJOR SOURCES OF BUSINESS INCOME ROW 1
                                      29. ADDRESS OF SOURCE ROW 1
                                      30. PRINCIPAL BUSINESS ACTIVITY OF SOURCE ROW 1
                                      31. NAME OF BUSINESS ENTITY ROW 2
                                      32. NAME OF MAJOR SOURCES OF BUSINESS INCOME ROW 2
                                      33. ADDRESS OF SOURCE ROW 2
                                      34. PRINCIPAL BUSINESS ACTIVITY OF SOURCE ROW 2
                                      35. NAME OF BUSINESS ENTITY ROW 3
                                      36. NAME OF MAJOR SOURCES OF BUSINESS INCOME ROW 3
                                      37. ADDRESS OF SOURCE ROW 3
                                      38. PRINCIPAL BUSINESS ACTIVITY OF SOURCE ROW 3
                                      39. REAL PROPERTY ROW 1
                                      40. REAL PROPERTY ROW 2
                                      41. REAL PROPERTY ROW 3
                                      42. REAL PROPERTY ROW 4
                                      43. TYPE OF INTANGIBLE ROW 1
                                      44. BUSINESS ENTITY TO WHICH THE PROPERTY RELATES ROW 1
                                      45. TYPE OF INTANGIBLE ROW 2
                                      46. BUSINESS ENTITY TO WHICH THE PROPERTY RELATES ROW 2
                                      47. NAME OF CREDITOR ROW 1
                                      48. ADDRESS OF CREDITOR ROW 1
                                      49. NAME OF CREDITOR ROW 2
                                      50. ADDRESS OF CREDITOR ROW 2
                                      51. ADDRESS OF BUSINESS ENTITY 1
                                      52. PRINCIPAL BUSINESS ACTIVITY 1
                                      53. POSITION HELD WITH ENTITY 1
                                      54. I OWN MORE THAN A 5 INTEREST IN THE BUSINESS 1
                                      55. NATURE OF MY OWNERSHIP INTEREST 1
                                      56. ADDRESS OF BUSINESS ENTITY 2
                                      57. PRINCIPAL BUSINESS ACTIVITY 2
                                      58. POSITION HELD WITH ENTITY 2
                                      59. I OWN MORE THAN A 5 INTEREST IN THE BUSINESS 2
                                      60. NATURE OF MY OWNERSHIP INTEREST 2
                                      61. FOR ELECTED MUNICIPAL OFFICERS REQUIRED TO COMPLETE ANNUAL ETHICS TRAINING PURSUANT TO SECTION 112
                                        1. 3142 F
                                          1. S Off
                                              1. IF ANY OF PARTS A THROUGH G ARE CONTINUED ON A SEPARATE SHEET PLEASE CHECK HERE Off
                                              2. SIGNATURE
                                              3. Date Signed
Page 22: HAWKS POINT COMMUNITY DEVELOPMENT …...2020/06/16  · Hawks Point Community Development District Board of Supervisors Meeting Tuesday, June 16th at 6:30 PM via Zoom All: We welcome

The Letter of Interest must contain

1 A statement stating why you believe you are well suited for the position

2 Your vision for the CDD and what you would like to see the Community evolve into Please be specific

The Resume must contain

1 Your academic background and professional experience

2 Previous and current experience with governmental agencies and governing boards

Interested candidates should attend the Board meeting on Tuesday June 16 2020 at 630 pm and present a brief presentation about themselves and be prepared for a brief question and answer period with the current Board members

Additional Notes

The current Board members will discuss the candidates and may make an appointment at the June meeting If the Board cannot come to a consensus on one candidate or if they determine to not appoint any candidate to the vacant seat they may revisit the vacancy at a future meeting or leave the seat vacant until the November 2022 General Election

Please note that the person appointed to serve in the vacant seat will be required to submit a financial disclosure statement to the State and will be subject to Floridarsquos Government in the Sunshine Laws Public Records laws and Ethics laws

1

Sookdeo (Shami) Choon Phone number (813) 731-5564 1803 Oak Pond Street Ruskin Fl 33570 E-mailchoons27gmailcom

PROFESSIONAL HISTORY Firkins GroupGarber Nissan December 2013 to Present Commercial Vehicle Sales ManagerFinance Manager Auto Nation From January 2006 to December 2013 Sales 2006- 2007 Finance Manager 2007- 2008 Sales Manager Training Manager 2008-2009 Sales Finance 2009- 2011 Commercial Sales Manager Finance Manager 2011- 2020 Parts Depot Inc From 1990 to 2005 ___________________________________________________________________________________________ Operations Manager Florida Distribution 2002 ndash 2005 bull Responsible for total inventory control of all Florida warehouses frac12 of the corporationrsquos revenue bull Directed top management to complete acquisition consolidations which resulted in the corporationrsquos

expansion bull Managed all Florida branch warehouse managers and employees totaling 200 employees bull Increased productivity and shipping efficiency in all departments developed new delivery logistics

improved product availability to all customers as well a hired and efficiently trained employees bull Reviewed all customer service statistics daily and contacted customer directly on all issues bull Reviewed PampLrsquos for all units monthly bull Presented weekly productivity and financial reports to senior management bull Directed DOT monthly guidelines maintained driver files in accordance with DOT regulations and

implemented loss prevention programs Operations Manager for Florida Branch Distribution 1999 ndash 2002 bull Improved customer service by increasing product availability to customers by implementing new

delivery logistics bull Developed employee training implemented safety awareness and monthly safety programs Warehouse Manager of Miami Distribution Center 1998 ndash 1999 bull Developed and implemented productivity guidelines implemented delivery cost saving programs

and improved product availability to the corporationrsquos customers Branch Manager of West Palm Beach 1994 ndash 1998 bull Responsible for the opening of this new branch set the building layout as well as the delivery and

logistics systems

2

bull Increased sales by 80 over budget and kept operating cost as of sales Implemented new customer service department Hired and trained all employees

Assistant Branch Manager 1991 ndash 1994 bull Increased productivity by 20 and improved delivery service Customer Service Agent 1990 ndash 1991 bull Created and implemented customer service guidelines Wingate Automotive Group 1987ndash 1990 Trinidad amp Tobago Government National Security 1984- 1987 Field Operation

EXHIBIT 4

PO Box 267 Seffner FL 33583 O 813-757-6500 F 813-757-6501 Estimate

Submitted To Hawks Point CDD 250 International Parkway Suite 280 Lake Mary FL 32746

CDD - controller 4 - zones 1 and 2

Date 5232020

Estimate 66077

LMP REPRESENTATIVE

DG-TI

PO

W ork Order

DESCRIPTION QTY COST TOTAL

Controller 4 34 inch poly pipe 34 inch poly pipe clamps Labor 2 men $ 8500 per hour

Irrigation inspection repairs needed Repair 6 - 34 inch poly pipe line leaks

6 12 05

072 129

8500

432 1548 4250

TERMS AND CONDITIONS TOTAL $6230

LMP reserves the right to withdraw this proposal if not accepted within 30 days of the date listed above Any alteration or deviation to scope of work involving additional costs must be agreed upon in writing as a separate proposal or change order to this proposal Periodic invoices may be submitted if job is substantial in nature with final invoice being submitted at completion of project Any work performed requiring more than 5 days to complete is subject to progressive payments as portions of the work are completed No finance charge will be imposed if the total of said work is paid in full within 30 days of invoice date If not paid in full within 30 days then customer is subject to finance charges on the balance of the work from the invoice date at a rate of 15 per month until paid LMP shall have the right to stop work under this contract until all outstanding amounts including finance charges are paid in full Payments will be applied to the oldest invoices

ACCEPTANCE OF PROPOSAL The above prices scope of work and terms and conditions are hereby satisfactorily agreed upon LMP Inc has been authorized to perform the work as outlined and payment will be made as outlined above The above pricing does not include any unforeseen modifications to the said irrigation system that could not be reasonably accounted for prior to job start All plant material carries a one (1) year warranty provided LMP Inc is performing landscape maintenance services to the area installed or enhanced at the time of installation If not then there is no warranty on the plant material

OWNER AGENT

DATE

EXHIBIT 5

Independent Franchise Owner Job TBE8F300154 Terry Beamer 9266 Lazy Ln

Date 06012020

EXTERIOR PROPOSALEXTERIOR PROPOSALEXTERIOR PROPOSALEXTERIOR PROPOSAL Tampa FL 33614 813-936-9242

Fax 813 936-9172

1-800-462-3782

License PA2508

Full Workers Compensation Coverage$2000000 General Liability Insurance

DPFG Management amp Consulting LLC (Hawks Point) Raymond Lotito (SB) Hawks Point CDD Ruskin FL 33570 Phone 813-418-7473 Cell 813-220-6089 Email raymondlotitodpfgcom

Special Notes CERTAPRO PAINTERS WILL PAINT WALL FACING 19ST FROM 18TH-24TH

SPECIAL ATTENTION ADDRESSING STUCCO CRACKS USING CONCRETE AND MASONRY PATCH

SPECIAL ATTENTION PRESSURE WASHING LOOSE PEELING PAINT PRIOR TO PAINTING

CERTAPRO PAINTERS WILL ONLY PAINT STREET FACING SIDE- HOMEOWNERS SIDE EXCLUDED FROM PROPOSAL

CUSTOMER RESPONSIBILITIES Please cut back all shrubs bushes and palms away from wall

GENERAL DESCRIPTION Painting to Exterior Wall 18th-24th Facing 19th Ave

PREPARATION Washing To remove dirt mildew and loose paint so the new finish coat will adhere properly

Caulking To fill all cracks and gaps around windows and doorswood work to seal out moisture and drafts Stair step

cracks

Scraping Scrape all loose and peeling paint to ensure a firm base for the new paint

Masonry Repair to all cracks gaps and holes with elastemeric caulking or masonry patch as required

Sanding To degloss where necessary to promote adhesion of the top coat

Surface TypeArea Primer PurposePRIMING

Masonry Loxon sealerprimer Latex For propor top coat adhesion

Conditioner Loxon sealerprimer to all Latex For proper top coat adhesion

masonry surfaces

FINISH COATS

Surface Area

Exterior

ManufacturePaint Type

Sherwin Williams Resilience Ext Satin

Coats

1 primer-sealer 1 spray 1 backroll stucco

Color

Same As Existing

Clean Up Daily and upon completion

$1132900 All Labor Paint Materials

$1132900 TOTAL

Signature of Authorized Franchise Representative Date

Payment is due In Full upon Job Completion

(IWE HAVE READ THE TERMS STATED HEREIN THEY HAVE (IWE) HAVE EXAMINED THE JOB STATED HEREIN THEY EXPLAINED TO (MEUS) AND (IWE) FIND THEM TO BE HAVE SHOWN TO (MEUS) AND (IWE) FIND THE JOB TO SATISFACTORY AND HEREBY ACCEPT THEM BE SATISFACTORY AND HEREBY ACCEPT THE JOB AS

COMPLETE

SIGNATURE Date SIGNATURE Date

QUOTE

Shazam Construction LLC DATE MAY 13 2020

Shazam Hera 6773 Waterton Drive Riverview FL 33578 813-385-4591 ShazamConstructionLLCgmailcom Hawks Point CDD

TO Bill to Development Planning and Financing Group 15310 Amberly Drive Suite 175 Tampa FL 33647

QUANITY DESCRIPTION UNIT PRICE LINE TOTAL

Pressure wash the wall that parallels 19th avenue from 18th street to 24th street in Hawks Point CDD in Ruskin

$1270000

Repair any cracks with caulk or elastomeric as neededPrep for paint

Paint the wall that parallels 19th avenue from 18th street to 24th street in Hawks Point CDD in Ruskin

Paint using body trim and caps of exterior wall facing 19th avenue

Paint while matching existing colors

Paint using Sherwin Williams

All paint materials and labor is included

SUBTOTAL

SALES TAX

TOTAL $1270000

Make all checks payable to Shazam Construction LLC

THANK YOU FOR YOUR BUSINESS

EXHIBIT 6

Independent Franchise Owner Job TB443B00157 Terry Beamer 9266 Lazy Ln

Date 06052020

EXTERIOR PROPOSALEXTERIOR PROPOSALEXTERIOR PROPOSALEXTERIOR PROPOSAL Tampa FL 33614 813-936-9242

Fax 813 936-9172

1-800-462-3782

License PA2508

Full Workers Compensation Coverage$2000000 General Liability Insurance

DPFG Management amp Consulting LLC (Hawks Point) Raymond Lotito (SB) Hawks Point CDD Ruskin FL 33570 Phone 813-418-7473 Cell 813-220-6089 Email raymondlotitodpfgcom

Special Notes CERTAPRO PAINTERS PRESSURE WASHING PROPOSAL 18TH-24TH

CERTAPRO PAINTERS WILL PRESSURE WASH WALL FACING 19TH ST ONLY

GENERAL DESCRIPTION Painting to

PREPARATION Washing To remove dirt mildew and loose paint so the new finish coat will adhere properly

PRIMING Surface TypeArea Primer Purpose

Clean Up Daily and upon completion

All Labor Paint Materials

TOTAL

$195000

$195000

Signature of Authorized Franchise Representative Date

Payment is due In Full upon Job Completion

(IWE HAVE READ THE TERMS STATED HEREIN THEY HAVE (IWE) HAVE EXAMINED THE JOB STATED HEREIN THEY EXPLAINED TO (MEUS) AND (IWE) FIND THEM TO BE HAVE SHOWN TO (MEUS) AND (IWE) FIND THE JOB TO SATISFACTORY AND HEREBY ACCEPT THEM BE SATISFACTORY AND HEREBY ACCEPT THE JOB AS

COMPLETE

SIGNATURE Date SIGNATURE Date

QUOTE

Shazam Construction LLC DATE JUNE 5 2020

Shazam Hera 6773 Waterton Drive Riverview FL 33578 813-385-4591 ShazamConstructionLLCgmailcom Hawks Point CDD

TO Bill to Development Planning and Financing Group 15310 Amberly Drive Suite 175 Tampa FL 33647

QUANITY DESCRIPTION UNIT PRICE LINE TOTAL

Pressure wash the wall that parallels 19th avenue from 18th street to 24th street in Hawks Point CDD in Ruskin

$160000

All materials and labor is included

SUBTOTAL

SALES TAX

TOTAL $160000

Make all checks payable to Shazam Construction LLC

THANK YOU FOR YOUR BUSINESS

EXHIBIT 7

2019FORM 1 STATEMENT OF

Please print or type your name mailing FOR OFFICE USE ONLY FINANCIAL INTERESTS address agency name and position below

LAST NAME -- FIRST NAME -- MIDDLE NAME

MAILING ADDRESS

CITY ZIP COUNTY

NAME OF AGENCY

NAME OF OFFICE OR POSITION HELD OR SOUGHT

CHECK ONLY IF CANDIDATE OR NEW EMPLOYEE OR APPOINTEE

THIS SECTION MUST BE COMPLETED DISCLOSURE PERIOD THIS STATEMENT REFLECTS YOUR FINANCIAL INTERESTS FOR CALENDAR YEAR ENDING DECEMBER 31 2019

MANNER OF CALCULATING REPORTABLE INTERESTS FILERS HAVE THE OPTION OF USING REPORTING THRESHOLDS THAT ARE ABSOLUTE DOLLAR VALUES WHICH REQUIRES FEWER CALCULATIONS OR USING COMPARATIVE THRESHOLDS WHICH ARE USUALLY BASED ON PERCENTAGE VALUES (see instructions for further details) CHECK THE ONE YOU ARE USING (must check one)

COMPARATIVE (PERCENTAGE) THRESHOLDS OR DOLLAR VALUE THRESHOLDS

PART A -- PRIMARY SOURCES OF INCOME [Major sources of income to the reporting person - See instructions] (If you have nothing to report write none or na)

NAME OF SOURCE SOURCES DESCRIPTION OF THE SOURCES OF INCOME ADDRESS PRINCIPAL BUSINESS ACTIVITY

PART B -- SECONDARY SOURCES OF INCOME [Major customers clients and other sources of income to businesses owned by the reporting person - See instructions] (If you have nothing to report write none or na)

NAME OF NAME OF MAJOR SOURCES ADDRESS PRINCIPAL BUSINESS BUSINESS ENTITY OF BUSINESS INCOME OF SOURCE ACTIVITY OF SOURCE

PART C -- REAL PROPERTY [Land buildings owned by the reporting person - See instructions] You are not limited to the space on the (If you have nothing to report write none or na) lines on this form Attach additional

sheets if necessary

FILING INSTRUCTIONS for when and where to file this form are located at the bottom of page 2

INSTRUCTIONS on who must file this form and how to fill it out begin on page 3

CE FORM 1 - Effective January 1 2020 (Continued on reverse side) PAGE 1 Incorporated by reference in Rule 34-8202(1) FAC

FILING INSTRUCTIONS

IF ANY OF PARTS A THROUGH G ARE CONTINUED ON A SEPARATE SHEET PLEASE CHECK HERE

PART D mdash INTANGIBLE PERSONAL PROPERTY [Stocks bonds certificates of deposit etc - See instructions] (If you have nothing to report write none or na) TYPE OF INTANGIBLE BUSINESS ENTITY TO WHICH THE PROPERTY RELATES

PART E mdash LIABILITIES [Major debts - See instructions] (If you have nothing to report write none or na)

NAME OF CREDITOR ADDRESS OF CREDITOR

PART F mdash INTERESTS IN SPECIFIED BUSINESSES [Ownership or positions in certain types of businesses - See instructions] (If you have nothing to report write none or na)

BUSINESS ENTITY 1 BUSINESS ENTITY 2

NAME OF BUSINESS ENTITY

ADDRESS OF BUSINESS ENTITY

PRINCIPAL BUSINESS ACTIVITY

POSITION HELD WITH ENTITY

I OWN MORE THAN A 5 INTEREST IN THE BUSINESS

NATURE OF MY OWNERSHIP INTEREST

If you were mailed the form by the Commission on Ethics or a County Supervisor of Elections for your annual disclosure filing return the form to that location To determine what category your position falls under see page 3 of instructions Local officersemployees file with the Supervisor of Elections of the county in which they permanently reside (If you do not permanently reside in Florida file with the Supervisor of the county where your agency has its headquarters) Form 1 filers who file with the Supervisor of Elections may file by mail or email Contact your Supervisor of Elections for the mailing address or email address to use Do not email your form to the Commission on Ethics it will be returned State officers or specified state employees who file with the Commission on Ethics may file by mail or email To file by mail send the completed form to PO Drawer 15709 Tallahassee FL32317-5709 physical address 325 John Knox Rd Bldg E Ste 200 Tallahassee FL 32303 To file with the Commission by email scan your completed form and any attachments as a pdf (do not use any other format) send it to CEForm1legstateflus and retain a copy for your records Do not file by both mail and email Choose only one filing method Form 6s will not be accepted via email

Candidates file this form together with their filing papers MULTIPLE FILING UNNECESSARY A candidate who files a Form 1 with a qualifying officer is not required to file with the Commission or Supervisor of Elections WHEN TO FILE Initially each local officeremployee state officer and specified state employee must file within 30 days of the date of his or her appointment or of the beginning of employment Appointees who must be confirmed by the Senate must file prior to confirmation even if that is less than 30 days from the date of their appointment Candidates must file at the same time they file their qualifying papers Thereafter file by July 1 following each calendar year in which they hold their positions Finally file a final disclosure form (Form 1F) within 60 days of leaving office or employment Filing a CE Form 1F (Final Statement of Financial Interests) does not relieve the filer of filing a CE Form 1 if the filer was in his or her position on December 31 2019

SIGNATURE OF FILER Signature

____________________________________________

Date Signed

____________________________________________

CPA or ATTORNEY SIGNATURE ONLY If a certified public accountant licensed under Chapter 473 or attorney in good standing with the Florida Bar prepared this form for you he or she must complete the following statement

I _______________________________________ prepared the CE Form 1 in accordance with Section 1123145 Florida Statutes and the instructions to the form Upon my reasonable knowledge and belief the disclosure herein is true and correct

CPAAttorney Signature ______________________________

Date Signed _______________________________________

PART G mdash TRAINING For elected municipal officers required to complete annual ethics training pursuant to section 1123142 FS

I CERTIFY THAT I HAVE COMPLETED THE REQUIRED TRAINING

CE FORM 1 - Effective January 1 2020 PAGE 2 Incorporated by reference in Rule 34-8202(1) FAC

Examplesmdash You are the sole proprietor of a dry cleaning business fromwhich you received more than 10 of your gross incomemdashanamount that was more than $1500 If only one customer auniform rental company provided more than 10 of your drycleaning business you must list the name of the uniform rentalcompany its address and its principal business activity (uniform rentals) mdash You are a 20 partner in a partnership that owns a shopping mall and your partnership income exceeded the thresholds listed above You should list each tenant of the mall that provided more than 10 of the partnershiprsquos gross income and the tenantrsquos address and principal business activity

PART C mdash REAL PROPERTY[Required by s 1123145(3)(a)3 FS]In this part list the location or description of all real property in

Florida in which you owned directly or indirectly at any time during the disclosure period in excess of 5 of the propertyrsquos value You are not required to list your residences You should list any vacation homes if you derive income from them

Indirect ownership includes situations where you are abeneficiary of a trust that owns the property as well as situations where you own more than 5 of a partnership or corporation thatowns the property The value of the property may be determined by the most recently assessed value for tax purposes in the absence of a more current appraisal

The location or description of the property should be sufficient to enable anyone who looks at the form to identify the property Astreet address should be used if one exists PART D mdash INTANGIBLE PERSONAL PROPERTY

[Required by s 1123145(3)(a)3 FS]Describe any intangible personal property that at any time

during the disclosure period was worth more than 10 of your total assets and state the business entity to which the property related Intangible personal property includes things such as cash on hand stocks bonds certificates of deposit vehicle leases interests in businesses beneficial interests in trusts money owed you Deferred Retirement Option Program (DROP) accounts the Florida Prepaid College Plan and bank accounts Intangiblepersonal property also includes investment products held in IRAs brokerage accounts and the Florida College Investment Plan Note that the product contained in a brokerage account IRA or the Florida College Investment Plan is your assetmdashnot the account or plan itself Things like automobiles and houses you own jewelryand paintings are not intangible property Intangibles relating to the same business entity may be aggregated for example CDrsquos and savings accounts with the same bank

Calculations To determine whether the intangible property exceeds 10 of your total assets total the fair market value of all of your assets (including real property intangible property and tangible personal property such as jewelry furniture etc) When making this calculation do not subtract any liabilities (debts) that may relate to the property Multiply the total figure by 10 to arrive at the disclosure threshold List only the intangibles that exceed this threshold amount The value of a leased vehicle is the vehiclersquos present value minus the lease residual (a number which can be found on the lease document) Property that is only jointly owned property should be valued according to the percentage of your joint ownership Property owned as tenants by the entirety or as joint tenants with right of survivorship should be valued at 100 None of your calculations or the value of the property have to be disclosed on the form

Example You own 50 of the stock of a small corporation that is worth $100000 the estimated fair market value of your home and other property (bank accounts automobile furniture etc) is $200000 As your total assets are worth $250000 you must disclose intangibles worth over $25000 Since the value of the stock exceeds this threshold you should list ldquostockrdquo and the name of the corporation If your accounts with a particular bank exceed $25000 you should list ldquobank accountsrdquo and bankrsquos name

PART E mdash LIABILITIES[Required by s 1123145(3)(b)4 FS]List the name and address of each creditor to whom you owed

any amount that at any time during the disclosure period exceeded your net worth You are not required to list the amount of any debt or your net worth You do not have to disclose credit card and retail installment accounts taxes owed (unless reduced to a judgment) indebtedness on a life insurance policy owed to the company of issuance or contingent liabilities A ldquocontingent liabilityrdquo is one that will become an actual liability only when one or more future events occur or fail to occur such as where you are liable only as a guarantor surety or endorser on a promissory note If you are a ldquoco-makerrdquo and are jointly liable or jointly and severally liable it is not a contingent liability

Calculations To determine whether the debt exceeds your net worth total all of your liabilities (including promissory notes mortgages credit card debts judgments against you etc) Theamount of the liability of a vehicle lease is the sum of any past-due payments and all unpaid prospective lease payments Subtract the sum total of your liabilities from the value of all your assets as calculated above for Part D This is your ldquonet worthrdquo List each creditor to whom your debt exceeded this amount unless it is one of the types of indebtedness listed in the paragraph above (credit card and retail installment accounts etc) Joint liabilities with others for which you are ldquojointly and severally liablerdquo meaning that you may be liable for either your part or the whole of the obligation should be included in your calculations at 100 of the amount owed

Example You owe $15000 to a bank for student loans $5000 for credit card debts and $60000 (with spouse) to a savings and loan for a home mortgage Your home (owned by you and your spouse) is worth $80000 and your other property is worth $20000 Since your net worth is $20000 ($100000 minus $80000) you must report only the name and address of the savings and loan

PART F mdash INTERESTS IN SPECIFIED BUSINESSES[Required by s 1123145 FS]The types of businesses covered in this disclosure include

state and federally chartered banks state and federal savings and loan associations cemetery companies insurance companies mortgage companies credit unions small loan companies alcoholic beverage licensees pari-mutuel wagering companies utilitycompanies entities controlled by the Public Service Commission and entities granted a franchise to operate by either a city or acounty government

Disclose in this part the fact that you owned during the disclosure period an interest in or held any of certain positions with the types of businesses listed above You are required to make this disclosure if you own or owned (either directly orindirectly in the form of an equitable or beneficial interest) at any time during the disclosure period more than 5 of the total assets or capital stock of one of the types of business entities listed above You also must complete this part of the form for each of these types of businesses for which you are or were at any time during thedisclosure period an officer director partner proprietor or agent (other than a resident agent solely for service of process)

If you have or held such a position or ownership interest in one of these types of businesses list the name of the business its address and principal business activity and the position held with the business (if any) If you own(ed) more than a 5 interest in the business indicate that fact and describe the nature of your interest

PART G mdash TRAINING CERTIFICATION[Required by s 1123142 FS]If you are a Constitutional or elected municipal officer whose

service began before March 31 of the year for which you are filing you are required to complete four hours of ethics training which addresses Article II Section 8 of the Florida Constitution the Code of Ethics for Public Officers and Employees and the public records and open meetings laws of the state You are required to certify on this form that you have taken such training (End of Percentage Thresholds Instructions)

CE FORM 1 - Effective January 1 2020 Incorporated by reference in Rule 34-8202 FAC PAGE 6

NOTICE Annual Statements of Financial Interests are due July 1 If the annual form is not filed or postmarked by September 1 an automatic fine of $25 for each day late will be imposed up to a maximum penalty of $1500 Failure to file also can result in removal from public office or employment [s 1123145 FS]

In addition failure to make any required disclosure constitutes grounds for and may be punished by one or more of the following disqualification from being on the ballot impeachment removal or suspension from office or employment demotion reduction in salary reprimand or a civil penalty not exceeding $10000 [s 112317 FS]

WHO MUST FILE FORM 1 1) Elected public officials not serving in a political subdivision of the

state and any person appointed to fill a vacancy in such office unlessrequired to file full disclosure on Form 62) Appointed members of each board commission authority

or council having statewide jurisdiction excluding members of solelyadvisory bodies but including judicial nominating commission membersDirectors of Enterprise Florida Scripps Florida Funding Corporationand Career Source Florida and members of the Council on the Social Status of Black Men and Boys the Executive Director Governors and senior managers of Citizens Property Insurance CorporationGovernors and senior managers of Florida Workers Compensation JointUnderwriting Association board members of the Northeast Fla RegionalTransportation Commission board members of Triumph Gulf Coast Incboard members of Florida Is For Veterans Inc and members of the Technology Advisory Council within the Agency for State Technology3) The Commissioner of Education members of the State Board

of Education the Board of Governors the local Boards of Trustees and Presidents of state universities and the Florida Prepaid College Board 4) Persons elected to office in any political subdivision (such as

municipalities counties and special districts) and any person appointedto fill a vacancy in such office unless required to file Form 65) Appointed members of the following boards councils

commissions authorities or other bodies of county municipality schooldistrict independent special district or other political subdivision thegoverning body of the subdivision community college or junior collegedistrict boards of trustees boards having the power to enforce local codeprovisions boards of adjustment community redevelopment agenciesplanning or zoning boards having the power to recommend create ormodify land planning or zoning within a political subdivision except forcitizen advisory committees technical coordinating committees andsimilar groups who only have the power to make recommendationsto planning or zoning boards and except for representatives of a military installation acting on behalf of all military installations within thatjurisdiction pension or retirement boards empowered to invest pensionor retirement funds or determine entitlement to or amount of pensions orother retirement benefits and the Pinellas County Construction LicensingBoard 6) Any appointed member of a local government board who

is required to file a statement of financial interests by the appointingauthority or the enabling legislation ordinance or resolution creating theboard 7) Persons holding any of these positions in local government

mayor county or city manager chief administrative employee or finance

director of a county municipality or other political subdivision county or municipal attorney chief county or municipal building inspectorcounty or municipal water resources coordinator county or municipalpollution control director county or municipal environmental control director county or municipal administrator with power to grant or denya land development permit chief of police fire chief municipal clerkappointed district school superintendent community college presidentdistrict medical examiner purchasing agent (regardless of title) havingthe authority to make any purchase exceeding $35000 for the localgovernmental unit8) Officers and employees of entities serving as chief administrative

officer of a political subdivision9) Members of governing boards of charter schools operated by a

city or other public entity10) Employees in the office of the Governor or of a Cabinet member

who are exempt from the Career Service System excluding secretarialclerical and similar positions11) The following positions in each state department commission

board or council Secretary Assistant or Deputy Secretary ExecutiveDirector Assistant or Deputy Executive Director and anyone having thepower normally conferred upon such persons regardless of title12) The following positions in each state department or division

Director Assistant or Deputy Director Bureau Chief and any personhaving the power normally conferred upon such persons regardless oftitle 13) Assistant State Attorneys Assistant Public Defenders criminal

conflict and civil regional counsel and assistant criminal conflict and civilregional counsel Public Counsel full-time state employees serving ascounsel or assistant counsel to a state agency administrative law judgesand hearing officers14) The Superintendent or Director of a state mental health institute

established for training and research in the mental health field or anymajor state institution or facility established for corrections trainingtreatment or rehabilitation 15) State agency Business Managers Finance and Accounting

Directors Personnel Officers Grant Coordinators and purchasingagents (regardless of title) with power to make a purchase exceeding$35000 16) The following positions in legislative branch agencies each

employee (other than those employed in maintenance clerical secretarial or similar positions and legislative assistants exempted by the presiding officer of their house) and each employee of theCommission on Ethics

INSTRUCTIONS FOR COMPLETING FORM 1 INTRODUCTORY INFORMATION (Top of Form) If your name mailing address public agency and position are already printed on the form you do not need to provide this information unless it should be changed To change any of this information write the correct information on the form and contact your agencys financial disclosure coordinator You can find your coordinator on the Commission on Ethics website wwwethics stateflus NAME OF AGENCY The name of the governmental unit which you serve or served by which you are or were employed or for which you are a candidate DISCLOSURE PERIOD The ldquodisclosure periodrdquo for your report is the calendar year ending December 31 2019

OFFICE OR POSITION HELD OR SOUGHT The title of the office or position you hold are seeking or held during the disclosure period even if you have since left that position If you are a candidate for office or are a new employee or appointee check the appropriate box PUBLIC RECORD The disclosure form and everythingattached to it is a public record Your Social Security Number is not required and you should redact it from any documents you file If you are an active or former officer or employee listed in Section 119071 FS whose home address is exempt from disclosure the Commission will maintain that confidentiality if you submit a written request

CE FORM 1 - Effective January 1 2020 Incorporated by reference in Rule 34-8202 FAC PAGE 3

PART E mdash LIABILITIES[Required by s 1123145(3)(b)4 FS]List the name and address of each creditor to whom you owed more

than $10000 at any time during the disclosure period The amount of theliability of a vehicle lease is the sum of any past-due payments and allunpaid prospective lease payments You are not required to list the amountof any debt You do not have to disclose credit card and retail installmentaccounts taxes owed (unless reduced to a judgment) indebtedness ona life insurance policy owed to the company of issuance or contingentliabilities A ldquocontingent liabilityrdquo is one that will become an actual liabilityonly when one or more future events occur or fail to occur such as whereyou are liable only as a guarantor surety or endorser on a promissorynote If you are a ldquoco-makerrdquo and are jointly liable or jointly and severallyliable then it is not a contingent liability

PART F mdash INTERESTS IN SPECIFIED BUSINESSES[Required by s 1123145(6) FS]The types of businesses covered in this disclosure include state and

federally chartered banks state and federal savings and loan associationscemetery companies insurance companies mortgage companies creditunions small loan companies alcoholic beverage licensees pari-mutuelwagering companies utility companies entities controlled by the PublicService Commission and entities granted a franchise to operate by either acity or a county government

Disclose in this part the fact that you owned during the disclosure period aninterest in or held any of certain positions with the types of businesses listedabove You must make this disclosure if you own or owned (either directly orindirectly in the form of an equitable or beneficial interest) at any time duringthe disclosure period more than 5 of the total assets or capital stock ofone of the types of business entities listed above You also must completethis part of the form for each of these types of businesses for which youare or were at any time during the disclosure period an officer directorpartner proprietor or agent (other than a resident agent solely for service ofprocess)

If you have or held such a position or ownership interest in one ofthese types of businesses list the name of the business its address andprincipal business activity and the position held with the business (if any) Ifyou own(ed) more than a 5 interest in the business indicate that fact anddescribe the nature of your interest

PART G mdash TRAINING CERTIFICATION[Required by s 1123142 FS]If you are a Constitutional or elected municipal officer whose

service began before March 31 of the year for which you are filingyou are required to complete four hours of ethics training which addresses Article II Section 8 of the Florida Constitution the Codeof Ethics for Public Officers and Employees and the public recordsand open meetings laws of the state You are required to certify onthis form that you have taken such training

(End of Dollar Value Thresholds Instructions)

PART A mdash PRIMARY SOURCES OF INCOME[Required by s 1123145(3)(a)1 FS]Part A is intended to require the disclosure of your principal

sources of income during the disclosure period You do not haveto disclose any public salary or public position(s) but income from these public sources should be included when calculating your gross income for the disclosure period The income of your spouse need not be disclosed however if there is joint income to you and your spouse from property you own jointly (such as interest or dividends from a bank account or stocks) you should include all of that income when calculating your gross income and disclose the source of that income if it exceeded the threshold

Please list in this part of the form the name address and principal business activity of each source of your income whichexceeded 5 of the gross income received by you in your own name or by any other person for your benefit or use during the disclosure period

Gross income means the same as it does for income tax purposes even if the income is not actually taxable such as interest on tax-free bonds Examples include compensation for servicesincome from business gains from property dealings interest rents dividends pensions IRA distributions social security distributive share of partnership gross income and alimony but not child support

Examplesmdash If you were employed by a company that manufactures computers and received more than 5 of your gross income from the company list the name of the company its address and its principal business activity (computer manufacturing)mdash If you were a partner in a law firm and your distributive share of partnership gross income exceeded 5 of your gross income then list the name of the firm its address and its principal business activity (practice of law)mdash If you were the sole proprietor of a retail gift business andyour gross income from the business exceeded 5 of your total gross income list the name of the business its addressand its principal business activity (retail gift sales)mdash If you received income from investments in stocks and bonds list each individual company from which you derived

more than 5 of your gross income Do not aggregate all of your investment incomemdash If more than 5 of your gross income was gain from the sale of property (not just the selling price) list as a source of income the purchaserrsquos name address and principal business activityIf the purchasers identity is unknown such as where securities listed on an exchange are sold through a brokerage firm the source of income should be listed as sale of (name of company)stock for examplemdash If more than 5 of your gross income was in the form of interest from one particular financial institution (aggregatinginterest from all CDrsquos accounts etc at that institution) list the name of the institution its address and its principal business activity

PART B mdash SECONDARY SOURCES OF INCOME[Required by s 1123145(3)(a)2 FS]This part is intended to require the disclosure of major customers

clients and other sources of income to businesses in which you ownan interest It is not for reporting income from second jobs That kindof income should be reported in Part A Primary Sources of Incomeif it meets the reporting threshold You will not have anything to reportunless during the disclosure period

(1) You owned (either directly or indirectly in the form of anequitable or beneficial interest) more than 5 of the total assetsor capital stock of a business entity (a corporation partnershipLLC limited partnership proprietorship joint venture trust firmetc doing business in Florida) and(2) You received more than 10 of your gross income from thatbusiness entity and(3) You received more than $1500 in gross income from thatbusiness entity

If your interests and gross income exceeded these thresholds thenfor that business entity you must list every source of income to thebusiness entity which exceeded 10 of the business entityrsquos grossincome (computed on the basis of the business entityrsquos most recentlycompleted fiscal year) the sourcersquos address and the sourcersquosprincipal business activity

IF YOU HAVE CHOSEN COMPARATIVE (PERCENTAGE) THRESHOLDSTHE FOLLOWING INSTRUCTIONS APPLY

CE FORM 1 - Effective January 1 2020 Incorporated by reference in Rule 34-8202 FAC PAGE 5

MANNER OF CALCULATING REPORTABLE INTEREST Filers have the option of reporting based on either thresholds that are comparative (usually based on percentage values) or thresholds that are based on absolute dollar values The instructions on the following pages specifically describe the different thresholds Check the box that reflects the choice you have made You must use the type of threshold you have chosen for each part of the form In other words if you choose to report based on absolute dollar value thresholds you cannot use a percentage threshold on any part of the form

IF YOU HAVE CHOSEN DOLLAR VALUE THRESHOLDS THE FOLLOWING INSTRUCTIONS APPLY

PART A mdash PRIMARY SOURCES OF INCOME [Required by s 1123145(3)(b)1 FS] Part A is intended to require the disclosure of your principal

sources of income during the disclosure period You do not have todisclose any public salary or public position(s) The income of yourspouse need not be disclosed however if there is joint income toyou and your spouse from property you own jointly (such as interestor dividends from a bank account or stocks) you should disclose thesource of that income if it exceeded the threshold

Please list in this part of the form the name address andprincipal business activity of each source of your income whichexceeded $2500 of gross income received by you in your own name or by any other person for your use or benefit

Gross income means the same as it does for income tax purposes even if the income is not actually taxable such as interest on tax-free bonds Examples include compensation for servicesincome from business gains from property dealings interest rentsdividends pensions IRA distributions social security distributive share of partnership gross income and alimony but not child support

Examples mdash If you were employed by a company that manufacturescomputers and received more than $2500 list the name of thecompany its address and its principal business activity (computermanufacturing) mdash If you were a partner in a law firm and your distributive shareof partnership gross income exceeded $2500 list the name ofthe firm its address and its principal business activity (practice oflaw) mdash If you were the sole proprietor of a retail gift business and yourgross income from the business exceeded $2500 list the nameof the business its address and its principal business activity(retail gift sales) mdash If you received income from investments in stocks and bondslist each individual company from which you derived more than$2500 Do not aggregate all of your investment income mdash If more than $2500 of your gross income was gain from thesale of property (not just the selling price) list as a source ofincome the purchaserrsquos name address and principal businessactivity If the purchaserrsquos identity is unknown such as wheresecurities listed on an exchange are sold through a brokeragefirm the source of income should be listed as sale of (name of company) stock for example mdash If more than $2500 of your gross income was in the formof interest from one particular financial institution (aggregatinginterest from all CDrsquos accounts etc at that institution) list the name of the institution its address and its principal business activity

PART B mdash SECONDARY SOURCES OF INCOME [Required by s 1123145(3)(b)2 FS] This part is intended to require the disclosure of major customers

clients and other sources of income to businesses in which you own aninterest It is not for reporting income from second jobs That kind of incomeshould be reported in Part A Primary Sources of Income if it meets thereporting threshold You will not have anything to report unless during thedisclosure period

(1) You owned (either directly or indirectly in the form of an equitableor beneficial interest) more than 5 of the total assets or capitalstock of a business entity (a corporation partnership LLC limitedpartnership proprietorship joint venture trust firm etc doing business in Florida) and (2) You received more than $5000 of your gross income during thedisclosure period from that business entity

If your interests and gross income exceeded these thresholds then for thatbusiness entity you must list every source of income to the business entitywhich exceeded 10 of the business entityrsquos gross income (computed onthe basis of the business entitys most recently completed fiscal year) thesourcersquos address and the sources principal business activity

Examples mdash You are the sole proprietor of a dry cleaning business from whichyou received more than $5000 If only one customer a uniform rentalcompany provided more than 10 of your dry cleaning business youmust list the name of the uniform rental company its address and itsprincipal business activity (uniform rentals) mdash You are a 20 partner in a partnership that owns a shopping malland your partnership income exceeded the above thresholds List eachtenant of the mall that provided more than 10 of the partnershipsgross income and the tenants address and principal business activity

PART C mdash REAL PROPERTY [Required by s 1123145(3)(b)3 FS] In this part list the location or description of all real property in Florida

in which you owned directly or indirectly at any time during the disclosureperiod in excess of 5 of the propertyrsquos value You are not required to listyour residences You should list any vacation homes if you derive incomefrom them

Indirect ownership includes situations where you are a beneficiary of atrust that owns the property as well as situations where you own more than5 of a partnership or corporation that owns the property The value of theproperty may be determined by the most recently assessed value for taxpurposes in the absence of a more current appraisal

The location or description of the property should be sufficient toenable anyone who looks at the form to identify the property A streetaddress should be used if one exists

PART D mdash INTANGIBLE PERSONAL PROPERTY [Required by s 1123145(3)(b)3 FS] Describe any intangible personal property that at any time during the

disclosure period was worth more than $10000 and state the businessentity to which the property related Intangible personal property includesthings such as cash on hand stocks bonds certificates of deposit vehicleleases interests in businesses beneficial interests in trusts money owedyou Deferred Retirement Option Program (DROP) accounts the FloridaPrepaid College Plan and bank accounts Intangible personal propertyalso includes investment products held in IRAs brokerage accounts andthe Florida College Investment Plan Note that the product contained in a brokerage account IRA or the Florida College Investment Plan is yourassetmdashnot the account or plan itself Things like automobiles and housesyou own jewelry and paintings are not intangible property Intangiblesrelating to the same business entity may be aggregated for example CDsand savings accounts with the same bank Property owned as tenants bythe entirety or as joint tenants with right of survivorship should be valued at100 The value of a leased vehicle is the vehiclersquos present value minusthe lease residual (a number found on the lease document)

CE FORM 1 - Effective January 1 2020 Incorporated by reference in Rule 34-8202 FAC PAGE 4

PART A mdash PRIMARY SOURCES OF INCOME[Required by s 1123145(3)(b)1 FS]Part A is intended to require the disclosure of your principal

sources of income during the disclosure period You do not have todisclose any public salary or public position(s) The income of yourspouse need not be disclosed however if there is joint income t oyou and your spouse from property you own jointly (such as interestor dividends from a bank account or stocks) you should disclose thesource of that income if it exceeded the threshold

Please list in this part of the form the name address andprincipal business activity of each source of your income whichexceeded $2500 of gross income received by you in your own name or by any other person for your use or benefit

Gross income means the same as it does for income taxpurposes even if the income is not actually taxable such as intereston tax-free bonds Examples include compensation for servicesincome from business gains from property dealings interest rentsdividends pensions IRA distributions social security distributiveshare of partnership gross income and alimony but not child support

Examplesmdash If you were employed by a company that manufacturescomputers and received more than $2500 list the name of thecompany its address and its principal business activity (computermanufacturing)mdash If you were a partner in a law firm and your distributive shareof partnership gross income exceeded $2500 list the name ofthe firm its address and its principal business activity (practice oflaw)mdash If you were the sole proprietor of a retail gift business and yourgross income from the business exceeded $2500 list the nameof the business its address and its principal business activity(retail gift sales)mdash If you received income from investments in stocks and bondslist each individual company from which you derived more than$2500 Do not aggregate all of your investment incomemdash If more than $2500 of your gross income was gain from thesale of property (not just the selling price) list as a source o fincome the purchaserrsquos name address and principal businessactivity If the purchaserrsquos identity is unknown such as wheresecurities listed on an exchange are sold through a brokeragefirm the source of income should be listed as sale of (name of company) stock for examplemdash If more than $2500 of your gross income was in the formof interest from one particular financial institution (aggregatinginterest from all CDrsquos accounts etc at that institution) list thename of the institution its address and its principal business activity

PART B mdash SECONDARY SOURCES OF INCOME[Required by s 1123145(3)(b)2 FS]This part is intended to require the disclosure of major customers

clients and other sources of income to businesses in which you own aninterest It is not for reporting income from second jobs That kind of incomeshould be reported in Part A Primary Sources of Income if it meets thereporting threshold You will not have anything to report unless during thedisclosure period

(1) You owned (either directly or indirectly in the form of an equitableor beneficial interest) more than 5 of the total assets or capitalstock of a business entity (a corporation partnership LLC limitedpartnership proprietorship joint venture trust firm etc doing business in Florida) and(2) You received more than $5000 of your gross income during thedisclosure period from that business entity

If your interests and gross income exceeded these thresholds then for thatbusiness entity you must list every source of income to the business entitywhich exceeded 10 of the business entityrsquos gross income (computed onthe basis of the business entitys most recently completed fiscal year) thesourcersquos address and the sources principal business activity

Examplesmdash You are the sole proprietor of a dry cleaning business from whichyou received more than $5000 If only one customer a uniform rentalcompany provided more than 10 of your dry cleaning business youmust list the name of the uniform rental company its address and itsprincipal business activity (uniform rentals)mdash You are a 20 partner in a partnership that owns a shopping malland your partnership income exceeded the above thresholds List eachtenant of the mall that provided more than 10 of the partnershipsgross income and the tenants address and principal business activity

PART C mdash REAL PROPERTY[Required by s 1123145(3)(b)3 FS]In this part list the location or description of all real property in Florida

in which you owned directly or indirectly at any time during the disclosureperiod in excess of 5 of the propertyrsquos value You are not required to listyour residences You should list any vacation homes if you derive incomefrom them

Indirect ownership includes situations where you are a beneficiary of atrust that owns the property as well as situations where you own more than5 of a partnership or corporation that owns the property The value of theproperty may be determined by the most recently assessed value for taxpurposes in the absence of a more current appraisal

The location or description of the property should be sufficient toenable anyone who looks at the form to identify the property A streetaddress should be used if one exists

PART D mdash INTANGIBLE PERSONAL PROPERTY[Required by s 1123145(3)(b)3 FS]Describe any intangible personal property that at any time during the

disclosure period was worth more than $10000 and state the businessentity to which the property related Intangible personal property includesthings such as cash on hand stocks bonds certificates of deposit vehicleleases interests in businesses beneficial interests in trusts money owedyou Deferred Retirement Option Program (DROP) accounts the FloridaPrepaid College Plan and bank accounts Intangible personal propertyalso includes investment products held in IRAs brokerage accounts andthe Florida College Investment Plan Note that the product contained ina brokerage account IRA or the Florida College Investment Plan is yourassetmdashnot the account or plan itself Things like automobiles and housesyou own jewelry and paintings are not intangible property Intangiblesrelating to the same business entity may be aggregated for example CDsand savings accounts with the same bank Property owned as tenants bythe entirety or as joint tenants with right of survivorship should be valued at100 The value of a leased vehicle is the vehiclersquos present value minusthe lease residual (a number found on the lease document)

Filers have the option of reporting based on either thresholds that are comparative (usually based on percentage values) orthresholds that are based on absolute dollar values The instructions on the following pages specifically describe the differentthresholds Check the box that reflects the choice you have made You must use the type of threshold you have chosen for eachpart of the form In other words if you choose to report based on absolute dollar value thresholds you cannot use a percentagethreshold on any part of the form

MANNER OF CALCULATING REPORTABLE INTEREST

IF YOU HAVE CHOSEN DOLLAR VALUE THRESHOLDSTHE FOLLOWING INSTRUCTIONS APPLY

CE FORM 1 - Effective January 1 2020 Incorporated by reference in Rule 34-8202 FAC PAGE 4

PART E mdash LIABILITIES [Required by s 1123145(3)(b)4 FS] List the name and address of each creditor to whom you owed more

than $10000 at any time during the disclosure period The amount of theliability of a vehicle lease is the sum of any past-due payments and allunpaid prospective lease payments You are not required to list the amountof any debt You do not have to disclose credit card and retail installmentaccounts taxes owed (unless reduced to a judgment) indebtedness ona life insurance policy owed to the company of issuance or contingentliabilities A ldquocontingent liabilityrdquo is one that will become an actual liabilityonly when one or more future events occur or fail to occur such as whereyou are liable only as a guarantor surety or endorser on a promissorynote If you are a ldquoco-makerrdquo and are jointly liable or jointly and severallyliable then it is not a contingent liability

PART F mdash INTERESTS IN SPECIFIED BUSINESSES [Required by s 1123145(6) FS] The types of businesses covered in this disclosure include state and

federally chartered banks state and federal savings and loan associationscemetery companies insurance companies mortgage companies creditunions small loan companies alcoholic beverage licensees pari-mutuelwagering companies utility companies entities controlled by the PublicService Commission and entities granted a franchise to operate by either acity or a county government

Disclose in this part the fact that you owned during the disclosure period aninterest in or held any of certain positions with the types of businesses listedabove You must make this disclosure if you own or owned (either directly orindirectly in the form of an equitable or beneficial interest) at any time duringthe disclosure period more than 5 of the total assets or capital stock ofone of the types of business entities listed above You also must completethis part of the form for each of these types of businesses for which youare or were at any time during the disclosure period an officer directorpartner proprietor or agent (other than a resident agent solely for service ofprocess)

If you have or held such a position or ownership interest in one ofthese types of businesses list the name of the business its address andprincipal business activity and the position held with the business (if any) Ifyou own(ed) more than a 5 interest in the business indicate that fact anddescribe the nature of your interest

PART G mdash TRAINING CERTIFICATION [Required by s 1123142 FS] If you are a Constitutional or elected municipal officer whose

service began before March 31 of the year for which you are filingyou are required to complete four hours of ethics training which addresses Article II Section 8 of the Florida Constitution the Code of Ethics for Public Officers and Employees and the public recordsand open meetings laws of the state You are required to certify onthis form that you have taken such training

(End of Dollar Value Thresholds Instructions)

IF YOU HAVE CHOSEN COMPARATIVE (PERCENTAGE) THRESHOLDS THE FOLLOWING INSTRUCTIONS APPLY

PART A mdash PRIMARY SOURCES OF INCOME [Required by s 1123145(3)(a)1 FS] Part A is intended to require the disclosure of your principal

sources of income during the disclosure period You do not haveto disclose any public salary or public position(s) but income from these public sources should be included when calculating your gross income for the disclosure period The income of your spouse need not be disclosed however if there is joint income to you and your spouse from property you own jointly (such as interest or dividends from a bank account or stocks) you should include all of that income when calculating your gross income and disclose the source of that income if it exceeded the threshold

Please list in this part of the form the name address and principal business activity of each source of your income whichexceeded 5 of the gross income received by you in your own name or by any other person for your benefit or use during the disclosure period

Gross income means the same as it does for income tax purposes even if the income is not actually taxable such as interest on tax-free bonds Examples include compensation for servicesincome from business gains from property dealings interest rents dividends pensions IRA distributions social security distributive share of partnership gross income and alimony but not child support

Examples mdash If you were employed by a company that manufactures computers and received more than 5 of your gross income from the company list the name of the company its address and its principal business activity (computer manufacturing) mdash If you were a partner in a law firm and your distributive share of partnership gross income exceeded 5 of your gross income then list the name of the firm its address and its principal business activity (practice of law) mdash If you were the sole proprietor of a retail gift business andyour gross income from the business exceeded 5 of your total gross income list the name of the business its addressand its principal business activity (retail gift sales) mdash If you received income from investments in stocks and bonds list each individual company from which you derived

more than 5 of your gross income Do not aggregate all of your investment income mdash If more than 5 of your gross income was gain from the sale of property (not just the selling price) list as a source of income the purchaserrsquos name address and principal business activityIf the purchasers identity is unknown such as where securities listed on an exchange are sold through a brokerage firm the source of income should be listed as sale of (name of company)stock for example mdash If more than 5 of your gross income was in the form of interest from one particular financial institution (aggregatinginterest from all CDrsquos accounts etc at that institution) list the name of the institution its address and its principal business activity

PART B mdash SECONDARY SOURCES OF INCOME [Required by s 1123145(3)(a)2 FS] This part is intended to require the disclosure of major customers

clients and other sources of income to businesses in which you ownan interest It is not for reporting income from second jobs That kindof income should be reported in Part A Primary Sources of Incomeif it meets the reporting threshold You will not have anything to report unless during the disclosure period

(1) You owned (either directly or indirectly in the form of anequitable or beneficial interest) more than 5 of the total assetsor capital stock of a business entity (a corporation partnershipLLC limited partnership proprietorship joint venture trust firmetc doing business in Florida) and (2) You received more than 10 of your gross income from thatbusiness entity and (3) You received more than $1500 in gross income from thatbusiness entity

If your interests and gross income exceeded these thresholds thenfor that business entity you must list every source of income to thebusiness entity which exceeded 10 of the business entityrsquos grossincome (computed on the basis of the business entityrsquos most recentlycompleted fiscal year) the sourcersquos address and the sourcersquos principal business activity

CE FORM 1 - Effective January 1 2020 Incorporated by reference in Rule 34-8202 FAC PAGE 5

NOTICE Annual Statements of Financial Interests are due July 1 If the annual form is not filed or postmarked by September 1 an automatic fine of $25 for each day late will be imposed up to a maximum penalty of $1500 Failure to file also can result in removal from public office or employment [s 1123145 FS]

In addition failure to make any required disclosure constitutes grounds for and may be punished by one or more of the following disqualification from being on the ballot impeachment removal or suspension from office or employment demotion reduction in salary reprimand or a civil penalty not exceeding $10000 [s 112317 FS]

1) Elected public officials not serving in a political subdivision of thestate and any person appointed to fill a vacancy in such office unlessrequired to file full disclosure on Form 62) Appointed members of each board commission authority

or council having statewide jurisdiction excluding members of solelyadvisory bodies but including judicial nominating commission membersDirectors of Enterprise Florida Scripps Florida Funding Corporationand Career Source Florida and members of the Council on the SocialStatus of Black Men and Boys the Executive Director Governors and senior managers of Citizens Property Insurance CorporationGovernors and senior managers of Florida Workers Compensation JointUnderwriting Association board members of the Northeast Fla RegionalTransportation Commission board members of Triumph Gulf Coast Incboard members of Florida Is For Veterans Inc and members of theTechnology Advisory Council within the Agency for State Technology3) The Commissioner of Education members of the State Board

of Education the Board of Governors the local Boards of Trustees andPresidents of state universities and the Florida Prepaid College Board4) Persons elected to office in any political subdivision (such a s

municipalities counties and special districts) and any person appointedto fill a vacancy in such office unless required to file Form 65) Appointed members of the following boards councils

commissions authorities or other bodies of county municipality schooldistrict independent special district or other political subdivision thegoverning body of the subdivision community college or junior collegedistrict boards of trustees boards having the power to enforce local codeprovisions boards of adjustment community redevelopment agenciesplanning or zoning boards having the power to recommend create ormodify land planning or zoning within a political subdivision except forcitizen advisory committees technical coordinating committees andsimilar groups who only have the power to make recommendationsto planning or zoning boards and except for representatives of amilitary installation acting on behalf of all military installations within thatjurisdiction pension or retirement boards empowered to invest pensionor retirement funds or determine entitlement to or amount of pensions orother retirement benefits and the Pinellas County Construction LicensingBoard6) Any appointed member of a local government board who

is required to file a statement of financial interests by the appointingauthority or the enabling legislation ordinance or resolution creating theboard7) Persons holding any of these positions in local government

mayor county or city manager chief administrative employee or finance

director of a county municipality or other political subdivision countyor municipal attorney chief county or municipal building inspectorcounty or municipal water resources coordinator county or municipalpollution control director county or municipal environmental controldirector county or municipal administrator with power to grant or denya land development permit chief of police fire chief municipal clerkappointed district school superintendent community college presidentdistrict medical examiner purchasing agent (regardless of title) havingthe authority to make any purchase exceeding $35000 for the localgovernmental unit8) Officers and employees of entities serving as chief administrative

officer of a political subdivision9) Members of governing boards of charter schools operated by a

city or other public entity10) Employees in the office of the Governor or of a Cabinet member

who are exempt from the Career Service System excluding secretarialclerical and similar positions11) The following positions in each state department commission

board or council Secretary Assistant or Deputy Secretary ExecutiveDirector Assistant or Deputy Executive Director and anyone having thepower normally conferred upon such persons regardless of title12) The following positions in each state department or division

Director Assistant or Deputy Director Bureau Chief and any personhaving the power normally conferred upon such persons regardless oftitle13) Assistant State Attorneys Assistant Public Defenders criminal

conflict and civil regional counsel and assistant criminal conflict and civilregional counsel Public Counsel full-time state employees serving ascounsel or assistant counsel to a state agency administrative law judgesand hearing officers14) The Superintendent or Director of a state mental health institute

established for training and research in the mental health field or anymajor state institution or facility established for corrections trainingtreatment or rehabilitation15) State agency Business Managers Finance and Accounting

Directors Personnel Officers Grant Coordinators and purchasingagents (regardless of title) with power to make a purchase exceeding$3500016) The following positions in legislative branch agencies each

employee (other than those employed in maintenance clerical secretarial or similar positions and legislative assistants exemptedby the presiding officer of their house) and each employee of theCommission on Ethics

INSTRUCTIONS FOR COMPLETING FORM 1INTRODUCTORY INFORMATION (Top of Form) If your name mailing address public agency and position are already printed on the form you do not need to provide this information unless it should be changed To change any of this information write the correct information on the form and contact your agencys financial disclosure coordinator You can find your coordinator on the Commission on Ethics website wwwethicsstateflus NAME OF AGENCY The name of the governmental unit which you serve or served by which you are or were employed or for which you are a candidate DISCLOSURE PERIOD The ldquodisclosure periodrdquo for your report is the calendar year ending December 31 2019

OFFICE OR POSITION HELD OR SOUGHT The title of the office or position you hold are seeking or held during the disclosure period even if you have since left that position If you are a candidate for office or are a new employee or appointee check the appropriate boxPUBLIC RECORD The disclosure form and everythingattached to it is a public record Your Social Security Number is not required and you should redact it from any documents you file If you are an active or former officer or employee listed in Section 119071 FS whose home address is exempt from disclosure the Commission will maintain that confidentiality if you submit a written request

WHO MUST FILE FORM 1

CE FORM 1 - Effective January 1 2020 Incorporated by reference in Rule 34-8202 FAC PAGE 3

Examples PART E mdash LIABILITIES mdash You are the sole proprietor of a dry cleaning business from [Required by s 1123145(3)(b)4 FS]which you received more than 10 of your gross incomemdashan List the name and address of each creditor to whom you owed amount that was more than $1500 If only one customer a any amount that at any time during the disclosure period exceeded uniform rental company provided more than 10 of your dry your net worth You are not required to list the amount of any debt cleaning business you must list the name of the uniform rental or your net worth You do not have to disclose credit card and retail company its address and its principal business activity (uniform installment accounts taxes owed (unless reduced to a judgment) rentals) indebtedness on a life insurance policy owed to the company of mdash You are a 20 partner in a partnership that owns a shopping issuance or contingent liabilities A ldquocontingent liabilityrdquo is one mall and your partnership income exceeded the thresholds that will become an actual liability only when one or more future listed above You should list each tenant of the mall that events occur or fail to occur such as where you are liable only as provided more than 10 of the partnershiprsquos gross income and a guarantor surety or endorser on a promissory note If you are a the tenantrsquos address and principal business activity ldquoco-makerrdquo and are jointly liable or jointly and severally liable it is not

a contingent liability PART C mdash REAL PROPERTY Calculations To determine whether the debt exceeds your

[Required by s 1123145(3)(a)3 FS] net worth total all of your liabilities (including promissory notes mortgages credit card debts judgments against you etc) TheIn this part list the location or description of all real property in amount of the liability of a vehicle lease is the sum of any past-due Florida in which you owned directly or indirectly at any time during payments and all unpaid prospective lease payments Subtract the disclosure period in excess of 5 of the propertyrsquos value You the sum total of your liabilities from the value of all your assets are not required to list your residences You should list any vacation as calculated above for Part D This is your ldquonet worthrdquo List each homes if you derive income from them creditor to whom your debt exceeded this amount unless it is one of

Indirect ownership includes situations where you are a the types of indebtedness listed in the paragraph above (credit card beneficiary of a trust that owns the property as well as situations and retail installment accounts etc) Joint liabilities with others for where you own more than 5 of a partnership or corporation that which you are ldquojointly and severally liablerdquo meaning that you may owns the property The value of the property may be determined by be liable for either your part or the whole of the obligation should be the most recently assessed value for tax purposes in the absence included in your calculations at 100 of the amount owed of a more current appraisal

Example You owe $15000 to a bank for student loans $5000 The location or description of the property should be sufficient for credit card debts and $60000 (with spouse) to a savings to enable anyone who looks at the form to identify the property A and loan for a home mortgage Your home (owned by you and street address should be used if one exists your spouse) is worth $80000 and your other property is worth PART D mdash INTANGIBLE PERSONAL PROPERTY $20000 Since your net worth is $20000 ($100000 minus

$80000) you must report only the name and address of the [Required by s 1123145(3)(a)3 FS] savings and loan Describe any intangible personal property that at any time

during the disclosure period was worth more than 10 of your PART F mdash INTERESTS IN SPECIFIED BUSINESSES total assets and state the business entity to which the property [Required by s 1123145 FS] related Intangible personal property includes things such as cash on hand stocks bonds certificates of deposit vehicle leases The types of businesses covered in this disclosure include interests in businesses beneficial interests in trusts money owed state and federally chartered banks state and federal savings and you Deferred Retirement Option Program (DROP) accounts loan associations cemetery companies insurance companies the Florida Prepaid College Plan and bank accounts Intangible mortgage companies credit unions small loan companies alcoholic personal property also includes investment products held in IRAs beverage licensees pari-mutuel wagering companies utilitybrokerage accounts and the Florida College Investment Plan companies entities controlled by the Public Service Commission Note that the product contained in a brokerage account IRA or the and entities granted a franchise to operate by either a city or a Florida College Investment Plan is your assetmdashnot the account or county governmentplan itself Things like automobiles and houses you own jewelry Disclose in this part the fact that you owned during the and paintings are not intangible property Intangibles relating to the disclosure period an interest in or held any of certain positions same business entity may be aggregated for example CDrsquos and with the types of businesses listed above You are requiredsavings accounts with the same bank to make this disclosure if you own or owned (either directly or

Calculations To determine whether the intangible property indirectly in the form of an equitable or beneficial interest) at any exceeds 10 of your total assets total the fair market value of time during the disclosure period more than 5 of the total assets all of your assets (including real property intangible property and or capital stock of one of the types of business entities listed above tangible personal property such as jewelry furniture etc) When You also must complete this part of the form for each of these types making this calculation do not subtract any liabilities (debts) that of businesses for which you are or were at any time during themay relate to the property Multiply the total figure by 10 to arrive disclosure period an officer director partner proprietor or agent at the disclosure threshold List only the intangibles that exceed (other than a resident agent solely for service of process) this threshold amount The value of a leased vehicle is the vehiclersquos If you have or held such a position or ownership interest in present value minus the lease residual (a number which can be one of these types of businesses list the name of the business its found on the lease document) Property that is only jointly owned address and principal business activity and the position held with property should be valued according to the percentage of your the business (if any) If you own(ed) more than a 5 interest in the joint ownership Property owned as tenants by the entirety or as business indicate that fact and describe the nature of your interest joint tenants with right of survivorship should be valued at 100 None of your calculations or the value of the property have to be PART G mdash TRAINING CERTIFICATIONdisclosed on the form

[Required by s 1123142 FS] Example You own 50 of the stock of a small corporation that is worth $100000 the estimated fair market value of If you are a Constitutional or elected municipal officer whoseyour home and other property (bank accounts automobile service began before March 31 of the year for which you are filing furniture etc) is $200000 As your total assets are worth you are required to complete four hours of ethics training which $250000 you must disclose intangibles worth over $25000 addresses Article II Section 8 of the Florida Constitution the Code Since the value of the stock exceeds this threshold you of Ethics for Public Officers and Employees and the public records should list ldquostockrdquo and the name of the corporation If your and open meetings laws of the state You are required to certify on accounts with a particular bank exceed $25000 you should this form that you have taken such training list ldquobank accountsrdquo and bankrsquos name

(

End of Percentage Thresholds Instructions) CE FORM 1 - Effective January 1 2020 Incorporated by reference in Rule 34-8202 FAC PAGE 6

  • 0 HP Cover Page v2
  • 1 Hawks Point Meeting Invite Draft v2
  • 2 Agenda Draft v3
  • 3 EXHIBIT 1
  • 7 HP 05-19-2020 Meeting Minutes Approved
  • 6 EXHIBIT 2
  • 9 HP May FY20 Fin
  • 8 EXHIBIT 3
  • 4 Vacant Position Qualification Requirements for Hawks Point CDD
    • Vacant Position on the Board of Supervisors of the Hawkrsquos Point Community Development District
      • Qualification Requirements
      • Instructions for Interested Candidates
      • Additional Notes
          • 5 Shami Choon Vacant Position - updated 11-5-11 resume
            • 1803 Oak Pond Street Ruskin Fl 33570 E-mailchoons27gmailcom
              • PROFESSIONAL HISTORY
                • Operations Manager Florida Distribution 2002 ndash 2005
                • Operations Manager for Florida Branch Distribution 1999 ndash 2002
                • Warehouse Manager of Miami Distribution Center 1998 ndash 1999
                • Branch Manager of West Palm Beach 1994 ndash 1998
                • Assistant Branch Manager 1991 ndash 1994
                • Customer Service Agent 1990 ndash 1991
                  • 10 EXHIBIT 4
                  • 11 New Business - Hawks Point CDD - MI proposal
                  • 12 EXHIBIT 5
                  • 13 CertaPro Proposal to Paint Exterior Wall 18th to 24th Avenue
                  • 14 Shazam Construction Proposal to Paint Exterior Wall 18th to 24th Street
                    • QUOTE
                      • TO
                          • 15 Photo to accompany Shazam Proposal
                          • 16 EXHIBIT 6
                          • 17 CertaPro Proposal for Pressure Washing Exterior Wall 18th St to 24th Street
                          • 18 Shazam Construction Proposal for Pressure Washing Exterion Wall 18th Street to 24th Street
                            • QUOTE
                              • TO
                                  • 19 EXHIBIT 7
                                  • 20 Form 1_2019i
                                      1. LAST NAME
                                      2. FIRST NAME
                                      3. MIDDLE NAME
                                      4. MAILING ADDRESS ROW 1
                                      5. MAILING ADDRESS ROW 2
                                      6. CITY
                                      7. ZIP
                                      8. COUNTY
                                      9. NAME OF AGENCY
                                      10. NAME OF OFFICE OR POSITION HELD OR SOUGHT
                                      11. CANDIDATE Off
                                      12. NEW EMPLOYEE OR APPOINTEE Off
                                      13. COMPARATIVE (PERCENTAGE) THRESHOLDS Off
                                      14. DOLLAR VALUE THRESHOLDS Off
                                      15. NAME OF SOURCE INCOME ROW 1
                                      16. ADDRESS ROW 1
                                      17. DESCRIPTION OF THE SOURCES PRINCIPAL BUSINESS ACTIVITY ROW 1
                                      18. NAME OF SOURCE INCOME ROW 2
                                      19. ADDRESS ROW 2
                                      20. DESCRIPTION OF THE SOURCES PRINCIPAL BUSINESS ACTIVITY ROW 2
                                      21. NAME OF SOURCE INCOME ROW 3
                                      22. ADDRESS ROW 3
                                      23. DESCRIPTION OF THE SOURCES PRINCIPAL BUSINESS ACTIVITY ROW 3
                                      24. NAME OF SOURCE INCOME ROW 4
                                      25. ADDRESS ROW 4
                                      26. DESCRIPTION OF THE SOURCES PRINCIPAL BUSINESS ACTIVITY ROW 4
                                      27. NAME OF BUSINESS ENTITY ROW 1
                                      28. NAME OF MAJOR SOURCES OF BUSINESS INCOME ROW 1
                                      29. ADDRESS OF SOURCE ROW 1
                                      30. PRINCIPAL BUSINESS ACTIVITY OF SOURCE ROW 1
                                      31. NAME OF BUSINESS ENTITY ROW 2
                                      32. NAME OF MAJOR SOURCES OF BUSINESS INCOME ROW 2
                                      33. ADDRESS OF SOURCE ROW 2
                                      34. PRINCIPAL BUSINESS ACTIVITY OF SOURCE ROW 2
                                      35. NAME OF BUSINESS ENTITY ROW 3
                                      36. NAME OF MAJOR SOURCES OF BUSINESS INCOME ROW 3
                                      37. ADDRESS OF SOURCE ROW 3
                                      38. PRINCIPAL BUSINESS ACTIVITY OF SOURCE ROW 3
                                      39. REAL PROPERTY ROW 1
                                      40. REAL PROPERTY ROW 2
                                      41. REAL PROPERTY ROW 3
                                      42. REAL PROPERTY ROW 4
                                      43. TYPE OF INTANGIBLE ROW 1
                                      44. BUSINESS ENTITY TO WHICH THE PROPERTY RELATES ROW 1
                                      45. TYPE OF INTANGIBLE ROW 2
                                      46. BUSINESS ENTITY TO WHICH THE PROPERTY RELATES ROW 2
                                      47. NAME OF CREDITOR ROW 1
                                      48. ADDRESS OF CREDITOR ROW 1
                                      49. NAME OF CREDITOR ROW 2
                                      50. ADDRESS OF CREDITOR ROW 2
                                      51. ADDRESS OF BUSINESS ENTITY 1
                                      52. PRINCIPAL BUSINESS ACTIVITY 1
                                      53. POSITION HELD WITH ENTITY 1
                                      54. I OWN MORE THAN A 5 INTEREST IN THE BUSINESS 1
                                      55. NATURE OF MY OWNERSHIP INTEREST 1
                                      56. ADDRESS OF BUSINESS ENTITY 2
                                      57. PRINCIPAL BUSINESS ACTIVITY 2
                                      58. POSITION HELD WITH ENTITY 2
                                      59. I OWN MORE THAN A 5 INTEREST IN THE BUSINESS 2
                                      60. NATURE OF MY OWNERSHIP INTEREST 2
                                      61. FOR ELECTED MUNICIPAL OFFICERS REQUIRED TO COMPLETE ANNUAL ETHICS TRAINING PURSUANT TO SECTION 112
                                        1. 3142 F
                                          1. S Off
                                              1. IF ANY OF PARTS A THROUGH G ARE CONTINUED ON A SEPARATE SHEET PLEASE CHECK HERE Off
                                              2. SIGNATURE
                                              3. Date Signed
Page 23: HAWKS POINT COMMUNITY DEVELOPMENT …...2020/06/16  · Hawks Point Community Development District Board of Supervisors Meeting Tuesday, June 16th at 6:30 PM via Zoom All: We welcome

1

Sookdeo (Shami) Choon Phone number (813) 731-5564 1803 Oak Pond Street Ruskin Fl 33570 E-mailchoons27gmailcom

PROFESSIONAL HISTORY Firkins GroupGarber Nissan December 2013 to Present Commercial Vehicle Sales ManagerFinance Manager Auto Nation From January 2006 to December 2013 Sales 2006- 2007 Finance Manager 2007- 2008 Sales Manager Training Manager 2008-2009 Sales Finance 2009- 2011 Commercial Sales Manager Finance Manager 2011- 2020 Parts Depot Inc From 1990 to 2005 ___________________________________________________________________________________________ Operations Manager Florida Distribution 2002 ndash 2005 bull Responsible for total inventory control of all Florida warehouses frac12 of the corporationrsquos revenue bull Directed top management to complete acquisition consolidations which resulted in the corporationrsquos

expansion bull Managed all Florida branch warehouse managers and employees totaling 200 employees bull Increased productivity and shipping efficiency in all departments developed new delivery logistics

improved product availability to all customers as well a hired and efficiently trained employees bull Reviewed all customer service statistics daily and contacted customer directly on all issues bull Reviewed PampLrsquos for all units monthly bull Presented weekly productivity and financial reports to senior management bull Directed DOT monthly guidelines maintained driver files in accordance with DOT regulations and

implemented loss prevention programs Operations Manager for Florida Branch Distribution 1999 ndash 2002 bull Improved customer service by increasing product availability to customers by implementing new

delivery logistics bull Developed employee training implemented safety awareness and monthly safety programs Warehouse Manager of Miami Distribution Center 1998 ndash 1999 bull Developed and implemented productivity guidelines implemented delivery cost saving programs

and improved product availability to the corporationrsquos customers Branch Manager of West Palm Beach 1994 ndash 1998 bull Responsible for the opening of this new branch set the building layout as well as the delivery and

logistics systems

2

bull Increased sales by 80 over budget and kept operating cost as of sales Implemented new customer service department Hired and trained all employees

Assistant Branch Manager 1991 ndash 1994 bull Increased productivity by 20 and improved delivery service Customer Service Agent 1990 ndash 1991 bull Created and implemented customer service guidelines Wingate Automotive Group 1987ndash 1990 Trinidad amp Tobago Government National Security 1984- 1987 Field Operation

EXHIBIT 4

PO Box 267 Seffner FL 33583 O 813-757-6500 F 813-757-6501 Estimate

Submitted To Hawks Point CDD 250 International Parkway Suite 280 Lake Mary FL 32746

CDD - controller 4 - zones 1 and 2

Date 5232020

Estimate 66077

LMP REPRESENTATIVE

DG-TI

PO

W ork Order

DESCRIPTION QTY COST TOTAL

Controller 4 34 inch poly pipe 34 inch poly pipe clamps Labor 2 men $ 8500 per hour

Irrigation inspection repairs needed Repair 6 - 34 inch poly pipe line leaks

6 12 05

072 129

8500

432 1548 4250

TERMS AND CONDITIONS TOTAL $6230

LMP reserves the right to withdraw this proposal if not accepted within 30 days of the date listed above Any alteration or deviation to scope of work involving additional costs must be agreed upon in writing as a separate proposal or change order to this proposal Periodic invoices may be submitted if job is substantial in nature with final invoice being submitted at completion of project Any work performed requiring more than 5 days to complete is subject to progressive payments as portions of the work are completed No finance charge will be imposed if the total of said work is paid in full within 30 days of invoice date If not paid in full within 30 days then customer is subject to finance charges on the balance of the work from the invoice date at a rate of 15 per month until paid LMP shall have the right to stop work under this contract until all outstanding amounts including finance charges are paid in full Payments will be applied to the oldest invoices

ACCEPTANCE OF PROPOSAL The above prices scope of work and terms and conditions are hereby satisfactorily agreed upon LMP Inc has been authorized to perform the work as outlined and payment will be made as outlined above The above pricing does not include any unforeseen modifications to the said irrigation system that could not be reasonably accounted for prior to job start All plant material carries a one (1) year warranty provided LMP Inc is performing landscape maintenance services to the area installed or enhanced at the time of installation If not then there is no warranty on the plant material

OWNER AGENT

DATE

EXHIBIT 5

Independent Franchise Owner Job TBE8F300154 Terry Beamer 9266 Lazy Ln

Date 06012020

EXTERIOR PROPOSALEXTERIOR PROPOSALEXTERIOR PROPOSALEXTERIOR PROPOSAL Tampa FL 33614 813-936-9242

Fax 813 936-9172

1-800-462-3782

License PA2508

Full Workers Compensation Coverage$2000000 General Liability Insurance

DPFG Management amp Consulting LLC (Hawks Point) Raymond Lotito (SB) Hawks Point CDD Ruskin FL 33570 Phone 813-418-7473 Cell 813-220-6089 Email raymondlotitodpfgcom

Special Notes CERTAPRO PAINTERS WILL PAINT WALL FACING 19ST FROM 18TH-24TH

SPECIAL ATTENTION ADDRESSING STUCCO CRACKS USING CONCRETE AND MASONRY PATCH

SPECIAL ATTENTION PRESSURE WASHING LOOSE PEELING PAINT PRIOR TO PAINTING

CERTAPRO PAINTERS WILL ONLY PAINT STREET FACING SIDE- HOMEOWNERS SIDE EXCLUDED FROM PROPOSAL

CUSTOMER RESPONSIBILITIES Please cut back all shrubs bushes and palms away from wall

GENERAL DESCRIPTION Painting to Exterior Wall 18th-24th Facing 19th Ave

PREPARATION Washing To remove dirt mildew and loose paint so the new finish coat will adhere properly

Caulking To fill all cracks and gaps around windows and doorswood work to seal out moisture and drafts Stair step

cracks

Scraping Scrape all loose and peeling paint to ensure a firm base for the new paint

Masonry Repair to all cracks gaps and holes with elastemeric caulking or masonry patch as required

Sanding To degloss where necessary to promote adhesion of the top coat

Surface TypeArea Primer PurposePRIMING

Masonry Loxon sealerprimer Latex For propor top coat adhesion

Conditioner Loxon sealerprimer to all Latex For proper top coat adhesion

masonry surfaces

FINISH COATS

Surface Area

Exterior

ManufacturePaint Type

Sherwin Williams Resilience Ext Satin

Coats

1 primer-sealer 1 spray 1 backroll stucco

Color

Same As Existing

Clean Up Daily and upon completion

$1132900 All Labor Paint Materials

$1132900 TOTAL

Signature of Authorized Franchise Representative Date

Payment is due In Full upon Job Completion

(IWE HAVE READ THE TERMS STATED HEREIN THEY HAVE (IWE) HAVE EXAMINED THE JOB STATED HEREIN THEY EXPLAINED TO (MEUS) AND (IWE) FIND THEM TO BE HAVE SHOWN TO (MEUS) AND (IWE) FIND THE JOB TO SATISFACTORY AND HEREBY ACCEPT THEM BE SATISFACTORY AND HEREBY ACCEPT THE JOB AS

COMPLETE

SIGNATURE Date SIGNATURE Date

QUOTE

Shazam Construction LLC DATE MAY 13 2020

Shazam Hera 6773 Waterton Drive Riverview FL 33578 813-385-4591 ShazamConstructionLLCgmailcom Hawks Point CDD

TO Bill to Development Planning and Financing Group 15310 Amberly Drive Suite 175 Tampa FL 33647

QUANITY DESCRIPTION UNIT PRICE LINE TOTAL

Pressure wash the wall that parallels 19th avenue from 18th street to 24th street in Hawks Point CDD in Ruskin

$1270000

Repair any cracks with caulk or elastomeric as neededPrep for paint

Paint the wall that parallels 19th avenue from 18th street to 24th street in Hawks Point CDD in Ruskin

Paint using body trim and caps of exterior wall facing 19th avenue

Paint while matching existing colors

Paint using Sherwin Williams

All paint materials and labor is included

SUBTOTAL

SALES TAX

TOTAL $1270000

Make all checks payable to Shazam Construction LLC

THANK YOU FOR YOUR BUSINESS

EXHIBIT 6

Independent Franchise Owner Job TB443B00157 Terry Beamer 9266 Lazy Ln

Date 06052020

EXTERIOR PROPOSALEXTERIOR PROPOSALEXTERIOR PROPOSALEXTERIOR PROPOSAL Tampa FL 33614 813-936-9242

Fax 813 936-9172

1-800-462-3782

License PA2508

Full Workers Compensation Coverage$2000000 General Liability Insurance

DPFG Management amp Consulting LLC (Hawks Point) Raymond Lotito (SB) Hawks Point CDD Ruskin FL 33570 Phone 813-418-7473 Cell 813-220-6089 Email raymondlotitodpfgcom

Special Notes CERTAPRO PAINTERS PRESSURE WASHING PROPOSAL 18TH-24TH

CERTAPRO PAINTERS WILL PRESSURE WASH WALL FACING 19TH ST ONLY

GENERAL DESCRIPTION Painting to

PREPARATION Washing To remove dirt mildew and loose paint so the new finish coat will adhere properly

PRIMING Surface TypeArea Primer Purpose

Clean Up Daily and upon completion

All Labor Paint Materials

TOTAL

$195000

$195000

Signature of Authorized Franchise Representative Date

Payment is due In Full upon Job Completion

(IWE HAVE READ THE TERMS STATED HEREIN THEY HAVE (IWE) HAVE EXAMINED THE JOB STATED HEREIN THEY EXPLAINED TO (MEUS) AND (IWE) FIND THEM TO BE HAVE SHOWN TO (MEUS) AND (IWE) FIND THE JOB TO SATISFACTORY AND HEREBY ACCEPT THEM BE SATISFACTORY AND HEREBY ACCEPT THE JOB AS

COMPLETE

SIGNATURE Date SIGNATURE Date

QUOTE

Shazam Construction LLC DATE JUNE 5 2020

Shazam Hera 6773 Waterton Drive Riverview FL 33578 813-385-4591 ShazamConstructionLLCgmailcom Hawks Point CDD

TO Bill to Development Planning and Financing Group 15310 Amberly Drive Suite 175 Tampa FL 33647

QUANITY DESCRIPTION UNIT PRICE LINE TOTAL

Pressure wash the wall that parallels 19th avenue from 18th street to 24th street in Hawks Point CDD in Ruskin

$160000

All materials and labor is included

SUBTOTAL

SALES TAX

TOTAL $160000

Make all checks payable to Shazam Construction LLC

THANK YOU FOR YOUR BUSINESS

EXHIBIT 7

2019FORM 1 STATEMENT OF

Please print or type your name mailing FOR OFFICE USE ONLY FINANCIAL INTERESTS address agency name and position below

LAST NAME -- FIRST NAME -- MIDDLE NAME

MAILING ADDRESS

CITY ZIP COUNTY

NAME OF AGENCY

NAME OF OFFICE OR POSITION HELD OR SOUGHT

CHECK ONLY IF CANDIDATE OR NEW EMPLOYEE OR APPOINTEE

THIS SECTION MUST BE COMPLETED DISCLOSURE PERIOD THIS STATEMENT REFLECTS YOUR FINANCIAL INTERESTS FOR CALENDAR YEAR ENDING DECEMBER 31 2019

MANNER OF CALCULATING REPORTABLE INTERESTS FILERS HAVE THE OPTION OF USING REPORTING THRESHOLDS THAT ARE ABSOLUTE DOLLAR VALUES WHICH REQUIRES FEWER CALCULATIONS OR USING COMPARATIVE THRESHOLDS WHICH ARE USUALLY BASED ON PERCENTAGE VALUES (see instructions for further details) CHECK THE ONE YOU ARE USING (must check one)

COMPARATIVE (PERCENTAGE) THRESHOLDS OR DOLLAR VALUE THRESHOLDS

PART A -- PRIMARY SOURCES OF INCOME [Major sources of income to the reporting person - See instructions] (If you have nothing to report write none or na)

NAME OF SOURCE SOURCES DESCRIPTION OF THE SOURCES OF INCOME ADDRESS PRINCIPAL BUSINESS ACTIVITY

PART B -- SECONDARY SOURCES OF INCOME [Major customers clients and other sources of income to businesses owned by the reporting person - See instructions] (If you have nothing to report write none or na)

NAME OF NAME OF MAJOR SOURCES ADDRESS PRINCIPAL BUSINESS BUSINESS ENTITY OF BUSINESS INCOME OF SOURCE ACTIVITY OF SOURCE

PART C -- REAL PROPERTY [Land buildings owned by the reporting person - See instructions] You are not limited to the space on the (If you have nothing to report write none or na) lines on this form Attach additional

sheets if necessary

FILING INSTRUCTIONS for when and where to file this form are located at the bottom of page 2

INSTRUCTIONS on who must file this form and how to fill it out begin on page 3

CE FORM 1 - Effective January 1 2020 (Continued on reverse side) PAGE 1 Incorporated by reference in Rule 34-8202(1) FAC

FILING INSTRUCTIONS

IF ANY OF PARTS A THROUGH G ARE CONTINUED ON A SEPARATE SHEET PLEASE CHECK HERE

PART D mdash INTANGIBLE PERSONAL PROPERTY [Stocks bonds certificates of deposit etc - See instructions] (If you have nothing to report write none or na) TYPE OF INTANGIBLE BUSINESS ENTITY TO WHICH THE PROPERTY RELATES

PART E mdash LIABILITIES [Major debts - See instructions] (If you have nothing to report write none or na)

NAME OF CREDITOR ADDRESS OF CREDITOR

PART F mdash INTERESTS IN SPECIFIED BUSINESSES [Ownership or positions in certain types of businesses - See instructions] (If you have nothing to report write none or na)

BUSINESS ENTITY 1 BUSINESS ENTITY 2

NAME OF BUSINESS ENTITY

ADDRESS OF BUSINESS ENTITY

PRINCIPAL BUSINESS ACTIVITY

POSITION HELD WITH ENTITY

I OWN MORE THAN A 5 INTEREST IN THE BUSINESS

NATURE OF MY OWNERSHIP INTEREST

If you were mailed the form by the Commission on Ethics or a County Supervisor of Elections for your annual disclosure filing return the form to that location To determine what category your position falls under see page 3 of instructions Local officersemployees file with the Supervisor of Elections of the county in which they permanently reside (If you do not permanently reside in Florida file with the Supervisor of the county where your agency has its headquarters) Form 1 filers who file with the Supervisor of Elections may file by mail or email Contact your Supervisor of Elections for the mailing address or email address to use Do not email your form to the Commission on Ethics it will be returned State officers or specified state employees who file with the Commission on Ethics may file by mail or email To file by mail send the completed form to PO Drawer 15709 Tallahassee FL32317-5709 physical address 325 John Knox Rd Bldg E Ste 200 Tallahassee FL 32303 To file with the Commission by email scan your completed form and any attachments as a pdf (do not use any other format) send it to CEForm1legstateflus and retain a copy for your records Do not file by both mail and email Choose only one filing method Form 6s will not be accepted via email

Candidates file this form together with their filing papers MULTIPLE FILING UNNECESSARY A candidate who files a Form 1 with a qualifying officer is not required to file with the Commission or Supervisor of Elections WHEN TO FILE Initially each local officeremployee state officer and specified state employee must file within 30 days of the date of his or her appointment or of the beginning of employment Appointees who must be confirmed by the Senate must file prior to confirmation even if that is less than 30 days from the date of their appointment Candidates must file at the same time they file their qualifying papers Thereafter file by July 1 following each calendar year in which they hold their positions Finally file a final disclosure form (Form 1F) within 60 days of leaving office or employment Filing a CE Form 1F (Final Statement of Financial Interests) does not relieve the filer of filing a CE Form 1 if the filer was in his or her position on December 31 2019

SIGNATURE OF FILER Signature

____________________________________________

Date Signed

____________________________________________

CPA or ATTORNEY SIGNATURE ONLY If a certified public accountant licensed under Chapter 473 or attorney in good standing with the Florida Bar prepared this form for you he or she must complete the following statement

I _______________________________________ prepared the CE Form 1 in accordance with Section 1123145 Florida Statutes and the instructions to the form Upon my reasonable knowledge and belief the disclosure herein is true and correct

CPAAttorney Signature ______________________________

Date Signed _______________________________________

PART G mdash TRAINING For elected municipal officers required to complete annual ethics training pursuant to section 1123142 FS

I CERTIFY THAT I HAVE COMPLETED THE REQUIRED TRAINING

CE FORM 1 - Effective January 1 2020 PAGE 2 Incorporated by reference in Rule 34-8202(1) FAC

Examplesmdash You are the sole proprietor of a dry cleaning business fromwhich you received more than 10 of your gross incomemdashanamount that was more than $1500 If only one customer auniform rental company provided more than 10 of your drycleaning business you must list the name of the uniform rentalcompany its address and its principal business activity (uniform rentals) mdash You are a 20 partner in a partnership that owns a shopping mall and your partnership income exceeded the thresholds listed above You should list each tenant of the mall that provided more than 10 of the partnershiprsquos gross income and the tenantrsquos address and principal business activity

PART C mdash REAL PROPERTY[Required by s 1123145(3)(a)3 FS]In this part list the location or description of all real property in

Florida in which you owned directly or indirectly at any time during the disclosure period in excess of 5 of the propertyrsquos value You are not required to list your residences You should list any vacation homes if you derive income from them

Indirect ownership includes situations where you are abeneficiary of a trust that owns the property as well as situations where you own more than 5 of a partnership or corporation thatowns the property The value of the property may be determined by the most recently assessed value for tax purposes in the absence of a more current appraisal

The location or description of the property should be sufficient to enable anyone who looks at the form to identify the property Astreet address should be used if one exists PART D mdash INTANGIBLE PERSONAL PROPERTY

[Required by s 1123145(3)(a)3 FS]Describe any intangible personal property that at any time

during the disclosure period was worth more than 10 of your total assets and state the business entity to which the property related Intangible personal property includes things such as cash on hand stocks bonds certificates of deposit vehicle leases interests in businesses beneficial interests in trusts money owed you Deferred Retirement Option Program (DROP) accounts the Florida Prepaid College Plan and bank accounts Intangiblepersonal property also includes investment products held in IRAs brokerage accounts and the Florida College Investment Plan Note that the product contained in a brokerage account IRA or the Florida College Investment Plan is your assetmdashnot the account or plan itself Things like automobiles and houses you own jewelryand paintings are not intangible property Intangibles relating to the same business entity may be aggregated for example CDrsquos and savings accounts with the same bank

Calculations To determine whether the intangible property exceeds 10 of your total assets total the fair market value of all of your assets (including real property intangible property and tangible personal property such as jewelry furniture etc) When making this calculation do not subtract any liabilities (debts) that may relate to the property Multiply the total figure by 10 to arrive at the disclosure threshold List only the intangibles that exceed this threshold amount The value of a leased vehicle is the vehiclersquos present value minus the lease residual (a number which can be found on the lease document) Property that is only jointly owned property should be valued according to the percentage of your joint ownership Property owned as tenants by the entirety or as joint tenants with right of survivorship should be valued at 100 None of your calculations or the value of the property have to be disclosed on the form

Example You own 50 of the stock of a small corporation that is worth $100000 the estimated fair market value of your home and other property (bank accounts automobile furniture etc) is $200000 As your total assets are worth $250000 you must disclose intangibles worth over $25000 Since the value of the stock exceeds this threshold you should list ldquostockrdquo and the name of the corporation If your accounts with a particular bank exceed $25000 you should list ldquobank accountsrdquo and bankrsquos name

PART E mdash LIABILITIES[Required by s 1123145(3)(b)4 FS]List the name and address of each creditor to whom you owed

any amount that at any time during the disclosure period exceeded your net worth You are not required to list the amount of any debt or your net worth You do not have to disclose credit card and retail installment accounts taxes owed (unless reduced to a judgment) indebtedness on a life insurance policy owed to the company of issuance or contingent liabilities A ldquocontingent liabilityrdquo is one that will become an actual liability only when one or more future events occur or fail to occur such as where you are liable only as a guarantor surety or endorser on a promissory note If you are a ldquoco-makerrdquo and are jointly liable or jointly and severally liable it is not a contingent liability

Calculations To determine whether the debt exceeds your net worth total all of your liabilities (including promissory notes mortgages credit card debts judgments against you etc) Theamount of the liability of a vehicle lease is the sum of any past-due payments and all unpaid prospective lease payments Subtract the sum total of your liabilities from the value of all your assets as calculated above for Part D This is your ldquonet worthrdquo List each creditor to whom your debt exceeded this amount unless it is one of the types of indebtedness listed in the paragraph above (credit card and retail installment accounts etc) Joint liabilities with others for which you are ldquojointly and severally liablerdquo meaning that you may be liable for either your part or the whole of the obligation should be included in your calculations at 100 of the amount owed

Example You owe $15000 to a bank for student loans $5000 for credit card debts and $60000 (with spouse) to a savings and loan for a home mortgage Your home (owned by you and your spouse) is worth $80000 and your other property is worth $20000 Since your net worth is $20000 ($100000 minus $80000) you must report only the name and address of the savings and loan

PART F mdash INTERESTS IN SPECIFIED BUSINESSES[Required by s 1123145 FS]The types of businesses covered in this disclosure include

state and federally chartered banks state and federal savings and loan associations cemetery companies insurance companies mortgage companies credit unions small loan companies alcoholic beverage licensees pari-mutuel wagering companies utilitycompanies entities controlled by the Public Service Commission and entities granted a franchise to operate by either a city or acounty government

Disclose in this part the fact that you owned during the disclosure period an interest in or held any of certain positions with the types of businesses listed above You are required to make this disclosure if you own or owned (either directly orindirectly in the form of an equitable or beneficial interest) at any time during the disclosure period more than 5 of the total assets or capital stock of one of the types of business entities listed above You also must complete this part of the form for each of these types of businesses for which you are or were at any time during thedisclosure period an officer director partner proprietor or agent (other than a resident agent solely for service of process)

If you have or held such a position or ownership interest in one of these types of businesses list the name of the business its address and principal business activity and the position held with the business (if any) If you own(ed) more than a 5 interest in the business indicate that fact and describe the nature of your interest

PART G mdash TRAINING CERTIFICATION[Required by s 1123142 FS]If you are a Constitutional or elected municipal officer whose

service began before March 31 of the year for which you are filing you are required to complete four hours of ethics training which addresses Article II Section 8 of the Florida Constitution the Code of Ethics for Public Officers and Employees and the public records and open meetings laws of the state You are required to certify on this form that you have taken such training (End of Percentage Thresholds Instructions)

CE FORM 1 - Effective January 1 2020 Incorporated by reference in Rule 34-8202 FAC PAGE 6

NOTICE Annual Statements of Financial Interests are due July 1 If the annual form is not filed or postmarked by September 1 an automatic fine of $25 for each day late will be imposed up to a maximum penalty of $1500 Failure to file also can result in removal from public office or employment [s 1123145 FS]

In addition failure to make any required disclosure constitutes grounds for and may be punished by one or more of the following disqualification from being on the ballot impeachment removal or suspension from office or employment demotion reduction in salary reprimand or a civil penalty not exceeding $10000 [s 112317 FS]

WHO MUST FILE FORM 1 1) Elected public officials not serving in a political subdivision of the

state and any person appointed to fill a vacancy in such office unlessrequired to file full disclosure on Form 62) Appointed members of each board commission authority

or council having statewide jurisdiction excluding members of solelyadvisory bodies but including judicial nominating commission membersDirectors of Enterprise Florida Scripps Florida Funding Corporationand Career Source Florida and members of the Council on the Social Status of Black Men and Boys the Executive Director Governors and senior managers of Citizens Property Insurance CorporationGovernors and senior managers of Florida Workers Compensation JointUnderwriting Association board members of the Northeast Fla RegionalTransportation Commission board members of Triumph Gulf Coast Incboard members of Florida Is For Veterans Inc and members of the Technology Advisory Council within the Agency for State Technology3) The Commissioner of Education members of the State Board

of Education the Board of Governors the local Boards of Trustees and Presidents of state universities and the Florida Prepaid College Board 4) Persons elected to office in any political subdivision (such as

municipalities counties and special districts) and any person appointedto fill a vacancy in such office unless required to file Form 65) Appointed members of the following boards councils

commissions authorities or other bodies of county municipality schooldistrict independent special district or other political subdivision thegoverning body of the subdivision community college or junior collegedistrict boards of trustees boards having the power to enforce local codeprovisions boards of adjustment community redevelopment agenciesplanning or zoning boards having the power to recommend create ormodify land planning or zoning within a political subdivision except forcitizen advisory committees technical coordinating committees andsimilar groups who only have the power to make recommendationsto planning or zoning boards and except for representatives of a military installation acting on behalf of all military installations within thatjurisdiction pension or retirement boards empowered to invest pensionor retirement funds or determine entitlement to or amount of pensions orother retirement benefits and the Pinellas County Construction LicensingBoard 6) Any appointed member of a local government board who

is required to file a statement of financial interests by the appointingauthority or the enabling legislation ordinance or resolution creating theboard 7) Persons holding any of these positions in local government

mayor county or city manager chief administrative employee or finance

director of a county municipality or other political subdivision county or municipal attorney chief county or municipal building inspectorcounty or municipal water resources coordinator county or municipalpollution control director county or municipal environmental control director county or municipal administrator with power to grant or denya land development permit chief of police fire chief municipal clerkappointed district school superintendent community college presidentdistrict medical examiner purchasing agent (regardless of title) havingthe authority to make any purchase exceeding $35000 for the localgovernmental unit8) Officers and employees of entities serving as chief administrative

officer of a political subdivision9) Members of governing boards of charter schools operated by a

city or other public entity10) Employees in the office of the Governor or of a Cabinet member

who are exempt from the Career Service System excluding secretarialclerical and similar positions11) The following positions in each state department commission

board or council Secretary Assistant or Deputy Secretary ExecutiveDirector Assistant or Deputy Executive Director and anyone having thepower normally conferred upon such persons regardless of title12) The following positions in each state department or division

Director Assistant or Deputy Director Bureau Chief and any personhaving the power normally conferred upon such persons regardless oftitle 13) Assistant State Attorneys Assistant Public Defenders criminal

conflict and civil regional counsel and assistant criminal conflict and civilregional counsel Public Counsel full-time state employees serving ascounsel or assistant counsel to a state agency administrative law judgesand hearing officers14) The Superintendent or Director of a state mental health institute

established for training and research in the mental health field or anymajor state institution or facility established for corrections trainingtreatment or rehabilitation 15) State agency Business Managers Finance and Accounting

Directors Personnel Officers Grant Coordinators and purchasingagents (regardless of title) with power to make a purchase exceeding$35000 16) The following positions in legislative branch agencies each

employee (other than those employed in maintenance clerical secretarial or similar positions and legislative assistants exempted by the presiding officer of their house) and each employee of theCommission on Ethics

INSTRUCTIONS FOR COMPLETING FORM 1 INTRODUCTORY INFORMATION (Top of Form) If your name mailing address public agency and position are already printed on the form you do not need to provide this information unless it should be changed To change any of this information write the correct information on the form and contact your agencys financial disclosure coordinator You can find your coordinator on the Commission on Ethics website wwwethics stateflus NAME OF AGENCY The name of the governmental unit which you serve or served by which you are or were employed or for which you are a candidate DISCLOSURE PERIOD The ldquodisclosure periodrdquo for your report is the calendar year ending December 31 2019

OFFICE OR POSITION HELD OR SOUGHT The title of the office or position you hold are seeking or held during the disclosure period even if you have since left that position If you are a candidate for office or are a new employee or appointee check the appropriate box PUBLIC RECORD The disclosure form and everythingattached to it is a public record Your Social Security Number is not required and you should redact it from any documents you file If you are an active or former officer or employee listed in Section 119071 FS whose home address is exempt from disclosure the Commission will maintain that confidentiality if you submit a written request

CE FORM 1 - Effective January 1 2020 Incorporated by reference in Rule 34-8202 FAC PAGE 3

PART E mdash LIABILITIES[Required by s 1123145(3)(b)4 FS]List the name and address of each creditor to whom you owed more

than $10000 at any time during the disclosure period The amount of theliability of a vehicle lease is the sum of any past-due payments and allunpaid prospective lease payments You are not required to list the amountof any debt You do not have to disclose credit card and retail installmentaccounts taxes owed (unless reduced to a judgment) indebtedness ona life insurance policy owed to the company of issuance or contingentliabilities A ldquocontingent liabilityrdquo is one that will become an actual liabilityonly when one or more future events occur or fail to occur such as whereyou are liable only as a guarantor surety or endorser on a promissorynote If you are a ldquoco-makerrdquo and are jointly liable or jointly and severallyliable then it is not a contingent liability

PART F mdash INTERESTS IN SPECIFIED BUSINESSES[Required by s 1123145(6) FS]The types of businesses covered in this disclosure include state and

federally chartered banks state and federal savings and loan associationscemetery companies insurance companies mortgage companies creditunions small loan companies alcoholic beverage licensees pari-mutuelwagering companies utility companies entities controlled by the PublicService Commission and entities granted a franchise to operate by either acity or a county government

Disclose in this part the fact that you owned during the disclosure period aninterest in or held any of certain positions with the types of businesses listedabove You must make this disclosure if you own or owned (either directly orindirectly in the form of an equitable or beneficial interest) at any time duringthe disclosure period more than 5 of the total assets or capital stock ofone of the types of business entities listed above You also must completethis part of the form for each of these types of businesses for which youare or were at any time during the disclosure period an officer directorpartner proprietor or agent (other than a resident agent solely for service ofprocess)

If you have or held such a position or ownership interest in one ofthese types of businesses list the name of the business its address andprincipal business activity and the position held with the business (if any) Ifyou own(ed) more than a 5 interest in the business indicate that fact anddescribe the nature of your interest

PART G mdash TRAINING CERTIFICATION[Required by s 1123142 FS]If you are a Constitutional or elected municipal officer whose

service began before March 31 of the year for which you are filingyou are required to complete four hours of ethics training which addresses Article II Section 8 of the Florida Constitution the Codeof Ethics for Public Officers and Employees and the public recordsand open meetings laws of the state You are required to certify onthis form that you have taken such training

(End of Dollar Value Thresholds Instructions)

PART A mdash PRIMARY SOURCES OF INCOME[Required by s 1123145(3)(a)1 FS]Part A is intended to require the disclosure of your principal

sources of income during the disclosure period You do not haveto disclose any public salary or public position(s) but income from these public sources should be included when calculating your gross income for the disclosure period The income of your spouse need not be disclosed however if there is joint income to you and your spouse from property you own jointly (such as interest or dividends from a bank account or stocks) you should include all of that income when calculating your gross income and disclose the source of that income if it exceeded the threshold

Please list in this part of the form the name address and principal business activity of each source of your income whichexceeded 5 of the gross income received by you in your own name or by any other person for your benefit or use during the disclosure period

Gross income means the same as it does for income tax purposes even if the income is not actually taxable such as interest on tax-free bonds Examples include compensation for servicesincome from business gains from property dealings interest rents dividends pensions IRA distributions social security distributive share of partnership gross income and alimony but not child support

Examplesmdash If you were employed by a company that manufactures computers and received more than 5 of your gross income from the company list the name of the company its address and its principal business activity (computer manufacturing)mdash If you were a partner in a law firm and your distributive share of partnership gross income exceeded 5 of your gross income then list the name of the firm its address and its principal business activity (practice of law)mdash If you were the sole proprietor of a retail gift business andyour gross income from the business exceeded 5 of your total gross income list the name of the business its addressand its principal business activity (retail gift sales)mdash If you received income from investments in stocks and bonds list each individual company from which you derived

more than 5 of your gross income Do not aggregate all of your investment incomemdash If more than 5 of your gross income was gain from the sale of property (not just the selling price) list as a source of income the purchaserrsquos name address and principal business activityIf the purchasers identity is unknown such as where securities listed on an exchange are sold through a brokerage firm the source of income should be listed as sale of (name of company)stock for examplemdash If more than 5 of your gross income was in the form of interest from one particular financial institution (aggregatinginterest from all CDrsquos accounts etc at that institution) list the name of the institution its address and its principal business activity

PART B mdash SECONDARY SOURCES OF INCOME[Required by s 1123145(3)(a)2 FS]This part is intended to require the disclosure of major customers

clients and other sources of income to businesses in which you ownan interest It is not for reporting income from second jobs That kindof income should be reported in Part A Primary Sources of Incomeif it meets the reporting threshold You will not have anything to reportunless during the disclosure period

(1) You owned (either directly or indirectly in the form of anequitable or beneficial interest) more than 5 of the total assetsor capital stock of a business entity (a corporation partnershipLLC limited partnership proprietorship joint venture trust firmetc doing business in Florida) and(2) You received more than 10 of your gross income from thatbusiness entity and(3) You received more than $1500 in gross income from thatbusiness entity

If your interests and gross income exceeded these thresholds thenfor that business entity you must list every source of income to thebusiness entity which exceeded 10 of the business entityrsquos grossincome (computed on the basis of the business entityrsquos most recentlycompleted fiscal year) the sourcersquos address and the sourcersquosprincipal business activity

IF YOU HAVE CHOSEN COMPARATIVE (PERCENTAGE) THRESHOLDSTHE FOLLOWING INSTRUCTIONS APPLY

CE FORM 1 - Effective January 1 2020 Incorporated by reference in Rule 34-8202 FAC PAGE 5

MANNER OF CALCULATING REPORTABLE INTEREST Filers have the option of reporting based on either thresholds that are comparative (usually based on percentage values) or thresholds that are based on absolute dollar values The instructions on the following pages specifically describe the different thresholds Check the box that reflects the choice you have made You must use the type of threshold you have chosen for each part of the form In other words if you choose to report based on absolute dollar value thresholds you cannot use a percentage threshold on any part of the form

IF YOU HAVE CHOSEN DOLLAR VALUE THRESHOLDS THE FOLLOWING INSTRUCTIONS APPLY

PART A mdash PRIMARY SOURCES OF INCOME [Required by s 1123145(3)(b)1 FS] Part A is intended to require the disclosure of your principal

sources of income during the disclosure period You do not have todisclose any public salary or public position(s) The income of yourspouse need not be disclosed however if there is joint income toyou and your spouse from property you own jointly (such as interestor dividends from a bank account or stocks) you should disclose thesource of that income if it exceeded the threshold

Please list in this part of the form the name address andprincipal business activity of each source of your income whichexceeded $2500 of gross income received by you in your own name or by any other person for your use or benefit

Gross income means the same as it does for income tax purposes even if the income is not actually taxable such as interest on tax-free bonds Examples include compensation for servicesincome from business gains from property dealings interest rentsdividends pensions IRA distributions social security distributive share of partnership gross income and alimony but not child support

Examples mdash If you were employed by a company that manufacturescomputers and received more than $2500 list the name of thecompany its address and its principal business activity (computermanufacturing) mdash If you were a partner in a law firm and your distributive shareof partnership gross income exceeded $2500 list the name ofthe firm its address and its principal business activity (practice oflaw) mdash If you were the sole proprietor of a retail gift business and yourgross income from the business exceeded $2500 list the nameof the business its address and its principal business activity(retail gift sales) mdash If you received income from investments in stocks and bondslist each individual company from which you derived more than$2500 Do not aggregate all of your investment income mdash If more than $2500 of your gross income was gain from thesale of property (not just the selling price) list as a source ofincome the purchaserrsquos name address and principal businessactivity If the purchaserrsquos identity is unknown such as wheresecurities listed on an exchange are sold through a brokeragefirm the source of income should be listed as sale of (name of company) stock for example mdash If more than $2500 of your gross income was in the formof interest from one particular financial institution (aggregatinginterest from all CDrsquos accounts etc at that institution) list the name of the institution its address and its principal business activity

PART B mdash SECONDARY SOURCES OF INCOME [Required by s 1123145(3)(b)2 FS] This part is intended to require the disclosure of major customers

clients and other sources of income to businesses in which you own aninterest It is not for reporting income from second jobs That kind of incomeshould be reported in Part A Primary Sources of Income if it meets thereporting threshold You will not have anything to report unless during thedisclosure period

(1) You owned (either directly or indirectly in the form of an equitableor beneficial interest) more than 5 of the total assets or capitalstock of a business entity (a corporation partnership LLC limitedpartnership proprietorship joint venture trust firm etc doing business in Florida) and (2) You received more than $5000 of your gross income during thedisclosure period from that business entity

If your interests and gross income exceeded these thresholds then for thatbusiness entity you must list every source of income to the business entitywhich exceeded 10 of the business entityrsquos gross income (computed onthe basis of the business entitys most recently completed fiscal year) thesourcersquos address and the sources principal business activity

Examples mdash You are the sole proprietor of a dry cleaning business from whichyou received more than $5000 If only one customer a uniform rentalcompany provided more than 10 of your dry cleaning business youmust list the name of the uniform rental company its address and itsprincipal business activity (uniform rentals) mdash You are a 20 partner in a partnership that owns a shopping malland your partnership income exceeded the above thresholds List eachtenant of the mall that provided more than 10 of the partnershipsgross income and the tenants address and principal business activity

PART C mdash REAL PROPERTY [Required by s 1123145(3)(b)3 FS] In this part list the location or description of all real property in Florida

in which you owned directly or indirectly at any time during the disclosureperiod in excess of 5 of the propertyrsquos value You are not required to listyour residences You should list any vacation homes if you derive incomefrom them

Indirect ownership includes situations where you are a beneficiary of atrust that owns the property as well as situations where you own more than5 of a partnership or corporation that owns the property The value of theproperty may be determined by the most recently assessed value for taxpurposes in the absence of a more current appraisal

The location or description of the property should be sufficient toenable anyone who looks at the form to identify the property A streetaddress should be used if one exists

PART D mdash INTANGIBLE PERSONAL PROPERTY [Required by s 1123145(3)(b)3 FS] Describe any intangible personal property that at any time during the

disclosure period was worth more than $10000 and state the businessentity to which the property related Intangible personal property includesthings such as cash on hand stocks bonds certificates of deposit vehicleleases interests in businesses beneficial interests in trusts money owedyou Deferred Retirement Option Program (DROP) accounts the FloridaPrepaid College Plan and bank accounts Intangible personal propertyalso includes investment products held in IRAs brokerage accounts andthe Florida College Investment Plan Note that the product contained in a brokerage account IRA or the Florida College Investment Plan is yourassetmdashnot the account or plan itself Things like automobiles and housesyou own jewelry and paintings are not intangible property Intangiblesrelating to the same business entity may be aggregated for example CDsand savings accounts with the same bank Property owned as tenants bythe entirety or as joint tenants with right of survivorship should be valued at100 The value of a leased vehicle is the vehiclersquos present value minusthe lease residual (a number found on the lease document)

CE FORM 1 - Effective January 1 2020 Incorporated by reference in Rule 34-8202 FAC PAGE 4

PART A mdash PRIMARY SOURCES OF INCOME[Required by s 1123145(3)(b)1 FS]Part A is intended to require the disclosure of your principal

sources of income during the disclosure period You do not have todisclose any public salary or public position(s) The income of yourspouse need not be disclosed however if there is joint income t oyou and your spouse from property you own jointly (such as interestor dividends from a bank account or stocks) you should disclose thesource of that income if it exceeded the threshold

Please list in this part of the form the name address andprincipal business activity of each source of your income whichexceeded $2500 of gross income received by you in your own name or by any other person for your use or benefit

Gross income means the same as it does for income taxpurposes even if the income is not actually taxable such as intereston tax-free bonds Examples include compensation for servicesincome from business gains from property dealings interest rentsdividends pensions IRA distributions social security distributiveshare of partnership gross income and alimony but not child support

Examplesmdash If you were employed by a company that manufacturescomputers and received more than $2500 list the name of thecompany its address and its principal business activity (computermanufacturing)mdash If you were a partner in a law firm and your distributive shareof partnership gross income exceeded $2500 list the name ofthe firm its address and its principal business activity (practice oflaw)mdash If you were the sole proprietor of a retail gift business and yourgross income from the business exceeded $2500 list the nameof the business its address and its principal business activity(retail gift sales)mdash If you received income from investments in stocks and bondslist each individual company from which you derived more than$2500 Do not aggregate all of your investment incomemdash If more than $2500 of your gross income was gain from thesale of property (not just the selling price) list as a source o fincome the purchaserrsquos name address and principal businessactivity If the purchaserrsquos identity is unknown such as wheresecurities listed on an exchange are sold through a brokeragefirm the source of income should be listed as sale of (name of company) stock for examplemdash If more than $2500 of your gross income was in the formof interest from one particular financial institution (aggregatinginterest from all CDrsquos accounts etc at that institution) list thename of the institution its address and its principal business activity

PART B mdash SECONDARY SOURCES OF INCOME[Required by s 1123145(3)(b)2 FS]This part is intended to require the disclosure of major customers

clients and other sources of income to businesses in which you own aninterest It is not for reporting income from second jobs That kind of incomeshould be reported in Part A Primary Sources of Income if it meets thereporting threshold You will not have anything to report unless during thedisclosure period

(1) You owned (either directly or indirectly in the form of an equitableor beneficial interest) more than 5 of the total assets or capitalstock of a business entity (a corporation partnership LLC limitedpartnership proprietorship joint venture trust firm etc doing business in Florida) and(2) You received more than $5000 of your gross income during thedisclosure period from that business entity

If your interests and gross income exceeded these thresholds then for thatbusiness entity you must list every source of income to the business entitywhich exceeded 10 of the business entityrsquos gross income (computed onthe basis of the business entitys most recently completed fiscal year) thesourcersquos address and the sources principal business activity

Examplesmdash You are the sole proprietor of a dry cleaning business from whichyou received more than $5000 If only one customer a uniform rentalcompany provided more than 10 of your dry cleaning business youmust list the name of the uniform rental company its address and itsprincipal business activity (uniform rentals)mdash You are a 20 partner in a partnership that owns a shopping malland your partnership income exceeded the above thresholds List eachtenant of the mall that provided more than 10 of the partnershipsgross income and the tenants address and principal business activity

PART C mdash REAL PROPERTY[Required by s 1123145(3)(b)3 FS]In this part list the location or description of all real property in Florida

in which you owned directly or indirectly at any time during the disclosureperiod in excess of 5 of the propertyrsquos value You are not required to listyour residences You should list any vacation homes if you derive incomefrom them

Indirect ownership includes situations where you are a beneficiary of atrust that owns the property as well as situations where you own more than5 of a partnership or corporation that owns the property The value of theproperty may be determined by the most recently assessed value for taxpurposes in the absence of a more current appraisal

The location or description of the property should be sufficient toenable anyone who looks at the form to identify the property A streetaddress should be used if one exists

PART D mdash INTANGIBLE PERSONAL PROPERTY[Required by s 1123145(3)(b)3 FS]Describe any intangible personal property that at any time during the

disclosure period was worth more than $10000 and state the businessentity to which the property related Intangible personal property includesthings such as cash on hand stocks bonds certificates of deposit vehicleleases interests in businesses beneficial interests in trusts money owedyou Deferred Retirement Option Program (DROP) accounts the FloridaPrepaid College Plan and bank accounts Intangible personal propertyalso includes investment products held in IRAs brokerage accounts andthe Florida College Investment Plan Note that the product contained ina brokerage account IRA or the Florida College Investment Plan is yourassetmdashnot the account or plan itself Things like automobiles and housesyou own jewelry and paintings are not intangible property Intangiblesrelating to the same business entity may be aggregated for example CDsand savings accounts with the same bank Property owned as tenants bythe entirety or as joint tenants with right of survivorship should be valued at100 The value of a leased vehicle is the vehiclersquos present value minusthe lease residual (a number found on the lease document)

Filers have the option of reporting based on either thresholds that are comparative (usually based on percentage values) orthresholds that are based on absolute dollar values The instructions on the following pages specifically describe the differentthresholds Check the box that reflects the choice you have made You must use the type of threshold you have chosen for eachpart of the form In other words if you choose to report based on absolute dollar value thresholds you cannot use a percentagethreshold on any part of the form

MANNER OF CALCULATING REPORTABLE INTEREST

IF YOU HAVE CHOSEN DOLLAR VALUE THRESHOLDSTHE FOLLOWING INSTRUCTIONS APPLY

CE FORM 1 - Effective January 1 2020 Incorporated by reference in Rule 34-8202 FAC PAGE 4

PART E mdash LIABILITIES [Required by s 1123145(3)(b)4 FS] List the name and address of each creditor to whom you owed more

than $10000 at any time during the disclosure period The amount of theliability of a vehicle lease is the sum of any past-due payments and allunpaid prospective lease payments You are not required to list the amountof any debt You do not have to disclose credit card and retail installmentaccounts taxes owed (unless reduced to a judgment) indebtedness ona life insurance policy owed to the company of issuance or contingentliabilities A ldquocontingent liabilityrdquo is one that will become an actual liabilityonly when one or more future events occur or fail to occur such as whereyou are liable only as a guarantor surety or endorser on a promissorynote If you are a ldquoco-makerrdquo and are jointly liable or jointly and severallyliable then it is not a contingent liability

PART F mdash INTERESTS IN SPECIFIED BUSINESSES [Required by s 1123145(6) FS] The types of businesses covered in this disclosure include state and

federally chartered banks state and federal savings and loan associationscemetery companies insurance companies mortgage companies creditunions small loan companies alcoholic beverage licensees pari-mutuelwagering companies utility companies entities controlled by the PublicService Commission and entities granted a franchise to operate by either acity or a county government

Disclose in this part the fact that you owned during the disclosure period aninterest in or held any of certain positions with the types of businesses listedabove You must make this disclosure if you own or owned (either directly orindirectly in the form of an equitable or beneficial interest) at any time duringthe disclosure period more than 5 of the total assets or capital stock ofone of the types of business entities listed above You also must completethis part of the form for each of these types of businesses for which youare or were at any time during the disclosure period an officer directorpartner proprietor or agent (other than a resident agent solely for service ofprocess)

If you have or held such a position or ownership interest in one ofthese types of businesses list the name of the business its address andprincipal business activity and the position held with the business (if any) Ifyou own(ed) more than a 5 interest in the business indicate that fact anddescribe the nature of your interest

PART G mdash TRAINING CERTIFICATION [Required by s 1123142 FS] If you are a Constitutional or elected municipal officer whose

service began before March 31 of the year for which you are filingyou are required to complete four hours of ethics training which addresses Article II Section 8 of the Florida Constitution the Code of Ethics for Public Officers and Employees and the public recordsand open meetings laws of the state You are required to certify onthis form that you have taken such training

(End of Dollar Value Thresholds Instructions)

IF YOU HAVE CHOSEN COMPARATIVE (PERCENTAGE) THRESHOLDS THE FOLLOWING INSTRUCTIONS APPLY

PART A mdash PRIMARY SOURCES OF INCOME [Required by s 1123145(3)(a)1 FS] Part A is intended to require the disclosure of your principal

sources of income during the disclosure period You do not haveto disclose any public salary or public position(s) but income from these public sources should be included when calculating your gross income for the disclosure period The income of your spouse need not be disclosed however if there is joint income to you and your spouse from property you own jointly (such as interest or dividends from a bank account or stocks) you should include all of that income when calculating your gross income and disclose the source of that income if it exceeded the threshold

Please list in this part of the form the name address and principal business activity of each source of your income whichexceeded 5 of the gross income received by you in your own name or by any other person for your benefit or use during the disclosure period

Gross income means the same as it does for income tax purposes even if the income is not actually taxable such as interest on tax-free bonds Examples include compensation for servicesincome from business gains from property dealings interest rents dividends pensions IRA distributions social security distributive share of partnership gross income and alimony but not child support

Examples mdash If you were employed by a company that manufactures computers and received more than 5 of your gross income from the company list the name of the company its address and its principal business activity (computer manufacturing) mdash If you were a partner in a law firm and your distributive share of partnership gross income exceeded 5 of your gross income then list the name of the firm its address and its principal business activity (practice of law) mdash If you were the sole proprietor of a retail gift business andyour gross income from the business exceeded 5 of your total gross income list the name of the business its addressand its principal business activity (retail gift sales) mdash If you received income from investments in stocks and bonds list each individual company from which you derived

more than 5 of your gross income Do not aggregate all of your investment income mdash If more than 5 of your gross income was gain from the sale of property (not just the selling price) list as a source of income the purchaserrsquos name address and principal business activityIf the purchasers identity is unknown such as where securities listed on an exchange are sold through a brokerage firm the source of income should be listed as sale of (name of company)stock for example mdash If more than 5 of your gross income was in the form of interest from one particular financial institution (aggregatinginterest from all CDrsquos accounts etc at that institution) list the name of the institution its address and its principal business activity

PART B mdash SECONDARY SOURCES OF INCOME [Required by s 1123145(3)(a)2 FS] This part is intended to require the disclosure of major customers

clients and other sources of income to businesses in which you ownan interest It is not for reporting income from second jobs That kindof income should be reported in Part A Primary Sources of Incomeif it meets the reporting threshold You will not have anything to report unless during the disclosure period

(1) You owned (either directly or indirectly in the form of anequitable or beneficial interest) more than 5 of the total assetsor capital stock of a business entity (a corporation partnershipLLC limited partnership proprietorship joint venture trust firmetc doing business in Florida) and (2) You received more than 10 of your gross income from thatbusiness entity and (3) You received more than $1500 in gross income from thatbusiness entity

If your interests and gross income exceeded these thresholds thenfor that business entity you must list every source of income to thebusiness entity which exceeded 10 of the business entityrsquos grossincome (computed on the basis of the business entityrsquos most recentlycompleted fiscal year) the sourcersquos address and the sourcersquos principal business activity

CE FORM 1 - Effective January 1 2020 Incorporated by reference in Rule 34-8202 FAC PAGE 5

NOTICE Annual Statements of Financial Interests are due July 1 If the annual form is not filed or postmarked by September 1 an automatic fine of $25 for each day late will be imposed up to a maximum penalty of $1500 Failure to file also can result in removal from public office or employment [s 1123145 FS]

In addition failure to make any required disclosure constitutes grounds for and may be punished by one or more of the following disqualification from being on the ballot impeachment removal or suspension from office or employment demotion reduction in salary reprimand or a civil penalty not exceeding $10000 [s 112317 FS]

1) Elected public officials not serving in a political subdivision of thestate and any person appointed to fill a vacancy in such office unlessrequired to file full disclosure on Form 62) Appointed members of each board commission authority

or council having statewide jurisdiction excluding members of solelyadvisory bodies but including judicial nominating commission membersDirectors of Enterprise Florida Scripps Florida Funding Corporationand Career Source Florida and members of the Council on the SocialStatus of Black Men and Boys the Executive Director Governors and senior managers of Citizens Property Insurance CorporationGovernors and senior managers of Florida Workers Compensation JointUnderwriting Association board members of the Northeast Fla RegionalTransportation Commission board members of Triumph Gulf Coast Incboard members of Florida Is For Veterans Inc and members of theTechnology Advisory Council within the Agency for State Technology3) The Commissioner of Education members of the State Board

of Education the Board of Governors the local Boards of Trustees andPresidents of state universities and the Florida Prepaid College Board4) Persons elected to office in any political subdivision (such a s

municipalities counties and special districts) and any person appointedto fill a vacancy in such office unless required to file Form 65) Appointed members of the following boards councils

commissions authorities or other bodies of county municipality schooldistrict independent special district or other political subdivision thegoverning body of the subdivision community college or junior collegedistrict boards of trustees boards having the power to enforce local codeprovisions boards of adjustment community redevelopment agenciesplanning or zoning boards having the power to recommend create ormodify land planning or zoning within a political subdivision except forcitizen advisory committees technical coordinating committees andsimilar groups who only have the power to make recommendationsto planning or zoning boards and except for representatives of amilitary installation acting on behalf of all military installations within thatjurisdiction pension or retirement boards empowered to invest pensionor retirement funds or determine entitlement to or amount of pensions orother retirement benefits and the Pinellas County Construction LicensingBoard6) Any appointed member of a local government board who

is required to file a statement of financial interests by the appointingauthority or the enabling legislation ordinance or resolution creating theboard7) Persons holding any of these positions in local government

mayor county or city manager chief administrative employee or finance

director of a county municipality or other political subdivision countyor municipal attorney chief county or municipal building inspectorcounty or municipal water resources coordinator county or municipalpollution control director county or municipal environmental controldirector county or municipal administrator with power to grant or denya land development permit chief of police fire chief municipal clerkappointed district school superintendent community college presidentdistrict medical examiner purchasing agent (regardless of title) havingthe authority to make any purchase exceeding $35000 for the localgovernmental unit8) Officers and employees of entities serving as chief administrative

officer of a political subdivision9) Members of governing boards of charter schools operated by a

city or other public entity10) Employees in the office of the Governor or of a Cabinet member

who are exempt from the Career Service System excluding secretarialclerical and similar positions11) The following positions in each state department commission

board or council Secretary Assistant or Deputy Secretary ExecutiveDirector Assistant or Deputy Executive Director and anyone having thepower normally conferred upon such persons regardless of title12) The following positions in each state department or division

Director Assistant or Deputy Director Bureau Chief and any personhaving the power normally conferred upon such persons regardless oftitle13) Assistant State Attorneys Assistant Public Defenders criminal

conflict and civil regional counsel and assistant criminal conflict and civilregional counsel Public Counsel full-time state employees serving ascounsel or assistant counsel to a state agency administrative law judgesand hearing officers14) The Superintendent or Director of a state mental health institute

established for training and research in the mental health field or anymajor state institution or facility established for corrections trainingtreatment or rehabilitation15) State agency Business Managers Finance and Accounting

Directors Personnel Officers Grant Coordinators and purchasingagents (regardless of title) with power to make a purchase exceeding$3500016) The following positions in legislative branch agencies each

employee (other than those employed in maintenance clerical secretarial or similar positions and legislative assistants exemptedby the presiding officer of their house) and each employee of theCommission on Ethics

INSTRUCTIONS FOR COMPLETING FORM 1INTRODUCTORY INFORMATION (Top of Form) If your name mailing address public agency and position are already printed on the form you do not need to provide this information unless it should be changed To change any of this information write the correct information on the form and contact your agencys financial disclosure coordinator You can find your coordinator on the Commission on Ethics website wwwethicsstateflus NAME OF AGENCY The name of the governmental unit which you serve or served by which you are or were employed or for which you are a candidate DISCLOSURE PERIOD The ldquodisclosure periodrdquo for your report is the calendar year ending December 31 2019

OFFICE OR POSITION HELD OR SOUGHT The title of the office or position you hold are seeking or held during the disclosure period even if you have since left that position If you are a candidate for office or are a new employee or appointee check the appropriate boxPUBLIC RECORD The disclosure form and everythingattached to it is a public record Your Social Security Number is not required and you should redact it from any documents you file If you are an active or former officer or employee listed in Section 119071 FS whose home address is exempt from disclosure the Commission will maintain that confidentiality if you submit a written request

WHO MUST FILE FORM 1

CE FORM 1 - Effective January 1 2020 Incorporated by reference in Rule 34-8202 FAC PAGE 3

Examples PART E mdash LIABILITIES mdash You are the sole proprietor of a dry cleaning business from [Required by s 1123145(3)(b)4 FS]which you received more than 10 of your gross incomemdashan List the name and address of each creditor to whom you owed amount that was more than $1500 If only one customer a any amount that at any time during the disclosure period exceeded uniform rental company provided more than 10 of your dry your net worth You are not required to list the amount of any debt cleaning business you must list the name of the uniform rental or your net worth You do not have to disclose credit card and retail company its address and its principal business activity (uniform installment accounts taxes owed (unless reduced to a judgment) rentals) indebtedness on a life insurance policy owed to the company of mdash You are a 20 partner in a partnership that owns a shopping issuance or contingent liabilities A ldquocontingent liabilityrdquo is one mall and your partnership income exceeded the thresholds that will become an actual liability only when one or more future listed above You should list each tenant of the mall that events occur or fail to occur such as where you are liable only as provided more than 10 of the partnershiprsquos gross income and a guarantor surety or endorser on a promissory note If you are a the tenantrsquos address and principal business activity ldquoco-makerrdquo and are jointly liable or jointly and severally liable it is not

a contingent liability PART C mdash REAL PROPERTY Calculations To determine whether the debt exceeds your

[Required by s 1123145(3)(a)3 FS] net worth total all of your liabilities (including promissory notes mortgages credit card debts judgments against you etc) TheIn this part list the location or description of all real property in amount of the liability of a vehicle lease is the sum of any past-due Florida in which you owned directly or indirectly at any time during payments and all unpaid prospective lease payments Subtract the disclosure period in excess of 5 of the propertyrsquos value You the sum total of your liabilities from the value of all your assets are not required to list your residences You should list any vacation as calculated above for Part D This is your ldquonet worthrdquo List each homes if you derive income from them creditor to whom your debt exceeded this amount unless it is one of

Indirect ownership includes situations where you are a the types of indebtedness listed in the paragraph above (credit card beneficiary of a trust that owns the property as well as situations and retail installment accounts etc) Joint liabilities with others for where you own more than 5 of a partnership or corporation that which you are ldquojointly and severally liablerdquo meaning that you may owns the property The value of the property may be determined by be liable for either your part or the whole of the obligation should be the most recently assessed value for tax purposes in the absence included in your calculations at 100 of the amount owed of a more current appraisal

Example You owe $15000 to a bank for student loans $5000 The location or description of the property should be sufficient for credit card debts and $60000 (with spouse) to a savings to enable anyone who looks at the form to identify the property A and loan for a home mortgage Your home (owned by you and street address should be used if one exists your spouse) is worth $80000 and your other property is worth PART D mdash INTANGIBLE PERSONAL PROPERTY $20000 Since your net worth is $20000 ($100000 minus

$80000) you must report only the name and address of the [Required by s 1123145(3)(a)3 FS] savings and loan Describe any intangible personal property that at any time

during the disclosure period was worth more than 10 of your PART F mdash INTERESTS IN SPECIFIED BUSINESSES total assets and state the business entity to which the property [Required by s 1123145 FS] related Intangible personal property includes things such as cash on hand stocks bonds certificates of deposit vehicle leases The types of businesses covered in this disclosure include interests in businesses beneficial interests in trusts money owed state and federally chartered banks state and federal savings and you Deferred Retirement Option Program (DROP) accounts loan associations cemetery companies insurance companies the Florida Prepaid College Plan and bank accounts Intangible mortgage companies credit unions small loan companies alcoholic personal property also includes investment products held in IRAs beverage licensees pari-mutuel wagering companies utilitybrokerage accounts and the Florida College Investment Plan companies entities controlled by the Public Service Commission Note that the product contained in a brokerage account IRA or the and entities granted a franchise to operate by either a city or a Florida College Investment Plan is your assetmdashnot the account or county governmentplan itself Things like automobiles and houses you own jewelry Disclose in this part the fact that you owned during the and paintings are not intangible property Intangibles relating to the disclosure period an interest in or held any of certain positions same business entity may be aggregated for example CDrsquos and with the types of businesses listed above You are requiredsavings accounts with the same bank to make this disclosure if you own or owned (either directly or

Calculations To determine whether the intangible property indirectly in the form of an equitable or beneficial interest) at any exceeds 10 of your total assets total the fair market value of time during the disclosure period more than 5 of the total assets all of your assets (including real property intangible property and or capital stock of one of the types of business entities listed above tangible personal property such as jewelry furniture etc) When You also must complete this part of the form for each of these types making this calculation do not subtract any liabilities (debts) that of businesses for which you are or were at any time during themay relate to the property Multiply the total figure by 10 to arrive disclosure period an officer director partner proprietor or agent at the disclosure threshold List only the intangibles that exceed (other than a resident agent solely for service of process) this threshold amount The value of a leased vehicle is the vehiclersquos If you have or held such a position or ownership interest in present value minus the lease residual (a number which can be one of these types of businesses list the name of the business its found on the lease document) Property that is only jointly owned address and principal business activity and the position held with property should be valued according to the percentage of your the business (if any) If you own(ed) more than a 5 interest in the joint ownership Property owned as tenants by the entirety or as business indicate that fact and describe the nature of your interest joint tenants with right of survivorship should be valued at 100 None of your calculations or the value of the property have to be PART G mdash TRAINING CERTIFICATIONdisclosed on the form

[Required by s 1123142 FS] Example You own 50 of the stock of a small corporation that is worth $100000 the estimated fair market value of If you are a Constitutional or elected municipal officer whoseyour home and other property (bank accounts automobile service began before March 31 of the year for which you are filing furniture etc) is $200000 As your total assets are worth you are required to complete four hours of ethics training which $250000 you must disclose intangibles worth over $25000 addresses Article II Section 8 of the Florida Constitution the Code Since the value of the stock exceeds this threshold you of Ethics for Public Officers and Employees and the public records should list ldquostockrdquo and the name of the corporation If your and open meetings laws of the state You are required to certify on accounts with a particular bank exceed $25000 you should this form that you have taken such training list ldquobank accountsrdquo and bankrsquos name

(

End of Percentage Thresholds Instructions) CE FORM 1 - Effective January 1 2020 Incorporated by reference in Rule 34-8202 FAC PAGE 6

  • 0 HP Cover Page v2
  • 1 Hawks Point Meeting Invite Draft v2
  • 2 Agenda Draft v3
  • 3 EXHIBIT 1
  • 7 HP 05-19-2020 Meeting Minutes Approved
  • 6 EXHIBIT 2
  • 9 HP May FY20 Fin
  • 8 EXHIBIT 3
  • 4 Vacant Position Qualification Requirements for Hawks Point CDD
    • Vacant Position on the Board of Supervisors of the Hawkrsquos Point Community Development District
      • Qualification Requirements
      • Instructions for Interested Candidates
      • Additional Notes
          • 5 Shami Choon Vacant Position - updated 11-5-11 resume
            • 1803 Oak Pond Street Ruskin Fl 33570 E-mailchoons27gmailcom
              • PROFESSIONAL HISTORY
                • Operations Manager Florida Distribution 2002 ndash 2005
                • Operations Manager for Florida Branch Distribution 1999 ndash 2002
                • Warehouse Manager of Miami Distribution Center 1998 ndash 1999
                • Branch Manager of West Palm Beach 1994 ndash 1998
                • Assistant Branch Manager 1991 ndash 1994
                • Customer Service Agent 1990 ndash 1991
                  • 10 EXHIBIT 4
                  • 11 New Business - Hawks Point CDD - MI proposal
                  • 12 EXHIBIT 5
                  • 13 CertaPro Proposal to Paint Exterior Wall 18th to 24th Avenue
                  • 14 Shazam Construction Proposal to Paint Exterior Wall 18th to 24th Street
                    • QUOTE
                      • TO
                          • 15 Photo to accompany Shazam Proposal
                          • 16 EXHIBIT 6
                          • 17 CertaPro Proposal for Pressure Washing Exterior Wall 18th St to 24th Street
                          • 18 Shazam Construction Proposal for Pressure Washing Exterion Wall 18th Street to 24th Street
                            • QUOTE
                              • TO
                                  • 19 EXHIBIT 7
                                  • 20 Form 1_2019i
                                      1. LAST NAME
                                      2. FIRST NAME
                                      3. MIDDLE NAME
                                      4. MAILING ADDRESS ROW 1
                                      5. MAILING ADDRESS ROW 2
                                      6. CITY
                                      7. ZIP
                                      8. COUNTY
                                      9. NAME OF AGENCY
                                      10. NAME OF OFFICE OR POSITION HELD OR SOUGHT
                                      11. CANDIDATE Off
                                      12. NEW EMPLOYEE OR APPOINTEE Off
                                      13. COMPARATIVE (PERCENTAGE) THRESHOLDS Off
                                      14. DOLLAR VALUE THRESHOLDS Off
                                      15. NAME OF SOURCE INCOME ROW 1
                                      16. ADDRESS ROW 1
                                      17. DESCRIPTION OF THE SOURCES PRINCIPAL BUSINESS ACTIVITY ROW 1
                                      18. NAME OF SOURCE INCOME ROW 2
                                      19. ADDRESS ROW 2
                                      20. DESCRIPTION OF THE SOURCES PRINCIPAL BUSINESS ACTIVITY ROW 2
                                      21. NAME OF SOURCE INCOME ROW 3
                                      22. ADDRESS ROW 3
                                      23. DESCRIPTION OF THE SOURCES PRINCIPAL BUSINESS ACTIVITY ROW 3
                                      24. NAME OF SOURCE INCOME ROW 4
                                      25. ADDRESS ROW 4
                                      26. DESCRIPTION OF THE SOURCES PRINCIPAL BUSINESS ACTIVITY ROW 4
                                      27. NAME OF BUSINESS ENTITY ROW 1
                                      28. NAME OF MAJOR SOURCES OF BUSINESS INCOME ROW 1
                                      29. ADDRESS OF SOURCE ROW 1
                                      30. PRINCIPAL BUSINESS ACTIVITY OF SOURCE ROW 1
                                      31. NAME OF BUSINESS ENTITY ROW 2
                                      32. NAME OF MAJOR SOURCES OF BUSINESS INCOME ROW 2
                                      33. ADDRESS OF SOURCE ROW 2
                                      34. PRINCIPAL BUSINESS ACTIVITY OF SOURCE ROW 2
                                      35. NAME OF BUSINESS ENTITY ROW 3
                                      36. NAME OF MAJOR SOURCES OF BUSINESS INCOME ROW 3
                                      37. ADDRESS OF SOURCE ROW 3
                                      38. PRINCIPAL BUSINESS ACTIVITY OF SOURCE ROW 3
                                      39. REAL PROPERTY ROW 1
                                      40. REAL PROPERTY ROW 2
                                      41. REAL PROPERTY ROW 3
                                      42. REAL PROPERTY ROW 4
                                      43. TYPE OF INTANGIBLE ROW 1
                                      44. BUSINESS ENTITY TO WHICH THE PROPERTY RELATES ROW 1
                                      45. TYPE OF INTANGIBLE ROW 2
                                      46. BUSINESS ENTITY TO WHICH THE PROPERTY RELATES ROW 2
                                      47. NAME OF CREDITOR ROW 1
                                      48. ADDRESS OF CREDITOR ROW 1
                                      49. NAME OF CREDITOR ROW 2
                                      50. ADDRESS OF CREDITOR ROW 2
                                      51. ADDRESS OF BUSINESS ENTITY 1
                                      52. PRINCIPAL BUSINESS ACTIVITY 1
                                      53. POSITION HELD WITH ENTITY 1
                                      54. I OWN MORE THAN A 5 INTEREST IN THE BUSINESS 1
                                      55. NATURE OF MY OWNERSHIP INTEREST 1
                                      56. ADDRESS OF BUSINESS ENTITY 2
                                      57. PRINCIPAL BUSINESS ACTIVITY 2
                                      58. POSITION HELD WITH ENTITY 2
                                      59. I OWN MORE THAN A 5 INTEREST IN THE BUSINESS 2
                                      60. NATURE OF MY OWNERSHIP INTEREST 2
                                      61. FOR ELECTED MUNICIPAL OFFICERS REQUIRED TO COMPLETE ANNUAL ETHICS TRAINING PURSUANT TO SECTION 112
                                        1. 3142 F
                                          1. S Off
                                              1. IF ANY OF PARTS A THROUGH G ARE CONTINUED ON A SEPARATE SHEET PLEASE CHECK HERE Off
                                              2. SIGNATURE
                                              3. Date Signed
Page 24: HAWKS POINT COMMUNITY DEVELOPMENT …...2020/06/16  · Hawks Point Community Development District Board of Supervisors Meeting Tuesday, June 16th at 6:30 PM via Zoom All: We welcome

2

bull Increased sales by 80 over budget and kept operating cost as of sales Implemented new customer service department Hired and trained all employees

Assistant Branch Manager 1991 ndash 1994 bull Increased productivity by 20 and improved delivery service Customer Service Agent 1990 ndash 1991 bull Created and implemented customer service guidelines Wingate Automotive Group 1987ndash 1990 Trinidad amp Tobago Government National Security 1984- 1987 Field Operation

EXHIBIT 4

PO Box 267 Seffner FL 33583 O 813-757-6500 F 813-757-6501 Estimate

Submitted To Hawks Point CDD 250 International Parkway Suite 280 Lake Mary FL 32746

CDD - controller 4 - zones 1 and 2

Date 5232020

Estimate 66077

LMP REPRESENTATIVE

DG-TI

PO

W ork Order

DESCRIPTION QTY COST TOTAL

Controller 4 34 inch poly pipe 34 inch poly pipe clamps Labor 2 men $ 8500 per hour

Irrigation inspection repairs needed Repair 6 - 34 inch poly pipe line leaks

6 12 05

072 129

8500

432 1548 4250

TERMS AND CONDITIONS TOTAL $6230

LMP reserves the right to withdraw this proposal if not accepted within 30 days of the date listed above Any alteration or deviation to scope of work involving additional costs must be agreed upon in writing as a separate proposal or change order to this proposal Periodic invoices may be submitted if job is substantial in nature with final invoice being submitted at completion of project Any work performed requiring more than 5 days to complete is subject to progressive payments as portions of the work are completed No finance charge will be imposed if the total of said work is paid in full within 30 days of invoice date If not paid in full within 30 days then customer is subject to finance charges on the balance of the work from the invoice date at a rate of 15 per month until paid LMP shall have the right to stop work under this contract until all outstanding amounts including finance charges are paid in full Payments will be applied to the oldest invoices

ACCEPTANCE OF PROPOSAL The above prices scope of work and terms and conditions are hereby satisfactorily agreed upon LMP Inc has been authorized to perform the work as outlined and payment will be made as outlined above The above pricing does not include any unforeseen modifications to the said irrigation system that could not be reasonably accounted for prior to job start All plant material carries a one (1) year warranty provided LMP Inc is performing landscape maintenance services to the area installed or enhanced at the time of installation If not then there is no warranty on the plant material

OWNER AGENT

DATE

EXHIBIT 5

Independent Franchise Owner Job TBE8F300154 Terry Beamer 9266 Lazy Ln

Date 06012020

EXTERIOR PROPOSALEXTERIOR PROPOSALEXTERIOR PROPOSALEXTERIOR PROPOSAL Tampa FL 33614 813-936-9242

Fax 813 936-9172

1-800-462-3782

License PA2508

Full Workers Compensation Coverage$2000000 General Liability Insurance

DPFG Management amp Consulting LLC (Hawks Point) Raymond Lotito (SB) Hawks Point CDD Ruskin FL 33570 Phone 813-418-7473 Cell 813-220-6089 Email raymondlotitodpfgcom

Special Notes CERTAPRO PAINTERS WILL PAINT WALL FACING 19ST FROM 18TH-24TH

SPECIAL ATTENTION ADDRESSING STUCCO CRACKS USING CONCRETE AND MASONRY PATCH

SPECIAL ATTENTION PRESSURE WASHING LOOSE PEELING PAINT PRIOR TO PAINTING

CERTAPRO PAINTERS WILL ONLY PAINT STREET FACING SIDE- HOMEOWNERS SIDE EXCLUDED FROM PROPOSAL

CUSTOMER RESPONSIBILITIES Please cut back all shrubs bushes and palms away from wall

GENERAL DESCRIPTION Painting to Exterior Wall 18th-24th Facing 19th Ave

PREPARATION Washing To remove dirt mildew and loose paint so the new finish coat will adhere properly

Caulking To fill all cracks and gaps around windows and doorswood work to seal out moisture and drafts Stair step

cracks

Scraping Scrape all loose and peeling paint to ensure a firm base for the new paint

Masonry Repair to all cracks gaps and holes with elastemeric caulking or masonry patch as required

Sanding To degloss where necessary to promote adhesion of the top coat

Surface TypeArea Primer PurposePRIMING

Masonry Loxon sealerprimer Latex For propor top coat adhesion

Conditioner Loxon sealerprimer to all Latex For proper top coat adhesion

masonry surfaces

FINISH COATS

Surface Area

Exterior

ManufacturePaint Type

Sherwin Williams Resilience Ext Satin

Coats

1 primer-sealer 1 spray 1 backroll stucco

Color

Same As Existing

Clean Up Daily and upon completion

$1132900 All Labor Paint Materials

$1132900 TOTAL

Signature of Authorized Franchise Representative Date

Payment is due In Full upon Job Completion

(IWE HAVE READ THE TERMS STATED HEREIN THEY HAVE (IWE) HAVE EXAMINED THE JOB STATED HEREIN THEY EXPLAINED TO (MEUS) AND (IWE) FIND THEM TO BE HAVE SHOWN TO (MEUS) AND (IWE) FIND THE JOB TO SATISFACTORY AND HEREBY ACCEPT THEM BE SATISFACTORY AND HEREBY ACCEPT THE JOB AS

COMPLETE

SIGNATURE Date SIGNATURE Date

QUOTE

Shazam Construction LLC DATE MAY 13 2020

Shazam Hera 6773 Waterton Drive Riverview FL 33578 813-385-4591 ShazamConstructionLLCgmailcom Hawks Point CDD

TO Bill to Development Planning and Financing Group 15310 Amberly Drive Suite 175 Tampa FL 33647

QUANITY DESCRIPTION UNIT PRICE LINE TOTAL

Pressure wash the wall that parallels 19th avenue from 18th street to 24th street in Hawks Point CDD in Ruskin

$1270000

Repair any cracks with caulk or elastomeric as neededPrep for paint

Paint the wall that parallels 19th avenue from 18th street to 24th street in Hawks Point CDD in Ruskin

Paint using body trim and caps of exterior wall facing 19th avenue

Paint while matching existing colors

Paint using Sherwin Williams

All paint materials and labor is included

SUBTOTAL

SALES TAX

TOTAL $1270000

Make all checks payable to Shazam Construction LLC

THANK YOU FOR YOUR BUSINESS

EXHIBIT 6

Independent Franchise Owner Job TB443B00157 Terry Beamer 9266 Lazy Ln

Date 06052020

EXTERIOR PROPOSALEXTERIOR PROPOSALEXTERIOR PROPOSALEXTERIOR PROPOSAL Tampa FL 33614 813-936-9242

Fax 813 936-9172

1-800-462-3782

License PA2508

Full Workers Compensation Coverage$2000000 General Liability Insurance

DPFG Management amp Consulting LLC (Hawks Point) Raymond Lotito (SB) Hawks Point CDD Ruskin FL 33570 Phone 813-418-7473 Cell 813-220-6089 Email raymondlotitodpfgcom

Special Notes CERTAPRO PAINTERS PRESSURE WASHING PROPOSAL 18TH-24TH

CERTAPRO PAINTERS WILL PRESSURE WASH WALL FACING 19TH ST ONLY

GENERAL DESCRIPTION Painting to

PREPARATION Washing To remove dirt mildew and loose paint so the new finish coat will adhere properly

PRIMING Surface TypeArea Primer Purpose

Clean Up Daily and upon completion

All Labor Paint Materials

TOTAL

$195000

$195000

Signature of Authorized Franchise Representative Date

Payment is due In Full upon Job Completion

(IWE HAVE READ THE TERMS STATED HEREIN THEY HAVE (IWE) HAVE EXAMINED THE JOB STATED HEREIN THEY EXPLAINED TO (MEUS) AND (IWE) FIND THEM TO BE HAVE SHOWN TO (MEUS) AND (IWE) FIND THE JOB TO SATISFACTORY AND HEREBY ACCEPT THEM BE SATISFACTORY AND HEREBY ACCEPT THE JOB AS

COMPLETE

SIGNATURE Date SIGNATURE Date

QUOTE

Shazam Construction LLC DATE JUNE 5 2020

Shazam Hera 6773 Waterton Drive Riverview FL 33578 813-385-4591 ShazamConstructionLLCgmailcom Hawks Point CDD

TO Bill to Development Planning and Financing Group 15310 Amberly Drive Suite 175 Tampa FL 33647

QUANITY DESCRIPTION UNIT PRICE LINE TOTAL

Pressure wash the wall that parallels 19th avenue from 18th street to 24th street in Hawks Point CDD in Ruskin

$160000

All materials and labor is included

SUBTOTAL

SALES TAX

TOTAL $160000

Make all checks payable to Shazam Construction LLC

THANK YOU FOR YOUR BUSINESS

EXHIBIT 7

2019FORM 1 STATEMENT OF

Please print or type your name mailing FOR OFFICE USE ONLY FINANCIAL INTERESTS address agency name and position below

LAST NAME -- FIRST NAME -- MIDDLE NAME

MAILING ADDRESS

CITY ZIP COUNTY

NAME OF AGENCY

NAME OF OFFICE OR POSITION HELD OR SOUGHT

CHECK ONLY IF CANDIDATE OR NEW EMPLOYEE OR APPOINTEE

THIS SECTION MUST BE COMPLETED DISCLOSURE PERIOD THIS STATEMENT REFLECTS YOUR FINANCIAL INTERESTS FOR CALENDAR YEAR ENDING DECEMBER 31 2019

MANNER OF CALCULATING REPORTABLE INTERESTS FILERS HAVE THE OPTION OF USING REPORTING THRESHOLDS THAT ARE ABSOLUTE DOLLAR VALUES WHICH REQUIRES FEWER CALCULATIONS OR USING COMPARATIVE THRESHOLDS WHICH ARE USUALLY BASED ON PERCENTAGE VALUES (see instructions for further details) CHECK THE ONE YOU ARE USING (must check one)

COMPARATIVE (PERCENTAGE) THRESHOLDS OR DOLLAR VALUE THRESHOLDS

PART A -- PRIMARY SOURCES OF INCOME [Major sources of income to the reporting person - See instructions] (If you have nothing to report write none or na)

NAME OF SOURCE SOURCES DESCRIPTION OF THE SOURCES OF INCOME ADDRESS PRINCIPAL BUSINESS ACTIVITY

PART B -- SECONDARY SOURCES OF INCOME [Major customers clients and other sources of income to businesses owned by the reporting person - See instructions] (If you have nothing to report write none or na)

NAME OF NAME OF MAJOR SOURCES ADDRESS PRINCIPAL BUSINESS BUSINESS ENTITY OF BUSINESS INCOME OF SOURCE ACTIVITY OF SOURCE

PART C -- REAL PROPERTY [Land buildings owned by the reporting person - See instructions] You are not limited to the space on the (If you have nothing to report write none or na) lines on this form Attach additional

sheets if necessary

FILING INSTRUCTIONS for when and where to file this form are located at the bottom of page 2

INSTRUCTIONS on who must file this form and how to fill it out begin on page 3

CE FORM 1 - Effective January 1 2020 (Continued on reverse side) PAGE 1 Incorporated by reference in Rule 34-8202(1) FAC

FILING INSTRUCTIONS

IF ANY OF PARTS A THROUGH G ARE CONTINUED ON A SEPARATE SHEET PLEASE CHECK HERE

PART D mdash INTANGIBLE PERSONAL PROPERTY [Stocks bonds certificates of deposit etc - See instructions] (If you have nothing to report write none or na) TYPE OF INTANGIBLE BUSINESS ENTITY TO WHICH THE PROPERTY RELATES

PART E mdash LIABILITIES [Major debts - See instructions] (If you have nothing to report write none or na)

NAME OF CREDITOR ADDRESS OF CREDITOR

PART F mdash INTERESTS IN SPECIFIED BUSINESSES [Ownership or positions in certain types of businesses - See instructions] (If you have nothing to report write none or na)

BUSINESS ENTITY 1 BUSINESS ENTITY 2

NAME OF BUSINESS ENTITY

ADDRESS OF BUSINESS ENTITY

PRINCIPAL BUSINESS ACTIVITY

POSITION HELD WITH ENTITY

I OWN MORE THAN A 5 INTEREST IN THE BUSINESS

NATURE OF MY OWNERSHIP INTEREST

If you were mailed the form by the Commission on Ethics or a County Supervisor of Elections for your annual disclosure filing return the form to that location To determine what category your position falls under see page 3 of instructions Local officersemployees file with the Supervisor of Elections of the county in which they permanently reside (If you do not permanently reside in Florida file with the Supervisor of the county where your agency has its headquarters) Form 1 filers who file with the Supervisor of Elections may file by mail or email Contact your Supervisor of Elections for the mailing address or email address to use Do not email your form to the Commission on Ethics it will be returned State officers or specified state employees who file with the Commission on Ethics may file by mail or email To file by mail send the completed form to PO Drawer 15709 Tallahassee FL32317-5709 physical address 325 John Knox Rd Bldg E Ste 200 Tallahassee FL 32303 To file with the Commission by email scan your completed form and any attachments as a pdf (do not use any other format) send it to CEForm1legstateflus and retain a copy for your records Do not file by both mail and email Choose only one filing method Form 6s will not be accepted via email

Candidates file this form together with their filing papers MULTIPLE FILING UNNECESSARY A candidate who files a Form 1 with a qualifying officer is not required to file with the Commission or Supervisor of Elections WHEN TO FILE Initially each local officeremployee state officer and specified state employee must file within 30 days of the date of his or her appointment or of the beginning of employment Appointees who must be confirmed by the Senate must file prior to confirmation even if that is less than 30 days from the date of their appointment Candidates must file at the same time they file their qualifying papers Thereafter file by July 1 following each calendar year in which they hold their positions Finally file a final disclosure form (Form 1F) within 60 days of leaving office or employment Filing a CE Form 1F (Final Statement of Financial Interests) does not relieve the filer of filing a CE Form 1 if the filer was in his or her position on December 31 2019

SIGNATURE OF FILER Signature

____________________________________________

Date Signed

____________________________________________

CPA or ATTORNEY SIGNATURE ONLY If a certified public accountant licensed under Chapter 473 or attorney in good standing with the Florida Bar prepared this form for you he or she must complete the following statement

I _______________________________________ prepared the CE Form 1 in accordance with Section 1123145 Florida Statutes and the instructions to the form Upon my reasonable knowledge and belief the disclosure herein is true and correct

CPAAttorney Signature ______________________________

Date Signed _______________________________________

PART G mdash TRAINING For elected municipal officers required to complete annual ethics training pursuant to section 1123142 FS

I CERTIFY THAT I HAVE COMPLETED THE REQUIRED TRAINING

CE FORM 1 - Effective January 1 2020 PAGE 2 Incorporated by reference in Rule 34-8202(1) FAC

Examplesmdash You are the sole proprietor of a dry cleaning business fromwhich you received more than 10 of your gross incomemdashanamount that was more than $1500 If only one customer auniform rental company provided more than 10 of your drycleaning business you must list the name of the uniform rentalcompany its address and its principal business activity (uniform rentals) mdash You are a 20 partner in a partnership that owns a shopping mall and your partnership income exceeded the thresholds listed above You should list each tenant of the mall that provided more than 10 of the partnershiprsquos gross income and the tenantrsquos address and principal business activity

PART C mdash REAL PROPERTY[Required by s 1123145(3)(a)3 FS]In this part list the location or description of all real property in

Florida in which you owned directly or indirectly at any time during the disclosure period in excess of 5 of the propertyrsquos value You are not required to list your residences You should list any vacation homes if you derive income from them

Indirect ownership includes situations where you are abeneficiary of a trust that owns the property as well as situations where you own more than 5 of a partnership or corporation thatowns the property The value of the property may be determined by the most recently assessed value for tax purposes in the absence of a more current appraisal

The location or description of the property should be sufficient to enable anyone who looks at the form to identify the property Astreet address should be used if one exists PART D mdash INTANGIBLE PERSONAL PROPERTY

[Required by s 1123145(3)(a)3 FS]Describe any intangible personal property that at any time

during the disclosure period was worth more than 10 of your total assets and state the business entity to which the property related Intangible personal property includes things such as cash on hand stocks bonds certificates of deposit vehicle leases interests in businesses beneficial interests in trusts money owed you Deferred Retirement Option Program (DROP) accounts the Florida Prepaid College Plan and bank accounts Intangiblepersonal property also includes investment products held in IRAs brokerage accounts and the Florida College Investment Plan Note that the product contained in a brokerage account IRA or the Florida College Investment Plan is your assetmdashnot the account or plan itself Things like automobiles and houses you own jewelryand paintings are not intangible property Intangibles relating to the same business entity may be aggregated for example CDrsquos and savings accounts with the same bank

Calculations To determine whether the intangible property exceeds 10 of your total assets total the fair market value of all of your assets (including real property intangible property and tangible personal property such as jewelry furniture etc) When making this calculation do not subtract any liabilities (debts) that may relate to the property Multiply the total figure by 10 to arrive at the disclosure threshold List only the intangibles that exceed this threshold amount The value of a leased vehicle is the vehiclersquos present value minus the lease residual (a number which can be found on the lease document) Property that is only jointly owned property should be valued according to the percentage of your joint ownership Property owned as tenants by the entirety or as joint tenants with right of survivorship should be valued at 100 None of your calculations or the value of the property have to be disclosed on the form

Example You own 50 of the stock of a small corporation that is worth $100000 the estimated fair market value of your home and other property (bank accounts automobile furniture etc) is $200000 As your total assets are worth $250000 you must disclose intangibles worth over $25000 Since the value of the stock exceeds this threshold you should list ldquostockrdquo and the name of the corporation If your accounts with a particular bank exceed $25000 you should list ldquobank accountsrdquo and bankrsquos name

PART E mdash LIABILITIES[Required by s 1123145(3)(b)4 FS]List the name and address of each creditor to whom you owed

any amount that at any time during the disclosure period exceeded your net worth You are not required to list the amount of any debt or your net worth You do not have to disclose credit card and retail installment accounts taxes owed (unless reduced to a judgment) indebtedness on a life insurance policy owed to the company of issuance or contingent liabilities A ldquocontingent liabilityrdquo is one that will become an actual liability only when one or more future events occur or fail to occur such as where you are liable only as a guarantor surety or endorser on a promissory note If you are a ldquoco-makerrdquo and are jointly liable or jointly and severally liable it is not a contingent liability

Calculations To determine whether the debt exceeds your net worth total all of your liabilities (including promissory notes mortgages credit card debts judgments against you etc) Theamount of the liability of a vehicle lease is the sum of any past-due payments and all unpaid prospective lease payments Subtract the sum total of your liabilities from the value of all your assets as calculated above for Part D This is your ldquonet worthrdquo List each creditor to whom your debt exceeded this amount unless it is one of the types of indebtedness listed in the paragraph above (credit card and retail installment accounts etc) Joint liabilities with others for which you are ldquojointly and severally liablerdquo meaning that you may be liable for either your part or the whole of the obligation should be included in your calculations at 100 of the amount owed

Example You owe $15000 to a bank for student loans $5000 for credit card debts and $60000 (with spouse) to a savings and loan for a home mortgage Your home (owned by you and your spouse) is worth $80000 and your other property is worth $20000 Since your net worth is $20000 ($100000 minus $80000) you must report only the name and address of the savings and loan

PART F mdash INTERESTS IN SPECIFIED BUSINESSES[Required by s 1123145 FS]The types of businesses covered in this disclosure include

state and federally chartered banks state and federal savings and loan associations cemetery companies insurance companies mortgage companies credit unions small loan companies alcoholic beverage licensees pari-mutuel wagering companies utilitycompanies entities controlled by the Public Service Commission and entities granted a franchise to operate by either a city or acounty government

Disclose in this part the fact that you owned during the disclosure period an interest in or held any of certain positions with the types of businesses listed above You are required to make this disclosure if you own or owned (either directly orindirectly in the form of an equitable or beneficial interest) at any time during the disclosure period more than 5 of the total assets or capital stock of one of the types of business entities listed above You also must complete this part of the form for each of these types of businesses for which you are or were at any time during thedisclosure period an officer director partner proprietor or agent (other than a resident agent solely for service of process)

If you have or held such a position or ownership interest in one of these types of businesses list the name of the business its address and principal business activity and the position held with the business (if any) If you own(ed) more than a 5 interest in the business indicate that fact and describe the nature of your interest

PART G mdash TRAINING CERTIFICATION[Required by s 1123142 FS]If you are a Constitutional or elected municipal officer whose

service began before March 31 of the year for which you are filing you are required to complete four hours of ethics training which addresses Article II Section 8 of the Florida Constitution the Code of Ethics for Public Officers and Employees and the public records and open meetings laws of the state You are required to certify on this form that you have taken such training (End of Percentage Thresholds Instructions)

CE FORM 1 - Effective January 1 2020 Incorporated by reference in Rule 34-8202 FAC PAGE 6

NOTICE Annual Statements of Financial Interests are due July 1 If the annual form is not filed or postmarked by September 1 an automatic fine of $25 for each day late will be imposed up to a maximum penalty of $1500 Failure to file also can result in removal from public office or employment [s 1123145 FS]

In addition failure to make any required disclosure constitutes grounds for and may be punished by one or more of the following disqualification from being on the ballot impeachment removal or suspension from office or employment demotion reduction in salary reprimand or a civil penalty not exceeding $10000 [s 112317 FS]

WHO MUST FILE FORM 1 1) Elected public officials not serving in a political subdivision of the

state and any person appointed to fill a vacancy in such office unlessrequired to file full disclosure on Form 62) Appointed members of each board commission authority

or council having statewide jurisdiction excluding members of solelyadvisory bodies but including judicial nominating commission membersDirectors of Enterprise Florida Scripps Florida Funding Corporationand Career Source Florida and members of the Council on the Social Status of Black Men and Boys the Executive Director Governors and senior managers of Citizens Property Insurance CorporationGovernors and senior managers of Florida Workers Compensation JointUnderwriting Association board members of the Northeast Fla RegionalTransportation Commission board members of Triumph Gulf Coast Incboard members of Florida Is For Veterans Inc and members of the Technology Advisory Council within the Agency for State Technology3) The Commissioner of Education members of the State Board

of Education the Board of Governors the local Boards of Trustees and Presidents of state universities and the Florida Prepaid College Board 4) Persons elected to office in any political subdivision (such as

municipalities counties and special districts) and any person appointedto fill a vacancy in such office unless required to file Form 65) Appointed members of the following boards councils

commissions authorities or other bodies of county municipality schooldistrict independent special district or other political subdivision thegoverning body of the subdivision community college or junior collegedistrict boards of trustees boards having the power to enforce local codeprovisions boards of adjustment community redevelopment agenciesplanning or zoning boards having the power to recommend create ormodify land planning or zoning within a political subdivision except forcitizen advisory committees technical coordinating committees andsimilar groups who only have the power to make recommendationsto planning or zoning boards and except for representatives of a military installation acting on behalf of all military installations within thatjurisdiction pension or retirement boards empowered to invest pensionor retirement funds or determine entitlement to or amount of pensions orother retirement benefits and the Pinellas County Construction LicensingBoard 6) Any appointed member of a local government board who

is required to file a statement of financial interests by the appointingauthority or the enabling legislation ordinance or resolution creating theboard 7) Persons holding any of these positions in local government

mayor county or city manager chief administrative employee or finance

director of a county municipality or other political subdivision county or municipal attorney chief county or municipal building inspectorcounty or municipal water resources coordinator county or municipalpollution control director county or municipal environmental control director county or municipal administrator with power to grant or denya land development permit chief of police fire chief municipal clerkappointed district school superintendent community college presidentdistrict medical examiner purchasing agent (regardless of title) havingthe authority to make any purchase exceeding $35000 for the localgovernmental unit8) Officers and employees of entities serving as chief administrative

officer of a political subdivision9) Members of governing boards of charter schools operated by a

city or other public entity10) Employees in the office of the Governor or of a Cabinet member

who are exempt from the Career Service System excluding secretarialclerical and similar positions11) The following positions in each state department commission

board or council Secretary Assistant or Deputy Secretary ExecutiveDirector Assistant or Deputy Executive Director and anyone having thepower normally conferred upon such persons regardless of title12) The following positions in each state department or division

Director Assistant or Deputy Director Bureau Chief and any personhaving the power normally conferred upon such persons regardless oftitle 13) Assistant State Attorneys Assistant Public Defenders criminal

conflict and civil regional counsel and assistant criminal conflict and civilregional counsel Public Counsel full-time state employees serving ascounsel or assistant counsel to a state agency administrative law judgesand hearing officers14) The Superintendent or Director of a state mental health institute

established for training and research in the mental health field or anymajor state institution or facility established for corrections trainingtreatment or rehabilitation 15) State agency Business Managers Finance and Accounting

Directors Personnel Officers Grant Coordinators and purchasingagents (regardless of title) with power to make a purchase exceeding$35000 16) The following positions in legislative branch agencies each

employee (other than those employed in maintenance clerical secretarial or similar positions and legislative assistants exempted by the presiding officer of their house) and each employee of theCommission on Ethics

INSTRUCTIONS FOR COMPLETING FORM 1 INTRODUCTORY INFORMATION (Top of Form) If your name mailing address public agency and position are already printed on the form you do not need to provide this information unless it should be changed To change any of this information write the correct information on the form and contact your agencys financial disclosure coordinator You can find your coordinator on the Commission on Ethics website wwwethics stateflus NAME OF AGENCY The name of the governmental unit which you serve or served by which you are or were employed or for which you are a candidate DISCLOSURE PERIOD The ldquodisclosure periodrdquo for your report is the calendar year ending December 31 2019

OFFICE OR POSITION HELD OR SOUGHT The title of the office or position you hold are seeking or held during the disclosure period even if you have since left that position If you are a candidate for office or are a new employee or appointee check the appropriate box PUBLIC RECORD The disclosure form and everythingattached to it is a public record Your Social Security Number is not required and you should redact it from any documents you file If you are an active or former officer or employee listed in Section 119071 FS whose home address is exempt from disclosure the Commission will maintain that confidentiality if you submit a written request

CE FORM 1 - Effective January 1 2020 Incorporated by reference in Rule 34-8202 FAC PAGE 3

PART E mdash LIABILITIES[Required by s 1123145(3)(b)4 FS]List the name and address of each creditor to whom you owed more

than $10000 at any time during the disclosure period The amount of theliability of a vehicle lease is the sum of any past-due payments and allunpaid prospective lease payments You are not required to list the amountof any debt You do not have to disclose credit card and retail installmentaccounts taxes owed (unless reduced to a judgment) indebtedness ona life insurance policy owed to the company of issuance or contingentliabilities A ldquocontingent liabilityrdquo is one that will become an actual liabilityonly when one or more future events occur or fail to occur such as whereyou are liable only as a guarantor surety or endorser on a promissorynote If you are a ldquoco-makerrdquo and are jointly liable or jointly and severallyliable then it is not a contingent liability

PART F mdash INTERESTS IN SPECIFIED BUSINESSES[Required by s 1123145(6) FS]The types of businesses covered in this disclosure include state and

federally chartered banks state and federal savings and loan associationscemetery companies insurance companies mortgage companies creditunions small loan companies alcoholic beverage licensees pari-mutuelwagering companies utility companies entities controlled by the PublicService Commission and entities granted a franchise to operate by either acity or a county government

Disclose in this part the fact that you owned during the disclosure period aninterest in or held any of certain positions with the types of businesses listedabove You must make this disclosure if you own or owned (either directly orindirectly in the form of an equitable or beneficial interest) at any time duringthe disclosure period more than 5 of the total assets or capital stock ofone of the types of business entities listed above You also must completethis part of the form for each of these types of businesses for which youare or were at any time during the disclosure period an officer directorpartner proprietor or agent (other than a resident agent solely for service ofprocess)

If you have or held such a position or ownership interest in one ofthese types of businesses list the name of the business its address andprincipal business activity and the position held with the business (if any) Ifyou own(ed) more than a 5 interest in the business indicate that fact anddescribe the nature of your interest

PART G mdash TRAINING CERTIFICATION[Required by s 1123142 FS]If you are a Constitutional or elected municipal officer whose

service began before March 31 of the year for which you are filingyou are required to complete four hours of ethics training which addresses Article II Section 8 of the Florida Constitution the Codeof Ethics for Public Officers and Employees and the public recordsand open meetings laws of the state You are required to certify onthis form that you have taken such training

(End of Dollar Value Thresholds Instructions)

PART A mdash PRIMARY SOURCES OF INCOME[Required by s 1123145(3)(a)1 FS]Part A is intended to require the disclosure of your principal

sources of income during the disclosure period You do not haveto disclose any public salary or public position(s) but income from these public sources should be included when calculating your gross income for the disclosure period The income of your spouse need not be disclosed however if there is joint income to you and your spouse from property you own jointly (such as interest or dividends from a bank account or stocks) you should include all of that income when calculating your gross income and disclose the source of that income if it exceeded the threshold

Please list in this part of the form the name address and principal business activity of each source of your income whichexceeded 5 of the gross income received by you in your own name or by any other person for your benefit or use during the disclosure period

Gross income means the same as it does for income tax purposes even if the income is not actually taxable such as interest on tax-free bonds Examples include compensation for servicesincome from business gains from property dealings interest rents dividends pensions IRA distributions social security distributive share of partnership gross income and alimony but not child support

Examplesmdash If you were employed by a company that manufactures computers and received more than 5 of your gross income from the company list the name of the company its address and its principal business activity (computer manufacturing)mdash If you were a partner in a law firm and your distributive share of partnership gross income exceeded 5 of your gross income then list the name of the firm its address and its principal business activity (practice of law)mdash If you were the sole proprietor of a retail gift business andyour gross income from the business exceeded 5 of your total gross income list the name of the business its addressand its principal business activity (retail gift sales)mdash If you received income from investments in stocks and bonds list each individual company from which you derived

more than 5 of your gross income Do not aggregate all of your investment incomemdash If more than 5 of your gross income was gain from the sale of property (not just the selling price) list as a source of income the purchaserrsquos name address and principal business activityIf the purchasers identity is unknown such as where securities listed on an exchange are sold through a brokerage firm the source of income should be listed as sale of (name of company)stock for examplemdash If more than 5 of your gross income was in the form of interest from one particular financial institution (aggregatinginterest from all CDrsquos accounts etc at that institution) list the name of the institution its address and its principal business activity

PART B mdash SECONDARY SOURCES OF INCOME[Required by s 1123145(3)(a)2 FS]This part is intended to require the disclosure of major customers

clients and other sources of income to businesses in which you ownan interest It is not for reporting income from second jobs That kindof income should be reported in Part A Primary Sources of Incomeif it meets the reporting threshold You will not have anything to reportunless during the disclosure period

(1) You owned (either directly or indirectly in the form of anequitable or beneficial interest) more than 5 of the total assetsor capital stock of a business entity (a corporation partnershipLLC limited partnership proprietorship joint venture trust firmetc doing business in Florida) and(2) You received more than 10 of your gross income from thatbusiness entity and(3) You received more than $1500 in gross income from thatbusiness entity

If your interests and gross income exceeded these thresholds thenfor that business entity you must list every source of income to thebusiness entity which exceeded 10 of the business entityrsquos grossincome (computed on the basis of the business entityrsquos most recentlycompleted fiscal year) the sourcersquos address and the sourcersquosprincipal business activity

IF YOU HAVE CHOSEN COMPARATIVE (PERCENTAGE) THRESHOLDSTHE FOLLOWING INSTRUCTIONS APPLY

CE FORM 1 - Effective January 1 2020 Incorporated by reference in Rule 34-8202 FAC PAGE 5

MANNER OF CALCULATING REPORTABLE INTEREST Filers have the option of reporting based on either thresholds that are comparative (usually based on percentage values) or thresholds that are based on absolute dollar values The instructions on the following pages specifically describe the different thresholds Check the box that reflects the choice you have made You must use the type of threshold you have chosen for each part of the form In other words if you choose to report based on absolute dollar value thresholds you cannot use a percentage threshold on any part of the form

IF YOU HAVE CHOSEN DOLLAR VALUE THRESHOLDS THE FOLLOWING INSTRUCTIONS APPLY

PART A mdash PRIMARY SOURCES OF INCOME [Required by s 1123145(3)(b)1 FS] Part A is intended to require the disclosure of your principal

sources of income during the disclosure period You do not have todisclose any public salary or public position(s) The income of yourspouse need not be disclosed however if there is joint income toyou and your spouse from property you own jointly (such as interestor dividends from a bank account or stocks) you should disclose thesource of that income if it exceeded the threshold

Please list in this part of the form the name address andprincipal business activity of each source of your income whichexceeded $2500 of gross income received by you in your own name or by any other person for your use or benefit

Gross income means the same as it does for income tax purposes even if the income is not actually taxable such as interest on tax-free bonds Examples include compensation for servicesincome from business gains from property dealings interest rentsdividends pensions IRA distributions social security distributive share of partnership gross income and alimony but not child support

Examples mdash If you were employed by a company that manufacturescomputers and received more than $2500 list the name of thecompany its address and its principal business activity (computermanufacturing) mdash If you were a partner in a law firm and your distributive shareof partnership gross income exceeded $2500 list the name ofthe firm its address and its principal business activity (practice oflaw) mdash If you were the sole proprietor of a retail gift business and yourgross income from the business exceeded $2500 list the nameof the business its address and its principal business activity(retail gift sales) mdash If you received income from investments in stocks and bondslist each individual company from which you derived more than$2500 Do not aggregate all of your investment income mdash If more than $2500 of your gross income was gain from thesale of property (not just the selling price) list as a source ofincome the purchaserrsquos name address and principal businessactivity If the purchaserrsquos identity is unknown such as wheresecurities listed on an exchange are sold through a brokeragefirm the source of income should be listed as sale of (name of company) stock for example mdash If more than $2500 of your gross income was in the formof interest from one particular financial institution (aggregatinginterest from all CDrsquos accounts etc at that institution) list the name of the institution its address and its principal business activity

PART B mdash SECONDARY SOURCES OF INCOME [Required by s 1123145(3)(b)2 FS] This part is intended to require the disclosure of major customers

clients and other sources of income to businesses in which you own aninterest It is not for reporting income from second jobs That kind of incomeshould be reported in Part A Primary Sources of Income if it meets thereporting threshold You will not have anything to report unless during thedisclosure period

(1) You owned (either directly or indirectly in the form of an equitableor beneficial interest) more than 5 of the total assets or capitalstock of a business entity (a corporation partnership LLC limitedpartnership proprietorship joint venture trust firm etc doing business in Florida) and (2) You received more than $5000 of your gross income during thedisclosure period from that business entity

If your interests and gross income exceeded these thresholds then for thatbusiness entity you must list every source of income to the business entitywhich exceeded 10 of the business entityrsquos gross income (computed onthe basis of the business entitys most recently completed fiscal year) thesourcersquos address and the sources principal business activity

Examples mdash You are the sole proprietor of a dry cleaning business from whichyou received more than $5000 If only one customer a uniform rentalcompany provided more than 10 of your dry cleaning business youmust list the name of the uniform rental company its address and itsprincipal business activity (uniform rentals) mdash You are a 20 partner in a partnership that owns a shopping malland your partnership income exceeded the above thresholds List eachtenant of the mall that provided more than 10 of the partnershipsgross income and the tenants address and principal business activity

PART C mdash REAL PROPERTY [Required by s 1123145(3)(b)3 FS] In this part list the location or description of all real property in Florida

in which you owned directly or indirectly at any time during the disclosureperiod in excess of 5 of the propertyrsquos value You are not required to listyour residences You should list any vacation homes if you derive incomefrom them

Indirect ownership includes situations where you are a beneficiary of atrust that owns the property as well as situations where you own more than5 of a partnership or corporation that owns the property The value of theproperty may be determined by the most recently assessed value for taxpurposes in the absence of a more current appraisal

The location or description of the property should be sufficient toenable anyone who looks at the form to identify the property A streetaddress should be used if one exists

PART D mdash INTANGIBLE PERSONAL PROPERTY [Required by s 1123145(3)(b)3 FS] Describe any intangible personal property that at any time during the

disclosure period was worth more than $10000 and state the businessentity to which the property related Intangible personal property includesthings such as cash on hand stocks bonds certificates of deposit vehicleleases interests in businesses beneficial interests in trusts money owedyou Deferred Retirement Option Program (DROP) accounts the FloridaPrepaid College Plan and bank accounts Intangible personal propertyalso includes investment products held in IRAs brokerage accounts andthe Florida College Investment Plan Note that the product contained in a brokerage account IRA or the Florida College Investment Plan is yourassetmdashnot the account or plan itself Things like automobiles and housesyou own jewelry and paintings are not intangible property Intangiblesrelating to the same business entity may be aggregated for example CDsand savings accounts with the same bank Property owned as tenants bythe entirety or as joint tenants with right of survivorship should be valued at100 The value of a leased vehicle is the vehiclersquos present value minusthe lease residual (a number found on the lease document)

CE FORM 1 - Effective January 1 2020 Incorporated by reference in Rule 34-8202 FAC PAGE 4

PART A mdash PRIMARY SOURCES OF INCOME[Required by s 1123145(3)(b)1 FS]Part A is intended to require the disclosure of your principal

sources of income during the disclosure period You do not have todisclose any public salary or public position(s) The income of yourspouse need not be disclosed however if there is joint income t oyou and your spouse from property you own jointly (such as interestor dividends from a bank account or stocks) you should disclose thesource of that income if it exceeded the threshold

Please list in this part of the form the name address andprincipal business activity of each source of your income whichexceeded $2500 of gross income received by you in your own name or by any other person for your use or benefit

Gross income means the same as it does for income taxpurposes even if the income is not actually taxable such as intereston tax-free bonds Examples include compensation for servicesincome from business gains from property dealings interest rentsdividends pensions IRA distributions social security distributiveshare of partnership gross income and alimony but not child support

Examplesmdash If you were employed by a company that manufacturescomputers and received more than $2500 list the name of thecompany its address and its principal business activity (computermanufacturing)mdash If you were a partner in a law firm and your distributive shareof partnership gross income exceeded $2500 list the name ofthe firm its address and its principal business activity (practice oflaw)mdash If you were the sole proprietor of a retail gift business and yourgross income from the business exceeded $2500 list the nameof the business its address and its principal business activity(retail gift sales)mdash If you received income from investments in stocks and bondslist each individual company from which you derived more than$2500 Do not aggregate all of your investment incomemdash If more than $2500 of your gross income was gain from thesale of property (not just the selling price) list as a source o fincome the purchaserrsquos name address and principal businessactivity If the purchaserrsquos identity is unknown such as wheresecurities listed on an exchange are sold through a brokeragefirm the source of income should be listed as sale of (name of company) stock for examplemdash If more than $2500 of your gross income was in the formof interest from one particular financial institution (aggregatinginterest from all CDrsquos accounts etc at that institution) list thename of the institution its address and its principal business activity

PART B mdash SECONDARY SOURCES OF INCOME[Required by s 1123145(3)(b)2 FS]This part is intended to require the disclosure of major customers

clients and other sources of income to businesses in which you own aninterest It is not for reporting income from second jobs That kind of incomeshould be reported in Part A Primary Sources of Income if it meets thereporting threshold You will not have anything to report unless during thedisclosure period

(1) You owned (either directly or indirectly in the form of an equitableor beneficial interest) more than 5 of the total assets or capitalstock of a business entity (a corporation partnership LLC limitedpartnership proprietorship joint venture trust firm etc doing business in Florida) and(2) You received more than $5000 of your gross income during thedisclosure period from that business entity

If your interests and gross income exceeded these thresholds then for thatbusiness entity you must list every source of income to the business entitywhich exceeded 10 of the business entityrsquos gross income (computed onthe basis of the business entitys most recently completed fiscal year) thesourcersquos address and the sources principal business activity

Examplesmdash You are the sole proprietor of a dry cleaning business from whichyou received more than $5000 If only one customer a uniform rentalcompany provided more than 10 of your dry cleaning business youmust list the name of the uniform rental company its address and itsprincipal business activity (uniform rentals)mdash You are a 20 partner in a partnership that owns a shopping malland your partnership income exceeded the above thresholds List eachtenant of the mall that provided more than 10 of the partnershipsgross income and the tenants address and principal business activity

PART C mdash REAL PROPERTY[Required by s 1123145(3)(b)3 FS]In this part list the location or description of all real property in Florida

in which you owned directly or indirectly at any time during the disclosureperiod in excess of 5 of the propertyrsquos value You are not required to listyour residences You should list any vacation homes if you derive incomefrom them

Indirect ownership includes situations where you are a beneficiary of atrust that owns the property as well as situations where you own more than5 of a partnership or corporation that owns the property The value of theproperty may be determined by the most recently assessed value for taxpurposes in the absence of a more current appraisal

The location or description of the property should be sufficient toenable anyone who looks at the form to identify the property A streetaddress should be used if one exists

PART D mdash INTANGIBLE PERSONAL PROPERTY[Required by s 1123145(3)(b)3 FS]Describe any intangible personal property that at any time during the

disclosure period was worth more than $10000 and state the businessentity to which the property related Intangible personal property includesthings such as cash on hand stocks bonds certificates of deposit vehicleleases interests in businesses beneficial interests in trusts money owedyou Deferred Retirement Option Program (DROP) accounts the FloridaPrepaid College Plan and bank accounts Intangible personal propertyalso includes investment products held in IRAs brokerage accounts andthe Florida College Investment Plan Note that the product contained ina brokerage account IRA or the Florida College Investment Plan is yourassetmdashnot the account or plan itself Things like automobiles and housesyou own jewelry and paintings are not intangible property Intangiblesrelating to the same business entity may be aggregated for example CDsand savings accounts with the same bank Property owned as tenants bythe entirety or as joint tenants with right of survivorship should be valued at100 The value of a leased vehicle is the vehiclersquos present value minusthe lease residual (a number found on the lease document)

Filers have the option of reporting based on either thresholds that are comparative (usually based on percentage values) orthresholds that are based on absolute dollar values The instructions on the following pages specifically describe the differentthresholds Check the box that reflects the choice you have made You must use the type of threshold you have chosen for eachpart of the form In other words if you choose to report based on absolute dollar value thresholds you cannot use a percentagethreshold on any part of the form

MANNER OF CALCULATING REPORTABLE INTEREST

IF YOU HAVE CHOSEN DOLLAR VALUE THRESHOLDSTHE FOLLOWING INSTRUCTIONS APPLY

CE FORM 1 - Effective January 1 2020 Incorporated by reference in Rule 34-8202 FAC PAGE 4

PART E mdash LIABILITIES [Required by s 1123145(3)(b)4 FS] List the name and address of each creditor to whom you owed more

than $10000 at any time during the disclosure period The amount of theliability of a vehicle lease is the sum of any past-due payments and allunpaid prospective lease payments You are not required to list the amountof any debt You do not have to disclose credit card and retail installmentaccounts taxes owed (unless reduced to a judgment) indebtedness ona life insurance policy owed to the company of issuance or contingentliabilities A ldquocontingent liabilityrdquo is one that will become an actual liabilityonly when one or more future events occur or fail to occur such as whereyou are liable only as a guarantor surety or endorser on a promissorynote If you are a ldquoco-makerrdquo and are jointly liable or jointly and severallyliable then it is not a contingent liability

PART F mdash INTERESTS IN SPECIFIED BUSINESSES [Required by s 1123145(6) FS] The types of businesses covered in this disclosure include state and

federally chartered banks state and federal savings and loan associationscemetery companies insurance companies mortgage companies creditunions small loan companies alcoholic beverage licensees pari-mutuelwagering companies utility companies entities controlled by the PublicService Commission and entities granted a franchise to operate by either acity or a county government

Disclose in this part the fact that you owned during the disclosure period aninterest in or held any of certain positions with the types of businesses listedabove You must make this disclosure if you own or owned (either directly orindirectly in the form of an equitable or beneficial interest) at any time duringthe disclosure period more than 5 of the total assets or capital stock ofone of the types of business entities listed above You also must completethis part of the form for each of these types of businesses for which youare or were at any time during the disclosure period an officer directorpartner proprietor or agent (other than a resident agent solely for service ofprocess)

If you have or held such a position or ownership interest in one ofthese types of businesses list the name of the business its address andprincipal business activity and the position held with the business (if any) Ifyou own(ed) more than a 5 interest in the business indicate that fact anddescribe the nature of your interest

PART G mdash TRAINING CERTIFICATION [Required by s 1123142 FS] If you are a Constitutional or elected municipal officer whose

service began before March 31 of the year for which you are filingyou are required to complete four hours of ethics training which addresses Article II Section 8 of the Florida Constitution the Code of Ethics for Public Officers and Employees and the public recordsand open meetings laws of the state You are required to certify onthis form that you have taken such training

(End of Dollar Value Thresholds Instructions)

IF YOU HAVE CHOSEN COMPARATIVE (PERCENTAGE) THRESHOLDS THE FOLLOWING INSTRUCTIONS APPLY

PART A mdash PRIMARY SOURCES OF INCOME [Required by s 1123145(3)(a)1 FS] Part A is intended to require the disclosure of your principal

sources of income during the disclosure period You do not haveto disclose any public salary or public position(s) but income from these public sources should be included when calculating your gross income for the disclosure period The income of your spouse need not be disclosed however if there is joint income to you and your spouse from property you own jointly (such as interest or dividends from a bank account or stocks) you should include all of that income when calculating your gross income and disclose the source of that income if it exceeded the threshold

Please list in this part of the form the name address and principal business activity of each source of your income whichexceeded 5 of the gross income received by you in your own name or by any other person for your benefit or use during the disclosure period

Gross income means the same as it does for income tax purposes even if the income is not actually taxable such as interest on tax-free bonds Examples include compensation for servicesincome from business gains from property dealings interest rents dividends pensions IRA distributions social security distributive share of partnership gross income and alimony but not child support

Examples mdash If you were employed by a company that manufactures computers and received more than 5 of your gross income from the company list the name of the company its address and its principal business activity (computer manufacturing) mdash If you were a partner in a law firm and your distributive share of partnership gross income exceeded 5 of your gross income then list the name of the firm its address and its principal business activity (practice of law) mdash If you were the sole proprietor of a retail gift business andyour gross income from the business exceeded 5 of your total gross income list the name of the business its addressand its principal business activity (retail gift sales) mdash If you received income from investments in stocks and bonds list each individual company from which you derived

more than 5 of your gross income Do not aggregate all of your investment income mdash If more than 5 of your gross income was gain from the sale of property (not just the selling price) list as a source of income the purchaserrsquos name address and principal business activityIf the purchasers identity is unknown such as where securities listed on an exchange are sold through a brokerage firm the source of income should be listed as sale of (name of company)stock for example mdash If more than 5 of your gross income was in the form of interest from one particular financial institution (aggregatinginterest from all CDrsquos accounts etc at that institution) list the name of the institution its address and its principal business activity

PART B mdash SECONDARY SOURCES OF INCOME [Required by s 1123145(3)(a)2 FS] This part is intended to require the disclosure of major customers

clients and other sources of income to businesses in which you ownan interest It is not for reporting income from second jobs That kindof income should be reported in Part A Primary Sources of Incomeif it meets the reporting threshold You will not have anything to report unless during the disclosure period

(1) You owned (either directly or indirectly in the form of anequitable or beneficial interest) more than 5 of the total assetsor capital stock of a business entity (a corporation partnershipLLC limited partnership proprietorship joint venture trust firmetc doing business in Florida) and (2) You received more than 10 of your gross income from thatbusiness entity and (3) You received more than $1500 in gross income from thatbusiness entity

If your interests and gross income exceeded these thresholds thenfor that business entity you must list every source of income to thebusiness entity which exceeded 10 of the business entityrsquos grossincome (computed on the basis of the business entityrsquos most recentlycompleted fiscal year) the sourcersquos address and the sourcersquos principal business activity

CE FORM 1 - Effective January 1 2020 Incorporated by reference in Rule 34-8202 FAC PAGE 5

NOTICE Annual Statements of Financial Interests are due July 1 If the annual form is not filed or postmarked by September 1 an automatic fine of $25 for each day late will be imposed up to a maximum penalty of $1500 Failure to file also can result in removal from public office or employment [s 1123145 FS]

In addition failure to make any required disclosure constitutes grounds for and may be punished by one or more of the following disqualification from being on the ballot impeachment removal or suspension from office or employment demotion reduction in salary reprimand or a civil penalty not exceeding $10000 [s 112317 FS]

1) Elected public officials not serving in a political subdivision of thestate and any person appointed to fill a vacancy in such office unlessrequired to file full disclosure on Form 62) Appointed members of each board commission authority

or council having statewide jurisdiction excluding members of solelyadvisory bodies but including judicial nominating commission membersDirectors of Enterprise Florida Scripps Florida Funding Corporationand Career Source Florida and members of the Council on the SocialStatus of Black Men and Boys the Executive Director Governors and senior managers of Citizens Property Insurance CorporationGovernors and senior managers of Florida Workers Compensation JointUnderwriting Association board members of the Northeast Fla RegionalTransportation Commission board members of Triumph Gulf Coast Incboard members of Florida Is For Veterans Inc and members of theTechnology Advisory Council within the Agency for State Technology3) The Commissioner of Education members of the State Board

of Education the Board of Governors the local Boards of Trustees andPresidents of state universities and the Florida Prepaid College Board4) Persons elected to office in any political subdivision (such a s

municipalities counties and special districts) and any person appointedto fill a vacancy in such office unless required to file Form 65) Appointed members of the following boards councils

commissions authorities or other bodies of county municipality schooldistrict independent special district or other political subdivision thegoverning body of the subdivision community college or junior collegedistrict boards of trustees boards having the power to enforce local codeprovisions boards of adjustment community redevelopment agenciesplanning or zoning boards having the power to recommend create ormodify land planning or zoning within a political subdivision except forcitizen advisory committees technical coordinating committees andsimilar groups who only have the power to make recommendationsto planning or zoning boards and except for representatives of amilitary installation acting on behalf of all military installations within thatjurisdiction pension or retirement boards empowered to invest pensionor retirement funds or determine entitlement to or amount of pensions orother retirement benefits and the Pinellas County Construction LicensingBoard6) Any appointed member of a local government board who

is required to file a statement of financial interests by the appointingauthority or the enabling legislation ordinance or resolution creating theboard7) Persons holding any of these positions in local government

mayor county or city manager chief administrative employee or finance

director of a county municipality or other political subdivision countyor municipal attorney chief county or municipal building inspectorcounty or municipal water resources coordinator county or municipalpollution control director county or municipal environmental controldirector county or municipal administrator with power to grant or denya land development permit chief of police fire chief municipal clerkappointed district school superintendent community college presidentdistrict medical examiner purchasing agent (regardless of title) havingthe authority to make any purchase exceeding $35000 for the localgovernmental unit8) Officers and employees of entities serving as chief administrative

officer of a political subdivision9) Members of governing boards of charter schools operated by a

city or other public entity10) Employees in the office of the Governor or of a Cabinet member

who are exempt from the Career Service System excluding secretarialclerical and similar positions11) The following positions in each state department commission

board or council Secretary Assistant or Deputy Secretary ExecutiveDirector Assistant or Deputy Executive Director and anyone having thepower normally conferred upon such persons regardless of title12) The following positions in each state department or division

Director Assistant or Deputy Director Bureau Chief and any personhaving the power normally conferred upon such persons regardless oftitle13) Assistant State Attorneys Assistant Public Defenders criminal

conflict and civil regional counsel and assistant criminal conflict and civilregional counsel Public Counsel full-time state employees serving ascounsel or assistant counsel to a state agency administrative law judgesand hearing officers14) The Superintendent or Director of a state mental health institute

established for training and research in the mental health field or anymajor state institution or facility established for corrections trainingtreatment or rehabilitation15) State agency Business Managers Finance and Accounting

Directors Personnel Officers Grant Coordinators and purchasingagents (regardless of title) with power to make a purchase exceeding$3500016) The following positions in legislative branch agencies each

employee (other than those employed in maintenance clerical secretarial or similar positions and legislative assistants exemptedby the presiding officer of their house) and each employee of theCommission on Ethics

INSTRUCTIONS FOR COMPLETING FORM 1INTRODUCTORY INFORMATION (Top of Form) If your name mailing address public agency and position are already printed on the form you do not need to provide this information unless it should be changed To change any of this information write the correct information on the form and contact your agencys financial disclosure coordinator You can find your coordinator on the Commission on Ethics website wwwethicsstateflus NAME OF AGENCY The name of the governmental unit which you serve or served by which you are or were employed or for which you are a candidate DISCLOSURE PERIOD The ldquodisclosure periodrdquo for your report is the calendar year ending December 31 2019

OFFICE OR POSITION HELD OR SOUGHT The title of the office or position you hold are seeking or held during the disclosure period even if you have since left that position If you are a candidate for office or are a new employee or appointee check the appropriate boxPUBLIC RECORD The disclosure form and everythingattached to it is a public record Your Social Security Number is not required and you should redact it from any documents you file If you are an active or former officer or employee listed in Section 119071 FS whose home address is exempt from disclosure the Commission will maintain that confidentiality if you submit a written request

WHO MUST FILE FORM 1

CE FORM 1 - Effective January 1 2020 Incorporated by reference in Rule 34-8202 FAC PAGE 3

Examples PART E mdash LIABILITIES mdash You are the sole proprietor of a dry cleaning business from [Required by s 1123145(3)(b)4 FS]which you received more than 10 of your gross incomemdashan List the name and address of each creditor to whom you owed amount that was more than $1500 If only one customer a any amount that at any time during the disclosure period exceeded uniform rental company provided more than 10 of your dry your net worth You are not required to list the amount of any debt cleaning business you must list the name of the uniform rental or your net worth You do not have to disclose credit card and retail company its address and its principal business activity (uniform installment accounts taxes owed (unless reduced to a judgment) rentals) indebtedness on a life insurance policy owed to the company of mdash You are a 20 partner in a partnership that owns a shopping issuance or contingent liabilities A ldquocontingent liabilityrdquo is one mall and your partnership income exceeded the thresholds that will become an actual liability only when one or more future listed above You should list each tenant of the mall that events occur or fail to occur such as where you are liable only as provided more than 10 of the partnershiprsquos gross income and a guarantor surety or endorser on a promissory note If you are a the tenantrsquos address and principal business activity ldquoco-makerrdquo and are jointly liable or jointly and severally liable it is not

a contingent liability PART C mdash REAL PROPERTY Calculations To determine whether the debt exceeds your

[Required by s 1123145(3)(a)3 FS] net worth total all of your liabilities (including promissory notes mortgages credit card debts judgments against you etc) TheIn this part list the location or description of all real property in amount of the liability of a vehicle lease is the sum of any past-due Florida in which you owned directly or indirectly at any time during payments and all unpaid prospective lease payments Subtract the disclosure period in excess of 5 of the propertyrsquos value You the sum total of your liabilities from the value of all your assets are not required to list your residences You should list any vacation as calculated above for Part D This is your ldquonet worthrdquo List each homes if you derive income from them creditor to whom your debt exceeded this amount unless it is one of

Indirect ownership includes situations where you are a the types of indebtedness listed in the paragraph above (credit card beneficiary of a trust that owns the property as well as situations and retail installment accounts etc) Joint liabilities with others for where you own more than 5 of a partnership or corporation that which you are ldquojointly and severally liablerdquo meaning that you may owns the property The value of the property may be determined by be liable for either your part or the whole of the obligation should be the most recently assessed value for tax purposes in the absence included in your calculations at 100 of the amount owed of a more current appraisal

Example You owe $15000 to a bank for student loans $5000 The location or description of the property should be sufficient for credit card debts and $60000 (with spouse) to a savings to enable anyone who looks at the form to identify the property A and loan for a home mortgage Your home (owned by you and street address should be used if one exists your spouse) is worth $80000 and your other property is worth PART D mdash INTANGIBLE PERSONAL PROPERTY $20000 Since your net worth is $20000 ($100000 minus

$80000) you must report only the name and address of the [Required by s 1123145(3)(a)3 FS] savings and loan Describe any intangible personal property that at any time

during the disclosure period was worth more than 10 of your PART F mdash INTERESTS IN SPECIFIED BUSINESSES total assets and state the business entity to which the property [Required by s 1123145 FS] related Intangible personal property includes things such as cash on hand stocks bonds certificates of deposit vehicle leases The types of businesses covered in this disclosure include interests in businesses beneficial interests in trusts money owed state and federally chartered banks state and federal savings and you Deferred Retirement Option Program (DROP) accounts loan associations cemetery companies insurance companies the Florida Prepaid College Plan and bank accounts Intangible mortgage companies credit unions small loan companies alcoholic personal property also includes investment products held in IRAs beverage licensees pari-mutuel wagering companies utilitybrokerage accounts and the Florida College Investment Plan companies entities controlled by the Public Service Commission Note that the product contained in a brokerage account IRA or the and entities granted a franchise to operate by either a city or a Florida College Investment Plan is your assetmdashnot the account or county governmentplan itself Things like automobiles and houses you own jewelry Disclose in this part the fact that you owned during the and paintings are not intangible property Intangibles relating to the disclosure period an interest in or held any of certain positions same business entity may be aggregated for example CDrsquos and with the types of businesses listed above You are requiredsavings accounts with the same bank to make this disclosure if you own or owned (either directly or

Calculations To determine whether the intangible property indirectly in the form of an equitable or beneficial interest) at any exceeds 10 of your total assets total the fair market value of time during the disclosure period more than 5 of the total assets all of your assets (including real property intangible property and or capital stock of one of the types of business entities listed above tangible personal property such as jewelry furniture etc) When You also must complete this part of the form for each of these types making this calculation do not subtract any liabilities (debts) that of businesses for which you are or were at any time during themay relate to the property Multiply the total figure by 10 to arrive disclosure period an officer director partner proprietor or agent at the disclosure threshold List only the intangibles that exceed (other than a resident agent solely for service of process) this threshold amount The value of a leased vehicle is the vehiclersquos If you have or held such a position or ownership interest in present value minus the lease residual (a number which can be one of these types of businesses list the name of the business its found on the lease document) Property that is only jointly owned address and principal business activity and the position held with property should be valued according to the percentage of your the business (if any) If you own(ed) more than a 5 interest in the joint ownership Property owned as tenants by the entirety or as business indicate that fact and describe the nature of your interest joint tenants with right of survivorship should be valued at 100 None of your calculations or the value of the property have to be PART G mdash TRAINING CERTIFICATIONdisclosed on the form

[Required by s 1123142 FS] Example You own 50 of the stock of a small corporation that is worth $100000 the estimated fair market value of If you are a Constitutional or elected municipal officer whoseyour home and other property (bank accounts automobile service began before March 31 of the year for which you are filing furniture etc) is $200000 As your total assets are worth you are required to complete four hours of ethics training which $250000 you must disclose intangibles worth over $25000 addresses Article II Section 8 of the Florida Constitution the Code Since the value of the stock exceeds this threshold you of Ethics for Public Officers and Employees and the public records should list ldquostockrdquo and the name of the corporation If your and open meetings laws of the state You are required to certify on accounts with a particular bank exceed $25000 you should this form that you have taken such training list ldquobank accountsrdquo and bankrsquos name

(

End of Percentage Thresholds Instructions) CE FORM 1 - Effective January 1 2020 Incorporated by reference in Rule 34-8202 FAC PAGE 6

  • 0 HP Cover Page v2
  • 1 Hawks Point Meeting Invite Draft v2
  • 2 Agenda Draft v3
  • 3 EXHIBIT 1
  • 7 HP 05-19-2020 Meeting Minutes Approved
  • 6 EXHIBIT 2
  • 9 HP May FY20 Fin
  • 8 EXHIBIT 3
  • 4 Vacant Position Qualification Requirements for Hawks Point CDD
    • Vacant Position on the Board of Supervisors of the Hawkrsquos Point Community Development District
      • Qualification Requirements
      • Instructions for Interested Candidates
      • Additional Notes
          • 5 Shami Choon Vacant Position - updated 11-5-11 resume
            • 1803 Oak Pond Street Ruskin Fl 33570 E-mailchoons27gmailcom
              • PROFESSIONAL HISTORY
                • Operations Manager Florida Distribution 2002 ndash 2005
                • Operations Manager for Florida Branch Distribution 1999 ndash 2002
                • Warehouse Manager of Miami Distribution Center 1998 ndash 1999
                • Branch Manager of West Palm Beach 1994 ndash 1998
                • Assistant Branch Manager 1991 ndash 1994
                • Customer Service Agent 1990 ndash 1991
                  • 10 EXHIBIT 4
                  • 11 New Business - Hawks Point CDD - MI proposal
                  • 12 EXHIBIT 5
                  • 13 CertaPro Proposal to Paint Exterior Wall 18th to 24th Avenue
                  • 14 Shazam Construction Proposal to Paint Exterior Wall 18th to 24th Street
                    • QUOTE
                      • TO
                          • 15 Photo to accompany Shazam Proposal
                          • 16 EXHIBIT 6
                          • 17 CertaPro Proposal for Pressure Washing Exterior Wall 18th St to 24th Street
                          • 18 Shazam Construction Proposal for Pressure Washing Exterion Wall 18th Street to 24th Street
                            • QUOTE
                              • TO
                                  • 19 EXHIBIT 7
                                  • 20 Form 1_2019i
                                      1. LAST NAME
                                      2. FIRST NAME
                                      3. MIDDLE NAME
                                      4. MAILING ADDRESS ROW 1
                                      5. MAILING ADDRESS ROW 2
                                      6. CITY
                                      7. ZIP
                                      8. COUNTY
                                      9. NAME OF AGENCY
                                      10. NAME OF OFFICE OR POSITION HELD OR SOUGHT
                                      11. CANDIDATE Off
                                      12. NEW EMPLOYEE OR APPOINTEE Off
                                      13. COMPARATIVE (PERCENTAGE) THRESHOLDS Off
                                      14. DOLLAR VALUE THRESHOLDS Off
                                      15. NAME OF SOURCE INCOME ROW 1
                                      16. ADDRESS ROW 1
                                      17. DESCRIPTION OF THE SOURCES PRINCIPAL BUSINESS ACTIVITY ROW 1
                                      18. NAME OF SOURCE INCOME ROW 2
                                      19. ADDRESS ROW 2
                                      20. DESCRIPTION OF THE SOURCES PRINCIPAL BUSINESS ACTIVITY ROW 2
                                      21. NAME OF SOURCE INCOME ROW 3
                                      22. ADDRESS ROW 3
                                      23. DESCRIPTION OF THE SOURCES PRINCIPAL BUSINESS ACTIVITY ROW 3
                                      24. NAME OF SOURCE INCOME ROW 4
                                      25. ADDRESS ROW 4
                                      26. DESCRIPTION OF THE SOURCES PRINCIPAL BUSINESS ACTIVITY ROW 4
                                      27. NAME OF BUSINESS ENTITY ROW 1
                                      28. NAME OF MAJOR SOURCES OF BUSINESS INCOME ROW 1
                                      29. ADDRESS OF SOURCE ROW 1
                                      30. PRINCIPAL BUSINESS ACTIVITY OF SOURCE ROW 1
                                      31. NAME OF BUSINESS ENTITY ROW 2
                                      32. NAME OF MAJOR SOURCES OF BUSINESS INCOME ROW 2
                                      33. ADDRESS OF SOURCE ROW 2
                                      34. PRINCIPAL BUSINESS ACTIVITY OF SOURCE ROW 2
                                      35. NAME OF BUSINESS ENTITY ROW 3
                                      36. NAME OF MAJOR SOURCES OF BUSINESS INCOME ROW 3
                                      37. ADDRESS OF SOURCE ROW 3
                                      38. PRINCIPAL BUSINESS ACTIVITY OF SOURCE ROW 3
                                      39. REAL PROPERTY ROW 1
                                      40. REAL PROPERTY ROW 2
                                      41. REAL PROPERTY ROW 3
                                      42. REAL PROPERTY ROW 4
                                      43. TYPE OF INTANGIBLE ROW 1
                                      44. BUSINESS ENTITY TO WHICH THE PROPERTY RELATES ROW 1
                                      45. TYPE OF INTANGIBLE ROW 2
                                      46. BUSINESS ENTITY TO WHICH THE PROPERTY RELATES ROW 2
                                      47. NAME OF CREDITOR ROW 1
                                      48. ADDRESS OF CREDITOR ROW 1
                                      49. NAME OF CREDITOR ROW 2
                                      50. ADDRESS OF CREDITOR ROW 2
                                      51. ADDRESS OF BUSINESS ENTITY 1
                                      52. PRINCIPAL BUSINESS ACTIVITY 1
                                      53. POSITION HELD WITH ENTITY 1
                                      54. I OWN MORE THAN A 5 INTEREST IN THE BUSINESS 1
                                      55. NATURE OF MY OWNERSHIP INTEREST 1
                                      56. ADDRESS OF BUSINESS ENTITY 2
                                      57. PRINCIPAL BUSINESS ACTIVITY 2
                                      58. POSITION HELD WITH ENTITY 2
                                      59. I OWN MORE THAN A 5 INTEREST IN THE BUSINESS 2
                                      60. NATURE OF MY OWNERSHIP INTEREST 2
                                      61. FOR ELECTED MUNICIPAL OFFICERS REQUIRED TO COMPLETE ANNUAL ETHICS TRAINING PURSUANT TO SECTION 112
                                        1. 3142 F
                                          1. S Off
                                              1. IF ANY OF PARTS A THROUGH G ARE CONTINUED ON A SEPARATE SHEET PLEASE CHECK HERE Off
                                              2. SIGNATURE
                                              3. Date Signed
Page 25: HAWKS POINT COMMUNITY DEVELOPMENT …...2020/06/16  · Hawks Point Community Development District Board of Supervisors Meeting Tuesday, June 16th at 6:30 PM via Zoom All: We welcome

EXHIBIT 4

PO Box 267 Seffner FL 33583 O 813-757-6500 F 813-757-6501 Estimate

Submitted To Hawks Point CDD 250 International Parkway Suite 280 Lake Mary FL 32746

CDD - controller 4 - zones 1 and 2

Date 5232020

Estimate 66077

LMP REPRESENTATIVE

DG-TI

PO

W ork Order

DESCRIPTION QTY COST TOTAL

Controller 4 34 inch poly pipe 34 inch poly pipe clamps Labor 2 men $ 8500 per hour

Irrigation inspection repairs needed Repair 6 - 34 inch poly pipe line leaks

6 12 05

072 129

8500

432 1548 4250

TERMS AND CONDITIONS TOTAL $6230

LMP reserves the right to withdraw this proposal if not accepted within 30 days of the date listed above Any alteration or deviation to scope of work involving additional costs must be agreed upon in writing as a separate proposal or change order to this proposal Periodic invoices may be submitted if job is substantial in nature with final invoice being submitted at completion of project Any work performed requiring more than 5 days to complete is subject to progressive payments as portions of the work are completed No finance charge will be imposed if the total of said work is paid in full within 30 days of invoice date If not paid in full within 30 days then customer is subject to finance charges on the balance of the work from the invoice date at a rate of 15 per month until paid LMP shall have the right to stop work under this contract until all outstanding amounts including finance charges are paid in full Payments will be applied to the oldest invoices

ACCEPTANCE OF PROPOSAL The above prices scope of work and terms and conditions are hereby satisfactorily agreed upon LMP Inc has been authorized to perform the work as outlined and payment will be made as outlined above The above pricing does not include any unforeseen modifications to the said irrigation system that could not be reasonably accounted for prior to job start All plant material carries a one (1) year warranty provided LMP Inc is performing landscape maintenance services to the area installed or enhanced at the time of installation If not then there is no warranty on the plant material

OWNER AGENT

DATE

EXHIBIT 5

Independent Franchise Owner Job TBE8F300154 Terry Beamer 9266 Lazy Ln

Date 06012020

EXTERIOR PROPOSALEXTERIOR PROPOSALEXTERIOR PROPOSALEXTERIOR PROPOSAL Tampa FL 33614 813-936-9242

Fax 813 936-9172

1-800-462-3782

License PA2508

Full Workers Compensation Coverage$2000000 General Liability Insurance

DPFG Management amp Consulting LLC (Hawks Point) Raymond Lotito (SB) Hawks Point CDD Ruskin FL 33570 Phone 813-418-7473 Cell 813-220-6089 Email raymondlotitodpfgcom

Special Notes CERTAPRO PAINTERS WILL PAINT WALL FACING 19ST FROM 18TH-24TH

SPECIAL ATTENTION ADDRESSING STUCCO CRACKS USING CONCRETE AND MASONRY PATCH

SPECIAL ATTENTION PRESSURE WASHING LOOSE PEELING PAINT PRIOR TO PAINTING

CERTAPRO PAINTERS WILL ONLY PAINT STREET FACING SIDE- HOMEOWNERS SIDE EXCLUDED FROM PROPOSAL

CUSTOMER RESPONSIBILITIES Please cut back all shrubs bushes and palms away from wall

GENERAL DESCRIPTION Painting to Exterior Wall 18th-24th Facing 19th Ave

PREPARATION Washing To remove dirt mildew and loose paint so the new finish coat will adhere properly

Caulking To fill all cracks and gaps around windows and doorswood work to seal out moisture and drafts Stair step

cracks

Scraping Scrape all loose and peeling paint to ensure a firm base for the new paint

Masonry Repair to all cracks gaps and holes with elastemeric caulking or masonry patch as required

Sanding To degloss where necessary to promote adhesion of the top coat

Surface TypeArea Primer PurposePRIMING

Masonry Loxon sealerprimer Latex For propor top coat adhesion

Conditioner Loxon sealerprimer to all Latex For proper top coat adhesion

masonry surfaces

FINISH COATS

Surface Area

Exterior

ManufacturePaint Type

Sherwin Williams Resilience Ext Satin

Coats

1 primer-sealer 1 spray 1 backroll stucco

Color

Same As Existing

Clean Up Daily and upon completion

$1132900 All Labor Paint Materials

$1132900 TOTAL

Signature of Authorized Franchise Representative Date

Payment is due In Full upon Job Completion

(IWE HAVE READ THE TERMS STATED HEREIN THEY HAVE (IWE) HAVE EXAMINED THE JOB STATED HEREIN THEY EXPLAINED TO (MEUS) AND (IWE) FIND THEM TO BE HAVE SHOWN TO (MEUS) AND (IWE) FIND THE JOB TO SATISFACTORY AND HEREBY ACCEPT THEM BE SATISFACTORY AND HEREBY ACCEPT THE JOB AS

COMPLETE

SIGNATURE Date SIGNATURE Date

QUOTE

Shazam Construction LLC DATE MAY 13 2020

Shazam Hera 6773 Waterton Drive Riverview FL 33578 813-385-4591 ShazamConstructionLLCgmailcom Hawks Point CDD

TO Bill to Development Planning and Financing Group 15310 Amberly Drive Suite 175 Tampa FL 33647

QUANITY DESCRIPTION UNIT PRICE LINE TOTAL

Pressure wash the wall that parallels 19th avenue from 18th street to 24th street in Hawks Point CDD in Ruskin

$1270000

Repair any cracks with caulk or elastomeric as neededPrep for paint

Paint the wall that parallels 19th avenue from 18th street to 24th street in Hawks Point CDD in Ruskin

Paint using body trim and caps of exterior wall facing 19th avenue

Paint while matching existing colors

Paint using Sherwin Williams

All paint materials and labor is included

SUBTOTAL

SALES TAX

TOTAL $1270000

Make all checks payable to Shazam Construction LLC

THANK YOU FOR YOUR BUSINESS

EXHIBIT 6

Independent Franchise Owner Job TB443B00157 Terry Beamer 9266 Lazy Ln

Date 06052020

EXTERIOR PROPOSALEXTERIOR PROPOSALEXTERIOR PROPOSALEXTERIOR PROPOSAL Tampa FL 33614 813-936-9242

Fax 813 936-9172

1-800-462-3782

License PA2508

Full Workers Compensation Coverage$2000000 General Liability Insurance

DPFG Management amp Consulting LLC (Hawks Point) Raymond Lotito (SB) Hawks Point CDD Ruskin FL 33570 Phone 813-418-7473 Cell 813-220-6089 Email raymondlotitodpfgcom

Special Notes CERTAPRO PAINTERS PRESSURE WASHING PROPOSAL 18TH-24TH

CERTAPRO PAINTERS WILL PRESSURE WASH WALL FACING 19TH ST ONLY

GENERAL DESCRIPTION Painting to

PREPARATION Washing To remove dirt mildew and loose paint so the new finish coat will adhere properly

PRIMING Surface TypeArea Primer Purpose

Clean Up Daily and upon completion

All Labor Paint Materials

TOTAL

$195000

$195000

Signature of Authorized Franchise Representative Date

Payment is due In Full upon Job Completion

(IWE HAVE READ THE TERMS STATED HEREIN THEY HAVE (IWE) HAVE EXAMINED THE JOB STATED HEREIN THEY EXPLAINED TO (MEUS) AND (IWE) FIND THEM TO BE HAVE SHOWN TO (MEUS) AND (IWE) FIND THE JOB TO SATISFACTORY AND HEREBY ACCEPT THEM BE SATISFACTORY AND HEREBY ACCEPT THE JOB AS

COMPLETE

SIGNATURE Date SIGNATURE Date

QUOTE

Shazam Construction LLC DATE JUNE 5 2020

Shazam Hera 6773 Waterton Drive Riverview FL 33578 813-385-4591 ShazamConstructionLLCgmailcom Hawks Point CDD

TO Bill to Development Planning and Financing Group 15310 Amberly Drive Suite 175 Tampa FL 33647

QUANITY DESCRIPTION UNIT PRICE LINE TOTAL

Pressure wash the wall that parallels 19th avenue from 18th street to 24th street in Hawks Point CDD in Ruskin

$160000

All materials and labor is included

SUBTOTAL

SALES TAX

TOTAL $160000

Make all checks payable to Shazam Construction LLC

THANK YOU FOR YOUR BUSINESS

EXHIBIT 7

2019FORM 1 STATEMENT OF

Please print or type your name mailing FOR OFFICE USE ONLY FINANCIAL INTERESTS address agency name and position below

LAST NAME -- FIRST NAME -- MIDDLE NAME

MAILING ADDRESS

CITY ZIP COUNTY

NAME OF AGENCY

NAME OF OFFICE OR POSITION HELD OR SOUGHT

CHECK ONLY IF CANDIDATE OR NEW EMPLOYEE OR APPOINTEE

THIS SECTION MUST BE COMPLETED DISCLOSURE PERIOD THIS STATEMENT REFLECTS YOUR FINANCIAL INTERESTS FOR CALENDAR YEAR ENDING DECEMBER 31 2019

MANNER OF CALCULATING REPORTABLE INTERESTS FILERS HAVE THE OPTION OF USING REPORTING THRESHOLDS THAT ARE ABSOLUTE DOLLAR VALUES WHICH REQUIRES FEWER CALCULATIONS OR USING COMPARATIVE THRESHOLDS WHICH ARE USUALLY BASED ON PERCENTAGE VALUES (see instructions for further details) CHECK THE ONE YOU ARE USING (must check one)

COMPARATIVE (PERCENTAGE) THRESHOLDS OR DOLLAR VALUE THRESHOLDS

PART A -- PRIMARY SOURCES OF INCOME [Major sources of income to the reporting person - See instructions] (If you have nothing to report write none or na)

NAME OF SOURCE SOURCES DESCRIPTION OF THE SOURCES OF INCOME ADDRESS PRINCIPAL BUSINESS ACTIVITY

PART B -- SECONDARY SOURCES OF INCOME [Major customers clients and other sources of income to businesses owned by the reporting person - See instructions] (If you have nothing to report write none or na)

NAME OF NAME OF MAJOR SOURCES ADDRESS PRINCIPAL BUSINESS BUSINESS ENTITY OF BUSINESS INCOME OF SOURCE ACTIVITY OF SOURCE

PART C -- REAL PROPERTY [Land buildings owned by the reporting person - See instructions] You are not limited to the space on the (If you have nothing to report write none or na) lines on this form Attach additional

sheets if necessary

FILING INSTRUCTIONS for when and where to file this form are located at the bottom of page 2

INSTRUCTIONS on who must file this form and how to fill it out begin on page 3

CE FORM 1 - Effective January 1 2020 (Continued on reverse side) PAGE 1 Incorporated by reference in Rule 34-8202(1) FAC

FILING INSTRUCTIONS

IF ANY OF PARTS A THROUGH G ARE CONTINUED ON A SEPARATE SHEET PLEASE CHECK HERE

PART D mdash INTANGIBLE PERSONAL PROPERTY [Stocks bonds certificates of deposit etc - See instructions] (If you have nothing to report write none or na) TYPE OF INTANGIBLE BUSINESS ENTITY TO WHICH THE PROPERTY RELATES

PART E mdash LIABILITIES [Major debts - See instructions] (If you have nothing to report write none or na)

NAME OF CREDITOR ADDRESS OF CREDITOR

PART F mdash INTERESTS IN SPECIFIED BUSINESSES [Ownership or positions in certain types of businesses - See instructions] (If you have nothing to report write none or na)

BUSINESS ENTITY 1 BUSINESS ENTITY 2

NAME OF BUSINESS ENTITY

ADDRESS OF BUSINESS ENTITY

PRINCIPAL BUSINESS ACTIVITY

POSITION HELD WITH ENTITY

I OWN MORE THAN A 5 INTEREST IN THE BUSINESS

NATURE OF MY OWNERSHIP INTEREST

If you were mailed the form by the Commission on Ethics or a County Supervisor of Elections for your annual disclosure filing return the form to that location To determine what category your position falls under see page 3 of instructions Local officersemployees file with the Supervisor of Elections of the county in which they permanently reside (If you do not permanently reside in Florida file with the Supervisor of the county where your agency has its headquarters) Form 1 filers who file with the Supervisor of Elections may file by mail or email Contact your Supervisor of Elections for the mailing address or email address to use Do not email your form to the Commission on Ethics it will be returned State officers or specified state employees who file with the Commission on Ethics may file by mail or email To file by mail send the completed form to PO Drawer 15709 Tallahassee FL32317-5709 physical address 325 John Knox Rd Bldg E Ste 200 Tallahassee FL 32303 To file with the Commission by email scan your completed form and any attachments as a pdf (do not use any other format) send it to CEForm1legstateflus and retain a copy for your records Do not file by both mail and email Choose only one filing method Form 6s will not be accepted via email

Candidates file this form together with their filing papers MULTIPLE FILING UNNECESSARY A candidate who files a Form 1 with a qualifying officer is not required to file with the Commission or Supervisor of Elections WHEN TO FILE Initially each local officeremployee state officer and specified state employee must file within 30 days of the date of his or her appointment or of the beginning of employment Appointees who must be confirmed by the Senate must file prior to confirmation even if that is less than 30 days from the date of their appointment Candidates must file at the same time they file their qualifying papers Thereafter file by July 1 following each calendar year in which they hold their positions Finally file a final disclosure form (Form 1F) within 60 days of leaving office or employment Filing a CE Form 1F (Final Statement of Financial Interests) does not relieve the filer of filing a CE Form 1 if the filer was in his or her position on December 31 2019

SIGNATURE OF FILER Signature

____________________________________________

Date Signed

____________________________________________

CPA or ATTORNEY SIGNATURE ONLY If a certified public accountant licensed under Chapter 473 or attorney in good standing with the Florida Bar prepared this form for you he or she must complete the following statement

I _______________________________________ prepared the CE Form 1 in accordance with Section 1123145 Florida Statutes and the instructions to the form Upon my reasonable knowledge and belief the disclosure herein is true and correct

CPAAttorney Signature ______________________________

Date Signed _______________________________________

PART G mdash TRAINING For elected municipal officers required to complete annual ethics training pursuant to section 1123142 FS

I CERTIFY THAT I HAVE COMPLETED THE REQUIRED TRAINING

CE FORM 1 - Effective January 1 2020 PAGE 2 Incorporated by reference in Rule 34-8202(1) FAC

Examplesmdash You are the sole proprietor of a dry cleaning business fromwhich you received more than 10 of your gross incomemdashanamount that was more than $1500 If only one customer auniform rental company provided more than 10 of your drycleaning business you must list the name of the uniform rentalcompany its address and its principal business activity (uniform rentals) mdash You are a 20 partner in a partnership that owns a shopping mall and your partnership income exceeded the thresholds listed above You should list each tenant of the mall that provided more than 10 of the partnershiprsquos gross income and the tenantrsquos address and principal business activity

PART C mdash REAL PROPERTY[Required by s 1123145(3)(a)3 FS]In this part list the location or description of all real property in

Florida in which you owned directly or indirectly at any time during the disclosure period in excess of 5 of the propertyrsquos value You are not required to list your residences You should list any vacation homes if you derive income from them

Indirect ownership includes situations where you are abeneficiary of a trust that owns the property as well as situations where you own more than 5 of a partnership or corporation thatowns the property The value of the property may be determined by the most recently assessed value for tax purposes in the absence of a more current appraisal

The location or description of the property should be sufficient to enable anyone who looks at the form to identify the property Astreet address should be used if one exists PART D mdash INTANGIBLE PERSONAL PROPERTY

[Required by s 1123145(3)(a)3 FS]Describe any intangible personal property that at any time

during the disclosure period was worth more than 10 of your total assets and state the business entity to which the property related Intangible personal property includes things such as cash on hand stocks bonds certificates of deposit vehicle leases interests in businesses beneficial interests in trusts money owed you Deferred Retirement Option Program (DROP) accounts the Florida Prepaid College Plan and bank accounts Intangiblepersonal property also includes investment products held in IRAs brokerage accounts and the Florida College Investment Plan Note that the product contained in a brokerage account IRA or the Florida College Investment Plan is your assetmdashnot the account or plan itself Things like automobiles and houses you own jewelryand paintings are not intangible property Intangibles relating to the same business entity may be aggregated for example CDrsquos and savings accounts with the same bank

Calculations To determine whether the intangible property exceeds 10 of your total assets total the fair market value of all of your assets (including real property intangible property and tangible personal property such as jewelry furniture etc) When making this calculation do not subtract any liabilities (debts) that may relate to the property Multiply the total figure by 10 to arrive at the disclosure threshold List only the intangibles that exceed this threshold amount The value of a leased vehicle is the vehiclersquos present value minus the lease residual (a number which can be found on the lease document) Property that is only jointly owned property should be valued according to the percentage of your joint ownership Property owned as tenants by the entirety or as joint tenants with right of survivorship should be valued at 100 None of your calculations or the value of the property have to be disclosed on the form

Example You own 50 of the stock of a small corporation that is worth $100000 the estimated fair market value of your home and other property (bank accounts automobile furniture etc) is $200000 As your total assets are worth $250000 you must disclose intangibles worth over $25000 Since the value of the stock exceeds this threshold you should list ldquostockrdquo and the name of the corporation If your accounts with a particular bank exceed $25000 you should list ldquobank accountsrdquo and bankrsquos name

PART E mdash LIABILITIES[Required by s 1123145(3)(b)4 FS]List the name and address of each creditor to whom you owed

any amount that at any time during the disclosure period exceeded your net worth You are not required to list the amount of any debt or your net worth You do not have to disclose credit card and retail installment accounts taxes owed (unless reduced to a judgment) indebtedness on a life insurance policy owed to the company of issuance or contingent liabilities A ldquocontingent liabilityrdquo is one that will become an actual liability only when one or more future events occur or fail to occur such as where you are liable only as a guarantor surety or endorser on a promissory note If you are a ldquoco-makerrdquo and are jointly liable or jointly and severally liable it is not a contingent liability

Calculations To determine whether the debt exceeds your net worth total all of your liabilities (including promissory notes mortgages credit card debts judgments against you etc) Theamount of the liability of a vehicle lease is the sum of any past-due payments and all unpaid prospective lease payments Subtract the sum total of your liabilities from the value of all your assets as calculated above for Part D This is your ldquonet worthrdquo List each creditor to whom your debt exceeded this amount unless it is one of the types of indebtedness listed in the paragraph above (credit card and retail installment accounts etc) Joint liabilities with others for which you are ldquojointly and severally liablerdquo meaning that you may be liable for either your part or the whole of the obligation should be included in your calculations at 100 of the amount owed

Example You owe $15000 to a bank for student loans $5000 for credit card debts and $60000 (with spouse) to a savings and loan for a home mortgage Your home (owned by you and your spouse) is worth $80000 and your other property is worth $20000 Since your net worth is $20000 ($100000 minus $80000) you must report only the name and address of the savings and loan

PART F mdash INTERESTS IN SPECIFIED BUSINESSES[Required by s 1123145 FS]The types of businesses covered in this disclosure include

state and federally chartered banks state and federal savings and loan associations cemetery companies insurance companies mortgage companies credit unions small loan companies alcoholic beverage licensees pari-mutuel wagering companies utilitycompanies entities controlled by the Public Service Commission and entities granted a franchise to operate by either a city or acounty government

Disclose in this part the fact that you owned during the disclosure period an interest in or held any of certain positions with the types of businesses listed above You are required to make this disclosure if you own or owned (either directly orindirectly in the form of an equitable or beneficial interest) at any time during the disclosure period more than 5 of the total assets or capital stock of one of the types of business entities listed above You also must complete this part of the form for each of these types of businesses for which you are or were at any time during thedisclosure period an officer director partner proprietor or agent (other than a resident agent solely for service of process)

If you have or held such a position or ownership interest in one of these types of businesses list the name of the business its address and principal business activity and the position held with the business (if any) If you own(ed) more than a 5 interest in the business indicate that fact and describe the nature of your interest

PART G mdash TRAINING CERTIFICATION[Required by s 1123142 FS]If you are a Constitutional or elected municipal officer whose

service began before March 31 of the year for which you are filing you are required to complete four hours of ethics training which addresses Article II Section 8 of the Florida Constitution the Code of Ethics for Public Officers and Employees and the public records and open meetings laws of the state You are required to certify on this form that you have taken such training (End of Percentage Thresholds Instructions)

CE FORM 1 - Effective January 1 2020 Incorporated by reference in Rule 34-8202 FAC PAGE 6

NOTICE Annual Statements of Financial Interests are due July 1 If the annual form is not filed or postmarked by September 1 an automatic fine of $25 for each day late will be imposed up to a maximum penalty of $1500 Failure to file also can result in removal from public office or employment [s 1123145 FS]

In addition failure to make any required disclosure constitutes grounds for and may be punished by one or more of the following disqualification from being on the ballot impeachment removal or suspension from office or employment demotion reduction in salary reprimand or a civil penalty not exceeding $10000 [s 112317 FS]

WHO MUST FILE FORM 1 1) Elected public officials not serving in a political subdivision of the

state and any person appointed to fill a vacancy in such office unlessrequired to file full disclosure on Form 62) Appointed members of each board commission authority

or council having statewide jurisdiction excluding members of solelyadvisory bodies but including judicial nominating commission membersDirectors of Enterprise Florida Scripps Florida Funding Corporationand Career Source Florida and members of the Council on the Social Status of Black Men and Boys the Executive Director Governors and senior managers of Citizens Property Insurance CorporationGovernors and senior managers of Florida Workers Compensation JointUnderwriting Association board members of the Northeast Fla RegionalTransportation Commission board members of Triumph Gulf Coast Incboard members of Florida Is For Veterans Inc and members of the Technology Advisory Council within the Agency for State Technology3) The Commissioner of Education members of the State Board

of Education the Board of Governors the local Boards of Trustees and Presidents of state universities and the Florida Prepaid College Board 4) Persons elected to office in any political subdivision (such as

municipalities counties and special districts) and any person appointedto fill a vacancy in such office unless required to file Form 65) Appointed members of the following boards councils

commissions authorities or other bodies of county municipality schooldistrict independent special district or other political subdivision thegoverning body of the subdivision community college or junior collegedistrict boards of trustees boards having the power to enforce local codeprovisions boards of adjustment community redevelopment agenciesplanning or zoning boards having the power to recommend create ormodify land planning or zoning within a political subdivision except forcitizen advisory committees technical coordinating committees andsimilar groups who only have the power to make recommendationsto planning or zoning boards and except for representatives of a military installation acting on behalf of all military installations within thatjurisdiction pension or retirement boards empowered to invest pensionor retirement funds or determine entitlement to or amount of pensions orother retirement benefits and the Pinellas County Construction LicensingBoard 6) Any appointed member of a local government board who

is required to file a statement of financial interests by the appointingauthority or the enabling legislation ordinance or resolution creating theboard 7) Persons holding any of these positions in local government

mayor county or city manager chief administrative employee or finance

director of a county municipality or other political subdivision county or municipal attorney chief county or municipal building inspectorcounty or municipal water resources coordinator county or municipalpollution control director county or municipal environmental control director county or municipal administrator with power to grant or denya land development permit chief of police fire chief municipal clerkappointed district school superintendent community college presidentdistrict medical examiner purchasing agent (regardless of title) havingthe authority to make any purchase exceeding $35000 for the localgovernmental unit8) Officers and employees of entities serving as chief administrative

officer of a political subdivision9) Members of governing boards of charter schools operated by a

city or other public entity10) Employees in the office of the Governor or of a Cabinet member

who are exempt from the Career Service System excluding secretarialclerical and similar positions11) The following positions in each state department commission

board or council Secretary Assistant or Deputy Secretary ExecutiveDirector Assistant or Deputy Executive Director and anyone having thepower normally conferred upon such persons regardless of title12) The following positions in each state department or division

Director Assistant or Deputy Director Bureau Chief and any personhaving the power normally conferred upon such persons regardless oftitle 13) Assistant State Attorneys Assistant Public Defenders criminal

conflict and civil regional counsel and assistant criminal conflict and civilregional counsel Public Counsel full-time state employees serving ascounsel or assistant counsel to a state agency administrative law judgesand hearing officers14) The Superintendent or Director of a state mental health institute

established for training and research in the mental health field or anymajor state institution or facility established for corrections trainingtreatment or rehabilitation 15) State agency Business Managers Finance and Accounting

Directors Personnel Officers Grant Coordinators and purchasingagents (regardless of title) with power to make a purchase exceeding$35000 16) The following positions in legislative branch agencies each

employee (other than those employed in maintenance clerical secretarial or similar positions and legislative assistants exempted by the presiding officer of their house) and each employee of theCommission on Ethics

INSTRUCTIONS FOR COMPLETING FORM 1 INTRODUCTORY INFORMATION (Top of Form) If your name mailing address public agency and position are already printed on the form you do not need to provide this information unless it should be changed To change any of this information write the correct information on the form and contact your agencys financial disclosure coordinator You can find your coordinator on the Commission on Ethics website wwwethics stateflus NAME OF AGENCY The name of the governmental unit which you serve or served by which you are or were employed or for which you are a candidate DISCLOSURE PERIOD The ldquodisclosure periodrdquo for your report is the calendar year ending December 31 2019

OFFICE OR POSITION HELD OR SOUGHT The title of the office or position you hold are seeking or held during the disclosure period even if you have since left that position If you are a candidate for office or are a new employee or appointee check the appropriate box PUBLIC RECORD The disclosure form and everythingattached to it is a public record Your Social Security Number is not required and you should redact it from any documents you file If you are an active or former officer or employee listed in Section 119071 FS whose home address is exempt from disclosure the Commission will maintain that confidentiality if you submit a written request

CE FORM 1 - Effective January 1 2020 Incorporated by reference in Rule 34-8202 FAC PAGE 3

PART E mdash LIABILITIES[Required by s 1123145(3)(b)4 FS]List the name and address of each creditor to whom you owed more

than $10000 at any time during the disclosure period The amount of theliability of a vehicle lease is the sum of any past-due payments and allunpaid prospective lease payments You are not required to list the amountof any debt You do not have to disclose credit card and retail installmentaccounts taxes owed (unless reduced to a judgment) indebtedness ona life insurance policy owed to the company of issuance or contingentliabilities A ldquocontingent liabilityrdquo is one that will become an actual liabilityonly when one or more future events occur or fail to occur such as whereyou are liable only as a guarantor surety or endorser on a promissorynote If you are a ldquoco-makerrdquo and are jointly liable or jointly and severallyliable then it is not a contingent liability

PART F mdash INTERESTS IN SPECIFIED BUSINESSES[Required by s 1123145(6) FS]The types of businesses covered in this disclosure include state and

federally chartered banks state and federal savings and loan associationscemetery companies insurance companies mortgage companies creditunions small loan companies alcoholic beverage licensees pari-mutuelwagering companies utility companies entities controlled by the PublicService Commission and entities granted a franchise to operate by either acity or a county government

Disclose in this part the fact that you owned during the disclosure period aninterest in or held any of certain positions with the types of businesses listedabove You must make this disclosure if you own or owned (either directly orindirectly in the form of an equitable or beneficial interest) at any time duringthe disclosure period more than 5 of the total assets or capital stock ofone of the types of business entities listed above You also must completethis part of the form for each of these types of businesses for which youare or were at any time during the disclosure period an officer directorpartner proprietor or agent (other than a resident agent solely for service ofprocess)

If you have or held such a position or ownership interest in one ofthese types of businesses list the name of the business its address andprincipal business activity and the position held with the business (if any) Ifyou own(ed) more than a 5 interest in the business indicate that fact anddescribe the nature of your interest

PART G mdash TRAINING CERTIFICATION[Required by s 1123142 FS]If you are a Constitutional or elected municipal officer whose

service began before March 31 of the year for which you are filingyou are required to complete four hours of ethics training which addresses Article II Section 8 of the Florida Constitution the Codeof Ethics for Public Officers and Employees and the public recordsand open meetings laws of the state You are required to certify onthis form that you have taken such training

(End of Dollar Value Thresholds Instructions)

PART A mdash PRIMARY SOURCES OF INCOME[Required by s 1123145(3)(a)1 FS]Part A is intended to require the disclosure of your principal

sources of income during the disclosure period You do not haveto disclose any public salary or public position(s) but income from these public sources should be included when calculating your gross income for the disclosure period The income of your spouse need not be disclosed however if there is joint income to you and your spouse from property you own jointly (such as interest or dividends from a bank account or stocks) you should include all of that income when calculating your gross income and disclose the source of that income if it exceeded the threshold

Please list in this part of the form the name address and principal business activity of each source of your income whichexceeded 5 of the gross income received by you in your own name or by any other person for your benefit or use during the disclosure period

Gross income means the same as it does for income tax purposes even if the income is not actually taxable such as interest on tax-free bonds Examples include compensation for servicesincome from business gains from property dealings interest rents dividends pensions IRA distributions social security distributive share of partnership gross income and alimony but not child support

Examplesmdash If you were employed by a company that manufactures computers and received more than 5 of your gross income from the company list the name of the company its address and its principal business activity (computer manufacturing)mdash If you were a partner in a law firm and your distributive share of partnership gross income exceeded 5 of your gross income then list the name of the firm its address and its principal business activity (practice of law)mdash If you were the sole proprietor of a retail gift business andyour gross income from the business exceeded 5 of your total gross income list the name of the business its addressand its principal business activity (retail gift sales)mdash If you received income from investments in stocks and bonds list each individual company from which you derived

more than 5 of your gross income Do not aggregate all of your investment incomemdash If more than 5 of your gross income was gain from the sale of property (not just the selling price) list as a source of income the purchaserrsquos name address and principal business activityIf the purchasers identity is unknown such as where securities listed on an exchange are sold through a brokerage firm the source of income should be listed as sale of (name of company)stock for examplemdash If more than 5 of your gross income was in the form of interest from one particular financial institution (aggregatinginterest from all CDrsquos accounts etc at that institution) list the name of the institution its address and its principal business activity

PART B mdash SECONDARY SOURCES OF INCOME[Required by s 1123145(3)(a)2 FS]This part is intended to require the disclosure of major customers

clients and other sources of income to businesses in which you ownan interest It is not for reporting income from second jobs That kindof income should be reported in Part A Primary Sources of Incomeif it meets the reporting threshold You will not have anything to reportunless during the disclosure period

(1) You owned (either directly or indirectly in the form of anequitable or beneficial interest) more than 5 of the total assetsor capital stock of a business entity (a corporation partnershipLLC limited partnership proprietorship joint venture trust firmetc doing business in Florida) and(2) You received more than 10 of your gross income from thatbusiness entity and(3) You received more than $1500 in gross income from thatbusiness entity

If your interests and gross income exceeded these thresholds thenfor that business entity you must list every source of income to thebusiness entity which exceeded 10 of the business entityrsquos grossincome (computed on the basis of the business entityrsquos most recentlycompleted fiscal year) the sourcersquos address and the sourcersquosprincipal business activity

IF YOU HAVE CHOSEN COMPARATIVE (PERCENTAGE) THRESHOLDSTHE FOLLOWING INSTRUCTIONS APPLY

CE FORM 1 - Effective January 1 2020 Incorporated by reference in Rule 34-8202 FAC PAGE 5

MANNER OF CALCULATING REPORTABLE INTEREST Filers have the option of reporting based on either thresholds that are comparative (usually based on percentage values) or thresholds that are based on absolute dollar values The instructions on the following pages specifically describe the different thresholds Check the box that reflects the choice you have made You must use the type of threshold you have chosen for each part of the form In other words if you choose to report based on absolute dollar value thresholds you cannot use a percentage threshold on any part of the form

IF YOU HAVE CHOSEN DOLLAR VALUE THRESHOLDS THE FOLLOWING INSTRUCTIONS APPLY

PART A mdash PRIMARY SOURCES OF INCOME [Required by s 1123145(3)(b)1 FS] Part A is intended to require the disclosure of your principal

sources of income during the disclosure period You do not have todisclose any public salary or public position(s) The income of yourspouse need not be disclosed however if there is joint income toyou and your spouse from property you own jointly (such as interestor dividends from a bank account or stocks) you should disclose thesource of that income if it exceeded the threshold

Please list in this part of the form the name address andprincipal business activity of each source of your income whichexceeded $2500 of gross income received by you in your own name or by any other person for your use or benefit

Gross income means the same as it does for income tax purposes even if the income is not actually taxable such as interest on tax-free bonds Examples include compensation for servicesincome from business gains from property dealings interest rentsdividends pensions IRA distributions social security distributive share of partnership gross income and alimony but not child support

Examples mdash If you were employed by a company that manufacturescomputers and received more than $2500 list the name of thecompany its address and its principal business activity (computermanufacturing) mdash If you were a partner in a law firm and your distributive shareof partnership gross income exceeded $2500 list the name ofthe firm its address and its principal business activity (practice oflaw) mdash If you were the sole proprietor of a retail gift business and yourgross income from the business exceeded $2500 list the nameof the business its address and its principal business activity(retail gift sales) mdash If you received income from investments in stocks and bondslist each individual company from which you derived more than$2500 Do not aggregate all of your investment income mdash If more than $2500 of your gross income was gain from thesale of property (not just the selling price) list as a source ofincome the purchaserrsquos name address and principal businessactivity If the purchaserrsquos identity is unknown such as wheresecurities listed on an exchange are sold through a brokeragefirm the source of income should be listed as sale of (name of company) stock for example mdash If more than $2500 of your gross income was in the formof interest from one particular financial institution (aggregatinginterest from all CDrsquos accounts etc at that institution) list the name of the institution its address and its principal business activity

PART B mdash SECONDARY SOURCES OF INCOME [Required by s 1123145(3)(b)2 FS] This part is intended to require the disclosure of major customers

clients and other sources of income to businesses in which you own aninterest It is not for reporting income from second jobs That kind of incomeshould be reported in Part A Primary Sources of Income if it meets thereporting threshold You will not have anything to report unless during thedisclosure period

(1) You owned (either directly or indirectly in the form of an equitableor beneficial interest) more than 5 of the total assets or capitalstock of a business entity (a corporation partnership LLC limitedpartnership proprietorship joint venture trust firm etc doing business in Florida) and (2) You received more than $5000 of your gross income during thedisclosure period from that business entity

If your interests and gross income exceeded these thresholds then for thatbusiness entity you must list every source of income to the business entitywhich exceeded 10 of the business entityrsquos gross income (computed onthe basis of the business entitys most recently completed fiscal year) thesourcersquos address and the sources principal business activity

Examples mdash You are the sole proprietor of a dry cleaning business from whichyou received more than $5000 If only one customer a uniform rentalcompany provided more than 10 of your dry cleaning business youmust list the name of the uniform rental company its address and itsprincipal business activity (uniform rentals) mdash You are a 20 partner in a partnership that owns a shopping malland your partnership income exceeded the above thresholds List eachtenant of the mall that provided more than 10 of the partnershipsgross income and the tenants address and principal business activity

PART C mdash REAL PROPERTY [Required by s 1123145(3)(b)3 FS] In this part list the location or description of all real property in Florida

in which you owned directly or indirectly at any time during the disclosureperiod in excess of 5 of the propertyrsquos value You are not required to listyour residences You should list any vacation homes if you derive incomefrom them

Indirect ownership includes situations where you are a beneficiary of atrust that owns the property as well as situations where you own more than5 of a partnership or corporation that owns the property The value of theproperty may be determined by the most recently assessed value for taxpurposes in the absence of a more current appraisal

The location or description of the property should be sufficient toenable anyone who looks at the form to identify the property A streetaddress should be used if one exists

PART D mdash INTANGIBLE PERSONAL PROPERTY [Required by s 1123145(3)(b)3 FS] Describe any intangible personal property that at any time during the

disclosure period was worth more than $10000 and state the businessentity to which the property related Intangible personal property includesthings such as cash on hand stocks bonds certificates of deposit vehicleleases interests in businesses beneficial interests in trusts money owedyou Deferred Retirement Option Program (DROP) accounts the FloridaPrepaid College Plan and bank accounts Intangible personal propertyalso includes investment products held in IRAs brokerage accounts andthe Florida College Investment Plan Note that the product contained in a brokerage account IRA or the Florida College Investment Plan is yourassetmdashnot the account or plan itself Things like automobiles and housesyou own jewelry and paintings are not intangible property Intangiblesrelating to the same business entity may be aggregated for example CDsand savings accounts with the same bank Property owned as tenants bythe entirety or as joint tenants with right of survivorship should be valued at100 The value of a leased vehicle is the vehiclersquos present value minusthe lease residual (a number found on the lease document)

CE FORM 1 - Effective January 1 2020 Incorporated by reference in Rule 34-8202 FAC PAGE 4

PART A mdash PRIMARY SOURCES OF INCOME[Required by s 1123145(3)(b)1 FS]Part A is intended to require the disclosure of your principal

sources of income during the disclosure period You do not have todisclose any public salary or public position(s) The income of yourspouse need not be disclosed however if there is joint income t oyou and your spouse from property you own jointly (such as interestor dividends from a bank account or stocks) you should disclose thesource of that income if it exceeded the threshold

Please list in this part of the form the name address andprincipal business activity of each source of your income whichexceeded $2500 of gross income received by you in your own name or by any other person for your use or benefit

Gross income means the same as it does for income taxpurposes even if the income is not actually taxable such as intereston tax-free bonds Examples include compensation for servicesincome from business gains from property dealings interest rentsdividends pensions IRA distributions social security distributiveshare of partnership gross income and alimony but not child support

Examplesmdash If you were employed by a company that manufacturescomputers and received more than $2500 list the name of thecompany its address and its principal business activity (computermanufacturing)mdash If you were a partner in a law firm and your distributive shareof partnership gross income exceeded $2500 list the name ofthe firm its address and its principal business activity (practice oflaw)mdash If you were the sole proprietor of a retail gift business and yourgross income from the business exceeded $2500 list the nameof the business its address and its principal business activity(retail gift sales)mdash If you received income from investments in stocks and bondslist each individual company from which you derived more than$2500 Do not aggregate all of your investment incomemdash If more than $2500 of your gross income was gain from thesale of property (not just the selling price) list as a source o fincome the purchaserrsquos name address and principal businessactivity If the purchaserrsquos identity is unknown such as wheresecurities listed on an exchange are sold through a brokeragefirm the source of income should be listed as sale of (name of company) stock for examplemdash If more than $2500 of your gross income was in the formof interest from one particular financial institution (aggregatinginterest from all CDrsquos accounts etc at that institution) list thename of the institution its address and its principal business activity

PART B mdash SECONDARY SOURCES OF INCOME[Required by s 1123145(3)(b)2 FS]This part is intended to require the disclosure of major customers

clients and other sources of income to businesses in which you own aninterest It is not for reporting income from second jobs That kind of incomeshould be reported in Part A Primary Sources of Income if it meets thereporting threshold You will not have anything to report unless during thedisclosure period

(1) You owned (either directly or indirectly in the form of an equitableor beneficial interest) more than 5 of the total assets or capitalstock of a business entity (a corporation partnership LLC limitedpartnership proprietorship joint venture trust firm etc doing business in Florida) and(2) You received more than $5000 of your gross income during thedisclosure period from that business entity

If your interests and gross income exceeded these thresholds then for thatbusiness entity you must list every source of income to the business entitywhich exceeded 10 of the business entityrsquos gross income (computed onthe basis of the business entitys most recently completed fiscal year) thesourcersquos address and the sources principal business activity

Examplesmdash You are the sole proprietor of a dry cleaning business from whichyou received more than $5000 If only one customer a uniform rentalcompany provided more than 10 of your dry cleaning business youmust list the name of the uniform rental company its address and itsprincipal business activity (uniform rentals)mdash You are a 20 partner in a partnership that owns a shopping malland your partnership income exceeded the above thresholds List eachtenant of the mall that provided more than 10 of the partnershipsgross income and the tenants address and principal business activity

PART C mdash REAL PROPERTY[Required by s 1123145(3)(b)3 FS]In this part list the location or description of all real property in Florida

in which you owned directly or indirectly at any time during the disclosureperiod in excess of 5 of the propertyrsquos value You are not required to listyour residences You should list any vacation homes if you derive incomefrom them

Indirect ownership includes situations where you are a beneficiary of atrust that owns the property as well as situations where you own more than5 of a partnership or corporation that owns the property The value of theproperty may be determined by the most recently assessed value for taxpurposes in the absence of a more current appraisal

The location or description of the property should be sufficient toenable anyone who looks at the form to identify the property A streetaddress should be used if one exists

PART D mdash INTANGIBLE PERSONAL PROPERTY[Required by s 1123145(3)(b)3 FS]Describe any intangible personal property that at any time during the

disclosure period was worth more than $10000 and state the businessentity to which the property related Intangible personal property includesthings such as cash on hand stocks bonds certificates of deposit vehicleleases interests in businesses beneficial interests in trusts money owedyou Deferred Retirement Option Program (DROP) accounts the FloridaPrepaid College Plan and bank accounts Intangible personal propertyalso includes investment products held in IRAs brokerage accounts andthe Florida College Investment Plan Note that the product contained ina brokerage account IRA or the Florida College Investment Plan is yourassetmdashnot the account or plan itself Things like automobiles and housesyou own jewelry and paintings are not intangible property Intangiblesrelating to the same business entity may be aggregated for example CDsand savings accounts with the same bank Property owned as tenants bythe entirety or as joint tenants with right of survivorship should be valued at100 The value of a leased vehicle is the vehiclersquos present value minusthe lease residual (a number found on the lease document)

Filers have the option of reporting based on either thresholds that are comparative (usually based on percentage values) orthresholds that are based on absolute dollar values The instructions on the following pages specifically describe the differentthresholds Check the box that reflects the choice you have made You must use the type of threshold you have chosen for eachpart of the form In other words if you choose to report based on absolute dollar value thresholds you cannot use a percentagethreshold on any part of the form

MANNER OF CALCULATING REPORTABLE INTEREST

IF YOU HAVE CHOSEN DOLLAR VALUE THRESHOLDSTHE FOLLOWING INSTRUCTIONS APPLY

CE FORM 1 - Effective January 1 2020 Incorporated by reference in Rule 34-8202 FAC PAGE 4

PART E mdash LIABILITIES [Required by s 1123145(3)(b)4 FS] List the name and address of each creditor to whom you owed more

than $10000 at any time during the disclosure period The amount of theliability of a vehicle lease is the sum of any past-due payments and allunpaid prospective lease payments You are not required to list the amountof any debt You do not have to disclose credit card and retail installmentaccounts taxes owed (unless reduced to a judgment) indebtedness ona life insurance policy owed to the company of issuance or contingentliabilities A ldquocontingent liabilityrdquo is one that will become an actual liabilityonly when one or more future events occur or fail to occur such as whereyou are liable only as a guarantor surety or endorser on a promissorynote If you are a ldquoco-makerrdquo and are jointly liable or jointly and severallyliable then it is not a contingent liability

PART F mdash INTERESTS IN SPECIFIED BUSINESSES [Required by s 1123145(6) FS] The types of businesses covered in this disclosure include state and

federally chartered banks state and federal savings and loan associationscemetery companies insurance companies mortgage companies creditunions small loan companies alcoholic beverage licensees pari-mutuelwagering companies utility companies entities controlled by the PublicService Commission and entities granted a franchise to operate by either acity or a county government

Disclose in this part the fact that you owned during the disclosure period aninterest in or held any of certain positions with the types of businesses listedabove You must make this disclosure if you own or owned (either directly orindirectly in the form of an equitable or beneficial interest) at any time duringthe disclosure period more than 5 of the total assets or capital stock ofone of the types of business entities listed above You also must completethis part of the form for each of these types of businesses for which youare or were at any time during the disclosure period an officer directorpartner proprietor or agent (other than a resident agent solely for service ofprocess)

If you have or held such a position or ownership interest in one ofthese types of businesses list the name of the business its address andprincipal business activity and the position held with the business (if any) Ifyou own(ed) more than a 5 interest in the business indicate that fact anddescribe the nature of your interest

PART G mdash TRAINING CERTIFICATION [Required by s 1123142 FS] If you are a Constitutional or elected municipal officer whose

service began before March 31 of the year for which you are filingyou are required to complete four hours of ethics training which addresses Article II Section 8 of the Florida Constitution the Code of Ethics for Public Officers and Employees and the public recordsand open meetings laws of the state You are required to certify onthis form that you have taken such training

(End of Dollar Value Thresholds Instructions)

IF YOU HAVE CHOSEN COMPARATIVE (PERCENTAGE) THRESHOLDS THE FOLLOWING INSTRUCTIONS APPLY

PART A mdash PRIMARY SOURCES OF INCOME [Required by s 1123145(3)(a)1 FS] Part A is intended to require the disclosure of your principal

sources of income during the disclosure period You do not haveto disclose any public salary or public position(s) but income from these public sources should be included when calculating your gross income for the disclosure period The income of your spouse need not be disclosed however if there is joint income to you and your spouse from property you own jointly (such as interest or dividends from a bank account or stocks) you should include all of that income when calculating your gross income and disclose the source of that income if it exceeded the threshold

Please list in this part of the form the name address and principal business activity of each source of your income whichexceeded 5 of the gross income received by you in your own name or by any other person for your benefit or use during the disclosure period

Gross income means the same as it does for income tax purposes even if the income is not actually taxable such as interest on tax-free bonds Examples include compensation for servicesincome from business gains from property dealings interest rents dividends pensions IRA distributions social security distributive share of partnership gross income and alimony but not child support

Examples mdash If you were employed by a company that manufactures computers and received more than 5 of your gross income from the company list the name of the company its address and its principal business activity (computer manufacturing) mdash If you were a partner in a law firm and your distributive share of partnership gross income exceeded 5 of your gross income then list the name of the firm its address and its principal business activity (practice of law) mdash If you were the sole proprietor of a retail gift business andyour gross income from the business exceeded 5 of your total gross income list the name of the business its addressand its principal business activity (retail gift sales) mdash If you received income from investments in stocks and bonds list each individual company from which you derived

more than 5 of your gross income Do not aggregate all of your investment income mdash If more than 5 of your gross income was gain from the sale of property (not just the selling price) list as a source of income the purchaserrsquos name address and principal business activityIf the purchasers identity is unknown such as where securities listed on an exchange are sold through a brokerage firm the source of income should be listed as sale of (name of company)stock for example mdash If more than 5 of your gross income was in the form of interest from one particular financial institution (aggregatinginterest from all CDrsquos accounts etc at that institution) list the name of the institution its address and its principal business activity

PART B mdash SECONDARY SOURCES OF INCOME [Required by s 1123145(3)(a)2 FS] This part is intended to require the disclosure of major customers

clients and other sources of income to businesses in which you ownan interest It is not for reporting income from second jobs That kindof income should be reported in Part A Primary Sources of Incomeif it meets the reporting threshold You will not have anything to report unless during the disclosure period

(1) You owned (either directly or indirectly in the form of anequitable or beneficial interest) more than 5 of the total assetsor capital stock of a business entity (a corporation partnershipLLC limited partnership proprietorship joint venture trust firmetc doing business in Florida) and (2) You received more than 10 of your gross income from thatbusiness entity and (3) You received more than $1500 in gross income from thatbusiness entity

If your interests and gross income exceeded these thresholds thenfor that business entity you must list every source of income to thebusiness entity which exceeded 10 of the business entityrsquos grossincome (computed on the basis of the business entityrsquos most recentlycompleted fiscal year) the sourcersquos address and the sourcersquos principal business activity

CE FORM 1 - Effective January 1 2020 Incorporated by reference in Rule 34-8202 FAC PAGE 5

NOTICE Annual Statements of Financial Interests are due July 1 If the annual form is not filed or postmarked by September 1 an automatic fine of $25 for each day late will be imposed up to a maximum penalty of $1500 Failure to file also can result in removal from public office or employment [s 1123145 FS]

In addition failure to make any required disclosure constitutes grounds for and may be punished by one or more of the following disqualification from being on the ballot impeachment removal or suspension from office or employment demotion reduction in salary reprimand or a civil penalty not exceeding $10000 [s 112317 FS]

1) Elected public officials not serving in a political subdivision of thestate and any person appointed to fill a vacancy in such office unlessrequired to file full disclosure on Form 62) Appointed members of each board commission authority

or council having statewide jurisdiction excluding members of solelyadvisory bodies but including judicial nominating commission membersDirectors of Enterprise Florida Scripps Florida Funding Corporationand Career Source Florida and members of the Council on the SocialStatus of Black Men and Boys the Executive Director Governors and senior managers of Citizens Property Insurance CorporationGovernors and senior managers of Florida Workers Compensation JointUnderwriting Association board members of the Northeast Fla RegionalTransportation Commission board members of Triumph Gulf Coast Incboard members of Florida Is For Veterans Inc and members of theTechnology Advisory Council within the Agency for State Technology3) The Commissioner of Education members of the State Board

of Education the Board of Governors the local Boards of Trustees andPresidents of state universities and the Florida Prepaid College Board4) Persons elected to office in any political subdivision (such a s

municipalities counties and special districts) and any person appointedto fill a vacancy in such office unless required to file Form 65) Appointed members of the following boards councils

commissions authorities or other bodies of county municipality schooldistrict independent special district or other political subdivision thegoverning body of the subdivision community college or junior collegedistrict boards of trustees boards having the power to enforce local codeprovisions boards of adjustment community redevelopment agenciesplanning or zoning boards having the power to recommend create ormodify land planning or zoning within a political subdivision except forcitizen advisory committees technical coordinating committees andsimilar groups who only have the power to make recommendationsto planning or zoning boards and except for representatives of amilitary installation acting on behalf of all military installations within thatjurisdiction pension or retirement boards empowered to invest pensionor retirement funds or determine entitlement to or amount of pensions orother retirement benefits and the Pinellas County Construction LicensingBoard6) Any appointed member of a local government board who

is required to file a statement of financial interests by the appointingauthority or the enabling legislation ordinance or resolution creating theboard7) Persons holding any of these positions in local government

mayor county or city manager chief administrative employee or finance

director of a county municipality or other political subdivision countyor municipal attorney chief county or municipal building inspectorcounty or municipal water resources coordinator county or municipalpollution control director county or municipal environmental controldirector county or municipal administrator with power to grant or denya land development permit chief of police fire chief municipal clerkappointed district school superintendent community college presidentdistrict medical examiner purchasing agent (regardless of title) havingthe authority to make any purchase exceeding $35000 for the localgovernmental unit8) Officers and employees of entities serving as chief administrative

officer of a political subdivision9) Members of governing boards of charter schools operated by a

city or other public entity10) Employees in the office of the Governor or of a Cabinet member

who are exempt from the Career Service System excluding secretarialclerical and similar positions11) The following positions in each state department commission

board or council Secretary Assistant or Deputy Secretary ExecutiveDirector Assistant or Deputy Executive Director and anyone having thepower normally conferred upon such persons regardless of title12) The following positions in each state department or division

Director Assistant or Deputy Director Bureau Chief and any personhaving the power normally conferred upon such persons regardless oftitle13) Assistant State Attorneys Assistant Public Defenders criminal

conflict and civil regional counsel and assistant criminal conflict and civilregional counsel Public Counsel full-time state employees serving ascounsel or assistant counsel to a state agency administrative law judgesand hearing officers14) The Superintendent or Director of a state mental health institute

established for training and research in the mental health field or anymajor state institution or facility established for corrections trainingtreatment or rehabilitation15) State agency Business Managers Finance and Accounting

Directors Personnel Officers Grant Coordinators and purchasingagents (regardless of title) with power to make a purchase exceeding$3500016) The following positions in legislative branch agencies each

employee (other than those employed in maintenance clerical secretarial or similar positions and legislative assistants exemptedby the presiding officer of their house) and each employee of theCommission on Ethics

INSTRUCTIONS FOR COMPLETING FORM 1INTRODUCTORY INFORMATION (Top of Form) If your name mailing address public agency and position are already printed on the form you do not need to provide this information unless it should be changed To change any of this information write the correct information on the form and contact your agencys financial disclosure coordinator You can find your coordinator on the Commission on Ethics website wwwethicsstateflus NAME OF AGENCY The name of the governmental unit which you serve or served by which you are or were employed or for which you are a candidate DISCLOSURE PERIOD The ldquodisclosure periodrdquo for your report is the calendar year ending December 31 2019

OFFICE OR POSITION HELD OR SOUGHT The title of the office or position you hold are seeking or held during the disclosure period even if you have since left that position If you are a candidate for office or are a new employee or appointee check the appropriate boxPUBLIC RECORD The disclosure form and everythingattached to it is a public record Your Social Security Number is not required and you should redact it from any documents you file If you are an active or former officer or employee listed in Section 119071 FS whose home address is exempt from disclosure the Commission will maintain that confidentiality if you submit a written request

WHO MUST FILE FORM 1

CE FORM 1 - Effective January 1 2020 Incorporated by reference in Rule 34-8202 FAC PAGE 3

Examples PART E mdash LIABILITIES mdash You are the sole proprietor of a dry cleaning business from [Required by s 1123145(3)(b)4 FS]which you received more than 10 of your gross incomemdashan List the name and address of each creditor to whom you owed amount that was more than $1500 If only one customer a any amount that at any time during the disclosure period exceeded uniform rental company provided more than 10 of your dry your net worth You are not required to list the amount of any debt cleaning business you must list the name of the uniform rental or your net worth You do not have to disclose credit card and retail company its address and its principal business activity (uniform installment accounts taxes owed (unless reduced to a judgment) rentals) indebtedness on a life insurance policy owed to the company of mdash You are a 20 partner in a partnership that owns a shopping issuance or contingent liabilities A ldquocontingent liabilityrdquo is one mall and your partnership income exceeded the thresholds that will become an actual liability only when one or more future listed above You should list each tenant of the mall that events occur or fail to occur such as where you are liable only as provided more than 10 of the partnershiprsquos gross income and a guarantor surety or endorser on a promissory note If you are a the tenantrsquos address and principal business activity ldquoco-makerrdquo and are jointly liable or jointly and severally liable it is not

a contingent liability PART C mdash REAL PROPERTY Calculations To determine whether the debt exceeds your

[Required by s 1123145(3)(a)3 FS] net worth total all of your liabilities (including promissory notes mortgages credit card debts judgments against you etc) TheIn this part list the location or description of all real property in amount of the liability of a vehicle lease is the sum of any past-due Florida in which you owned directly or indirectly at any time during payments and all unpaid prospective lease payments Subtract the disclosure period in excess of 5 of the propertyrsquos value You the sum total of your liabilities from the value of all your assets are not required to list your residences You should list any vacation as calculated above for Part D This is your ldquonet worthrdquo List each homes if you derive income from them creditor to whom your debt exceeded this amount unless it is one of

Indirect ownership includes situations where you are a the types of indebtedness listed in the paragraph above (credit card beneficiary of a trust that owns the property as well as situations and retail installment accounts etc) Joint liabilities with others for where you own more than 5 of a partnership or corporation that which you are ldquojointly and severally liablerdquo meaning that you may owns the property The value of the property may be determined by be liable for either your part or the whole of the obligation should be the most recently assessed value for tax purposes in the absence included in your calculations at 100 of the amount owed of a more current appraisal

Example You owe $15000 to a bank for student loans $5000 The location or description of the property should be sufficient for credit card debts and $60000 (with spouse) to a savings to enable anyone who looks at the form to identify the property A and loan for a home mortgage Your home (owned by you and street address should be used if one exists your spouse) is worth $80000 and your other property is worth PART D mdash INTANGIBLE PERSONAL PROPERTY $20000 Since your net worth is $20000 ($100000 minus

$80000) you must report only the name and address of the [Required by s 1123145(3)(a)3 FS] savings and loan Describe any intangible personal property that at any time

during the disclosure period was worth more than 10 of your PART F mdash INTERESTS IN SPECIFIED BUSINESSES total assets and state the business entity to which the property [Required by s 1123145 FS] related Intangible personal property includes things such as cash on hand stocks bonds certificates of deposit vehicle leases The types of businesses covered in this disclosure include interests in businesses beneficial interests in trusts money owed state and federally chartered banks state and federal savings and you Deferred Retirement Option Program (DROP) accounts loan associations cemetery companies insurance companies the Florida Prepaid College Plan and bank accounts Intangible mortgage companies credit unions small loan companies alcoholic personal property also includes investment products held in IRAs beverage licensees pari-mutuel wagering companies utilitybrokerage accounts and the Florida College Investment Plan companies entities controlled by the Public Service Commission Note that the product contained in a brokerage account IRA or the and entities granted a franchise to operate by either a city or a Florida College Investment Plan is your assetmdashnot the account or county governmentplan itself Things like automobiles and houses you own jewelry Disclose in this part the fact that you owned during the and paintings are not intangible property Intangibles relating to the disclosure period an interest in or held any of certain positions same business entity may be aggregated for example CDrsquos and with the types of businesses listed above You are requiredsavings accounts with the same bank to make this disclosure if you own or owned (either directly or

Calculations To determine whether the intangible property indirectly in the form of an equitable or beneficial interest) at any exceeds 10 of your total assets total the fair market value of time during the disclosure period more than 5 of the total assets all of your assets (including real property intangible property and or capital stock of one of the types of business entities listed above tangible personal property such as jewelry furniture etc) When You also must complete this part of the form for each of these types making this calculation do not subtract any liabilities (debts) that of businesses for which you are or were at any time during themay relate to the property Multiply the total figure by 10 to arrive disclosure period an officer director partner proprietor or agent at the disclosure threshold List only the intangibles that exceed (other than a resident agent solely for service of process) this threshold amount The value of a leased vehicle is the vehiclersquos If you have or held such a position or ownership interest in present value minus the lease residual (a number which can be one of these types of businesses list the name of the business its found on the lease document) Property that is only jointly owned address and principal business activity and the position held with property should be valued according to the percentage of your the business (if any) If you own(ed) more than a 5 interest in the joint ownership Property owned as tenants by the entirety or as business indicate that fact and describe the nature of your interest joint tenants with right of survivorship should be valued at 100 None of your calculations or the value of the property have to be PART G mdash TRAINING CERTIFICATIONdisclosed on the form

[Required by s 1123142 FS] Example You own 50 of the stock of a small corporation that is worth $100000 the estimated fair market value of If you are a Constitutional or elected municipal officer whoseyour home and other property (bank accounts automobile service began before March 31 of the year for which you are filing furniture etc) is $200000 As your total assets are worth you are required to complete four hours of ethics training which $250000 you must disclose intangibles worth over $25000 addresses Article II Section 8 of the Florida Constitution the Code Since the value of the stock exceeds this threshold you of Ethics for Public Officers and Employees and the public records should list ldquostockrdquo and the name of the corporation If your and open meetings laws of the state You are required to certify on accounts with a particular bank exceed $25000 you should this form that you have taken such training list ldquobank accountsrdquo and bankrsquos name

(

End of Percentage Thresholds Instructions) CE FORM 1 - Effective January 1 2020 Incorporated by reference in Rule 34-8202 FAC PAGE 6

  • 0 HP Cover Page v2
  • 1 Hawks Point Meeting Invite Draft v2
  • 2 Agenda Draft v3
  • 3 EXHIBIT 1
  • 7 HP 05-19-2020 Meeting Minutes Approved
  • 6 EXHIBIT 2
  • 9 HP May FY20 Fin
  • 8 EXHIBIT 3
  • 4 Vacant Position Qualification Requirements for Hawks Point CDD
    • Vacant Position on the Board of Supervisors of the Hawkrsquos Point Community Development District
      • Qualification Requirements
      • Instructions for Interested Candidates
      • Additional Notes
          • 5 Shami Choon Vacant Position - updated 11-5-11 resume
            • 1803 Oak Pond Street Ruskin Fl 33570 E-mailchoons27gmailcom
              • PROFESSIONAL HISTORY
                • Operations Manager Florida Distribution 2002 ndash 2005
                • Operations Manager for Florida Branch Distribution 1999 ndash 2002
                • Warehouse Manager of Miami Distribution Center 1998 ndash 1999
                • Branch Manager of West Palm Beach 1994 ndash 1998
                • Assistant Branch Manager 1991 ndash 1994
                • Customer Service Agent 1990 ndash 1991
                  • 10 EXHIBIT 4
                  • 11 New Business - Hawks Point CDD - MI proposal
                  • 12 EXHIBIT 5
                  • 13 CertaPro Proposal to Paint Exterior Wall 18th to 24th Avenue
                  • 14 Shazam Construction Proposal to Paint Exterior Wall 18th to 24th Street
                    • QUOTE
                      • TO
                          • 15 Photo to accompany Shazam Proposal
                          • 16 EXHIBIT 6
                          • 17 CertaPro Proposal for Pressure Washing Exterior Wall 18th St to 24th Street
                          • 18 Shazam Construction Proposal for Pressure Washing Exterion Wall 18th Street to 24th Street
                            • QUOTE
                              • TO
                                  • 19 EXHIBIT 7
                                  • 20 Form 1_2019i
                                      1. LAST NAME
                                      2. FIRST NAME
                                      3. MIDDLE NAME
                                      4. MAILING ADDRESS ROW 1
                                      5. MAILING ADDRESS ROW 2
                                      6. CITY
                                      7. ZIP
                                      8. COUNTY
                                      9. NAME OF AGENCY
                                      10. NAME OF OFFICE OR POSITION HELD OR SOUGHT
                                      11. CANDIDATE Off
                                      12. NEW EMPLOYEE OR APPOINTEE Off
                                      13. COMPARATIVE (PERCENTAGE) THRESHOLDS Off
                                      14. DOLLAR VALUE THRESHOLDS Off
                                      15. NAME OF SOURCE INCOME ROW 1
                                      16. ADDRESS ROW 1
                                      17. DESCRIPTION OF THE SOURCES PRINCIPAL BUSINESS ACTIVITY ROW 1
                                      18. NAME OF SOURCE INCOME ROW 2
                                      19. ADDRESS ROW 2
                                      20. DESCRIPTION OF THE SOURCES PRINCIPAL BUSINESS ACTIVITY ROW 2
                                      21. NAME OF SOURCE INCOME ROW 3
                                      22. ADDRESS ROW 3
                                      23. DESCRIPTION OF THE SOURCES PRINCIPAL BUSINESS ACTIVITY ROW 3
                                      24. NAME OF SOURCE INCOME ROW 4
                                      25. ADDRESS ROW 4
                                      26. DESCRIPTION OF THE SOURCES PRINCIPAL BUSINESS ACTIVITY ROW 4
                                      27. NAME OF BUSINESS ENTITY ROW 1
                                      28. NAME OF MAJOR SOURCES OF BUSINESS INCOME ROW 1
                                      29. ADDRESS OF SOURCE ROW 1
                                      30. PRINCIPAL BUSINESS ACTIVITY OF SOURCE ROW 1
                                      31. NAME OF BUSINESS ENTITY ROW 2
                                      32. NAME OF MAJOR SOURCES OF BUSINESS INCOME ROW 2
                                      33. ADDRESS OF SOURCE ROW 2
                                      34. PRINCIPAL BUSINESS ACTIVITY OF SOURCE ROW 2
                                      35. NAME OF BUSINESS ENTITY ROW 3
                                      36. NAME OF MAJOR SOURCES OF BUSINESS INCOME ROW 3
                                      37. ADDRESS OF SOURCE ROW 3
                                      38. PRINCIPAL BUSINESS ACTIVITY OF SOURCE ROW 3
                                      39. REAL PROPERTY ROW 1
                                      40. REAL PROPERTY ROW 2
                                      41. REAL PROPERTY ROW 3
                                      42. REAL PROPERTY ROW 4
                                      43. TYPE OF INTANGIBLE ROW 1
                                      44. BUSINESS ENTITY TO WHICH THE PROPERTY RELATES ROW 1
                                      45. TYPE OF INTANGIBLE ROW 2
                                      46. BUSINESS ENTITY TO WHICH THE PROPERTY RELATES ROW 2
                                      47. NAME OF CREDITOR ROW 1
                                      48. ADDRESS OF CREDITOR ROW 1
                                      49. NAME OF CREDITOR ROW 2
                                      50. ADDRESS OF CREDITOR ROW 2
                                      51. ADDRESS OF BUSINESS ENTITY 1
                                      52. PRINCIPAL BUSINESS ACTIVITY 1
                                      53. POSITION HELD WITH ENTITY 1
                                      54. I OWN MORE THAN A 5 INTEREST IN THE BUSINESS 1
                                      55. NATURE OF MY OWNERSHIP INTEREST 1
                                      56. ADDRESS OF BUSINESS ENTITY 2
                                      57. PRINCIPAL BUSINESS ACTIVITY 2
                                      58. POSITION HELD WITH ENTITY 2
                                      59. I OWN MORE THAN A 5 INTEREST IN THE BUSINESS 2
                                      60. NATURE OF MY OWNERSHIP INTEREST 2
                                      61. FOR ELECTED MUNICIPAL OFFICERS REQUIRED TO COMPLETE ANNUAL ETHICS TRAINING PURSUANT TO SECTION 112
                                        1. 3142 F
                                          1. S Off
                                              1. IF ANY OF PARTS A THROUGH G ARE CONTINUED ON A SEPARATE SHEET PLEASE CHECK HERE Off
                                              2. SIGNATURE
                                              3. Date Signed
Page 26: HAWKS POINT COMMUNITY DEVELOPMENT …...2020/06/16  · Hawks Point Community Development District Board of Supervisors Meeting Tuesday, June 16th at 6:30 PM via Zoom All: We welcome

PO Box 267 Seffner FL 33583 O 813-757-6500 F 813-757-6501 Estimate

Submitted To Hawks Point CDD 250 International Parkway Suite 280 Lake Mary FL 32746

CDD - controller 4 - zones 1 and 2

Date 5232020

Estimate 66077

LMP REPRESENTATIVE

DG-TI

PO

W ork Order

DESCRIPTION QTY COST TOTAL

Controller 4 34 inch poly pipe 34 inch poly pipe clamps Labor 2 men $ 8500 per hour

Irrigation inspection repairs needed Repair 6 - 34 inch poly pipe line leaks

6 12 05

072 129

8500

432 1548 4250

TERMS AND CONDITIONS TOTAL $6230

LMP reserves the right to withdraw this proposal if not accepted within 30 days of the date listed above Any alteration or deviation to scope of work involving additional costs must be agreed upon in writing as a separate proposal or change order to this proposal Periodic invoices may be submitted if job is substantial in nature with final invoice being submitted at completion of project Any work performed requiring more than 5 days to complete is subject to progressive payments as portions of the work are completed No finance charge will be imposed if the total of said work is paid in full within 30 days of invoice date If not paid in full within 30 days then customer is subject to finance charges on the balance of the work from the invoice date at a rate of 15 per month until paid LMP shall have the right to stop work under this contract until all outstanding amounts including finance charges are paid in full Payments will be applied to the oldest invoices

ACCEPTANCE OF PROPOSAL The above prices scope of work and terms and conditions are hereby satisfactorily agreed upon LMP Inc has been authorized to perform the work as outlined and payment will be made as outlined above The above pricing does not include any unforeseen modifications to the said irrigation system that could not be reasonably accounted for prior to job start All plant material carries a one (1) year warranty provided LMP Inc is performing landscape maintenance services to the area installed or enhanced at the time of installation If not then there is no warranty on the plant material

OWNER AGENT

DATE

EXHIBIT 5

Independent Franchise Owner Job TBE8F300154 Terry Beamer 9266 Lazy Ln

Date 06012020

EXTERIOR PROPOSALEXTERIOR PROPOSALEXTERIOR PROPOSALEXTERIOR PROPOSAL Tampa FL 33614 813-936-9242

Fax 813 936-9172

1-800-462-3782

License PA2508

Full Workers Compensation Coverage$2000000 General Liability Insurance

DPFG Management amp Consulting LLC (Hawks Point) Raymond Lotito (SB) Hawks Point CDD Ruskin FL 33570 Phone 813-418-7473 Cell 813-220-6089 Email raymondlotitodpfgcom

Special Notes CERTAPRO PAINTERS WILL PAINT WALL FACING 19ST FROM 18TH-24TH

SPECIAL ATTENTION ADDRESSING STUCCO CRACKS USING CONCRETE AND MASONRY PATCH

SPECIAL ATTENTION PRESSURE WASHING LOOSE PEELING PAINT PRIOR TO PAINTING

CERTAPRO PAINTERS WILL ONLY PAINT STREET FACING SIDE- HOMEOWNERS SIDE EXCLUDED FROM PROPOSAL

CUSTOMER RESPONSIBILITIES Please cut back all shrubs bushes and palms away from wall

GENERAL DESCRIPTION Painting to Exterior Wall 18th-24th Facing 19th Ave

PREPARATION Washing To remove dirt mildew and loose paint so the new finish coat will adhere properly

Caulking To fill all cracks and gaps around windows and doorswood work to seal out moisture and drafts Stair step

cracks

Scraping Scrape all loose and peeling paint to ensure a firm base for the new paint

Masonry Repair to all cracks gaps and holes with elastemeric caulking or masonry patch as required

Sanding To degloss where necessary to promote adhesion of the top coat

Surface TypeArea Primer PurposePRIMING

Masonry Loxon sealerprimer Latex For propor top coat adhesion

Conditioner Loxon sealerprimer to all Latex For proper top coat adhesion

masonry surfaces

FINISH COATS

Surface Area

Exterior

ManufacturePaint Type

Sherwin Williams Resilience Ext Satin

Coats

1 primer-sealer 1 spray 1 backroll stucco

Color

Same As Existing

Clean Up Daily and upon completion

$1132900 All Labor Paint Materials

$1132900 TOTAL

Signature of Authorized Franchise Representative Date

Payment is due In Full upon Job Completion

(IWE HAVE READ THE TERMS STATED HEREIN THEY HAVE (IWE) HAVE EXAMINED THE JOB STATED HEREIN THEY EXPLAINED TO (MEUS) AND (IWE) FIND THEM TO BE HAVE SHOWN TO (MEUS) AND (IWE) FIND THE JOB TO SATISFACTORY AND HEREBY ACCEPT THEM BE SATISFACTORY AND HEREBY ACCEPT THE JOB AS

COMPLETE

SIGNATURE Date SIGNATURE Date

QUOTE

Shazam Construction LLC DATE MAY 13 2020

Shazam Hera 6773 Waterton Drive Riverview FL 33578 813-385-4591 ShazamConstructionLLCgmailcom Hawks Point CDD

TO Bill to Development Planning and Financing Group 15310 Amberly Drive Suite 175 Tampa FL 33647

QUANITY DESCRIPTION UNIT PRICE LINE TOTAL

Pressure wash the wall that parallels 19th avenue from 18th street to 24th street in Hawks Point CDD in Ruskin

$1270000

Repair any cracks with caulk or elastomeric as neededPrep for paint

Paint the wall that parallels 19th avenue from 18th street to 24th street in Hawks Point CDD in Ruskin

Paint using body trim and caps of exterior wall facing 19th avenue

Paint while matching existing colors

Paint using Sherwin Williams

All paint materials and labor is included

SUBTOTAL

SALES TAX

TOTAL $1270000

Make all checks payable to Shazam Construction LLC

THANK YOU FOR YOUR BUSINESS

EXHIBIT 6

Independent Franchise Owner Job TB443B00157 Terry Beamer 9266 Lazy Ln

Date 06052020

EXTERIOR PROPOSALEXTERIOR PROPOSALEXTERIOR PROPOSALEXTERIOR PROPOSAL Tampa FL 33614 813-936-9242

Fax 813 936-9172

1-800-462-3782

License PA2508

Full Workers Compensation Coverage$2000000 General Liability Insurance

DPFG Management amp Consulting LLC (Hawks Point) Raymond Lotito (SB) Hawks Point CDD Ruskin FL 33570 Phone 813-418-7473 Cell 813-220-6089 Email raymondlotitodpfgcom

Special Notes CERTAPRO PAINTERS PRESSURE WASHING PROPOSAL 18TH-24TH

CERTAPRO PAINTERS WILL PRESSURE WASH WALL FACING 19TH ST ONLY

GENERAL DESCRIPTION Painting to

PREPARATION Washing To remove dirt mildew and loose paint so the new finish coat will adhere properly

PRIMING Surface TypeArea Primer Purpose

Clean Up Daily and upon completion

All Labor Paint Materials

TOTAL

$195000

$195000

Signature of Authorized Franchise Representative Date

Payment is due In Full upon Job Completion

(IWE HAVE READ THE TERMS STATED HEREIN THEY HAVE (IWE) HAVE EXAMINED THE JOB STATED HEREIN THEY EXPLAINED TO (MEUS) AND (IWE) FIND THEM TO BE HAVE SHOWN TO (MEUS) AND (IWE) FIND THE JOB TO SATISFACTORY AND HEREBY ACCEPT THEM BE SATISFACTORY AND HEREBY ACCEPT THE JOB AS

COMPLETE

SIGNATURE Date SIGNATURE Date

QUOTE

Shazam Construction LLC DATE JUNE 5 2020

Shazam Hera 6773 Waterton Drive Riverview FL 33578 813-385-4591 ShazamConstructionLLCgmailcom Hawks Point CDD

TO Bill to Development Planning and Financing Group 15310 Amberly Drive Suite 175 Tampa FL 33647

QUANITY DESCRIPTION UNIT PRICE LINE TOTAL

Pressure wash the wall that parallels 19th avenue from 18th street to 24th street in Hawks Point CDD in Ruskin

$160000

All materials and labor is included

SUBTOTAL

SALES TAX

TOTAL $160000

Make all checks payable to Shazam Construction LLC

THANK YOU FOR YOUR BUSINESS

EXHIBIT 7

2019FORM 1 STATEMENT OF

Please print or type your name mailing FOR OFFICE USE ONLY FINANCIAL INTERESTS address agency name and position below

LAST NAME -- FIRST NAME -- MIDDLE NAME

MAILING ADDRESS

CITY ZIP COUNTY

NAME OF AGENCY

NAME OF OFFICE OR POSITION HELD OR SOUGHT

CHECK ONLY IF CANDIDATE OR NEW EMPLOYEE OR APPOINTEE

THIS SECTION MUST BE COMPLETED DISCLOSURE PERIOD THIS STATEMENT REFLECTS YOUR FINANCIAL INTERESTS FOR CALENDAR YEAR ENDING DECEMBER 31 2019

MANNER OF CALCULATING REPORTABLE INTERESTS FILERS HAVE THE OPTION OF USING REPORTING THRESHOLDS THAT ARE ABSOLUTE DOLLAR VALUES WHICH REQUIRES FEWER CALCULATIONS OR USING COMPARATIVE THRESHOLDS WHICH ARE USUALLY BASED ON PERCENTAGE VALUES (see instructions for further details) CHECK THE ONE YOU ARE USING (must check one)

COMPARATIVE (PERCENTAGE) THRESHOLDS OR DOLLAR VALUE THRESHOLDS

PART A -- PRIMARY SOURCES OF INCOME [Major sources of income to the reporting person - See instructions] (If you have nothing to report write none or na)

NAME OF SOURCE SOURCES DESCRIPTION OF THE SOURCES OF INCOME ADDRESS PRINCIPAL BUSINESS ACTIVITY

PART B -- SECONDARY SOURCES OF INCOME [Major customers clients and other sources of income to businesses owned by the reporting person - See instructions] (If you have nothing to report write none or na)

NAME OF NAME OF MAJOR SOURCES ADDRESS PRINCIPAL BUSINESS BUSINESS ENTITY OF BUSINESS INCOME OF SOURCE ACTIVITY OF SOURCE

PART C -- REAL PROPERTY [Land buildings owned by the reporting person - See instructions] You are not limited to the space on the (If you have nothing to report write none or na) lines on this form Attach additional

sheets if necessary

FILING INSTRUCTIONS for when and where to file this form are located at the bottom of page 2

INSTRUCTIONS on who must file this form and how to fill it out begin on page 3

CE FORM 1 - Effective January 1 2020 (Continued on reverse side) PAGE 1 Incorporated by reference in Rule 34-8202(1) FAC

FILING INSTRUCTIONS

IF ANY OF PARTS A THROUGH G ARE CONTINUED ON A SEPARATE SHEET PLEASE CHECK HERE

PART D mdash INTANGIBLE PERSONAL PROPERTY [Stocks bonds certificates of deposit etc - See instructions] (If you have nothing to report write none or na) TYPE OF INTANGIBLE BUSINESS ENTITY TO WHICH THE PROPERTY RELATES

PART E mdash LIABILITIES [Major debts - See instructions] (If you have nothing to report write none or na)

NAME OF CREDITOR ADDRESS OF CREDITOR

PART F mdash INTERESTS IN SPECIFIED BUSINESSES [Ownership or positions in certain types of businesses - See instructions] (If you have nothing to report write none or na)

BUSINESS ENTITY 1 BUSINESS ENTITY 2

NAME OF BUSINESS ENTITY

ADDRESS OF BUSINESS ENTITY

PRINCIPAL BUSINESS ACTIVITY

POSITION HELD WITH ENTITY

I OWN MORE THAN A 5 INTEREST IN THE BUSINESS

NATURE OF MY OWNERSHIP INTEREST

If you were mailed the form by the Commission on Ethics or a County Supervisor of Elections for your annual disclosure filing return the form to that location To determine what category your position falls under see page 3 of instructions Local officersemployees file with the Supervisor of Elections of the county in which they permanently reside (If you do not permanently reside in Florida file with the Supervisor of the county where your agency has its headquarters) Form 1 filers who file with the Supervisor of Elections may file by mail or email Contact your Supervisor of Elections for the mailing address or email address to use Do not email your form to the Commission on Ethics it will be returned State officers or specified state employees who file with the Commission on Ethics may file by mail or email To file by mail send the completed form to PO Drawer 15709 Tallahassee FL32317-5709 physical address 325 John Knox Rd Bldg E Ste 200 Tallahassee FL 32303 To file with the Commission by email scan your completed form and any attachments as a pdf (do not use any other format) send it to CEForm1legstateflus and retain a copy for your records Do not file by both mail and email Choose only one filing method Form 6s will not be accepted via email

Candidates file this form together with their filing papers MULTIPLE FILING UNNECESSARY A candidate who files a Form 1 with a qualifying officer is not required to file with the Commission or Supervisor of Elections WHEN TO FILE Initially each local officeremployee state officer and specified state employee must file within 30 days of the date of his or her appointment or of the beginning of employment Appointees who must be confirmed by the Senate must file prior to confirmation even if that is less than 30 days from the date of their appointment Candidates must file at the same time they file their qualifying papers Thereafter file by July 1 following each calendar year in which they hold their positions Finally file a final disclosure form (Form 1F) within 60 days of leaving office or employment Filing a CE Form 1F (Final Statement of Financial Interests) does not relieve the filer of filing a CE Form 1 if the filer was in his or her position on December 31 2019

SIGNATURE OF FILER Signature

____________________________________________

Date Signed

____________________________________________

CPA or ATTORNEY SIGNATURE ONLY If a certified public accountant licensed under Chapter 473 or attorney in good standing with the Florida Bar prepared this form for you he or she must complete the following statement

I _______________________________________ prepared the CE Form 1 in accordance with Section 1123145 Florida Statutes and the instructions to the form Upon my reasonable knowledge and belief the disclosure herein is true and correct

CPAAttorney Signature ______________________________

Date Signed _______________________________________

PART G mdash TRAINING For elected municipal officers required to complete annual ethics training pursuant to section 1123142 FS

I CERTIFY THAT I HAVE COMPLETED THE REQUIRED TRAINING

CE FORM 1 - Effective January 1 2020 PAGE 2 Incorporated by reference in Rule 34-8202(1) FAC

Examplesmdash You are the sole proprietor of a dry cleaning business fromwhich you received more than 10 of your gross incomemdashanamount that was more than $1500 If only one customer auniform rental company provided more than 10 of your drycleaning business you must list the name of the uniform rentalcompany its address and its principal business activity (uniform rentals) mdash You are a 20 partner in a partnership that owns a shopping mall and your partnership income exceeded the thresholds listed above You should list each tenant of the mall that provided more than 10 of the partnershiprsquos gross income and the tenantrsquos address and principal business activity

PART C mdash REAL PROPERTY[Required by s 1123145(3)(a)3 FS]In this part list the location or description of all real property in

Florida in which you owned directly or indirectly at any time during the disclosure period in excess of 5 of the propertyrsquos value You are not required to list your residences You should list any vacation homes if you derive income from them

Indirect ownership includes situations where you are abeneficiary of a trust that owns the property as well as situations where you own more than 5 of a partnership or corporation thatowns the property The value of the property may be determined by the most recently assessed value for tax purposes in the absence of a more current appraisal

The location or description of the property should be sufficient to enable anyone who looks at the form to identify the property Astreet address should be used if one exists PART D mdash INTANGIBLE PERSONAL PROPERTY

[Required by s 1123145(3)(a)3 FS]Describe any intangible personal property that at any time

during the disclosure period was worth more than 10 of your total assets and state the business entity to which the property related Intangible personal property includes things such as cash on hand stocks bonds certificates of deposit vehicle leases interests in businesses beneficial interests in trusts money owed you Deferred Retirement Option Program (DROP) accounts the Florida Prepaid College Plan and bank accounts Intangiblepersonal property also includes investment products held in IRAs brokerage accounts and the Florida College Investment Plan Note that the product contained in a brokerage account IRA or the Florida College Investment Plan is your assetmdashnot the account or plan itself Things like automobiles and houses you own jewelryand paintings are not intangible property Intangibles relating to the same business entity may be aggregated for example CDrsquos and savings accounts with the same bank

Calculations To determine whether the intangible property exceeds 10 of your total assets total the fair market value of all of your assets (including real property intangible property and tangible personal property such as jewelry furniture etc) When making this calculation do not subtract any liabilities (debts) that may relate to the property Multiply the total figure by 10 to arrive at the disclosure threshold List only the intangibles that exceed this threshold amount The value of a leased vehicle is the vehiclersquos present value minus the lease residual (a number which can be found on the lease document) Property that is only jointly owned property should be valued according to the percentage of your joint ownership Property owned as tenants by the entirety or as joint tenants with right of survivorship should be valued at 100 None of your calculations or the value of the property have to be disclosed on the form

Example You own 50 of the stock of a small corporation that is worth $100000 the estimated fair market value of your home and other property (bank accounts automobile furniture etc) is $200000 As your total assets are worth $250000 you must disclose intangibles worth over $25000 Since the value of the stock exceeds this threshold you should list ldquostockrdquo and the name of the corporation If your accounts with a particular bank exceed $25000 you should list ldquobank accountsrdquo and bankrsquos name

PART E mdash LIABILITIES[Required by s 1123145(3)(b)4 FS]List the name and address of each creditor to whom you owed

any amount that at any time during the disclosure period exceeded your net worth You are not required to list the amount of any debt or your net worth You do not have to disclose credit card and retail installment accounts taxes owed (unless reduced to a judgment) indebtedness on a life insurance policy owed to the company of issuance or contingent liabilities A ldquocontingent liabilityrdquo is one that will become an actual liability only when one or more future events occur or fail to occur such as where you are liable only as a guarantor surety or endorser on a promissory note If you are a ldquoco-makerrdquo and are jointly liable or jointly and severally liable it is not a contingent liability

Calculations To determine whether the debt exceeds your net worth total all of your liabilities (including promissory notes mortgages credit card debts judgments against you etc) Theamount of the liability of a vehicle lease is the sum of any past-due payments and all unpaid prospective lease payments Subtract the sum total of your liabilities from the value of all your assets as calculated above for Part D This is your ldquonet worthrdquo List each creditor to whom your debt exceeded this amount unless it is one of the types of indebtedness listed in the paragraph above (credit card and retail installment accounts etc) Joint liabilities with others for which you are ldquojointly and severally liablerdquo meaning that you may be liable for either your part or the whole of the obligation should be included in your calculations at 100 of the amount owed

Example You owe $15000 to a bank for student loans $5000 for credit card debts and $60000 (with spouse) to a savings and loan for a home mortgage Your home (owned by you and your spouse) is worth $80000 and your other property is worth $20000 Since your net worth is $20000 ($100000 minus $80000) you must report only the name and address of the savings and loan

PART F mdash INTERESTS IN SPECIFIED BUSINESSES[Required by s 1123145 FS]The types of businesses covered in this disclosure include

state and federally chartered banks state and federal savings and loan associations cemetery companies insurance companies mortgage companies credit unions small loan companies alcoholic beverage licensees pari-mutuel wagering companies utilitycompanies entities controlled by the Public Service Commission and entities granted a franchise to operate by either a city or acounty government

Disclose in this part the fact that you owned during the disclosure period an interest in or held any of certain positions with the types of businesses listed above You are required to make this disclosure if you own or owned (either directly orindirectly in the form of an equitable or beneficial interest) at any time during the disclosure period more than 5 of the total assets or capital stock of one of the types of business entities listed above You also must complete this part of the form for each of these types of businesses for which you are or were at any time during thedisclosure period an officer director partner proprietor or agent (other than a resident agent solely for service of process)

If you have or held such a position or ownership interest in one of these types of businesses list the name of the business its address and principal business activity and the position held with the business (if any) If you own(ed) more than a 5 interest in the business indicate that fact and describe the nature of your interest

PART G mdash TRAINING CERTIFICATION[Required by s 1123142 FS]If you are a Constitutional or elected municipal officer whose

service began before March 31 of the year for which you are filing you are required to complete four hours of ethics training which addresses Article II Section 8 of the Florida Constitution the Code of Ethics for Public Officers and Employees and the public records and open meetings laws of the state You are required to certify on this form that you have taken such training (End of Percentage Thresholds Instructions)

CE FORM 1 - Effective January 1 2020 Incorporated by reference in Rule 34-8202 FAC PAGE 6

NOTICE Annual Statements of Financial Interests are due July 1 If the annual form is not filed or postmarked by September 1 an automatic fine of $25 for each day late will be imposed up to a maximum penalty of $1500 Failure to file also can result in removal from public office or employment [s 1123145 FS]

In addition failure to make any required disclosure constitutes grounds for and may be punished by one or more of the following disqualification from being on the ballot impeachment removal or suspension from office or employment demotion reduction in salary reprimand or a civil penalty not exceeding $10000 [s 112317 FS]

WHO MUST FILE FORM 1 1) Elected public officials not serving in a political subdivision of the

state and any person appointed to fill a vacancy in such office unlessrequired to file full disclosure on Form 62) Appointed members of each board commission authority

or council having statewide jurisdiction excluding members of solelyadvisory bodies but including judicial nominating commission membersDirectors of Enterprise Florida Scripps Florida Funding Corporationand Career Source Florida and members of the Council on the Social Status of Black Men and Boys the Executive Director Governors and senior managers of Citizens Property Insurance CorporationGovernors and senior managers of Florida Workers Compensation JointUnderwriting Association board members of the Northeast Fla RegionalTransportation Commission board members of Triumph Gulf Coast Incboard members of Florida Is For Veterans Inc and members of the Technology Advisory Council within the Agency for State Technology3) The Commissioner of Education members of the State Board

of Education the Board of Governors the local Boards of Trustees and Presidents of state universities and the Florida Prepaid College Board 4) Persons elected to office in any political subdivision (such as

municipalities counties and special districts) and any person appointedto fill a vacancy in such office unless required to file Form 65) Appointed members of the following boards councils

commissions authorities or other bodies of county municipality schooldistrict independent special district or other political subdivision thegoverning body of the subdivision community college or junior collegedistrict boards of trustees boards having the power to enforce local codeprovisions boards of adjustment community redevelopment agenciesplanning or zoning boards having the power to recommend create ormodify land planning or zoning within a political subdivision except forcitizen advisory committees technical coordinating committees andsimilar groups who only have the power to make recommendationsto planning or zoning boards and except for representatives of a military installation acting on behalf of all military installations within thatjurisdiction pension or retirement boards empowered to invest pensionor retirement funds or determine entitlement to or amount of pensions orother retirement benefits and the Pinellas County Construction LicensingBoard 6) Any appointed member of a local government board who

is required to file a statement of financial interests by the appointingauthority or the enabling legislation ordinance or resolution creating theboard 7) Persons holding any of these positions in local government

mayor county or city manager chief administrative employee or finance

director of a county municipality or other political subdivision county or municipal attorney chief county or municipal building inspectorcounty or municipal water resources coordinator county or municipalpollution control director county or municipal environmental control director county or municipal administrator with power to grant or denya land development permit chief of police fire chief municipal clerkappointed district school superintendent community college presidentdistrict medical examiner purchasing agent (regardless of title) havingthe authority to make any purchase exceeding $35000 for the localgovernmental unit8) Officers and employees of entities serving as chief administrative

officer of a political subdivision9) Members of governing boards of charter schools operated by a

city or other public entity10) Employees in the office of the Governor or of a Cabinet member

who are exempt from the Career Service System excluding secretarialclerical and similar positions11) The following positions in each state department commission

board or council Secretary Assistant or Deputy Secretary ExecutiveDirector Assistant or Deputy Executive Director and anyone having thepower normally conferred upon such persons regardless of title12) The following positions in each state department or division

Director Assistant or Deputy Director Bureau Chief and any personhaving the power normally conferred upon such persons regardless oftitle 13) Assistant State Attorneys Assistant Public Defenders criminal

conflict and civil regional counsel and assistant criminal conflict and civilregional counsel Public Counsel full-time state employees serving ascounsel or assistant counsel to a state agency administrative law judgesand hearing officers14) The Superintendent or Director of a state mental health institute

established for training and research in the mental health field or anymajor state institution or facility established for corrections trainingtreatment or rehabilitation 15) State agency Business Managers Finance and Accounting

Directors Personnel Officers Grant Coordinators and purchasingagents (regardless of title) with power to make a purchase exceeding$35000 16) The following positions in legislative branch agencies each

employee (other than those employed in maintenance clerical secretarial or similar positions and legislative assistants exempted by the presiding officer of their house) and each employee of theCommission on Ethics

INSTRUCTIONS FOR COMPLETING FORM 1 INTRODUCTORY INFORMATION (Top of Form) If your name mailing address public agency and position are already printed on the form you do not need to provide this information unless it should be changed To change any of this information write the correct information on the form and contact your agencys financial disclosure coordinator You can find your coordinator on the Commission on Ethics website wwwethics stateflus NAME OF AGENCY The name of the governmental unit which you serve or served by which you are or were employed or for which you are a candidate DISCLOSURE PERIOD The ldquodisclosure periodrdquo for your report is the calendar year ending December 31 2019

OFFICE OR POSITION HELD OR SOUGHT The title of the office or position you hold are seeking or held during the disclosure period even if you have since left that position If you are a candidate for office or are a new employee or appointee check the appropriate box PUBLIC RECORD The disclosure form and everythingattached to it is a public record Your Social Security Number is not required and you should redact it from any documents you file If you are an active or former officer or employee listed in Section 119071 FS whose home address is exempt from disclosure the Commission will maintain that confidentiality if you submit a written request

CE FORM 1 - Effective January 1 2020 Incorporated by reference in Rule 34-8202 FAC PAGE 3

PART E mdash LIABILITIES[Required by s 1123145(3)(b)4 FS]List the name and address of each creditor to whom you owed more

than $10000 at any time during the disclosure period The amount of theliability of a vehicle lease is the sum of any past-due payments and allunpaid prospective lease payments You are not required to list the amountof any debt You do not have to disclose credit card and retail installmentaccounts taxes owed (unless reduced to a judgment) indebtedness ona life insurance policy owed to the company of issuance or contingentliabilities A ldquocontingent liabilityrdquo is one that will become an actual liabilityonly when one or more future events occur or fail to occur such as whereyou are liable only as a guarantor surety or endorser on a promissorynote If you are a ldquoco-makerrdquo and are jointly liable or jointly and severallyliable then it is not a contingent liability

PART F mdash INTERESTS IN SPECIFIED BUSINESSES[Required by s 1123145(6) FS]The types of businesses covered in this disclosure include state and

federally chartered banks state and federal savings and loan associationscemetery companies insurance companies mortgage companies creditunions small loan companies alcoholic beverage licensees pari-mutuelwagering companies utility companies entities controlled by the PublicService Commission and entities granted a franchise to operate by either acity or a county government

Disclose in this part the fact that you owned during the disclosure period aninterest in or held any of certain positions with the types of businesses listedabove You must make this disclosure if you own or owned (either directly orindirectly in the form of an equitable or beneficial interest) at any time duringthe disclosure period more than 5 of the total assets or capital stock ofone of the types of business entities listed above You also must completethis part of the form for each of these types of businesses for which youare or were at any time during the disclosure period an officer directorpartner proprietor or agent (other than a resident agent solely for service ofprocess)

If you have or held such a position or ownership interest in one ofthese types of businesses list the name of the business its address andprincipal business activity and the position held with the business (if any) Ifyou own(ed) more than a 5 interest in the business indicate that fact anddescribe the nature of your interest

PART G mdash TRAINING CERTIFICATION[Required by s 1123142 FS]If you are a Constitutional or elected municipal officer whose

service began before March 31 of the year for which you are filingyou are required to complete four hours of ethics training which addresses Article II Section 8 of the Florida Constitution the Codeof Ethics for Public Officers and Employees and the public recordsand open meetings laws of the state You are required to certify onthis form that you have taken such training

(End of Dollar Value Thresholds Instructions)

PART A mdash PRIMARY SOURCES OF INCOME[Required by s 1123145(3)(a)1 FS]Part A is intended to require the disclosure of your principal

sources of income during the disclosure period You do not haveto disclose any public salary or public position(s) but income from these public sources should be included when calculating your gross income for the disclosure period The income of your spouse need not be disclosed however if there is joint income to you and your spouse from property you own jointly (such as interest or dividends from a bank account or stocks) you should include all of that income when calculating your gross income and disclose the source of that income if it exceeded the threshold

Please list in this part of the form the name address and principal business activity of each source of your income whichexceeded 5 of the gross income received by you in your own name or by any other person for your benefit or use during the disclosure period

Gross income means the same as it does for income tax purposes even if the income is not actually taxable such as interest on tax-free bonds Examples include compensation for servicesincome from business gains from property dealings interest rents dividends pensions IRA distributions social security distributive share of partnership gross income and alimony but not child support

Examplesmdash If you were employed by a company that manufactures computers and received more than 5 of your gross income from the company list the name of the company its address and its principal business activity (computer manufacturing)mdash If you were a partner in a law firm and your distributive share of partnership gross income exceeded 5 of your gross income then list the name of the firm its address and its principal business activity (practice of law)mdash If you were the sole proprietor of a retail gift business andyour gross income from the business exceeded 5 of your total gross income list the name of the business its addressand its principal business activity (retail gift sales)mdash If you received income from investments in stocks and bonds list each individual company from which you derived

more than 5 of your gross income Do not aggregate all of your investment incomemdash If more than 5 of your gross income was gain from the sale of property (not just the selling price) list as a source of income the purchaserrsquos name address and principal business activityIf the purchasers identity is unknown such as where securities listed on an exchange are sold through a brokerage firm the source of income should be listed as sale of (name of company)stock for examplemdash If more than 5 of your gross income was in the form of interest from one particular financial institution (aggregatinginterest from all CDrsquos accounts etc at that institution) list the name of the institution its address and its principal business activity

PART B mdash SECONDARY SOURCES OF INCOME[Required by s 1123145(3)(a)2 FS]This part is intended to require the disclosure of major customers

clients and other sources of income to businesses in which you ownan interest It is not for reporting income from second jobs That kindof income should be reported in Part A Primary Sources of Incomeif it meets the reporting threshold You will not have anything to reportunless during the disclosure period

(1) You owned (either directly or indirectly in the form of anequitable or beneficial interest) more than 5 of the total assetsor capital stock of a business entity (a corporation partnershipLLC limited partnership proprietorship joint venture trust firmetc doing business in Florida) and(2) You received more than 10 of your gross income from thatbusiness entity and(3) You received more than $1500 in gross income from thatbusiness entity

If your interests and gross income exceeded these thresholds thenfor that business entity you must list every source of income to thebusiness entity which exceeded 10 of the business entityrsquos grossincome (computed on the basis of the business entityrsquos most recentlycompleted fiscal year) the sourcersquos address and the sourcersquosprincipal business activity

IF YOU HAVE CHOSEN COMPARATIVE (PERCENTAGE) THRESHOLDSTHE FOLLOWING INSTRUCTIONS APPLY

CE FORM 1 - Effective January 1 2020 Incorporated by reference in Rule 34-8202 FAC PAGE 5

MANNER OF CALCULATING REPORTABLE INTEREST Filers have the option of reporting based on either thresholds that are comparative (usually based on percentage values) or thresholds that are based on absolute dollar values The instructions on the following pages specifically describe the different thresholds Check the box that reflects the choice you have made You must use the type of threshold you have chosen for each part of the form In other words if you choose to report based on absolute dollar value thresholds you cannot use a percentage threshold on any part of the form

IF YOU HAVE CHOSEN DOLLAR VALUE THRESHOLDS THE FOLLOWING INSTRUCTIONS APPLY

PART A mdash PRIMARY SOURCES OF INCOME [Required by s 1123145(3)(b)1 FS] Part A is intended to require the disclosure of your principal

sources of income during the disclosure period You do not have todisclose any public salary or public position(s) The income of yourspouse need not be disclosed however if there is joint income toyou and your spouse from property you own jointly (such as interestor dividends from a bank account or stocks) you should disclose thesource of that income if it exceeded the threshold

Please list in this part of the form the name address andprincipal business activity of each source of your income whichexceeded $2500 of gross income received by you in your own name or by any other person for your use or benefit

Gross income means the same as it does for income tax purposes even if the income is not actually taxable such as interest on tax-free bonds Examples include compensation for servicesincome from business gains from property dealings interest rentsdividends pensions IRA distributions social security distributive share of partnership gross income and alimony but not child support

Examples mdash If you were employed by a company that manufacturescomputers and received more than $2500 list the name of thecompany its address and its principal business activity (computermanufacturing) mdash If you were a partner in a law firm and your distributive shareof partnership gross income exceeded $2500 list the name ofthe firm its address and its principal business activity (practice oflaw) mdash If you were the sole proprietor of a retail gift business and yourgross income from the business exceeded $2500 list the nameof the business its address and its principal business activity(retail gift sales) mdash If you received income from investments in stocks and bondslist each individual company from which you derived more than$2500 Do not aggregate all of your investment income mdash If more than $2500 of your gross income was gain from thesale of property (not just the selling price) list as a source ofincome the purchaserrsquos name address and principal businessactivity If the purchaserrsquos identity is unknown such as wheresecurities listed on an exchange are sold through a brokeragefirm the source of income should be listed as sale of (name of company) stock for example mdash If more than $2500 of your gross income was in the formof interest from one particular financial institution (aggregatinginterest from all CDrsquos accounts etc at that institution) list the name of the institution its address and its principal business activity

PART B mdash SECONDARY SOURCES OF INCOME [Required by s 1123145(3)(b)2 FS] This part is intended to require the disclosure of major customers

clients and other sources of income to businesses in which you own aninterest It is not for reporting income from second jobs That kind of incomeshould be reported in Part A Primary Sources of Income if it meets thereporting threshold You will not have anything to report unless during thedisclosure period

(1) You owned (either directly or indirectly in the form of an equitableor beneficial interest) more than 5 of the total assets or capitalstock of a business entity (a corporation partnership LLC limitedpartnership proprietorship joint venture trust firm etc doing business in Florida) and (2) You received more than $5000 of your gross income during thedisclosure period from that business entity

If your interests and gross income exceeded these thresholds then for thatbusiness entity you must list every source of income to the business entitywhich exceeded 10 of the business entityrsquos gross income (computed onthe basis of the business entitys most recently completed fiscal year) thesourcersquos address and the sources principal business activity

Examples mdash You are the sole proprietor of a dry cleaning business from whichyou received more than $5000 If only one customer a uniform rentalcompany provided more than 10 of your dry cleaning business youmust list the name of the uniform rental company its address and itsprincipal business activity (uniform rentals) mdash You are a 20 partner in a partnership that owns a shopping malland your partnership income exceeded the above thresholds List eachtenant of the mall that provided more than 10 of the partnershipsgross income and the tenants address and principal business activity

PART C mdash REAL PROPERTY [Required by s 1123145(3)(b)3 FS] In this part list the location or description of all real property in Florida

in which you owned directly or indirectly at any time during the disclosureperiod in excess of 5 of the propertyrsquos value You are not required to listyour residences You should list any vacation homes if you derive incomefrom them

Indirect ownership includes situations where you are a beneficiary of atrust that owns the property as well as situations where you own more than5 of a partnership or corporation that owns the property The value of theproperty may be determined by the most recently assessed value for taxpurposes in the absence of a more current appraisal

The location or description of the property should be sufficient toenable anyone who looks at the form to identify the property A streetaddress should be used if one exists

PART D mdash INTANGIBLE PERSONAL PROPERTY [Required by s 1123145(3)(b)3 FS] Describe any intangible personal property that at any time during the

disclosure period was worth more than $10000 and state the businessentity to which the property related Intangible personal property includesthings such as cash on hand stocks bonds certificates of deposit vehicleleases interests in businesses beneficial interests in trusts money owedyou Deferred Retirement Option Program (DROP) accounts the FloridaPrepaid College Plan and bank accounts Intangible personal propertyalso includes investment products held in IRAs brokerage accounts andthe Florida College Investment Plan Note that the product contained in a brokerage account IRA or the Florida College Investment Plan is yourassetmdashnot the account or plan itself Things like automobiles and housesyou own jewelry and paintings are not intangible property Intangiblesrelating to the same business entity may be aggregated for example CDsand savings accounts with the same bank Property owned as tenants bythe entirety or as joint tenants with right of survivorship should be valued at100 The value of a leased vehicle is the vehiclersquos present value minusthe lease residual (a number found on the lease document)

CE FORM 1 - Effective January 1 2020 Incorporated by reference in Rule 34-8202 FAC PAGE 4

PART A mdash PRIMARY SOURCES OF INCOME[Required by s 1123145(3)(b)1 FS]Part A is intended to require the disclosure of your principal

sources of income during the disclosure period You do not have todisclose any public salary or public position(s) The income of yourspouse need not be disclosed however if there is joint income t oyou and your spouse from property you own jointly (such as interestor dividends from a bank account or stocks) you should disclose thesource of that income if it exceeded the threshold

Please list in this part of the form the name address andprincipal business activity of each source of your income whichexceeded $2500 of gross income received by you in your own name or by any other person for your use or benefit

Gross income means the same as it does for income taxpurposes even if the income is not actually taxable such as intereston tax-free bonds Examples include compensation for servicesincome from business gains from property dealings interest rentsdividends pensions IRA distributions social security distributiveshare of partnership gross income and alimony but not child support

Examplesmdash If you were employed by a company that manufacturescomputers and received more than $2500 list the name of thecompany its address and its principal business activity (computermanufacturing)mdash If you were a partner in a law firm and your distributive shareof partnership gross income exceeded $2500 list the name ofthe firm its address and its principal business activity (practice oflaw)mdash If you were the sole proprietor of a retail gift business and yourgross income from the business exceeded $2500 list the nameof the business its address and its principal business activity(retail gift sales)mdash If you received income from investments in stocks and bondslist each individual company from which you derived more than$2500 Do not aggregate all of your investment incomemdash If more than $2500 of your gross income was gain from thesale of property (not just the selling price) list as a source o fincome the purchaserrsquos name address and principal businessactivity If the purchaserrsquos identity is unknown such as wheresecurities listed on an exchange are sold through a brokeragefirm the source of income should be listed as sale of (name of company) stock for examplemdash If more than $2500 of your gross income was in the formof interest from one particular financial institution (aggregatinginterest from all CDrsquos accounts etc at that institution) list thename of the institution its address and its principal business activity

PART B mdash SECONDARY SOURCES OF INCOME[Required by s 1123145(3)(b)2 FS]This part is intended to require the disclosure of major customers

clients and other sources of income to businesses in which you own aninterest It is not for reporting income from second jobs That kind of incomeshould be reported in Part A Primary Sources of Income if it meets thereporting threshold You will not have anything to report unless during thedisclosure period

(1) You owned (either directly or indirectly in the form of an equitableor beneficial interest) more than 5 of the total assets or capitalstock of a business entity (a corporation partnership LLC limitedpartnership proprietorship joint venture trust firm etc doing business in Florida) and(2) You received more than $5000 of your gross income during thedisclosure period from that business entity

If your interests and gross income exceeded these thresholds then for thatbusiness entity you must list every source of income to the business entitywhich exceeded 10 of the business entityrsquos gross income (computed onthe basis of the business entitys most recently completed fiscal year) thesourcersquos address and the sources principal business activity

Examplesmdash You are the sole proprietor of a dry cleaning business from whichyou received more than $5000 If only one customer a uniform rentalcompany provided more than 10 of your dry cleaning business youmust list the name of the uniform rental company its address and itsprincipal business activity (uniform rentals)mdash You are a 20 partner in a partnership that owns a shopping malland your partnership income exceeded the above thresholds List eachtenant of the mall that provided more than 10 of the partnershipsgross income and the tenants address and principal business activity

PART C mdash REAL PROPERTY[Required by s 1123145(3)(b)3 FS]In this part list the location or description of all real property in Florida

in which you owned directly or indirectly at any time during the disclosureperiod in excess of 5 of the propertyrsquos value You are not required to listyour residences You should list any vacation homes if you derive incomefrom them

Indirect ownership includes situations where you are a beneficiary of atrust that owns the property as well as situations where you own more than5 of a partnership or corporation that owns the property The value of theproperty may be determined by the most recently assessed value for taxpurposes in the absence of a more current appraisal

The location or description of the property should be sufficient toenable anyone who looks at the form to identify the property A streetaddress should be used if one exists

PART D mdash INTANGIBLE PERSONAL PROPERTY[Required by s 1123145(3)(b)3 FS]Describe any intangible personal property that at any time during the

disclosure period was worth more than $10000 and state the businessentity to which the property related Intangible personal property includesthings such as cash on hand stocks bonds certificates of deposit vehicleleases interests in businesses beneficial interests in trusts money owedyou Deferred Retirement Option Program (DROP) accounts the FloridaPrepaid College Plan and bank accounts Intangible personal propertyalso includes investment products held in IRAs brokerage accounts andthe Florida College Investment Plan Note that the product contained ina brokerage account IRA or the Florida College Investment Plan is yourassetmdashnot the account or plan itself Things like automobiles and housesyou own jewelry and paintings are not intangible property Intangiblesrelating to the same business entity may be aggregated for example CDsand savings accounts with the same bank Property owned as tenants bythe entirety or as joint tenants with right of survivorship should be valued at100 The value of a leased vehicle is the vehiclersquos present value minusthe lease residual (a number found on the lease document)

Filers have the option of reporting based on either thresholds that are comparative (usually based on percentage values) orthresholds that are based on absolute dollar values The instructions on the following pages specifically describe the differentthresholds Check the box that reflects the choice you have made You must use the type of threshold you have chosen for eachpart of the form In other words if you choose to report based on absolute dollar value thresholds you cannot use a percentagethreshold on any part of the form

MANNER OF CALCULATING REPORTABLE INTEREST

IF YOU HAVE CHOSEN DOLLAR VALUE THRESHOLDSTHE FOLLOWING INSTRUCTIONS APPLY

CE FORM 1 - Effective January 1 2020 Incorporated by reference in Rule 34-8202 FAC PAGE 4

PART E mdash LIABILITIES [Required by s 1123145(3)(b)4 FS] List the name and address of each creditor to whom you owed more

than $10000 at any time during the disclosure period The amount of theliability of a vehicle lease is the sum of any past-due payments and allunpaid prospective lease payments You are not required to list the amountof any debt You do not have to disclose credit card and retail installmentaccounts taxes owed (unless reduced to a judgment) indebtedness ona life insurance policy owed to the company of issuance or contingentliabilities A ldquocontingent liabilityrdquo is one that will become an actual liabilityonly when one or more future events occur or fail to occur such as whereyou are liable only as a guarantor surety or endorser on a promissorynote If you are a ldquoco-makerrdquo and are jointly liable or jointly and severallyliable then it is not a contingent liability

PART F mdash INTERESTS IN SPECIFIED BUSINESSES [Required by s 1123145(6) FS] The types of businesses covered in this disclosure include state and

federally chartered banks state and federal savings and loan associationscemetery companies insurance companies mortgage companies creditunions small loan companies alcoholic beverage licensees pari-mutuelwagering companies utility companies entities controlled by the PublicService Commission and entities granted a franchise to operate by either acity or a county government

Disclose in this part the fact that you owned during the disclosure period aninterest in or held any of certain positions with the types of businesses listedabove You must make this disclosure if you own or owned (either directly orindirectly in the form of an equitable or beneficial interest) at any time duringthe disclosure period more than 5 of the total assets or capital stock ofone of the types of business entities listed above You also must completethis part of the form for each of these types of businesses for which youare or were at any time during the disclosure period an officer directorpartner proprietor or agent (other than a resident agent solely for service ofprocess)

If you have or held such a position or ownership interest in one ofthese types of businesses list the name of the business its address andprincipal business activity and the position held with the business (if any) Ifyou own(ed) more than a 5 interest in the business indicate that fact anddescribe the nature of your interest

PART G mdash TRAINING CERTIFICATION [Required by s 1123142 FS] If you are a Constitutional or elected municipal officer whose

service began before March 31 of the year for which you are filingyou are required to complete four hours of ethics training which addresses Article II Section 8 of the Florida Constitution the Code of Ethics for Public Officers and Employees and the public recordsand open meetings laws of the state You are required to certify onthis form that you have taken such training

(End of Dollar Value Thresholds Instructions)

IF YOU HAVE CHOSEN COMPARATIVE (PERCENTAGE) THRESHOLDS THE FOLLOWING INSTRUCTIONS APPLY

PART A mdash PRIMARY SOURCES OF INCOME [Required by s 1123145(3)(a)1 FS] Part A is intended to require the disclosure of your principal

sources of income during the disclosure period You do not haveto disclose any public salary or public position(s) but income from these public sources should be included when calculating your gross income for the disclosure period The income of your spouse need not be disclosed however if there is joint income to you and your spouse from property you own jointly (such as interest or dividends from a bank account or stocks) you should include all of that income when calculating your gross income and disclose the source of that income if it exceeded the threshold

Please list in this part of the form the name address and principal business activity of each source of your income whichexceeded 5 of the gross income received by you in your own name or by any other person for your benefit or use during the disclosure period

Gross income means the same as it does for income tax purposes even if the income is not actually taxable such as interest on tax-free bonds Examples include compensation for servicesincome from business gains from property dealings interest rents dividends pensions IRA distributions social security distributive share of partnership gross income and alimony but not child support

Examples mdash If you were employed by a company that manufactures computers and received more than 5 of your gross income from the company list the name of the company its address and its principal business activity (computer manufacturing) mdash If you were a partner in a law firm and your distributive share of partnership gross income exceeded 5 of your gross income then list the name of the firm its address and its principal business activity (practice of law) mdash If you were the sole proprietor of a retail gift business andyour gross income from the business exceeded 5 of your total gross income list the name of the business its addressand its principal business activity (retail gift sales) mdash If you received income from investments in stocks and bonds list each individual company from which you derived

more than 5 of your gross income Do not aggregate all of your investment income mdash If more than 5 of your gross income was gain from the sale of property (not just the selling price) list as a source of income the purchaserrsquos name address and principal business activityIf the purchasers identity is unknown such as where securities listed on an exchange are sold through a brokerage firm the source of income should be listed as sale of (name of company)stock for example mdash If more than 5 of your gross income was in the form of interest from one particular financial institution (aggregatinginterest from all CDrsquos accounts etc at that institution) list the name of the institution its address and its principal business activity

PART B mdash SECONDARY SOURCES OF INCOME [Required by s 1123145(3)(a)2 FS] This part is intended to require the disclosure of major customers

clients and other sources of income to businesses in which you ownan interest It is not for reporting income from second jobs That kindof income should be reported in Part A Primary Sources of Incomeif it meets the reporting threshold You will not have anything to report unless during the disclosure period

(1) You owned (either directly or indirectly in the form of anequitable or beneficial interest) more than 5 of the total assetsor capital stock of a business entity (a corporation partnershipLLC limited partnership proprietorship joint venture trust firmetc doing business in Florida) and (2) You received more than 10 of your gross income from thatbusiness entity and (3) You received more than $1500 in gross income from thatbusiness entity

If your interests and gross income exceeded these thresholds thenfor that business entity you must list every source of income to thebusiness entity which exceeded 10 of the business entityrsquos grossincome (computed on the basis of the business entityrsquos most recentlycompleted fiscal year) the sourcersquos address and the sourcersquos principal business activity

CE FORM 1 - Effective January 1 2020 Incorporated by reference in Rule 34-8202 FAC PAGE 5

NOTICE Annual Statements of Financial Interests are due July 1 If the annual form is not filed or postmarked by September 1 an automatic fine of $25 for each day late will be imposed up to a maximum penalty of $1500 Failure to file also can result in removal from public office or employment [s 1123145 FS]

In addition failure to make any required disclosure constitutes grounds for and may be punished by one or more of the following disqualification from being on the ballot impeachment removal or suspension from office or employment demotion reduction in salary reprimand or a civil penalty not exceeding $10000 [s 112317 FS]

1) Elected public officials not serving in a political subdivision of thestate and any person appointed to fill a vacancy in such office unlessrequired to file full disclosure on Form 62) Appointed members of each board commission authority

or council having statewide jurisdiction excluding members of solelyadvisory bodies but including judicial nominating commission membersDirectors of Enterprise Florida Scripps Florida Funding Corporationand Career Source Florida and members of the Council on the SocialStatus of Black Men and Boys the Executive Director Governors and senior managers of Citizens Property Insurance CorporationGovernors and senior managers of Florida Workers Compensation JointUnderwriting Association board members of the Northeast Fla RegionalTransportation Commission board members of Triumph Gulf Coast Incboard members of Florida Is For Veterans Inc and members of theTechnology Advisory Council within the Agency for State Technology3) The Commissioner of Education members of the State Board

of Education the Board of Governors the local Boards of Trustees andPresidents of state universities and the Florida Prepaid College Board4) Persons elected to office in any political subdivision (such a s

municipalities counties and special districts) and any person appointedto fill a vacancy in such office unless required to file Form 65) Appointed members of the following boards councils

commissions authorities or other bodies of county municipality schooldistrict independent special district or other political subdivision thegoverning body of the subdivision community college or junior collegedistrict boards of trustees boards having the power to enforce local codeprovisions boards of adjustment community redevelopment agenciesplanning or zoning boards having the power to recommend create ormodify land planning or zoning within a political subdivision except forcitizen advisory committees technical coordinating committees andsimilar groups who only have the power to make recommendationsto planning or zoning boards and except for representatives of amilitary installation acting on behalf of all military installations within thatjurisdiction pension or retirement boards empowered to invest pensionor retirement funds or determine entitlement to or amount of pensions orother retirement benefits and the Pinellas County Construction LicensingBoard6) Any appointed member of a local government board who

is required to file a statement of financial interests by the appointingauthority or the enabling legislation ordinance or resolution creating theboard7) Persons holding any of these positions in local government

mayor county or city manager chief administrative employee or finance

director of a county municipality or other political subdivision countyor municipal attorney chief county or municipal building inspectorcounty or municipal water resources coordinator county or municipalpollution control director county or municipal environmental controldirector county or municipal administrator with power to grant or denya land development permit chief of police fire chief municipal clerkappointed district school superintendent community college presidentdistrict medical examiner purchasing agent (regardless of title) havingthe authority to make any purchase exceeding $35000 for the localgovernmental unit8) Officers and employees of entities serving as chief administrative

officer of a political subdivision9) Members of governing boards of charter schools operated by a

city or other public entity10) Employees in the office of the Governor or of a Cabinet member

who are exempt from the Career Service System excluding secretarialclerical and similar positions11) The following positions in each state department commission

board or council Secretary Assistant or Deputy Secretary ExecutiveDirector Assistant or Deputy Executive Director and anyone having thepower normally conferred upon such persons regardless of title12) The following positions in each state department or division

Director Assistant or Deputy Director Bureau Chief and any personhaving the power normally conferred upon such persons regardless oftitle13) Assistant State Attorneys Assistant Public Defenders criminal

conflict and civil regional counsel and assistant criminal conflict and civilregional counsel Public Counsel full-time state employees serving ascounsel or assistant counsel to a state agency administrative law judgesand hearing officers14) The Superintendent or Director of a state mental health institute

established for training and research in the mental health field or anymajor state institution or facility established for corrections trainingtreatment or rehabilitation15) State agency Business Managers Finance and Accounting

Directors Personnel Officers Grant Coordinators and purchasingagents (regardless of title) with power to make a purchase exceeding$3500016) The following positions in legislative branch agencies each

employee (other than those employed in maintenance clerical secretarial or similar positions and legislative assistants exemptedby the presiding officer of their house) and each employee of theCommission on Ethics

INSTRUCTIONS FOR COMPLETING FORM 1INTRODUCTORY INFORMATION (Top of Form) If your name mailing address public agency and position are already printed on the form you do not need to provide this information unless it should be changed To change any of this information write the correct information on the form and contact your agencys financial disclosure coordinator You can find your coordinator on the Commission on Ethics website wwwethicsstateflus NAME OF AGENCY The name of the governmental unit which you serve or served by which you are or were employed or for which you are a candidate DISCLOSURE PERIOD The ldquodisclosure periodrdquo for your report is the calendar year ending December 31 2019

OFFICE OR POSITION HELD OR SOUGHT The title of the office or position you hold are seeking or held during the disclosure period even if you have since left that position If you are a candidate for office or are a new employee or appointee check the appropriate boxPUBLIC RECORD The disclosure form and everythingattached to it is a public record Your Social Security Number is not required and you should redact it from any documents you file If you are an active or former officer or employee listed in Section 119071 FS whose home address is exempt from disclosure the Commission will maintain that confidentiality if you submit a written request

WHO MUST FILE FORM 1

CE FORM 1 - Effective January 1 2020 Incorporated by reference in Rule 34-8202 FAC PAGE 3

Examples PART E mdash LIABILITIES mdash You are the sole proprietor of a dry cleaning business from [Required by s 1123145(3)(b)4 FS]which you received more than 10 of your gross incomemdashan List the name and address of each creditor to whom you owed amount that was more than $1500 If only one customer a any amount that at any time during the disclosure period exceeded uniform rental company provided more than 10 of your dry your net worth You are not required to list the amount of any debt cleaning business you must list the name of the uniform rental or your net worth You do not have to disclose credit card and retail company its address and its principal business activity (uniform installment accounts taxes owed (unless reduced to a judgment) rentals) indebtedness on a life insurance policy owed to the company of mdash You are a 20 partner in a partnership that owns a shopping issuance or contingent liabilities A ldquocontingent liabilityrdquo is one mall and your partnership income exceeded the thresholds that will become an actual liability only when one or more future listed above You should list each tenant of the mall that events occur or fail to occur such as where you are liable only as provided more than 10 of the partnershiprsquos gross income and a guarantor surety or endorser on a promissory note If you are a the tenantrsquos address and principal business activity ldquoco-makerrdquo and are jointly liable or jointly and severally liable it is not

a contingent liability PART C mdash REAL PROPERTY Calculations To determine whether the debt exceeds your

[Required by s 1123145(3)(a)3 FS] net worth total all of your liabilities (including promissory notes mortgages credit card debts judgments against you etc) TheIn this part list the location or description of all real property in amount of the liability of a vehicle lease is the sum of any past-due Florida in which you owned directly or indirectly at any time during payments and all unpaid prospective lease payments Subtract the disclosure period in excess of 5 of the propertyrsquos value You the sum total of your liabilities from the value of all your assets are not required to list your residences You should list any vacation as calculated above for Part D This is your ldquonet worthrdquo List each homes if you derive income from them creditor to whom your debt exceeded this amount unless it is one of

Indirect ownership includes situations where you are a the types of indebtedness listed in the paragraph above (credit card beneficiary of a trust that owns the property as well as situations and retail installment accounts etc) Joint liabilities with others for where you own more than 5 of a partnership or corporation that which you are ldquojointly and severally liablerdquo meaning that you may owns the property The value of the property may be determined by be liable for either your part or the whole of the obligation should be the most recently assessed value for tax purposes in the absence included in your calculations at 100 of the amount owed of a more current appraisal

Example You owe $15000 to a bank for student loans $5000 The location or description of the property should be sufficient for credit card debts and $60000 (with spouse) to a savings to enable anyone who looks at the form to identify the property A and loan for a home mortgage Your home (owned by you and street address should be used if one exists your spouse) is worth $80000 and your other property is worth PART D mdash INTANGIBLE PERSONAL PROPERTY $20000 Since your net worth is $20000 ($100000 minus

$80000) you must report only the name and address of the [Required by s 1123145(3)(a)3 FS] savings and loan Describe any intangible personal property that at any time

during the disclosure period was worth more than 10 of your PART F mdash INTERESTS IN SPECIFIED BUSINESSES total assets and state the business entity to which the property [Required by s 1123145 FS] related Intangible personal property includes things such as cash on hand stocks bonds certificates of deposit vehicle leases The types of businesses covered in this disclosure include interests in businesses beneficial interests in trusts money owed state and federally chartered banks state and federal savings and you Deferred Retirement Option Program (DROP) accounts loan associations cemetery companies insurance companies the Florida Prepaid College Plan and bank accounts Intangible mortgage companies credit unions small loan companies alcoholic personal property also includes investment products held in IRAs beverage licensees pari-mutuel wagering companies utilitybrokerage accounts and the Florida College Investment Plan companies entities controlled by the Public Service Commission Note that the product contained in a brokerage account IRA or the and entities granted a franchise to operate by either a city or a Florida College Investment Plan is your assetmdashnot the account or county governmentplan itself Things like automobiles and houses you own jewelry Disclose in this part the fact that you owned during the and paintings are not intangible property Intangibles relating to the disclosure period an interest in or held any of certain positions same business entity may be aggregated for example CDrsquos and with the types of businesses listed above You are requiredsavings accounts with the same bank to make this disclosure if you own or owned (either directly or

Calculations To determine whether the intangible property indirectly in the form of an equitable or beneficial interest) at any exceeds 10 of your total assets total the fair market value of time during the disclosure period more than 5 of the total assets all of your assets (including real property intangible property and or capital stock of one of the types of business entities listed above tangible personal property such as jewelry furniture etc) When You also must complete this part of the form for each of these types making this calculation do not subtract any liabilities (debts) that of businesses for which you are or were at any time during themay relate to the property Multiply the total figure by 10 to arrive disclosure period an officer director partner proprietor or agent at the disclosure threshold List only the intangibles that exceed (other than a resident agent solely for service of process) this threshold amount The value of a leased vehicle is the vehiclersquos If you have or held such a position or ownership interest in present value minus the lease residual (a number which can be one of these types of businesses list the name of the business its found on the lease document) Property that is only jointly owned address and principal business activity and the position held with property should be valued according to the percentage of your the business (if any) If you own(ed) more than a 5 interest in the joint ownership Property owned as tenants by the entirety or as business indicate that fact and describe the nature of your interest joint tenants with right of survivorship should be valued at 100 None of your calculations or the value of the property have to be PART G mdash TRAINING CERTIFICATIONdisclosed on the form

[Required by s 1123142 FS] Example You own 50 of the stock of a small corporation that is worth $100000 the estimated fair market value of If you are a Constitutional or elected municipal officer whoseyour home and other property (bank accounts automobile service began before March 31 of the year for which you are filing furniture etc) is $200000 As your total assets are worth you are required to complete four hours of ethics training which $250000 you must disclose intangibles worth over $25000 addresses Article II Section 8 of the Florida Constitution the Code Since the value of the stock exceeds this threshold you of Ethics for Public Officers and Employees and the public records should list ldquostockrdquo and the name of the corporation If your and open meetings laws of the state You are required to certify on accounts with a particular bank exceed $25000 you should this form that you have taken such training list ldquobank accountsrdquo and bankrsquos name

(

End of Percentage Thresholds Instructions) CE FORM 1 - Effective January 1 2020 Incorporated by reference in Rule 34-8202 FAC PAGE 6

  • 0 HP Cover Page v2
  • 1 Hawks Point Meeting Invite Draft v2
  • 2 Agenda Draft v3
  • 3 EXHIBIT 1
  • 7 HP 05-19-2020 Meeting Minutes Approved
  • 6 EXHIBIT 2
  • 9 HP May FY20 Fin
  • 8 EXHIBIT 3
  • 4 Vacant Position Qualification Requirements for Hawks Point CDD
    • Vacant Position on the Board of Supervisors of the Hawkrsquos Point Community Development District
      • Qualification Requirements
      • Instructions for Interested Candidates
      • Additional Notes
          • 5 Shami Choon Vacant Position - updated 11-5-11 resume
            • 1803 Oak Pond Street Ruskin Fl 33570 E-mailchoons27gmailcom
              • PROFESSIONAL HISTORY
                • Operations Manager Florida Distribution 2002 ndash 2005
                • Operations Manager for Florida Branch Distribution 1999 ndash 2002
                • Warehouse Manager of Miami Distribution Center 1998 ndash 1999
                • Branch Manager of West Palm Beach 1994 ndash 1998
                • Assistant Branch Manager 1991 ndash 1994
                • Customer Service Agent 1990 ndash 1991
                  • 10 EXHIBIT 4
                  • 11 New Business - Hawks Point CDD - MI proposal
                  • 12 EXHIBIT 5
                  • 13 CertaPro Proposal to Paint Exterior Wall 18th to 24th Avenue
                  • 14 Shazam Construction Proposal to Paint Exterior Wall 18th to 24th Street
                    • QUOTE
                      • TO
                          • 15 Photo to accompany Shazam Proposal
                          • 16 EXHIBIT 6
                          • 17 CertaPro Proposal for Pressure Washing Exterior Wall 18th St to 24th Street
                          • 18 Shazam Construction Proposal for Pressure Washing Exterion Wall 18th Street to 24th Street
                            • QUOTE
                              • TO
                                  • 19 EXHIBIT 7
                                  • 20 Form 1_2019i
                                      1. LAST NAME
                                      2. FIRST NAME
                                      3. MIDDLE NAME
                                      4. MAILING ADDRESS ROW 1
                                      5. MAILING ADDRESS ROW 2
                                      6. CITY
                                      7. ZIP
                                      8. COUNTY
                                      9. NAME OF AGENCY
                                      10. NAME OF OFFICE OR POSITION HELD OR SOUGHT
                                      11. CANDIDATE Off
                                      12. NEW EMPLOYEE OR APPOINTEE Off
                                      13. COMPARATIVE (PERCENTAGE) THRESHOLDS Off
                                      14. DOLLAR VALUE THRESHOLDS Off
                                      15. NAME OF SOURCE INCOME ROW 1
                                      16. ADDRESS ROW 1
                                      17. DESCRIPTION OF THE SOURCES PRINCIPAL BUSINESS ACTIVITY ROW 1
                                      18. NAME OF SOURCE INCOME ROW 2
                                      19. ADDRESS ROW 2
                                      20. DESCRIPTION OF THE SOURCES PRINCIPAL BUSINESS ACTIVITY ROW 2
                                      21. NAME OF SOURCE INCOME ROW 3
                                      22. ADDRESS ROW 3
                                      23. DESCRIPTION OF THE SOURCES PRINCIPAL BUSINESS ACTIVITY ROW 3
                                      24. NAME OF SOURCE INCOME ROW 4
                                      25. ADDRESS ROW 4
                                      26. DESCRIPTION OF THE SOURCES PRINCIPAL BUSINESS ACTIVITY ROW 4
                                      27. NAME OF BUSINESS ENTITY ROW 1
                                      28. NAME OF MAJOR SOURCES OF BUSINESS INCOME ROW 1
                                      29. ADDRESS OF SOURCE ROW 1
                                      30. PRINCIPAL BUSINESS ACTIVITY OF SOURCE ROW 1
                                      31. NAME OF BUSINESS ENTITY ROW 2
                                      32. NAME OF MAJOR SOURCES OF BUSINESS INCOME ROW 2
                                      33. ADDRESS OF SOURCE ROW 2
                                      34. PRINCIPAL BUSINESS ACTIVITY OF SOURCE ROW 2
                                      35. NAME OF BUSINESS ENTITY ROW 3
                                      36. NAME OF MAJOR SOURCES OF BUSINESS INCOME ROW 3
                                      37. ADDRESS OF SOURCE ROW 3
                                      38. PRINCIPAL BUSINESS ACTIVITY OF SOURCE ROW 3
                                      39. REAL PROPERTY ROW 1
                                      40. REAL PROPERTY ROW 2
                                      41. REAL PROPERTY ROW 3
                                      42. REAL PROPERTY ROW 4
                                      43. TYPE OF INTANGIBLE ROW 1
                                      44. BUSINESS ENTITY TO WHICH THE PROPERTY RELATES ROW 1
                                      45. TYPE OF INTANGIBLE ROW 2
                                      46. BUSINESS ENTITY TO WHICH THE PROPERTY RELATES ROW 2
                                      47. NAME OF CREDITOR ROW 1
                                      48. ADDRESS OF CREDITOR ROW 1
                                      49. NAME OF CREDITOR ROW 2
                                      50. ADDRESS OF CREDITOR ROW 2
                                      51. ADDRESS OF BUSINESS ENTITY 1
                                      52. PRINCIPAL BUSINESS ACTIVITY 1
                                      53. POSITION HELD WITH ENTITY 1
                                      54. I OWN MORE THAN A 5 INTEREST IN THE BUSINESS 1
                                      55. NATURE OF MY OWNERSHIP INTEREST 1
                                      56. ADDRESS OF BUSINESS ENTITY 2
                                      57. PRINCIPAL BUSINESS ACTIVITY 2
                                      58. POSITION HELD WITH ENTITY 2
                                      59. I OWN MORE THAN A 5 INTEREST IN THE BUSINESS 2
                                      60. NATURE OF MY OWNERSHIP INTEREST 2
                                      61. FOR ELECTED MUNICIPAL OFFICERS REQUIRED TO COMPLETE ANNUAL ETHICS TRAINING PURSUANT TO SECTION 112
                                        1. 3142 F
                                          1. S Off
                                              1. IF ANY OF PARTS A THROUGH G ARE CONTINUED ON A SEPARATE SHEET PLEASE CHECK HERE Off
                                              2. SIGNATURE
                                              3. Date Signed
Page 27: HAWKS POINT COMMUNITY DEVELOPMENT …...2020/06/16  · Hawks Point Community Development District Board of Supervisors Meeting Tuesday, June 16th at 6:30 PM via Zoom All: We welcome

EXHIBIT 5

Independent Franchise Owner Job TBE8F300154 Terry Beamer 9266 Lazy Ln

Date 06012020

EXTERIOR PROPOSALEXTERIOR PROPOSALEXTERIOR PROPOSALEXTERIOR PROPOSAL Tampa FL 33614 813-936-9242

Fax 813 936-9172

1-800-462-3782

License PA2508

Full Workers Compensation Coverage$2000000 General Liability Insurance

DPFG Management amp Consulting LLC (Hawks Point) Raymond Lotito (SB) Hawks Point CDD Ruskin FL 33570 Phone 813-418-7473 Cell 813-220-6089 Email raymondlotitodpfgcom

Special Notes CERTAPRO PAINTERS WILL PAINT WALL FACING 19ST FROM 18TH-24TH

SPECIAL ATTENTION ADDRESSING STUCCO CRACKS USING CONCRETE AND MASONRY PATCH

SPECIAL ATTENTION PRESSURE WASHING LOOSE PEELING PAINT PRIOR TO PAINTING

CERTAPRO PAINTERS WILL ONLY PAINT STREET FACING SIDE- HOMEOWNERS SIDE EXCLUDED FROM PROPOSAL

CUSTOMER RESPONSIBILITIES Please cut back all shrubs bushes and palms away from wall

GENERAL DESCRIPTION Painting to Exterior Wall 18th-24th Facing 19th Ave

PREPARATION Washing To remove dirt mildew and loose paint so the new finish coat will adhere properly

Caulking To fill all cracks and gaps around windows and doorswood work to seal out moisture and drafts Stair step

cracks

Scraping Scrape all loose and peeling paint to ensure a firm base for the new paint

Masonry Repair to all cracks gaps and holes with elastemeric caulking or masonry patch as required

Sanding To degloss where necessary to promote adhesion of the top coat

Surface TypeArea Primer PurposePRIMING

Masonry Loxon sealerprimer Latex For propor top coat adhesion

Conditioner Loxon sealerprimer to all Latex For proper top coat adhesion

masonry surfaces

FINISH COATS

Surface Area

Exterior

ManufacturePaint Type

Sherwin Williams Resilience Ext Satin

Coats

1 primer-sealer 1 spray 1 backroll stucco

Color

Same As Existing

Clean Up Daily and upon completion

$1132900 All Labor Paint Materials

$1132900 TOTAL

Signature of Authorized Franchise Representative Date

Payment is due In Full upon Job Completion

(IWE HAVE READ THE TERMS STATED HEREIN THEY HAVE (IWE) HAVE EXAMINED THE JOB STATED HEREIN THEY EXPLAINED TO (MEUS) AND (IWE) FIND THEM TO BE HAVE SHOWN TO (MEUS) AND (IWE) FIND THE JOB TO SATISFACTORY AND HEREBY ACCEPT THEM BE SATISFACTORY AND HEREBY ACCEPT THE JOB AS

COMPLETE

SIGNATURE Date SIGNATURE Date

QUOTE

Shazam Construction LLC DATE MAY 13 2020

Shazam Hera 6773 Waterton Drive Riverview FL 33578 813-385-4591 ShazamConstructionLLCgmailcom Hawks Point CDD

TO Bill to Development Planning and Financing Group 15310 Amberly Drive Suite 175 Tampa FL 33647

QUANITY DESCRIPTION UNIT PRICE LINE TOTAL

Pressure wash the wall that parallels 19th avenue from 18th street to 24th street in Hawks Point CDD in Ruskin

$1270000

Repair any cracks with caulk or elastomeric as neededPrep for paint

Paint the wall that parallels 19th avenue from 18th street to 24th street in Hawks Point CDD in Ruskin

Paint using body trim and caps of exterior wall facing 19th avenue

Paint while matching existing colors

Paint using Sherwin Williams

All paint materials and labor is included

SUBTOTAL

SALES TAX

TOTAL $1270000

Make all checks payable to Shazam Construction LLC

THANK YOU FOR YOUR BUSINESS

EXHIBIT 6

Independent Franchise Owner Job TB443B00157 Terry Beamer 9266 Lazy Ln

Date 06052020

EXTERIOR PROPOSALEXTERIOR PROPOSALEXTERIOR PROPOSALEXTERIOR PROPOSAL Tampa FL 33614 813-936-9242

Fax 813 936-9172

1-800-462-3782

License PA2508

Full Workers Compensation Coverage$2000000 General Liability Insurance

DPFG Management amp Consulting LLC (Hawks Point) Raymond Lotito (SB) Hawks Point CDD Ruskin FL 33570 Phone 813-418-7473 Cell 813-220-6089 Email raymondlotitodpfgcom

Special Notes CERTAPRO PAINTERS PRESSURE WASHING PROPOSAL 18TH-24TH

CERTAPRO PAINTERS WILL PRESSURE WASH WALL FACING 19TH ST ONLY

GENERAL DESCRIPTION Painting to

PREPARATION Washing To remove dirt mildew and loose paint so the new finish coat will adhere properly

PRIMING Surface TypeArea Primer Purpose

Clean Up Daily and upon completion

All Labor Paint Materials

TOTAL

$195000

$195000

Signature of Authorized Franchise Representative Date

Payment is due In Full upon Job Completion

(IWE HAVE READ THE TERMS STATED HEREIN THEY HAVE (IWE) HAVE EXAMINED THE JOB STATED HEREIN THEY EXPLAINED TO (MEUS) AND (IWE) FIND THEM TO BE HAVE SHOWN TO (MEUS) AND (IWE) FIND THE JOB TO SATISFACTORY AND HEREBY ACCEPT THEM BE SATISFACTORY AND HEREBY ACCEPT THE JOB AS

COMPLETE

SIGNATURE Date SIGNATURE Date

QUOTE

Shazam Construction LLC DATE JUNE 5 2020

Shazam Hera 6773 Waterton Drive Riverview FL 33578 813-385-4591 ShazamConstructionLLCgmailcom Hawks Point CDD

TO Bill to Development Planning and Financing Group 15310 Amberly Drive Suite 175 Tampa FL 33647

QUANITY DESCRIPTION UNIT PRICE LINE TOTAL

Pressure wash the wall that parallels 19th avenue from 18th street to 24th street in Hawks Point CDD in Ruskin

$160000

All materials and labor is included

SUBTOTAL

SALES TAX

TOTAL $160000

Make all checks payable to Shazam Construction LLC

THANK YOU FOR YOUR BUSINESS

EXHIBIT 7

2019FORM 1 STATEMENT OF

Please print or type your name mailing FOR OFFICE USE ONLY FINANCIAL INTERESTS address agency name and position below

LAST NAME -- FIRST NAME -- MIDDLE NAME

MAILING ADDRESS

CITY ZIP COUNTY

NAME OF AGENCY

NAME OF OFFICE OR POSITION HELD OR SOUGHT

CHECK ONLY IF CANDIDATE OR NEW EMPLOYEE OR APPOINTEE

THIS SECTION MUST BE COMPLETED DISCLOSURE PERIOD THIS STATEMENT REFLECTS YOUR FINANCIAL INTERESTS FOR CALENDAR YEAR ENDING DECEMBER 31 2019

MANNER OF CALCULATING REPORTABLE INTERESTS FILERS HAVE THE OPTION OF USING REPORTING THRESHOLDS THAT ARE ABSOLUTE DOLLAR VALUES WHICH REQUIRES FEWER CALCULATIONS OR USING COMPARATIVE THRESHOLDS WHICH ARE USUALLY BASED ON PERCENTAGE VALUES (see instructions for further details) CHECK THE ONE YOU ARE USING (must check one)

COMPARATIVE (PERCENTAGE) THRESHOLDS OR DOLLAR VALUE THRESHOLDS

PART A -- PRIMARY SOURCES OF INCOME [Major sources of income to the reporting person - See instructions] (If you have nothing to report write none or na)

NAME OF SOURCE SOURCES DESCRIPTION OF THE SOURCES OF INCOME ADDRESS PRINCIPAL BUSINESS ACTIVITY

PART B -- SECONDARY SOURCES OF INCOME [Major customers clients and other sources of income to businesses owned by the reporting person - See instructions] (If you have nothing to report write none or na)

NAME OF NAME OF MAJOR SOURCES ADDRESS PRINCIPAL BUSINESS BUSINESS ENTITY OF BUSINESS INCOME OF SOURCE ACTIVITY OF SOURCE

PART C -- REAL PROPERTY [Land buildings owned by the reporting person - See instructions] You are not limited to the space on the (If you have nothing to report write none or na) lines on this form Attach additional

sheets if necessary

FILING INSTRUCTIONS for when and where to file this form are located at the bottom of page 2

INSTRUCTIONS on who must file this form and how to fill it out begin on page 3

CE FORM 1 - Effective January 1 2020 (Continued on reverse side) PAGE 1 Incorporated by reference in Rule 34-8202(1) FAC

FILING INSTRUCTIONS

IF ANY OF PARTS A THROUGH G ARE CONTINUED ON A SEPARATE SHEET PLEASE CHECK HERE

PART D mdash INTANGIBLE PERSONAL PROPERTY [Stocks bonds certificates of deposit etc - See instructions] (If you have nothing to report write none or na) TYPE OF INTANGIBLE BUSINESS ENTITY TO WHICH THE PROPERTY RELATES

PART E mdash LIABILITIES [Major debts - See instructions] (If you have nothing to report write none or na)

NAME OF CREDITOR ADDRESS OF CREDITOR

PART F mdash INTERESTS IN SPECIFIED BUSINESSES [Ownership or positions in certain types of businesses - See instructions] (If you have nothing to report write none or na)

BUSINESS ENTITY 1 BUSINESS ENTITY 2

NAME OF BUSINESS ENTITY

ADDRESS OF BUSINESS ENTITY

PRINCIPAL BUSINESS ACTIVITY

POSITION HELD WITH ENTITY

I OWN MORE THAN A 5 INTEREST IN THE BUSINESS

NATURE OF MY OWNERSHIP INTEREST

If you were mailed the form by the Commission on Ethics or a County Supervisor of Elections for your annual disclosure filing return the form to that location To determine what category your position falls under see page 3 of instructions Local officersemployees file with the Supervisor of Elections of the county in which they permanently reside (If you do not permanently reside in Florida file with the Supervisor of the county where your agency has its headquarters) Form 1 filers who file with the Supervisor of Elections may file by mail or email Contact your Supervisor of Elections for the mailing address or email address to use Do not email your form to the Commission on Ethics it will be returned State officers or specified state employees who file with the Commission on Ethics may file by mail or email To file by mail send the completed form to PO Drawer 15709 Tallahassee FL32317-5709 physical address 325 John Knox Rd Bldg E Ste 200 Tallahassee FL 32303 To file with the Commission by email scan your completed form and any attachments as a pdf (do not use any other format) send it to CEForm1legstateflus and retain a copy for your records Do not file by both mail and email Choose only one filing method Form 6s will not be accepted via email

Candidates file this form together with their filing papers MULTIPLE FILING UNNECESSARY A candidate who files a Form 1 with a qualifying officer is not required to file with the Commission or Supervisor of Elections WHEN TO FILE Initially each local officeremployee state officer and specified state employee must file within 30 days of the date of his or her appointment or of the beginning of employment Appointees who must be confirmed by the Senate must file prior to confirmation even if that is less than 30 days from the date of their appointment Candidates must file at the same time they file their qualifying papers Thereafter file by July 1 following each calendar year in which they hold their positions Finally file a final disclosure form (Form 1F) within 60 days of leaving office or employment Filing a CE Form 1F (Final Statement of Financial Interests) does not relieve the filer of filing a CE Form 1 if the filer was in his or her position on December 31 2019

SIGNATURE OF FILER Signature

____________________________________________

Date Signed

____________________________________________

CPA or ATTORNEY SIGNATURE ONLY If a certified public accountant licensed under Chapter 473 or attorney in good standing with the Florida Bar prepared this form for you he or she must complete the following statement

I _______________________________________ prepared the CE Form 1 in accordance with Section 1123145 Florida Statutes and the instructions to the form Upon my reasonable knowledge and belief the disclosure herein is true and correct

CPAAttorney Signature ______________________________

Date Signed _______________________________________

PART G mdash TRAINING For elected municipal officers required to complete annual ethics training pursuant to section 1123142 FS

I CERTIFY THAT I HAVE COMPLETED THE REQUIRED TRAINING

CE FORM 1 - Effective January 1 2020 PAGE 2 Incorporated by reference in Rule 34-8202(1) FAC

Examplesmdash You are the sole proprietor of a dry cleaning business fromwhich you received more than 10 of your gross incomemdashanamount that was more than $1500 If only one customer auniform rental company provided more than 10 of your drycleaning business you must list the name of the uniform rentalcompany its address and its principal business activity (uniform rentals) mdash You are a 20 partner in a partnership that owns a shopping mall and your partnership income exceeded the thresholds listed above You should list each tenant of the mall that provided more than 10 of the partnershiprsquos gross income and the tenantrsquos address and principal business activity

PART C mdash REAL PROPERTY[Required by s 1123145(3)(a)3 FS]In this part list the location or description of all real property in

Florida in which you owned directly or indirectly at any time during the disclosure period in excess of 5 of the propertyrsquos value You are not required to list your residences You should list any vacation homes if you derive income from them

Indirect ownership includes situations where you are abeneficiary of a trust that owns the property as well as situations where you own more than 5 of a partnership or corporation thatowns the property The value of the property may be determined by the most recently assessed value for tax purposes in the absence of a more current appraisal

The location or description of the property should be sufficient to enable anyone who looks at the form to identify the property Astreet address should be used if one exists PART D mdash INTANGIBLE PERSONAL PROPERTY

[Required by s 1123145(3)(a)3 FS]Describe any intangible personal property that at any time

during the disclosure period was worth more than 10 of your total assets and state the business entity to which the property related Intangible personal property includes things such as cash on hand stocks bonds certificates of deposit vehicle leases interests in businesses beneficial interests in trusts money owed you Deferred Retirement Option Program (DROP) accounts the Florida Prepaid College Plan and bank accounts Intangiblepersonal property also includes investment products held in IRAs brokerage accounts and the Florida College Investment Plan Note that the product contained in a brokerage account IRA or the Florida College Investment Plan is your assetmdashnot the account or plan itself Things like automobiles and houses you own jewelryand paintings are not intangible property Intangibles relating to the same business entity may be aggregated for example CDrsquos and savings accounts with the same bank

Calculations To determine whether the intangible property exceeds 10 of your total assets total the fair market value of all of your assets (including real property intangible property and tangible personal property such as jewelry furniture etc) When making this calculation do not subtract any liabilities (debts) that may relate to the property Multiply the total figure by 10 to arrive at the disclosure threshold List only the intangibles that exceed this threshold amount The value of a leased vehicle is the vehiclersquos present value minus the lease residual (a number which can be found on the lease document) Property that is only jointly owned property should be valued according to the percentage of your joint ownership Property owned as tenants by the entirety or as joint tenants with right of survivorship should be valued at 100 None of your calculations or the value of the property have to be disclosed on the form

Example You own 50 of the stock of a small corporation that is worth $100000 the estimated fair market value of your home and other property (bank accounts automobile furniture etc) is $200000 As your total assets are worth $250000 you must disclose intangibles worth over $25000 Since the value of the stock exceeds this threshold you should list ldquostockrdquo and the name of the corporation If your accounts with a particular bank exceed $25000 you should list ldquobank accountsrdquo and bankrsquos name

PART E mdash LIABILITIES[Required by s 1123145(3)(b)4 FS]List the name and address of each creditor to whom you owed

any amount that at any time during the disclosure period exceeded your net worth You are not required to list the amount of any debt or your net worth You do not have to disclose credit card and retail installment accounts taxes owed (unless reduced to a judgment) indebtedness on a life insurance policy owed to the company of issuance or contingent liabilities A ldquocontingent liabilityrdquo is one that will become an actual liability only when one or more future events occur or fail to occur such as where you are liable only as a guarantor surety or endorser on a promissory note If you are a ldquoco-makerrdquo and are jointly liable or jointly and severally liable it is not a contingent liability

Calculations To determine whether the debt exceeds your net worth total all of your liabilities (including promissory notes mortgages credit card debts judgments against you etc) Theamount of the liability of a vehicle lease is the sum of any past-due payments and all unpaid prospective lease payments Subtract the sum total of your liabilities from the value of all your assets as calculated above for Part D This is your ldquonet worthrdquo List each creditor to whom your debt exceeded this amount unless it is one of the types of indebtedness listed in the paragraph above (credit card and retail installment accounts etc) Joint liabilities with others for which you are ldquojointly and severally liablerdquo meaning that you may be liable for either your part or the whole of the obligation should be included in your calculations at 100 of the amount owed

Example You owe $15000 to a bank for student loans $5000 for credit card debts and $60000 (with spouse) to a savings and loan for a home mortgage Your home (owned by you and your spouse) is worth $80000 and your other property is worth $20000 Since your net worth is $20000 ($100000 minus $80000) you must report only the name and address of the savings and loan

PART F mdash INTERESTS IN SPECIFIED BUSINESSES[Required by s 1123145 FS]The types of businesses covered in this disclosure include

state and federally chartered banks state and federal savings and loan associations cemetery companies insurance companies mortgage companies credit unions small loan companies alcoholic beverage licensees pari-mutuel wagering companies utilitycompanies entities controlled by the Public Service Commission and entities granted a franchise to operate by either a city or acounty government

Disclose in this part the fact that you owned during the disclosure period an interest in or held any of certain positions with the types of businesses listed above You are required to make this disclosure if you own or owned (either directly orindirectly in the form of an equitable or beneficial interest) at any time during the disclosure period more than 5 of the total assets or capital stock of one of the types of business entities listed above You also must complete this part of the form for each of these types of businesses for which you are or were at any time during thedisclosure period an officer director partner proprietor or agent (other than a resident agent solely for service of process)

If you have or held such a position or ownership interest in one of these types of businesses list the name of the business its address and principal business activity and the position held with the business (if any) If you own(ed) more than a 5 interest in the business indicate that fact and describe the nature of your interest

PART G mdash TRAINING CERTIFICATION[Required by s 1123142 FS]If you are a Constitutional or elected municipal officer whose

service began before March 31 of the year for which you are filing you are required to complete four hours of ethics training which addresses Article II Section 8 of the Florida Constitution the Code of Ethics for Public Officers and Employees and the public records and open meetings laws of the state You are required to certify on this form that you have taken such training (End of Percentage Thresholds Instructions)

CE FORM 1 - Effective January 1 2020 Incorporated by reference in Rule 34-8202 FAC PAGE 6

NOTICE Annual Statements of Financial Interests are due July 1 If the annual form is not filed or postmarked by September 1 an automatic fine of $25 for each day late will be imposed up to a maximum penalty of $1500 Failure to file also can result in removal from public office or employment [s 1123145 FS]

In addition failure to make any required disclosure constitutes grounds for and may be punished by one or more of the following disqualification from being on the ballot impeachment removal or suspension from office or employment demotion reduction in salary reprimand or a civil penalty not exceeding $10000 [s 112317 FS]

WHO MUST FILE FORM 1 1) Elected public officials not serving in a political subdivision of the

state and any person appointed to fill a vacancy in such office unlessrequired to file full disclosure on Form 62) Appointed members of each board commission authority

or council having statewide jurisdiction excluding members of solelyadvisory bodies but including judicial nominating commission membersDirectors of Enterprise Florida Scripps Florida Funding Corporationand Career Source Florida and members of the Council on the Social Status of Black Men and Boys the Executive Director Governors and senior managers of Citizens Property Insurance CorporationGovernors and senior managers of Florida Workers Compensation JointUnderwriting Association board members of the Northeast Fla RegionalTransportation Commission board members of Triumph Gulf Coast Incboard members of Florida Is For Veterans Inc and members of the Technology Advisory Council within the Agency for State Technology3) The Commissioner of Education members of the State Board

of Education the Board of Governors the local Boards of Trustees and Presidents of state universities and the Florida Prepaid College Board 4) Persons elected to office in any political subdivision (such as

municipalities counties and special districts) and any person appointedto fill a vacancy in such office unless required to file Form 65) Appointed members of the following boards councils

commissions authorities or other bodies of county municipality schooldistrict independent special district or other political subdivision thegoverning body of the subdivision community college or junior collegedistrict boards of trustees boards having the power to enforce local codeprovisions boards of adjustment community redevelopment agenciesplanning or zoning boards having the power to recommend create ormodify land planning or zoning within a political subdivision except forcitizen advisory committees technical coordinating committees andsimilar groups who only have the power to make recommendationsto planning or zoning boards and except for representatives of a military installation acting on behalf of all military installations within thatjurisdiction pension or retirement boards empowered to invest pensionor retirement funds or determine entitlement to or amount of pensions orother retirement benefits and the Pinellas County Construction LicensingBoard 6) Any appointed member of a local government board who

is required to file a statement of financial interests by the appointingauthority or the enabling legislation ordinance or resolution creating theboard 7) Persons holding any of these positions in local government

mayor county or city manager chief administrative employee or finance

director of a county municipality or other political subdivision county or municipal attorney chief county or municipal building inspectorcounty or municipal water resources coordinator county or municipalpollution control director county or municipal environmental control director county or municipal administrator with power to grant or denya land development permit chief of police fire chief municipal clerkappointed district school superintendent community college presidentdistrict medical examiner purchasing agent (regardless of title) havingthe authority to make any purchase exceeding $35000 for the localgovernmental unit8) Officers and employees of entities serving as chief administrative

officer of a political subdivision9) Members of governing boards of charter schools operated by a

city or other public entity10) Employees in the office of the Governor or of a Cabinet member

who are exempt from the Career Service System excluding secretarialclerical and similar positions11) The following positions in each state department commission

board or council Secretary Assistant or Deputy Secretary ExecutiveDirector Assistant or Deputy Executive Director and anyone having thepower normally conferred upon such persons regardless of title12) The following positions in each state department or division

Director Assistant or Deputy Director Bureau Chief and any personhaving the power normally conferred upon such persons regardless oftitle 13) Assistant State Attorneys Assistant Public Defenders criminal

conflict and civil regional counsel and assistant criminal conflict and civilregional counsel Public Counsel full-time state employees serving ascounsel or assistant counsel to a state agency administrative law judgesand hearing officers14) The Superintendent or Director of a state mental health institute

established for training and research in the mental health field or anymajor state institution or facility established for corrections trainingtreatment or rehabilitation 15) State agency Business Managers Finance and Accounting

Directors Personnel Officers Grant Coordinators and purchasingagents (regardless of title) with power to make a purchase exceeding$35000 16) The following positions in legislative branch agencies each

employee (other than those employed in maintenance clerical secretarial or similar positions and legislative assistants exempted by the presiding officer of their house) and each employee of theCommission on Ethics

INSTRUCTIONS FOR COMPLETING FORM 1 INTRODUCTORY INFORMATION (Top of Form) If your name mailing address public agency and position are already printed on the form you do not need to provide this information unless it should be changed To change any of this information write the correct information on the form and contact your agencys financial disclosure coordinator You can find your coordinator on the Commission on Ethics website wwwethics stateflus NAME OF AGENCY The name of the governmental unit which you serve or served by which you are or were employed or for which you are a candidate DISCLOSURE PERIOD The ldquodisclosure periodrdquo for your report is the calendar year ending December 31 2019

OFFICE OR POSITION HELD OR SOUGHT The title of the office or position you hold are seeking or held during the disclosure period even if you have since left that position If you are a candidate for office or are a new employee or appointee check the appropriate box PUBLIC RECORD The disclosure form and everythingattached to it is a public record Your Social Security Number is not required and you should redact it from any documents you file If you are an active or former officer or employee listed in Section 119071 FS whose home address is exempt from disclosure the Commission will maintain that confidentiality if you submit a written request

CE FORM 1 - Effective January 1 2020 Incorporated by reference in Rule 34-8202 FAC PAGE 3

PART E mdash LIABILITIES[Required by s 1123145(3)(b)4 FS]List the name and address of each creditor to whom you owed more

than $10000 at any time during the disclosure period The amount of theliability of a vehicle lease is the sum of any past-due payments and allunpaid prospective lease payments You are not required to list the amountof any debt You do not have to disclose credit card and retail installmentaccounts taxes owed (unless reduced to a judgment) indebtedness ona life insurance policy owed to the company of issuance or contingentliabilities A ldquocontingent liabilityrdquo is one that will become an actual liabilityonly when one or more future events occur or fail to occur such as whereyou are liable only as a guarantor surety or endorser on a promissorynote If you are a ldquoco-makerrdquo and are jointly liable or jointly and severallyliable then it is not a contingent liability

PART F mdash INTERESTS IN SPECIFIED BUSINESSES[Required by s 1123145(6) FS]The types of businesses covered in this disclosure include state and

federally chartered banks state and federal savings and loan associationscemetery companies insurance companies mortgage companies creditunions small loan companies alcoholic beverage licensees pari-mutuelwagering companies utility companies entities controlled by the PublicService Commission and entities granted a franchise to operate by either acity or a county government

Disclose in this part the fact that you owned during the disclosure period aninterest in or held any of certain positions with the types of businesses listedabove You must make this disclosure if you own or owned (either directly orindirectly in the form of an equitable or beneficial interest) at any time duringthe disclosure period more than 5 of the total assets or capital stock ofone of the types of business entities listed above You also must completethis part of the form for each of these types of businesses for which youare or were at any time during the disclosure period an officer directorpartner proprietor or agent (other than a resident agent solely for service ofprocess)

If you have or held such a position or ownership interest in one ofthese types of businesses list the name of the business its address andprincipal business activity and the position held with the business (if any) Ifyou own(ed) more than a 5 interest in the business indicate that fact anddescribe the nature of your interest

PART G mdash TRAINING CERTIFICATION[Required by s 1123142 FS]If you are a Constitutional or elected municipal officer whose

service began before March 31 of the year for which you are filingyou are required to complete four hours of ethics training which addresses Article II Section 8 of the Florida Constitution the Codeof Ethics for Public Officers and Employees and the public recordsand open meetings laws of the state You are required to certify onthis form that you have taken such training

(End of Dollar Value Thresholds Instructions)

PART A mdash PRIMARY SOURCES OF INCOME[Required by s 1123145(3)(a)1 FS]Part A is intended to require the disclosure of your principal

sources of income during the disclosure period You do not haveto disclose any public salary or public position(s) but income from these public sources should be included when calculating your gross income for the disclosure period The income of your spouse need not be disclosed however if there is joint income to you and your spouse from property you own jointly (such as interest or dividends from a bank account or stocks) you should include all of that income when calculating your gross income and disclose the source of that income if it exceeded the threshold

Please list in this part of the form the name address and principal business activity of each source of your income whichexceeded 5 of the gross income received by you in your own name or by any other person for your benefit or use during the disclosure period

Gross income means the same as it does for income tax purposes even if the income is not actually taxable such as interest on tax-free bonds Examples include compensation for servicesincome from business gains from property dealings interest rents dividends pensions IRA distributions social security distributive share of partnership gross income and alimony but not child support

Examplesmdash If you were employed by a company that manufactures computers and received more than 5 of your gross income from the company list the name of the company its address and its principal business activity (computer manufacturing)mdash If you were a partner in a law firm and your distributive share of partnership gross income exceeded 5 of your gross income then list the name of the firm its address and its principal business activity (practice of law)mdash If you were the sole proprietor of a retail gift business andyour gross income from the business exceeded 5 of your total gross income list the name of the business its addressand its principal business activity (retail gift sales)mdash If you received income from investments in stocks and bonds list each individual company from which you derived

more than 5 of your gross income Do not aggregate all of your investment incomemdash If more than 5 of your gross income was gain from the sale of property (not just the selling price) list as a source of income the purchaserrsquos name address and principal business activityIf the purchasers identity is unknown such as where securities listed on an exchange are sold through a brokerage firm the source of income should be listed as sale of (name of company)stock for examplemdash If more than 5 of your gross income was in the form of interest from one particular financial institution (aggregatinginterest from all CDrsquos accounts etc at that institution) list the name of the institution its address and its principal business activity

PART B mdash SECONDARY SOURCES OF INCOME[Required by s 1123145(3)(a)2 FS]This part is intended to require the disclosure of major customers

clients and other sources of income to businesses in which you ownan interest It is not for reporting income from second jobs That kindof income should be reported in Part A Primary Sources of Incomeif it meets the reporting threshold You will not have anything to reportunless during the disclosure period

(1) You owned (either directly or indirectly in the form of anequitable or beneficial interest) more than 5 of the total assetsor capital stock of a business entity (a corporation partnershipLLC limited partnership proprietorship joint venture trust firmetc doing business in Florida) and(2) You received more than 10 of your gross income from thatbusiness entity and(3) You received more than $1500 in gross income from thatbusiness entity

If your interests and gross income exceeded these thresholds thenfor that business entity you must list every source of income to thebusiness entity which exceeded 10 of the business entityrsquos grossincome (computed on the basis of the business entityrsquos most recentlycompleted fiscal year) the sourcersquos address and the sourcersquosprincipal business activity

IF YOU HAVE CHOSEN COMPARATIVE (PERCENTAGE) THRESHOLDSTHE FOLLOWING INSTRUCTIONS APPLY

CE FORM 1 - Effective January 1 2020 Incorporated by reference in Rule 34-8202 FAC PAGE 5

MANNER OF CALCULATING REPORTABLE INTEREST Filers have the option of reporting based on either thresholds that are comparative (usually based on percentage values) or thresholds that are based on absolute dollar values The instructions on the following pages specifically describe the different thresholds Check the box that reflects the choice you have made You must use the type of threshold you have chosen for each part of the form In other words if you choose to report based on absolute dollar value thresholds you cannot use a percentage threshold on any part of the form

IF YOU HAVE CHOSEN DOLLAR VALUE THRESHOLDS THE FOLLOWING INSTRUCTIONS APPLY

PART A mdash PRIMARY SOURCES OF INCOME [Required by s 1123145(3)(b)1 FS] Part A is intended to require the disclosure of your principal

sources of income during the disclosure period You do not have todisclose any public salary or public position(s) The income of yourspouse need not be disclosed however if there is joint income toyou and your spouse from property you own jointly (such as interestor dividends from a bank account or stocks) you should disclose thesource of that income if it exceeded the threshold

Please list in this part of the form the name address andprincipal business activity of each source of your income whichexceeded $2500 of gross income received by you in your own name or by any other person for your use or benefit

Gross income means the same as it does for income tax purposes even if the income is not actually taxable such as interest on tax-free bonds Examples include compensation for servicesincome from business gains from property dealings interest rentsdividends pensions IRA distributions social security distributive share of partnership gross income and alimony but not child support

Examples mdash If you were employed by a company that manufacturescomputers and received more than $2500 list the name of thecompany its address and its principal business activity (computermanufacturing) mdash If you were a partner in a law firm and your distributive shareof partnership gross income exceeded $2500 list the name ofthe firm its address and its principal business activity (practice oflaw) mdash If you were the sole proprietor of a retail gift business and yourgross income from the business exceeded $2500 list the nameof the business its address and its principal business activity(retail gift sales) mdash If you received income from investments in stocks and bondslist each individual company from which you derived more than$2500 Do not aggregate all of your investment income mdash If more than $2500 of your gross income was gain from thesale of property (not just the selling price) list as a source ofincome the purchaserrsquos name address and principal businessactivity If the purchaserrsquos identity is unknown such as wheresecurities listed on an exchange are sold through a brokeragefirm the source of income should be listed as sale of (name of company) stock for example mdash If more than $2500 of your gross income was in the formof interest from one particular financial institution (aggregatinginterest from all CDrsquos accounts etc at that institution) list the name of the institution its address and its principal business activity

PART B mdash SECONDARY SOURCES OF INCOME [Required by s 1123145(3)(b)2 FS] This part is intended to require the disclosure of major customers

clients and other sources of income to businesses in which you own aninterest It is not for reporting income from second jobs That kind of incomeshould be reported in Part A Primary Sources of Income if it meets thereporting threshold You will not have anything to report unless during thedisclosure period

(1) You owned (either directly or indirectly in the form of an equitableor beneficial interest) more than 5 of the total assets or capitalstock of a business entity (a corporation partnership LLC limitedpartnership proprietorship joint venture trust firm etc doing business in Florida) and (2) You received more than $5000 of your gross income during thedisclosure period from that business entity

If your interests and gross income exceeded these thresholds then for thatbusiness entity you must list every source of income to the business entitywhich exceeded 10 of the business entityrsquos gross income (computed onthe basis of the business entitys most recently completed fiscal year) thesourcersquos address and the sources principal business activity

Examples mdash You are the sole proprietor of a dry cleaning business from whichyou received more than $5000 If only one customer a uniform rentalcompany provided more than 10 of your dry cleaning business youmust list the name of the uniform rental company its address and itsprincipal business activity (uniform rentals) mdash You are a 20 partner in a partnership that owns a shopping malland your partnership income exceeded the above thresholds List eachtenant of the mall that provided more than 10 of the partnershipsgross income and the tenants address and principal business activity

PART C mdash REAL PROPERTY [Required by s 1123145(3)(b)3 FS] In this part list the location or description of all real property in Florida

in which you owned directly or indirectly at any time during the disclosureperiod in excess of 5 of the propertyrsquos value You are not required to listyour residences You should list any vacation homes if you derive incomefrom them

Indirect ownership includes situations where you are a beneficiary of atrust that owns the property as well as situations where you own more than5 of a partnership or corporation that owns the property The value of theproperty may be determined by the most recently assessed value for taxpurposes in the absence of a more current appraisal

The location or description of the property should be sufficient toenable anyone who looks at the form to identify the property A streetaddress should be used if one exists

PART D mdash INTANGIBLE PERSONAL PROPERTY [Required by s 1123145(3)(b)3 FS] Describe any intangible personal property that at any time during the

disclosure period was worth more than $10000 and state the businessentity to which the property related Intangible personal property includesthings such as cash on hand stocks bonds certificates of deposit vehicleleases interests in businesses beneficial interests in trusts money owedyou Deferred Retirement Option Program (DROP) accounts the FloridaPrepaid College Plan and bank accounts Intangible personal propertyalso includes investment products held in IRAs brokerage accounts andthe Florida College Investment Plan Note that the product contained in a brokerage account IRA or the Florida College Investment Plan is yourassetmdashnot the account or plan itself Things like automobiles and housesyou own jewelry and paintings are not intangible property Intangiblesrelating to the same business entity may be aggregated for example CDsand savings accounts with the same bank Property owned as tenants bythe entirety or as joint tenants with right of survivorship should be valued at100 The value of a leased vehicle is the vehiclersquos present value minusthe lease residual (a number found on the lease document)

CE FORM 1 - Effective January 1 2020 Incorporated by reference in Rule 34-8202 FAC PAGE 4

PART A mdash PRIMARY SOURCES OF INCOME[Required by s 1123145(3)(b)1 FS]Part A is intended to require the disclosure of your principal

sources of income during the disclosure period You do not have todisclose any public salary or public position(s) The income of yourspouse need not be disclosed however if there is joint income t oyou and your spouse from property you own jointly (such as interestor dividends from a bank account or stocks) you should disclose thesource of that income if it exceeded the threshold

Please list in this part of the form the name address andprincipal business activity of each source of your income whichexceeded $2500 of gross income received by you in your own name or by any other person for your use or benefit

Gross income means the same as it does for income taxpurposes even if the income is not actually taxable such as intereston tax-free bonds Examples include compensation for servicesincome from business gains from property dealings interest rentsdividends pensions IRA distributions social security distributiveshare of partnership gross income and alimony but not child support

Examplesmdash If you were employed by a company that manufacturescomputers and received more than $2500 list the name of thecompany its address and its principal business activity (computermanufacturing)mdash If you were a partner in a law firm and your distributive shareof partnership gross income exceeded $2500 list the name ofthe firm its address and its principal business activity (practice oflaw)mdash If you were the sole proprietor of a retail gift business and yourgross income from the business exceeded $2500 list the nameof the business its address and its principal business activity(retail gift sales)mdash If you received income from investments in stocks and bondslist each individual company from which you derived more than$2500 Do not aggregate all of your investment incomemdash If more than $2500 of your gross income was gain from thesale of property (not just the selling price) list as a source o fincome the purchaserrsquos name address and principal businessactivity If the purchaserrsquos identity is unknown such as wheresecurities listed on an exchange are sold through a brokeragefirm the source of income should be listed as sale of (name of company) stock for examplemdash If more than $2500 of your gross income was in the formof interest from one particular financial institution (aggregatinginterest from all CDrsquos accounts etc at that institution) list thename of the institution its address and its principal business activity

PART B mdash SECONDARY SOURCES OF INCOME[Required by s 1123145(3)(b)2 FS]This part is intended to require the disclosure of major customers

clients and other sources of income to businesses in which you own aninterest It is not for reporting income from second jobs That kind of incomeshould be reported in Part A Primary Sources of Income if it meets thereporting threshold You will not have anything to report unless during thedisclosure period

(1) You owned (either directly or indirectly in the form of an equitableor beneficial interest) more than 5 of the total assets or capitalstock of a business entity (a corporation partnership LLC limitedpartnership proprietorship joint venture trust firm etc doing business in Florida) and(2) You received more than $5000 of your gross income during thedisclosure period from that business entity

If your interests and gross income exceeded these thresholds then for thatbusiness entity you must list every source of income to the business entitywhich exceeded 10 of the business entityrsquos gross income (computed onthe basis of the business entitys most recently completed fiscal year) thesourcersquos address and the sources principal business activity

Examplesmdash You are the sole proprietor of a dry cleaning business from whichyou received more than $5000 If only one customer a uniform rentalcompany provided more than 10 of your dry cleaning business youmust list the name of the uniform rental company its address and itsprincipal business activity (uniform rentals)mdash You are a 20 partner in a partnership that owns a shopping malland your partnership income exceeded the above thresholds List eachtenant of the mall that provided more than 10 of the partnershipsgross income and the tenants address and principal business activity

PART C mdash REAL PROPERTY[Required by s 1123145(3)(b)3 FS]In this part list the location or description of all real property in Florida

in which you owned directly or indirectly at any time during the disclosureperiod in excess of 5 of the propertyrsquos value You are not required to listyour residences You should list any vacation homes if you derive incomefrom them

Indirect ownership includes situations where you are a beneficiary of atrust that owns the property as well as situations where you own more than5 of a partnership or corporation that owns the property The value of theproperty may be determined by the most recently assessed value for taxpurposes in the absence of a more current appraisal

The location or description of the property should be sufficient toenable anyone who looks at the form to identify the property A streetaddress should be used if one exists

PART D mdash INTANGIBLE PERSONAL PROPERTY[Required by s 1123145(3)(b)3 FS]Describe any intangible personal property that at any time during the

disclosure period was worth more than $10000 and state the businessentity to which the property related Intangible personal property includesthings such as cash on hand stocks bonds certificates of deposit vehicleleases interests in businesses beneficial interests in trusts money owedyou Deferred Retirement Option Program (DROP) accounts the FloridaPrepaid College Plan and bank accounts Intangible personal propertyalso includes investment products held in IRAs brokerage accounts andthe Florida College Investment Plan Note that the product contained ina brokerage account IRA or the Florida College Investment Plan is yourassetmdashnot the account or plan itself Things like automobiles and housesyou own jewelry and paintings are not intangible property Intangiblesrelating to the same business entity may be aggregated for example CDsand savings accounts with the same bank Property owned as tenants bythe entirety or as joint tenants with right of survivorship should be valued at100 The value of a leased vehicle is the vehiclersquos present value minusthe lease residual (a number found on the lease document)

Filers have the option of reporting based on either thresholds that are comparative (usually based on percentage values) orthresholds that are based on absolute dollar values The instructions on the following pages specifically describe the differentthresholds Check the box that reflects the choice you have made You must use the type of threshold you have chosen for eachpart of the form In other words if you choose to report based on absolute dollar value thresholds you cannot use a percentagethreshold on any part of the form

MANNER OF CALCULATING REPORTABLE INTEREST

IF YOU HAVE CHOSEN DOLLAR VALUE THRESHOLDSTHE FOLLOWING INSTRUCTIONS APPLY

CE FORM 1 - Effective January 1 2020 Incorporated by reference in Rule 34-8202 FAC PAGE 4

PART E mdash LIABILITIES [Required by s 1123145(3)(b)4 FS] List the name and address of each creditor to whom you owed more

than $10000 at any time during the disclosure period The amount of theliability of a vehicle lease is the sum of any past-due payments and allunpaid prospective lease payments You are not required to list the amountof any debt You do not have to disclose credit card and retail installmentaccounts taxes owed (unless reduced to a judgment) indebtedness ona life insurance policy owed to the company of issuance or contingentliabilities A ldquocontingent liabilityrdquo is one that will become an actual liabilityonly when one or more future events occur or fail to occur such as whereyou are liable only as a guarantor surety or endorser on a promissorynote If you are a ldquoco-makerrdquo and are jointly liable or jointly and severallyliable then it is not a contingent liability

PART F mdash INTERESTS IN SPECIFIED BUSINESSES [Required by s 1123145(6) FS] The types of businesses covered in this disclosure include state and

federally chartered banks state and federal savings and loan associationscemetery companies insurance companies mortgage companies creditunions small loan companies alcoholic beverage licensees pari-mutuelwagering companies utility companies entities controlled by the PublicService Commission and entities granted a franchise to operate by either acity or a county government

Disclose in this part the fact that you owned during the disclosure period aninterest in or held any of certain positions with the types of businesses listedabove You must make this disclosure if you own or owned (either directly orindirectly in the form of an equitable or beneficial interest) at any time duringthe disclosure period more than 5 of the total assets or capital stock ofone of the types of business entities listed above You also must completethis part of the form for each of these types of businesses for which youare or were at any time during the disclosure period an officer directorpartner proprietor or agent (other than a resident agent solely for service ofprocess)

If you have or held such a position or ownership interest in one ofthese types of businesses list the name of the business its address andprincipal business activity and the position held with the business (if any) Ifyou own(ed) more than a 5 interest in the business indicate that fact anddescribe the nature of your interest

PART G mdash TRAINING CERTIFICATION [Required by s 1123142 FS] If you are a Constitutional or elected municipal officer whose

service began before March 31 of the year for which you are filingyou are required to complete four hours of ethics training which addresses Article II Section 8 of the Florida Constitution the Code of Ethics for Public Officers and Employees and the public recordsand open meetings laws of the state You are required to certify onthis form that you have taken such training

(End of Dollar Value Thresholds Instructions)

IF YOU HAVE CHOSEN COMPARATIVE (PERCENTAGE) THRESHOLDS THE FOLLOWING INSTRUCTIONS APPLY

PART A mdash PRIMARY SOURCES OF INCOME [Required by s 1123145(3)(a)1 FS] Part A is intended to require the disclosure of your principal

sources of income during the disclosure period You do not haveto disclose any public salary or public position(s) but income from these public sources should be included when calculating your gross income for the disclosure period The income of your spouse need not be disclosed however if there is joint income to you and your spouse from property you own jointly (such as interest or dividends from a bank account or stocks) you should include all of that income when calculating your gross income and disclose the source of that income if it exceeded the threshold

Please list in this part of the form the name address and principal business activity of each source of your income whichexceeded 5 of the gross income received by you in your own name or by any other person for your benefit or use during the disclosure period

Gross income means the same as it does for income tax purposes even if the income is not actually taxable such as interest on tax-free bonds Examples include compensation for servicesincome from business gains from property dealings interest rents dividends pensions IRA distributions social security distributive share of partnership gross income and alimony but not child support

Examples mdash If you were employed by a company that manufactures computers and received more than 5 of your gross income from the company list the name of the company its address and its principal business activity (computer manufacturing) mdash If you were a partner in a law firm and your distributive share of partnership gross income exceeded 5 of your gross income then list the name of the firm its address and its principal business activity (practice of law) mdash If you were the sole proprietor of a retail gift business andyour gross income from the business exceeded 5 of your total gross income list the name of the business its addressand its principal business activity (retail gift sales) mdash If you received income from investments in stocks and bonds list each individual company from which you derived

more than 5 of your gross income Do not aggregate all of your investment income mdash If more than 5 of your gross income was gain from the sale of property (not just the selling price) list as a source of income the purchaserrsquos name address and principal business activityIf the purchasers identity is unknown such as where securities listed on an exchange are sold through a brokerage firm the source of income should be listed as sale of (name of company)stock for example mdash If more than 5 of your gross income was in the form of interest from one particular financial institution (aggregatinginterest from all CDrsquos accounts etc at that institution) list the name of the institution its address and its principal business activity

PART B mdash SECONDARY SOURCES OF INCOME [Required by s 1123145(3)(a)2 FS] This part is intended to require the disclosure of major customers

clients and other sources of income to businesses in which you ownan interest It is not for reporting income from second jobs That kindof income should be reported in Part A Primary Sources of Incomeif it meets the reporting threshold You will not have anything to report unless during the disclosure period

(1) You owned (either directly or indirectly in the form of anequitable or beneficial interest) more than 5 of the total assetsor capital stock of a business entity (a corporation partnershipLLC limited partnership proprietorship joint venture trust firmetc doing business in Florida) and (2) You received more than 10 of your gross income from thatbusiness entity and (3) You received more than $1500 in gross income from thatbusiness entity

If your interests and gross income exceeded these thresholds thenfor that business entity you must list every source of income to thebusiness entity which exceeded 10 of the business entityrsquos grossincome (computed on the basis of the business entityrsquos most recentlycompleted fiscal year) the sourcersquos address and the sourcersquos principal business activity

CE FORM 1 - Effective January 1 2020 Incorporated by reference in Rule 34-8202 FAC PAGE 5

NOTICE Annual Statements of Financial Interests are due July 1 If the annual form is not filed or postmarked by September 1 an automatic fine of $25 for each day late will be imposed up to a maximum penalty of $1500 Failure to file also can result in removal from public office or employment [s 1123145 FS]

In addition failure to make any required disclosure constitutes grounds for and may be punished by one or more of the following disqualification from being on the ballot impeachment removal or suspension from office or employment demotion reduction in salary reprimand or a civil penalty not exceeding $10000 [s 112317 FS]

1) Elected public officials not serving in a political subdivision of thestate and any person appointed to fill a vacancy in such office unlessrequired to file full disclosure on Form 62) Appointed members of each board commission authority

or council having statewide jurisdiction excluding members of solelyadvisory bodies but including judicial nominating commission membersDirectors of Enterprise Florida Scripps Florida Funding Corporationand Career Source Florida and members of the Council on the SocialStatus of Black Men and Boys the Executive Director Governors and senior managers of Citizens Property Insurance CorporationGovernors and senior managers of Florida Workers Compensation JointUnderwriting Association board members of the Northeast Fla RegionalTransportation Commission board members of Triumph Gulf Coast Incboard members of Florida Is For Veterans Inc and members of theTechnology Advisory Council within the Agency for State Technology3) The Commissioner of Education members of the State Board

of Education the Board of Governors the local Boards of Trustees andPresidents of state universities and the Florida Prepaid College Board4) Persons elected to office in any political subdivision (such a s

municipalities counties and special districts) and any person appointedto fill a vacancy in such office unless required to file Form 65) Appointed members of the following boards councils

commissions authorities or other bodies of county municipality schooldistrict independent special district or other political subdivision thegoverning body of the subdivision community college or junior collegedistrict boards of trustees boards having the power to enforce local codeprovisions boards of adjustment community redevelopment agenciesplanning or zoning boards having the power to recommend create ormodify land planning or zoning within a political subdivision except forcitizen advisory committees technical coordinating committees andsimilar groups who only have the power to make recommendationsto planning or zoning boards and except for representatives of amilitary installation acting on behalf of all military installations within thatjurisdiction pension or retirement boards empowered to invest pensionor retirement funds or determine entitlement to or amount of pensions orother retirement benefits and the Pinellas County Construction LicensingBoard6) Any appointed member of a local government board who

is required to file a statement of financial interests by the appointingauthority or the enabling legislation ordinance or resolution creating theboard7) Persons holding any of these positions in local government

mayor county or city manager chief administrative employee or finance

director of a county municipality or other political subdivision countyor municipal attorney chief county or municipal building inspectorcounty or municipal water resources coordinator county or municipalpollution control director county or municipal environmental controldirector county or municipal administrator with power to grant or denya land development permit chief of police fire chief municipal clerkappointed district school superintendent community college presidentdistrict medical examiner purchasing agent (regardless of title) havingthe authority to make any purchase exceeding $35000 for the localgovernmental unit8) Officers and employees of entities serving as chief administrative

officer of a political subdivision9) Members of governing boards of charter schools operated by a

city or other public entity10) Employees in the office of the Governor or of a Cabinet member

who are exempt from the Career Service System excluding secretarialclerical and similar positions11) The following positions in each state department commission

board or council Secretary Assistant or Deputy Secretary ExecutiveDirector Assistant or Deputy Executive Director and anyone having thepower normally conferred upon such persons regardless of title12) The following positions in each state department or division

Director Assistant or Deputy Director Bureau Chief and any personhaving the power normally conferred upon such persons regardless oftitle13) Assistant State Attorneys Assistant Public Defenders criminal

conflict and civil regional counsel and assistant criminal conflict and civilregional counsel Public Counsel full-time state employees serving ascounsel or assistant counsel to a state agency administrative law judgesand hearing officers14) The Superintendent or Director of a state mental health institute

established for training and research in the mental health field or anymajor state institution or facility established for corrections trainingtreatment or rehabilitation15) State agency Business Managers Finance and Accounting

Directors Personnel Officers Grant Coordinators and purchasingagents (regardless of title) with power to make a purchase exceeding$3500016) The following positions in legislative branch agencies each

employee (other than those employed in maintenance clerical secretarial or similar positions and legislative assistants exemptedby the presiding officer of their house) and each employee of theCommission on Ethics

INSTRUCTIONS FOR COMPLETING FORM 1INTRODUCTORY INFORMATION (Top of Form) If your name mailing address public agency and position are already printed on the form you do not need to provide this information unless it should be changed To change any of this information write the correct information on the form and contact your agencys financial disclosure coordinator You can find your coordinator on the Commission on Ethics website wwwethicsstateflus NAME OF AGENCY The name of the governmental unit which you serve or served by which you are or were employed or for which you are a candidate DISCLOSURE PERIOD The ldquodisclosure periodrdquo for your report is the calendar year ending December 31 2019

OFFICE OR POSITION HELD OR SOUGHT The title of the office or position you hold are seeking or held during the disclosure period even if you have since left that position If you are a candidate for office or are a new employee or appointee check the appropriate boxPUBLIC RECORD The disclosure form and everythingattached to it is a public record Your Social Security Number is not required and you should redact it from any documents you file If you are an active or former officer or employee listed in Section 119071 FS whose home address is exempt from disclosure the Commission will maintain that confidentiality if you submit a written request

WHO MUST FILE FORM 1

CE FORM 1 - Effective January 1 2020 Incorporated by reference in Rule 34-8202 FAC PAGE 3

Examples PART E mdash LIABILITIES mdash You are the sole proprietor of a dry cleaning business from [Required by s 1123145(3)(b)4 FS]which you received more than 10 of your gross incomemdashan List the name and address of each creditor to whom you owed amount that was more than $1500 If only one customer a any amount that at any time during the disclosure period exceeded uniform rental company provided more than 10 of your dry your net worth You are not required to list the amount of any debt cleaning business you must list the name of the uniform rental or your net worth You do not have to disclose credit card and retail company its address and its principal business activity (uniform installment accounts taxes owed (unless reduced to a judgment) rentals) indebtedness on a life insurance policy owed to the company of mdash You are a 20 partner in a partnership that owns a shopping issuance or contingent liabilities A ldquocontingent liabilityrdquo is one mall and your partnership income exceeded the thresholds that will become an actual liability only when one or more future listed above You should list each tenant of the mall that events occur or fail to occur such as where you are liable only as provided more than 10 of the partnershiprsquos gross income and a guarantor surety or endorser on a promissory note If you are a the tenantrsquos address and principal business activity ldquoco-makerrdquo and are jointly liable or jointly and severally liable it is not

a contingent liability PART C mdash REAL PROPERTY Calculations To determine whether the debt exceeds your

[Required by s 1123145(3)(a)3 FS] net worth total all of your liabilities (including promissory notes mortgages credit card debts judgments against you etc) TheIn this part list the location or description of all real property in amount of the liability of a vehicle lease is the sum of any past-due Florida in which you owned directly or indirectly at any time during payments and all unpaid prospective lease payments Subtract the disclosure period in excess of 5 of the propertyrsquos value You the sum total of your liabilities from the value of all your assets are not required to list your residences You should list any vacation as calculated above for Part D This is your ldquonet worthrdquo List each homes if you derive income from them creditor to whom your debt exceeded this amount unless it is one of

Indirect ownership includes situations where you are a the types of indebtedness listed in the paragraph above (credit card beneficiary of a trust that owns the property as well as situations and retail installment accounts etc) Joint liabilities with others for where you own more than 5 of a partnership or corporation that which you are ldquojointly and severally liablerdquo meaning that you may owns the property The value of the property may be determined by be liable for either your part or the whole of the obligation should be the most recently assessed value for tax purposes in the absence included in your calculations at 100 of the amount owed of a more current appraisal

Example You owe $15000 to a bank for student loans $5000 The location or description of the property should be sufficient for credit card debts and $60000 (with spouse) to a savings to enable anyone who looks at the form to identify the property A and loan for a home mortgage Your home (owned by you and street address should be used if one exists your spouse) is worth $80000 and your other property is worth PART D mdash INTANGIBLE PERSONAL PROPERTY $20000 Since your net worth is $20000 ($100000 minus

$80000) you must report only the name and address of the [Required by s 1123145(3)(a)3 FS] savings and loan Describe any intangible personal property that at any time

during the disclosure period was worth more than 10 of your PART F mdash INTERESTS IN SPECIFIED BUSINESSES total assets and state the business entity to which the property [Required by s 1123145 FS] related Intangible personal property includes things such as cash on hand stocks bonds certificates of deposit vehicle leases The types of businesses covered in this disclosure include interests in businesses beneficial interests in trusts money owed state and federally chartered banks state and federal savings and you Deferred Retirement Option Program (DROP) accounts loan associations cemetery companies insurance companies the Florida Prepaid College Plan and bank accounts Intangible mortgage companies credit unions small loan companies alcoholic personal property also includes investment products held in IRAs beverage licensees pari-mutuel wagering companies utilitybrokerage accounts and the Florida College Investment Plan companies entities controlled by the Public Service Commission Note that the product contained in a brokerage account IRA or the and entities granted a franchise to operate by either a city or a Florida College Investment Plan is your assetmdashnot the account or county governmentplan itself Things like automobiles and houses you own jewelry Disclose in this part the fact that you owned during the and paintings are not intangible property Intangibles relating to the disclosure period an interest in or held any of certain positions same business entity may be aggregated for example CDrsquos and with the types of businesses listed above You are requiredsavings accounts with the same bank to make this disclosure if you own or owned (either directly or

Calculations To determine whether the intangible property indirectly in the form of an equitable or beneficial interest) at any exceeds 10 of your total assets total the fair market value of time during the disclosure period more than 5 of the total assets all of your assets (including real property intangible property and or capital stock of one of the types of business entities listed above tangible personal property such as jewelry furniture etc) When You also must complete this part of the form for each of these types making this calculation do not subtract any liabilities (debts) that of businesses for which you are or were at any time during themay relate to the property Multiply the total figure by 10 to arrive disclosure period an officer director partner proprietor or agent at the disclosure threshold List only the intangibles that exceed (other than a resident agent solely for service of process) this threshold amount The value of a leased vehicle is the vehiclersquos If you have or held such a position or ownership interest in present value minus the lease residual (a number which can be one of these types of businesses list the name of the business its found on the lease document) Property that is only jointly owned address and principal business activity and the position held with property should be valued according to the percentage of your the business (if any) If you own(ed) more than a 5 interest in the joint ownership Property owned as tenants by the entirety or as business indicate that fact and describe the nature of your interest joint tenants with right of survivorship should be valued at 100 None of your calculations or the value of the property have to be PART G mdash TRAINING CERTIFICATIONdisclosed on the form

[Required by s 1123142 FS] Example You own 50 of the stock of a small corporation that is worth $100000 the estimated fair market value of If you are a Constitutional or elected municipal officer whoseyour home and other property (bank accounts automobile service began before March 31 of the year for which you are filing furniture etc) is $200000 As your total assets are worth you are required to complete four hours of ethics training which $250000 you must disclose intangibles worth over $25000 addresses Article II Section 8 of the Florida Constitution the Code Since the value of the stock exceeds this threshold you of Ethics for Public Officers and Employees and the public records should list ldquostockrdquo and the name of the corporation If your and open meetings laws of the state You are required to certify on accounts with a particular bank exceed $25000 you should this form that you have taken such training list ldquobank accountsrdquo and bankrsquos name

(

End of Percentage Thresholds Instructions) CE FORM 1 - Effective January 1 2020 Incorporated by reference in Rule 34-8202 FAC PAGE 6

  • 0 HP Cover Page v2
  • 1 Hawks Point Meeting Invite Draft v2
  • 2 Agenda Draft v3
  • 3 EXHIBIT 1
  • 7 HP 05-19-2020 Meeting Minutes Approved
  • 6 EXHIBIT 2
  • 9 HP May FY20 Fin
  • 8 EXHIBIT 3
  • 4 Vacant Position Qualification Requirements for Hawks Point CDD
    • Vacant Position on the Board of Supervisors of the Hawkrsquos Point Community Development District
      • Qualification Requirements
      • Instructions for Interested Candidates
      • Additional Notes
          • 5 Shami Choon Vacant Position - updated 11-5-11 resume
            • 1803 Oak Pond Street Ruskin Fl 33570 E-mailchoons27gmailcom
              • PROFESSIONAL HISTORY
                • Operations Manager Florida Distribution 2002 ndash 2005
                • Operations Manager for Florida Branch Distribution 1999 ndash 2002
                • Warehouse Manager of Miami Distribution Center 1998 ndash 1999
                • Branch Manager of West Palm Beach 1994 ndash 1998
                • Assistant Branch Manager 1991 ndash 1994
                • Customer Service Agent 1990 ndash 1991
                  • 10 EXHIBIT 4
                  • 11 New Business - Hawks Point CDD - MI proposal
                  • 12 EXHIBIT 5
                  • 13 CertaPro Proposal to Paint Exterior Wall 18th to 24th Avenue
                  • 14 Shazam Construction Proposal to Paint Exterior Wall 18th to 24th Street
                    • QUOTE
                      • TO
                          • 15 Photo to accompany Shazam Proposal
                          • 16 EXHIBIT 6
                          • 17 CertaPro Proposal for Pressure Washing Exterior Wall 18th St to 24th Street
                          • 18 Shazam Construction Proposal for Pressure Washing Exterion Wall 18th Street to 24th Street
                            • QUOTE
                              • TO
                                  • 19 EXHIBIT 7
                                  • 20 Form 1_2019i
                                      1. LAST NAME
                                      2. FIRST NAME
                                      3. MIDDLE NAME
                                      4. MAILING ADDRESS ROW 1
                                      5. MAILING ADDRESS ROW 2
                                      6. CITY
                                      7. ZIP
                                      8. COUNTY
                                      9. NAME OF AGENCY
                                      10. NAME OF OFFICE OR POSITION HELD OR SOUGHT
                                      11. CANDIDATE Off
                                      12. NEW EMPLOYEE OR APPOINTEE Off
                                      13. COMPARATIVE (PERCENTAGE) THRESHOLDS Off
                                      14. DOLLAR VALUE THRESHOLDS Off
                                      15. NAME OF SOURCE INCOME ROW 1
                                      16. ADDRESS ROW 1
                                      17. DESCRIPTION OF THE SOURCES PRINCIPAL BUSINESS ACTIVITY ROW 1
                                      18. NAME OF SOURCE INCOME ROW 2
                                      19. ADDRESS ROW 2
                                      20. DESCRIPTION OF THE SOURCES PRINCIPAL BUSINESS ACTIVITY ROW 2
                                      21. NAME OF SOURCE INCOME ROW 3
                                      22. ADDRESS ROW 3
                                      23. DESCRIPTION OF THE SOURCES PRINCIPAL BUSINESS ACTIVITY ROW 3
                                      24. NAME OF SOURCE INCOME ROW 4
                                      25. ADDRESS ROW 4
                                      26. DESCRIPTION OF THE SOURCES PRINCIPAL BUSINESS ACTIVITY ROW 4
                                      27. NAME OF BUSINESS ENTITY ROW 1
                                      28. NAME OF MAJOR SOURCES OF BUSINESS INCOME ROW 1
                                      29. ADDRESS OF SOURCE ROW 1
                                      30. PRINCIPAL BUSINESS ACTIVITY OF SOURCE ROW 1
                                      31. NAME OF BUSINESS ENTITY ROW 2
                                      32. NAME OF MAJOR SOURCES OF BUSINESS INCOME ROW 2
                                      33. ADDRESS OF SOURCE ROW 2
                                      34. PRINCIPAL BUSINESS ACTIVITY OF SOURCE ROW 2
                                      35. NAME OF BUSINESS ENTITY ROW 3
                                      36. NAME OF MAJOR SOURCES OF BUSINESS INCOME ROW 3
                                      37. ADDRESS OF SOURCE ROW 3
                                      38. PRINCIPAL BUSINESS ACTIVITY OF SOURCE ROW 3
                                      39. REAL PROPERTY ROW 1
                                      40. REAL PROPERTY ROW 2
                                      41. REAL PROPERTY ROW 3
                                      42. REAL PROPERTY ROW 4
                                      43. TYPE OF INTANGIBLE ROW 1
                                      44. BUSINESS ENTITY TO WHICH THE PROPERTY RELATES ROW 1
                                      45. TYPE OF INTANGIBLE ROW 2
                                      46. BUSINESS ENTITY TO WHICH THE PROPERTY RELATES ROW 2
                                      47. NAME OF CREDITOR ROW 1
                                      48. ADDRESS OF CREDITOR ROW 1
                                      49. NAME OF CREDITOR ROW 2
                                      50. ADDRESS OF CREDITOR ROW 2
                                      51. ADDRESS OF BUSINESS ENTITY 1
                                      52. PRINCIPAL BUSINESS ACTIVITY 1
                                      53. POSITION HELD WITH ENTITY 1
                                      54. I OWN MORE THAN A 5 INTEREST IN THE BUSINESS 1
                                      55. NATURE OF MY OWNERSHIP INTEREST 1
                                      56. ADDRESS OF BUSINESS ENTITY 2
                                      57. PRINCIPAL BUSINESS ACTIVITY 2
                                      58. POSITION HELD WITH ENTITY 2
                                      59. I OWN MORE THAN A 5 INTEREST IN THE BUSINESS 2
                                      60. NATURE OF MY OWNERSHIP INTEREST 2
                                      61. FOR ELECTED MUNICIPAL OFFICERS REQUIRED TO COMPLETE ANNUAL ETHICS TRAINING PURSUANT TO SECTION 112
                                        1. 3142 F
                                          1. S Off
                                              1. IF ANY OF PARTS A THROUGH G ARE CONTINUED ON A SEPARATE SHEET PLEASE CHECK HERE Off
                                              2. SIGNATURE
                                              3. Date Signed
Page 28: HAWKS POINT COMMUNITY DEVELOPMENT …...2020/06/16  · Hawks Point Community Development District Board of Supervisors Meeting Tuesday, June 16th at 6:30 PM via Zoom All: We welcome

Independent Franchise Owner Job TBE8F300154 Terry Beamer 9266 Lazy Ln

Date 06012020

EXTERIOR PROPOSALEXTERIOR PROPOSALEXTERIOR PROPOSALEXTERIOR PROPOSAL Tampa FL 33614 813-936-9242

Fax 813 936-9172

1-800-462-3782

License PA2508

Full Workers Compensation Coverage$2000000 General Liability Insurance

DPFG Management amp Consulting LLC (Hawks Point) Raymond Lotito (SB) Hawks Point CDD Ruskin FL 33570 Phone 813-418-7473 Cell 813-220-6089 Email raymondlotitodpfgcom

Special Notes CERTAPRO PAINTERS WILL PAINT WALL FACING 19ST FROM 18TH-24TH

SPECIAL ATTENTION ADDRESSING STUCCO CRACKS USING CONCRETE AND MASONRY PATCH

SPECIAL ATTENTION PRESSURE WASHING LOOSE PEELING PAINT PRIOR TO PAINTING

CERTAPRO PAINTERS WILL ONLY PAINT STREET FACING SIDE- HOMEOWNERS SIDE EXCLUDED FROM PROPOSAL

CUSTOMER RESPONSIBILITIES Please cut back all shrubs bushes and palms away from wall

GENERAL DESCRIPTION Painting to Exterior Wall 18th-24th Facing 19th Ave

PREPARATION Washing To remove dirt mildew and loose paint so the new finish coat will adhere properly

Caulking To fill all cracks and gaps around windows and doorswood work to seal out moisture and drafts Stair step

cracks

Scraping Scrape all loose and peeling paint to ensure a firm base for the new paint

Masonry Repair to all cracks gaps and holes with elastemeric caulking or masonry patch as required

Sanding To degloss where necessary to promote adhesion of the top coat

Surface TypeArea Primer PurposePRIMING

Masonry Loxon sealerprimer Latex For propor top coat adhesion

Conditioner Loxon sealerprimer to all Latex For proper top coat adhesion

masonry surfaces

FINISH COATS

Surface Area

Exterior

ManufacturePaint Type

Sherwin Williams Resilience Ext Satin

Coats

1 primer-sealer 1 spray 1 backroll stucco

Color

Same As Existing

Clean Up Daily and upon completion

$1132900 All Labor Paint Materials

$1132900 TOTAL

Signature of Authorized Franchise Representative Date

Payment is due In Full upon Job Completion

(IWE HAVE READ THE TERMS STATED HEREIN THEY HAVE (IWE) HAVE EXAMINED THE JOB STATED HEREIN THEY EXPLAINED TO (MEUS) AND (IWE) FIND THEM TO BE HAVE SHOWN TO (MEUS) AND (IWE) FIND THE JOB TO SATISFACTORY AND HEREBY ACCEPT THEM BE SATISFACTORY AND HEREBY ACCEPT THE JOB AS

COMPLETE

SIGNATURE Date SIGNATURE Date

QUOTE

Shazam Construction LLC DATE MAY 13 2020

Shazam Hera 6773 Waterton Drive Riverview FL 33578 813-385-4591 ShazamConstructionLLCgmailcom Hawks Point CDD

TO Bill to Development Planning and Financing Group 15310 Amberly Drive Suite 175 Tampa FL 33647

QUANITY DESCRIPTION UNIT PRICE LINE TOTAL

Pressure wash the wall that parallels 19th avenue from 18th street to 24th street in Hawks Point CDD in Ruskin

$1270000

Repair any cracks with caulk or elastomeric as neededPrep for paint

Paint the wall that parallels 19th avenue from 18th street to 24th street in Hawks Point CDD in Ruskin

Paint using body trim and caps of exterior wall facing 19th avenue

Paint while matching existing colors

Paint using Sherwin Williams

All paint materials and labor is included

SUBTOTAL

SALES TAX

TOTAL $1270000

Make all checks payable to Shazam Construction LLC

THANK YOU FOR YOUR BUSINESS

EXHIBIT 6

Independent Franchise Owner Job TB443B00157 Terry Beamer 9266 Lazy Ln

Date 06052020

EXTERIOR PROPOSALEXTERIOR PROPOSALEXTERIOR PROPOSALEXTERIOR PROPOSAL Tampa FL 33614 813-936-9242

Fax 813 936-9172

1-800-462-3782

License PA2508

Full Workers Compensation Coverage$2000000 General Liability Insurance

DPFG Management amp Consulting LLC (Hawks Point) Raymond Lotito (SB) Hawks Point CDD Ruskin FL 33570 Phone 813-418-7473 Cell 813-220-6089 Email raymondlotitodpfgcom

Special Notes CERTAPRO PAINTERS PRESSURE WASHING PROPOSAL 18TH-24TH

CERTAPRO PAINTERS WILL PRESSURE WASH WALL FACING 19TH ST ONLY

GENERAL DESCRIPTION Painting to

PREPARATION Washing To remove dirt mildew and loose paint so the new finish coat will adhere properly

PRIMING Surface TypeArea Primer Purpose

Clean Up Daily and upon completion

All Labor Paint Materials

TOTAL

$195000

$195000

Signature of Authorized Franchise Representative Date

Payment is due In Full upon Job Completion

(IWE HAVE READ THE TERMS STATED HEREIN THEY HAVE (IWE) HAVE EXAMINED THE JOB STATED HEREIN THEY EXPLAINED TO (MEUS) AND (IWE) FIND THEM TO BE HAVE SHOWN TO (MEUS) AND (IWE) FIND THE JOB TO SATISFACTORY AND HEREBY ACCEPT THEM BE SATISFACTORY AND HEREBY ACCEPT THE JOB AS

COMPLETE

SIGNATURE Date SIGNATURE Date

QUOTE

Shazam Construction LLC DATE JUNE 5 2020

Shazam Hera 6773 Waterton Drive Riverview FL 33578 813-385-4591 ShazamConstructionLLCgmailcom Hawks Point CDD

TO Bill to Development Planning and Financing Group 15310 Amberly Drive Suite 175 Tampa FL 33647

QUANITY DESCRIPTION UNIT PRICE LINE TOTAL

Pressure wash the wall that parallels 19th avenue from 18th street to 24th street in Hawks Point CDD in Ruskin

$160000

All materials and labor is included

SUBTOTAL

SALES TAX

TOTAL $160000

Make all checks payable to Shazam Construction LLC

THANK YOU FOR YOUR BUSINESS

EXHIBIT 7

2019FORM 1 STATEMENT OF

Please print or type your name mailing FOR OFFICE USE ONLY FINANCIAL INTERESTS address agency name and position below

LAST NAME -- FIRST NAME -- MIDDLE NAME

MAILING ADDRESS

CITY ZIP COUNTY

NAME OF AGENCY

NAME OF OFFICE OR POSITION HELD OR SOUGHT

CHECK ONLY IF CANDIDATE OR NEW EMPLOYEE OR APPOINTEE

THIS SECTION MUST BE COMPLETED DISCLOSURE PERIOD THIS STATEMENT REFLECTS YOUR FINANCIAL INTERESTS FOR CALENDAR YEAR ENDING DECEMBER 31 2019

MANNER OF CALCULATING REPORTABLE INTERESTS FILERS HAVE THE OPTION OF USING REPORTING THRESHOLDS THAT ARE ABSOLUTE DOLLAR VALUES WHICH REQUIRES FEWER CALCULATIONS OR USING COMPARATIVE THRESHOLDS WHICH ARE USUALLY BASED ON PERCENTAGE VALUES (see instructions for further details) CHECK THE ONE YOU ARE USING (must check one)

COMPARATIVE (PERCENTAGE) THRESHOLDS OR DOLLAR VALUE THRESHOLDS

PART A -- PRIMARY SOURCES OF INCOME [Major sources of income to the reporting person - See instructions] (If you have nothing to report write none or na)

NAME OF SOURCE SOURCES DESCRIPTION OF THE SOURCES OF INCOME ADDRESS PRINCIPAL BUSINESS ACTIVITY

PART B -- SECONDARY SOURCES OF INCOME [Major customers clients and other sources of income to businesses owned by the reporting person - See instructions] (If you have nothing to report write none or na)

NAME OF NAME OF MAJOR SOURCES ADDRESS PRINCIPAL BUSINESS BUSINESS ENTITY OF BUSINESS INCOME OF SOURCE ACTIVITY OF SOURCE

PART C -- REAL PROPERTY [Land buildings owned by the reporting person - See instructions] You are not limited to the space on the (If you have nothing to report write none or na) lines on this form Attach additional

sheets if necessary

FILING INSTRUCTIONS for when and where to file this form are located at the bottom of page 2

INSTRUCTIONS on who must file this form and how to fill it out begin on page 3

CE FORM 1 - Effective January 1 2020 (Continued on reverse side) PAGE 1 Incorporated by reference in Rule 34-8202(1) FAC

FILING INSTRUCTIONS

IF ANY OF PARTS A THROUGH G ARE CONTINUED ON A SEPARATE SHEET PLEASE CHECK HERE

PART D mdash INTANGIBLE PERSONAL PROPERTY [Stocks bonds certificates of deposit etc - See instructions] (If you have nothing to report write none or na) TYPE OF INTANGIBLE BUSINESS ENTITY TO WHICH THE PROPERTY RELATES

PART E mdash LIABILITIES [Major debts - See instructions] (If you have nothing to report write none or na)

NAME OF CREDITOR ADDRESS OF CREDITOR

PART F mdash INTERESTS IN SPECIFIED BUSINESSES [Ownership or positions in certain types of businesses - See instructions] (If you have nothing to report write none or na)

BUSINESS ENTITY 1 BUSINESS ENTITY 2

NAME OF BUSINESS ENTITY

ADDRESS OF BUSINESS ENTITY

PRINCIPAL BUSINESS ACTIVITY

POSITION HELD WITH ENTITY

I OWN MORE THAN A 5 INTEREST IN THE BUSINESS

NATURE OF MY OWNERSHIP INTEREST

If you were mailed the form by the Commission on Ethics or a County Supervisor of Elections for your annual disclosure filing return the form to that location To determine what category your position falls under see page 3 of instructions Local officersemployees file with the Supervisor of Elections of the county in which they permanently reside (If you do not permanently reside in Florida file with the Supervisor of the county where your agency has its headquarters) Form 1 filers who file with the Supervisor of Elections may file by mail or email Contact your Supervisor of Elections for the mailing address or email address to use Do not email your form to the Commission on Ethics it will be returned State officers or specified state employees who file with the Commission on Ethics may file by mail or email To file by mail send the completed form to PO Drawer 15709 Tallahassee FL32317-5709 physical address 325 John Knox Rd Bldg E Ste 200 Tallahassee FL 32303 To file with the Commission by email scan your completed form and any attachments as a pdf (do not use any other format) send it to CEForm1legstateflus and retain a copy for your records Do not file by both mail and email Choose only one filing method Form 6s will not be accepted via email

Candidates file this form together with their filing papers MULTIPLE FILING UNNECESSARY A candidate who files a Form 1 with a qualifying officer is not required to file with the Commission or Supervisor of Elections WHEN TO FILE Initially each local officeremployee state officer and specified state employee must file within 30 days of the date of his or her appointment or of the beginning of employment Appointees who must be confirmed by the Senate must file prior to confirmation even if that is less than 30 days from the date of their appointment Candidates must file at the same time they file their qualifying papers Thereafter file by July 1 following each calendar year in which they hold their positions Finally file a final disclosure form (Form 1F) within 60 days of leaving office or employment Filing a CE Form 1F (Final Statement of Financial Interests) does not relieve the filer of filing a CE Form 1 if the filer was in his or her position on December 31 2019

SIGNATURE OF FILER Signature

____________________________________________

Date Signed

____________________________________________

CPA or ATTORNEY SIGNATURE ONLY If a certified public accountant licensed under Chapter 473 or attorney in good standing with the Florida Bar prepared this form for you he or she must complete the following statement

I _______________________________________ prepared the CE Form 1 in accordance with Section 1123145 Florida Statutes and the instructions to the form Upon my reasonable knowledge and belief the disclosure herein is true and correct

CPAAttorney Signature ______________________________

Date Signed _______________________________________

PART G mdash TRAINING For elected municipal officers required to complete annual ethics training pursuant to section 1123142 FS

I CERTIFY THAT I HAVE COMPLETED THE REQUIRED TRAINING

CE FORM 1 - Effective January 1 2020 PAGE 2 Incorporated by reference in Rule 34-8202(1) FAC

Examplesmdash You are the sole proprietor of a dry cleaning business fromwhich you received more than 10 of your gross incomemdashanamount that was more than $1500 If only one customer auniform rental company provided more than 10 of your drycleaning business you must list the name of the uniform rentalcompany its address and its principal business activity (uniform rentals) mdash You are a 20 partner in a partnership that owns a shopping mall and your partnership income exceeded the thresholds listed above You should list each tenant of the mall that provided more than 10 of the partnershiprsquos gross income and the tenantrsquos address and principal business activity

PART C mdash REAL PROPERTY[Required by s 1123145(3)(a)3 FS]In this part list the location or description of all real property in

Florida in which you owned directly or indirectly at any time during the disclosure period in excess of 5 of the propertyrsquos value You are not required to list your residences You should list any vacation homes if you derive income from them

Indirect ownership includes situations where you are abeneficiary of a trust that owns the property as well as situations where you own more than 5 of a partnership or corporation thatowns the property The value of the property may be determined by the most recently assessed value for tax purposes in the absence of a more current appraisal

The location or description of the property should be sufficient to enable anyone who looks at the form to identify the property Astreet address should be used if one exists PART D mdash INTANGIBLE PERSONAL PROPERTY

[Required by s 1123145(3)(a)3 FS]Describe any intangible personal property that at any time

during the disclosure period was worth more than 10 of your total assets and state the business entity to which the property related Intangible personal property includes things such as cash on hand stocks bonds certificates of deposit vehicle leases interests in businesses beneficial interests in trusts money owed you Deferred Retirement Option Program (DROP) accounts the Florida Prepaid College Plan and bank accounts Intangiblepersonal property also includes investment products held in IRAs brokerage accounts and the Florida College Investment Plan Note that the product contained in a brokerage account IRA or the Florida College Investment Plan is your assetmdashnot the account or plan itself Things like automobiles and houses you own jewelryand paintings are not intangible property Intangibles relating to the same business entity may be aggregated for example CDrsquos and savings accounts with the same bank

Calculations To determine whether the intangible property exceeds 10 of your total assets total the fair market value of all of your assets (including real property intangible property and tangible personal property such as jewelry furniture etc) When making this calculation do not subtract any liabilities (debts) that may relate to the property Multiply the total figure by 10 to arrive at the disclosure threshold List only the intangibles that exceed this threshold amount The value of a leased vehicle is the vehiclersquos present value minus the lease residual (a number which can be found on the lease document) Property that is only jointly owned property should be valued according to the percentage of your joint ownership Property owned as tenants by the entirety or as joint tenants with right of survivorship should be valued at 100 None of your calculations or the value of the property have to be disclosed on the form

Example You own 50 of the stock of a small corporation that is worth $100000 the estimated fair market value of your home and other property (bank accounts automobile furniture etc) is $200000 As your total assets are worth $250000 you must disclose intangibles worth over $25000 Since the value of the stock exceeds this threshold you should list ldquostockrdquo and the name of the corporation If your accounts with a particular bank exceed $25000 you should list ldquobank accountsrdquo and bankrsquos name

PART E mdash LIABILITIES[Required by s 1123145(3)(b)4 FS]List the name and address of each creditor to whom you owed

any amount that at any time during the disclosure period exceeded your net worth You are not required to list the amount of any debt or your net worth You do not have to disclose credit card and retail installment accounts taxes owed (unless reduced to a judgment) indebtedness on a life insurance policy owed to the company of issuance or contingent liabilities A ldquocontingent liabilityrdquo is one that will become an actual liability only when one or more future events occur or fail to occur such as where you are liable only as a guarantor surety or endorser on a promissory note If you are a ldquoco-makerrdquo and are jointly liable or jointly and severally liable it is not a contingent liability

Calculations To determine whether the debt exceeds your net worth total all of your liabilities (including promissory notes mortgages credit card debts judgments against you etc) Theamount of the liability of a vehicle lease is the sum of any past-due payments and all unpaid prospective lease payments Subtract the sum total of your liabilities from the value of all your assets as calculated above for Part D This is your ldquonet worthrdquo List each creditor to whom your debt exceeded this amount unless it is one of the types of indebtedness listed in the paragraph above (credit card and retail installment accounts etc) Joint liabilities with others for which you are ldquojointly and severally liablerdquo meaning that you may be liable for either your part or the whole of the obligation should be included in your calculations at 100 of the amount owed

Example You owe $15000 to a bank for student loans $5000 for credit card debts and $60000 (with spouse) to a savings and loan for a home mortgage Your home (owned by you and your spouse) is worth $80000 and your other property is worth $20000 Since your net worth is $20000 ($100000 minus $80000) you must report only the name and address of the savings and loan

PART F mdash INTERESTS IN SPECIFIED BUSINESSES[Required by s 1123145 FS]The types of businesses covered in this disclosure include

state and federally chartered banks state and federal savings and loan associations cemetery companies insurance companies mortgage companies credit unions small loan companies alcoholic beverage licensees pari-mutuel wagering companies utilitycompanies entities controlled by the Public Service Commission and entities granted a franchise to operate by either a city or acounty government

Disclose in this part the fact that you owned during the disclosure period an interest in or held any of certain positions with the types of businesses listed above You are required to make this disclosure if you own or owned (either directly orindirectly in the form of an equitable or beneficial interest) at any time during the disclosure period more than 5 of the total assets or capital stock of one of the types of business entities listed above You also must complete this part of the form for each of these types of businesses for which you are or were at any time during thedisclosure period an officer director partner proprietor or agent (other than a resident agent solely for service of process)

If you have or held such a position or ownership interest in one of these types of businesses list the name of the business its address and principal business activity and the position held with the business (if any) If you own(ed) more than a 5 interest in the business indicate that fact and describe the nature of your interest

PART G mdash TRAINING CERTIFICATION[Required by s 1123142 FS]If you are a Constitutional or elected municipal officer whose

service began before March 31 of the year for which you are filing you are required to complete four hours of ethics training which addresses Article II Section 8 of the Florida Constitution the Code of Ethics for Public Officers and Employees and the public records and open meetings laws of the state You are required to certify on this form that you have taken such training (End of Percentage Thresholds Instructions)

CE FORM 1 - Effective January 1 2020 Incorporated by reference in Rule 34-8202 FAC PAGE 6

NOTICE Annual Statements of Financial Interests are due July 1 If the annual form is not filed or postmarked by September 1 an automatic fine of $25 for each day late will be imposed up to a maximum penalty of $1500 Failure to file also can result in removal from public office or employment [s 1123145 FS]

In addition failure to make any required disclosure constitutes grounds for and may be punished by one or more of the following disqualification from being on the ballot impeachment removal or suspension from office or employment demotion reduction in salary reprimand or a civil penalty not exceeding $10000 [s 112317 FS]

WHO MUST FILE FORM 1 1) Elected public officials not serving in a political subdivision of the

state and any person appointed to fill a vacancy in such office unlessrequired to file full disclosure on Form 62) Appointed members of each board commission authority

or council having statewide jurisdiction excluding members of solelyadvisory bodies but including judicial nominating commission membersDirectors of Enterprise Florida Scripps Florida Funding Corporationand Career Source Florida and members of the Council on the Social Status of Black Men and Boys the Executive Director Governors and senior managers of Citizens Property Insurance CorporationGovernors and senior managers of Florida Workers Compensation JointUnderwriting Association board members of the Northeast Fla RegionalTransportation Commission board members of Triumph Gulf Coast Incboard members of Florida Is For Veterans Inc and members of the Technology Advisory Council within the Agency for State Technology3) The Commissioner of Education members of the State Board

of Education the Board of Governors the local Boards of Trustees and Presidents of state universities and the Florida Prepaid College Board 4) Persons elected to office in any political subdivision (such as

municipalities counties and special districts) and any person appointedto fill a vacancy in such office unless required to file Form 65) Appointed members of the following boards councils

commissions authorities or other bodies of county municipality schooldistrict independent special district or other political subdivision thegoverning body of the subdivision community college or junior collegedistrict boards of trustees boards having the power to enforce local codeprovisions boards of adjustment community redevelopment agenciesplanning or zoning boards having the power to recommend create ormodify land planning or zoning within a political subdivision except forcitizen advisory committees technical coordinating committees andsimilar groups who only have the power to make recommendationsto planning or zoning boards and except for representatives of a military installation acting on behalf of all military installations within thatjurisdiction pension or retirement boards empowered to invest pensionor retirement funds or determine entitlement to or amount of pensions orother retirement benefits and the Pinellas County Construction LicensingBoard 6) Any appointed member of a local government board who

is required to file a statement of financial interests by the appointingauthority or the enabling legislation ordinance or resolution creating theboard 7) Persons holding any of these positions in local government

mayor county or city manager chief administrative employee or finance

director of a county municipality or other political subdivision county or municipal attorney chief county or municipal building inspectorcounty or municipal water resources coordinator county or municipalpollution control director county or municipal environmental control director county or municipal administrator with power to grant or denya land development permit chief of police fire chief municipal clerkappointed district school superintendent community college presidentdistrict medical examiner purchasing agent (regardless of title) havingthe authority to make any purchase exceeding $35000 for the localgovernmental unit8) Officers and employees of entities serving as chief administrative

officer of a political subdivision9) Members of governing boards of charter schools operated by a

city or other public entity10) Employees in the office of the Governor or of a Cabinet member

who are exempt from the Career Service System excluding secretarialclerical and similar positions11) The following positions in each state department commission

board or council Secretary Assistant or Deputy Secretary ExecutiveDirector Assistant or Deputy Executive Director and anyone having thepower normally conferred upon such persons regardless of title12) The following positions in each state department or division

Director Assistant or Deputy Director Bureau Chief and any personhaving the power normally conferred upon such persons regardless oftitle 13) Assistant State Attorneys Assistant Public Defenders criminal

conflict and civil regional counsel and assistant criminal conflict and civilregional counsel Public Counsel full-time state employees serving ascounsel or assistant counsel to a state agency administrative law judgesand hearing officers14) The Superintendent or Director of a state mental health institute

established for training and research in the mental health field or anymajor state institution or facility established for corrections trainingtreatment or rehabilitation 15) State agency Business Managers Finance and Accounting

Directors Personnel Officers Grant Coordinators and purchasingagents (regardless of title) with power to make a purchase exceeding$35000 16) The following positions in legislative branch agencies each

employee (other than those employed in maintenance clerical secretarial or similar positions and legislative assistants exempted by the presiding officer of their house) and each employee of theCommission on Ethics

INSTRUCTIONS FOR COMPLETING FORM 1 INTRODUCTORY INFORMATION (Top of Form) If your name mailing address public agency and position are already printed on the form you do not need to provide this information unless it should be changed To change any of this information write the correct information on the form and contact your agencys financial disclosure coordinator You can find your coordinator on the Commission on Ethics website wwwethics stateflus NAME OF AGENCY The name of the governmental unit which you serve or served by which you are or were employed or for which you are a candidate DISCLOSURE PERIOD The ldquodisclosure periodrdquo for your report is the calendar year ending December 31 2019

OFFICE OR POSITION HELD OR SOUGHT The title of the office or position you hold are seeking or held during the disclosure period even if you have since left that position If you are a candidate for office or are a new employee or appointee check the appropriate box PUBLIC RECORD The disclosure form and everythingattached to it is a public record Your Social Security Number is not required and you should redact it from any documents you file If you are an active or former officer or employee listed in Section 119071 FS whose home address is exempt from disclosure the Commission will maintain that confidentiality if you submit a written request

CE FORM 1 - Effective January 1 2020 Incorporated by reference in Rule 34-8202 FAC PAGE 3

PART E mdash LIABILITIES[Required by s 1123145(3)(b)4 FS]List the name and address of each creditor to whom you owed more

than $10000 at any time during the disclosure period The amount of theliability of a vehicle lease is the sum of any past-due payments and allunpaid prospective lease payments You are not required to list the amountof any debt You do not have to disclose credit card and retail installmentaccounts taxes owed (unless reduced to a judgment) indebtedness ona life insurance policy owed to the company of issuance or contingentliabilities A ldquocontingent liabilityrdquo is one that will become an actual liabilityonly when one or more future events occur or fail to occur such as whereyou are liable only as a guarantor surety or endorser on a promissorynote If you are a ldquoco-makerrdquo and are jointly liable or jointly and severallyliable then it is not a contingent liability

PART F mdash INTERESTS IN SPECIFIED BUSINESSES[Required by s 1123145(6) FS]The types of businesses covered in this disclosure include state and

federally chartered banks state and federal savings and loan associationscemetery companies insurance companies mortgage companies creditunions small loan companies alcoholic beverage licensees pari-mutuelwagering companies utility companies entities controlled by the PublicService Commission and entities granted a franchise to operate by either acity or a county government

Disclose in this part the fact that you owned during the disclosure period aninterest in or held any of certain positions with the types of businesses listedabove You must make this disclosure if you own or owned (either directly orindirectly in the form of an equitable or beneficial interest) at any time duringthe disclosure period more than 5 of the total assets or capital stock ofone of the types of business entities listed above You also must completethis part of the form for each of these types of businesses for which youare or were at any time during the disclosure period an officer directorpartner proprietor or agent (other than a resident agent solely for service ofprocess)

If you have or held such a position or ownership interest in one ofthese types of businesses list the name of the business its address andprincipal business activity and the position held with the business (if any) Ifyou own(ed) more than a 5 interest in the business indicate that fact anddescribe the nature of your interest

PART G mdash TRAINING CERTIFICATION[Required by s 1123142 FS]If you are a Constitutional or elected municipal officer whose

service began before March 31 of the year for which you are filingyou are required to complete four hours of ethics training which addresses Article II Section 8 of the Florida Constitution the Codeof Ethics for Public Officers and Employees and the public recordsand open meetings laws of the state You are required to certify onthis form that you have taken such training

(End of Dollar Value Thresholds Instructions)

PART A mdash PRIMARY SOURCES OF INCOME[Required by s 1123145(3)(a)1 FS]Part A is intended to require the disclosure of your principal

sources of income during the disclosure period You do not haveto disclose any public salary or public position(s) but income from these public sources should be included when calculating your gross income for the disclosure period The income of your spouse need not be disclosed however if there is joint income to you and your spouse from property you own jointly (such as interest or dividends from a bank account or stocks) you should include all of that income when calculating your gross income and disclose the source of that income if it exceeded the threshold

Please list in this part of the form the name address and principal business activity of each source of your income whichexceeded 5 of the gross income received by you in your own name or by any other person for your benefit or use during the disclosure period

Gross income means the same as it does for income tax purposes even if the income is not actually taxable such as interest on tax-free bonds Examples include compensation for servicesincome from business gains from property dealings interest rents dividends pensions IRA distributions social security distributive share of partnership gross income and alimony but not child support

Examplesmdash If you were employed by a company that manufactures computers and received more than 5 of your gross income from the company list the name of the company its address and its principal business activity (computer manufacturing)mdash If you were a partner in a law firm and your distributive share of partnership gross income exceeded 5 of your gross income then list the name of the firm its address and its principal business activity (practice of law)mdash If you were the sole proprietor of a retail gift business andyour gross income from the business exceeded 5 of your total gross income list the name of the business its addressand its principal business activity (retail gift sales)mdash If you received income from investments in stocks and bonds list each individual company from which you derived

more than 5 of your gross income Do not aggregate all of your investment incomemdash If more than 5 of your gross income was gain from the sale of property (not just the selling price) list as a source of income the purchaserrsquos name address and principal business activityIf the purchasers identity is unknown such as where securities listed on an exchange are sold through a brokerage firm the source of income should be listed as sale of (name of company)stock for examplemdash If more than 5 of your gross income was in the form of interest from one particular financial institution (aggregatinginterest from all CDrsquos accounts etc at that institution) list the name of the institution its address and its principal business activity

PART B mdash SECONDARY SOURCES OF INCOME[Required by s 1123145(3)(a)2 FS]This part is intended to require the disclosure of major customers

clients and other sources of income to businesses in which you ownan interest It is not for reporting income from second jobs That kindof income should be reported in Part A Primary Sources of Incomeif it meets the reporting threshold You will not have anything to reportunless during the disclosure period

(1) You owned (either directly or indirectly in the form of anequitable or beneficial interest) more than 5 of the total assetsor capital stock of a business entity (a corporation partnershipLLC limited partnership proprietorship joint venture trust firmetc doing business in Florida) and(2) You received more than 10 of your gross income from thatbusiness entity and(3) You received more than $1500 in gross income from thatbusiness entity

If your interests and gross income exceeded these thresholds thenfor that business entity you must list every source of income to thebusiness entity which exceeded 10 of the business entityrsquos grossincome (computed on the basis of the business entityrsquos most recentlycompleted fiscal year) the sourcersquos address and the sourcersquosprincipal business activity

IF YOU HAVE CHOSEN COMPARATIVE (PERCENTAGE) THRESHOLDSTHE FOLLOWING INSTRUCTIONS APPLY

CE FORM 1 - Effective January 1 2020 Incorporated by reference in Rule 34-8202 FAC PAGE 5

MANNER OF CALCULATING REPORTABLE INTEREST Filers have the option of reporting based on either thresholds that are comparative (usually based on percentage values) or thresholds that are based on absolute dollar values The instructions on the following pages specifically describe the different thresholds Check the box that reflects the choice you have made You must use the type of threshold you have chosen for each part of the form In other words if you choose to report based on absolute dollar value thresholds you cannot use a percentage threshold on any part of the form

IF YOU HAVE CHOSEN DOLLAR VALUE THRESHOLDS THE FOLLOWING INSTRUCTIONS APPLY

PART A mdash PRIMARY SOURCES OF INCOME [Required by s 1123145(3)(b)1 FS] Part A is intended to require the disclosure of your principal

sources of income during the disclosure period You do not have todisclose any public salary or public position(s) The income of yourspouse need not be disclosed however if there is joint income toyou and your spouse from property you own jointly (such as interestor dividends from a bank account or stocks) you should disclose thesource of that income if it exceeded the threshold

Please list in this part of the form the name address andprincipal business activity of each source of your income whichexceeded $2500 of gross income received by you in your own name or by any other person for your use or benefit

Gross income means the same as it does for income tax purposes even if the income is not actually taxable such as interest on tax-free bonds Examples include compensation for servicesincome from business gains from property dealings interest rentsdividends pensions IRA distributions social security distributive share of partnership gross income and alimony but not child support

Examples mdash If you were employed by a company that manufacturescomputers and received more than $2500 list the name of thecompany its address and its principal business activity (computermanufacturing) mdash If you were a partner in a law firm and your distributive shareof partnership gross income exceeded $2500 list the name ofthe firm its address and its principal business activity (practice oflaw) mdash If you were the sole proprietor of a retail gift business and yourgross income from the business exceeded $2500 list the nameof the business its address and its principal business activity(retail gift sales) mdash If you received income from investments in stocks and bondslist each individual company from which you derived more than$2500 Do not aggregate all of your investment income mdash If more than $2500 of your gross income was gain from thesale of property (not just the selling price) list as a source ofincome the purchaserrsquos name address and principal businessactivity If the purchaserrsquos identity is unknown such as wheresecurities listed on an exchange are sold through a brokeragefirm the source of income should be listed as sale of (name of company) stock for example mdash If more than $2500 of your gross income was in the formof interest from one particular financial institution (aggregatinginterest from all CDrsquos accounts etc at that institution) list the name of the institution its address and its principal business activity

PART B mdash SECONDARY SOURCES OF INCOME [Required by s 1123145(3)(b)2 FS] This part is intended to require the disclosure of major customers

clients and other sources of income to businesses in which you own aninterest It is not for reporting income from second jobs That kind of incomeshould be reported in Part A Primary Sources of Income if it meets thereporting threshold You will not have anything to report unless during thedisclosure period

(1) You owned (either directly or indirectly in the form of an equitableor beneficial interest) more than 5 of the total assets or capitalstock of a business entity (a corporation partnership LLC limitedpartnership proprietorship joint venture trust firm etc doing business in Florida) and (2) You received more than $5000 of your gross income during thedisclosure period from that business entity

If your interests and gross income exceeded these thresholds then for thatbusiness entity you must list every source of income to the business entitywhich exceeded 10 of the business entityrsquos gross income (computed onthe basis of the business entitys most recently completed fiscal year) thesourcersquos address and the sources principal business activity

Examples mdash You are the sole proprietor of a dry cleaning business from whichyou received more than $5000 If only one customer a uniform rentalcompany provided more than 10 of your dry cleaning business youmust list the name of the uniform rental company its address and itsprincipal business activity (uniform rentals) mdash You are a 20 partner in a partnership that owns a shopping malland your partnership income exceeded the above thresholds List eachtenant of the mall that provided more than 10 of the partnershipsgross income and the tenants address and principal business activity

PART C mdash REAL PROPERTY [Required by s 1123145(3)(b)3 FS] In this part list the location or description of all real property in Florida

in which you owned directly or indirectly at any time during the disclosureperiod in excess of 5 of the propertyrsquos value You are not required to listyour residences You should list any vacation homes if you derive incomefrom them

Indirect ownership includes situations where you are a beneficiary of atrust that owns the property as well as situations where you own more than5 of a partnership or corporation that owns the property The value of theproperty may be determined by the most recently assessed value for taxpurposes in the absence of a more current appraisal

The location or description of the property should be sufficient toenable anyone who looks at the form to identify the property A streetaddress should be used if one exists

PART D mdash INTANGIBLE PERSONAL PROPERTY [Required by s 1123145(3)(b)3 FS] Describe any intangible personal property that at any time during the

disclosure period was worth more than $10000 and state the businessentity to which the property related Intangible personal property includesthings such as cash on hand stocks bonds certificates of deposit vehicleleases interests in businesses beneficial interests in trusts money owedyou Deferred Retirement Option Program (DROP) accounts the FloridaPrepaid College Plan and bank accounts Intangible personal propertyalso includes investment products held in IRAs brokerage accounts andthe Florida College Investment Plan Note that the product contained in a brokerage account IRA or the Florida College Investment Plan is yourassetmdashnot the account or plan itself Things like automobiles and housesyou own jewelry and paintings are not intangible property Intangiblesrelating to the same business entity may be aggregated for example CDsand savings accounts with the same bank Property owned as tenants bythe entirety or as joint tenants with right of survivorship should be valued at100 The value of a leased vehicle is the vehiclersquos present value minusthe lease residual (a number found on the lease document)

CE FORM 1 - Effective January 1 2020 Incorporated by reference in Rule 34-8202 FAC PAGE 4

PART A mdash PRIMARY SOURCES OF INCOME[Required by s 1123145(3)(b)1 FS]Part A is intended to require the disclosure of your principal

sources of income during the disclosure period You do not have todisclose any public salary or public position(s) The income of yourspouse need not be disclosed however if there is joint income t oyou and your spouse from property you own jointly (such as interestor dividends from a bank account or stocks) you should disclose thesource of that income if it exceeded the threshold

Please list in this part of the form the name address andprincipal business activity of each source of your income whichexceeded $2500 of gross income received by you in your own name or by any other person for your use or benefit

Gross income means the same as it does for income taxpurposes even if the income is not actually taxable such as intereston tax-free bonds Examples include compensation for servicesincome from business gains from property dealings interest rentsdividends pensions IRA distributions social security distributiveshare of partnership gross income and alimony but not child support

Examplesmdash If you were employed by a company that manufacturescomputers and received more than $2500 list the name of thecompany its address and its principal business activity (computermanufacturing)mdash If you were a partner in a law firm and your distributive shareof partnership gross income exceeded $2500 list the name ofthe firm its address and its principal business activity (practice oflaw)mdash If you were the sole proprietor of a retail gift business and yourgross income from the business exceeded $2500 list the nameof the business its address and its principal business activity(retail gift sales)mdash If you received income from investments in stocks and bondslist each individual company from which you derived more than$2500 Do not aggregate all of your investment incomemdash If more than $2500 of your gross income was gain from thesale of property (not just the selling price) list as a source o fincome the purchaserrsquos name address and principal businessactivity If the purchaserrsquos identity is unknown such as wheresecurities listed on an exchange are sold through a brokeragefirm the source of income should be listed as sale of (name of company) stock for examplemdash If more than $2500 of your gross income was in the formof interest from one particular financial institution (aggregatinginterest from all CDrsquos accounts etc at that institution) list thename of the institution its address and its principal business activity

PART B mdash SECONDARY SOURCES OF INCOME[Required by s 1123145(3)(b)2 FS]This part is intended to require the disclosure of major customers

clients and other sources of income to businesses in which you own aninterest It is not for reporting income from second jobs That kind of incomeshould be reported in Part A Primary Sources of Income if it meets thereporting threshold You will not have anything to report unless during thedisclosure period

(1) You owned (either directly or indirectly in the form of an equitableor beneficial interest) more than 5 of the total assets or capitalstock of a business entity (a corporation partnership LLC limitedpartnership proprietorship joint venture trust firm etc doing business in Florida) and(2) You received more than $5000 of your gross income during thedisclosure period from that business entity

If your interests and gross income exceeded these thresholds then for thatbusiness entity you must list every source of income to the business entitywhich exceeded 10 of the business entityrsquos gross income (computed onthe basis of the business entitys most recently completed fiscal year) thesourcersquos address and the sources principal business activity

Examplesmdash You are the sole proprietor of a dry cleaning business from whichyou received more than $5000 If only one customer a uniform rentalcompany provided more than 10 of your dry cleaning business youmust list the name of the uniform rental company its address and itsprincipal business activity (uniform rentals)mdash You are a 20 partner in a partnership that owns a shopping malland your partnership income exceeded the above thresholds List eachtenant of the mall that provided more than 10 of the partnershipsgross income and the tenants address and principal business activity

PART C mdash REAL PROPERTY[Required by s 1123145(3)(b)3 FS]In this part list the location or description of all real property in Florida

in which you owned directly or indirectly at any time during the disclosureperiod in excess of 5 of the propertyrsquos value You are not required to listyour residences You should list any vacation homes if you derive incomefrom them

Indirect ownership includes situations where you are a beneficiary of atrust that owns the property as well as situations where you own more than5 of a partnership or corporation that owns the property The value of theproperty may be determined by the most recently assessed value for taxpurposes in the absence of a more current appraisal

The location or description of the property should be sufficient toenable anyone who looks at the form to identify the property A streetaddress should be used if one exists

PART D mdash INTANGIBLE PERSONAL PROPERTY[Required by s 1123145(3)(b)3 FS]Describe any intangible personal property that at any time during the

disclosure period was worth more than $10000 and state the businessentity to which the property related Intangible personal property includesthings such as cash on hand stocks bonds certificates of deposit vehicleleases interests in businesses beneficial interests in trusts money owedyou Deferred Retirement Option Program (DROP) accounts the FloridaPrepaid College Plan and bank accounts Intangible personal propertyalso includes investment products held in IRAs brokerage accounts andthe Florida College Investment Plan Note that the product contained ina brokerage account IRA or the Florida College Investment Plan is yourassetmdashnot the account or plan itself Things like automobiles and housesyou own jewelry and paintings are not intangible property Intangiblesrelating to the same business entity may be aggregated for example CDsand savings accounts with the same bank Property owned as tenants bythe entirety or as joint tenants with right of survivorship should be valued at100 The value of a leased vehicle is the vehiclersquos present value minusthe lease residual (a number found on the lease document)

Filers have the option of reporting based on either thresholds that are comparative (usually based on percentage values) orthresholds that are based on absolute dollar values The instructions on the following pages specifically describe the differentthresholds Check the box that reflects the choice you have made You must use the type of threshold you have chosen for eachpart of the form In other words if you choose to report based on absolute dollar value thresholds you cannot use a percentagethreshold on any part of the form

MANNER OF CALCULATING REPORTABLE INTEREST

IF YOU HAVE CHOSEN DOLLAR VALUE THRESHOLDSTHE FOLLOWING INSTRUCTIONS APPLY

CE FORM 1 - Effective January 1 2020 Incorporated by reference in Rule 34-8202 FAC PAGE 4

PART E mdash LIABILITIES [Required by s 1123145(3)(b)4 FS] List the name and address of each creditor to whom you owed more

than $10000 at any time during the disclosure period The amount of theliability of a vehicle lease is the sum of any past-due payments and allunpaid prospective lease payments You are not required to list the amountof any debt You do not have to disclose credit card and retail installmentaccounts taxes owed (unless reduced to a judgment) indebtedness ona life insurance policy owed to the company of issuance or contingentliabilities A ldquocontingent liabilityrdquo is one that will become an actual liabilityonly when one or more future events occur or fail to occur such as whereyou are liable only as a guarantor surety or endorser on a promissorynote If you are a ldquoco-makerrdquo and are jointly liable or jointly and severallyliable then it is not a contingent liability

PART F mdash INTERESTS IN SPECIFIED BUSINESSES [Required by s 1123145(6) FS] The types of businesses covered in this disclosure include state and

federally chartered banks state and federal savings and loan associationscemetery companies insurance companies mortgage companies creditunions small loan companies alcoholic beverage licensees pari-mutuelwagering companies utility companies entities controlled by the PublicService Commission and entities granted a franchise to operate by either acity or a county government

Disclose in this part the fact that you owned during the disclosure period aninterest in or held any of certain positions with the types of businesses listedabove You must make this disclosure if you own or owned (either directly orindirectly in the form of an equitable or beneficial interest) at any time duringthe disclosure period more than 5 of the total assets or capital stock ofone of the types of business entities listed above You also must completethis part of the form for each of these types of businesses for which youare or were at any time during the disclosure period an officer directorpartner proprietor or agent (other than a resident agent solely for service ofprocess)

If you have or held such a position or ownership interest in one ofthese types of businesses list the name of the business its address andprincipal business activity and the position held with the business (if any) Ifyou own(ed) more than a 5 interest in the business indicate that fact anddescribe the nature of your interest

PART G mdash TRAINING CERTIFICATION [Required by s 1123142 FS] If you are a Constitutional or elected municipal officer whose

service began before March 31 of the year for which you are filingyou are required to complete four hours of ethics training which addresses Article II Section 8 of the Florida Constitution the Code of Ethics for Public Officers and Employees and the public recordsand open meetings laws of the state You are required to certify onthis form that you have taken such training

(End of Dollar Value Thresholds Instructions)

IF YOU HAVE CHOSEN COMPARATIVE (PERCENTAGE) THRESHOLDS THE FOLLOWING INSTRUCTIONS APPLY

PART A mdash PRIMARY SOURCES OF INCOME [Required by s 1123145(3)(a)1 FS] Part A is intended to require the disclosure of your principal

sources of income during the disclosure period You do not haveto disclose any public salary or public position(s) but income from these public sources should be included when calculating your gross income for the disclosure period The income of your spouse need not be disclosed however if there is joint income to you and your spouse from property you own jointly (such as interest or dividends from a bank account or stocks) you should include all of that income when calculating your gross income and disclose the source of that income if it exceeded the threshold

Please list in this part of the form the name address and principal business activity of each source of your income whichexceeded 5 of the gross income received by you in your own name or by any other person for your benefit or use during the disclosure period

Gross income means the same as it does for income tax purposes even if the income is not actually taxable such as interest on tax-free bonds Examples include compensation for servicesincome from business gains from property dealings interest rents dividends pensions IRA distributions social security distributive share of partnership gross income and alimony but not child support

Examples mdash If you were employed by a company that manufactures computers and received more than 5 of your gross income from the company list the name of the company its address and its principal business activity (computer manufacturing) mdash If you were a partner in a law firm and your distributive share of partnership gross income exceeded 5 of your gross income then list the name of the firm its address and its principal business activity (practice of law) mdash If you were the sole proprietor of a retail gift business andyour gross income from the business exceeded 5 of your total gross income list the name of the business its addressand its principal business activity (retail gift sales) mdash If you received income from investments in stocks and bonds list each individual company from which you derived

more than 5 of your gross income Do not aggregate all of your investment income mdash If more than 5 of your gross income was gain from the sale of property (not just the selling price) list as a source of income the purchaserrsquos name address and principal business activityIf the purchasers identity is unknown such as where securities listed on an exchange are sold through a brokerage firm the source of income should be listed as sale of (name of company)stock for example mdash If more than 5 of your gross income was in the form of interest from one particular financial institution (aggregatinginterest from all CDrsquos accounts etc at that institution) list the name of the institution its address and its principal business activity

PART B mdash SECONDARY SOURCES OF INCOME [Required by s 1123145(3)(a)2 FS] This part is intended to require the disclosure of major customers

clients and other sources of income to businesses in which you ownan interest It is not for reporting income from second jobs That kindof income should be reported in Part A Primary Sources of Incomeif it meets the reporting threshold You will not have anything to report unless during the disclosure period

(1) You owned (either directly or indirectly in the form of anequitable or beneficial interest) more than 5 of the total assetsor capital stock of a business entity (a corporation partnershipLLC limited partnership proprietorship joint venture trust firmetc doing business in Florida) and (2) You received more than 10 of your gross income from thatbusiness entity and (3) You received more than $1500 in gross income from thatbusiness entity

If your interests and gross income exceeded these thresholds thenfor that business entity you must list every source of income to thebusiness entity which exceeded 10 of the business entityrsquos grossincome (computed on the basis of the business entityrsquos most recentlycompleted fiscal year) the sourcersquos address and the sourcersquos principal business activity

CE FORM 1 - Effective January 1 2020 Incorporated by reference in Rule 34-8202 FAC PAGE 5

NOTICE Annual Statements of Financial Interests are due July 1 If the annual form is not filed or postmarked by September 1 an automatic fine of $25 for each day late will be imposed up to a maximum penalty of $1500 Failure to file also can result in removal from public office or employment [s 1123145 FS]

In addition failure to make any required disclosure constitutes grounds for and may be punished by one or more of the following disqualification from being on the ballot impeachment removal or suspension from office or employment demotion reduction in salary reprimand or a civil penalty not exceeding $10000 [s 112317 FS]

1) Elected public officials not serving in a political subdivision of thestate and any person appointed to fill a vacancy in such office unlessrequired to file full disclosure on Form 62) Appointed members of each board commission authority

or council having statewide jurisdiction excluding members of solelyadvisory bodies but including judicial nominating commission membersDirectors of Enterprise Florida Scripps Florida Funding Corporationand Career Source Florida and members of the Council on the SocialStatus of Black Men and Boys the Executive Director Governors and senior managers of Citizens Property Insurance CorporationGovernors and senior managers of Florida Workers Compensation JointUnderwriting Association board members of the Northeast Fla RegionalTransportation Commission board members of Triumph Gulf Coast Incboard members of Florida Is For Veterans Inc and members of theTechnology Advisory Council within the Agency for State Technology3) The Commissioner of Education members of the State Board

of Education the Board of Governors the local Boards of Trustees andPresidents of state universities and the Florida Prepaid College Board4) Persons elected to office in any political subdivision (such a s

municipalities counties and special districts) and any person appointedto fill a vacancy in such office unless required to file Form 65) Appointed members of the following boards councils

commissions authorities or other bodies of county municipality schooldistrict independent special district or other political subdivision thegoverning body of the subdivision community college or junior collegedistrict boards of trustees boards having the power to enforce local codeprovisions boards of adjustment community redevelopment agenciesplanning or zoning boards having the power to recommend create ormodify land planning or zoning within a political subdivision except forcitizen advisory committees technical coordinating committees andsimilar groups who only have the power to make recommendationsto planning or zoning boards and except for representatives of amilitary installation acting on behalf of all military installations within thatjurisdiction pension or retirement boards empowered to invest pensionor retirement funds or determine entitlement to or amount of pensions orother retirement benefits and the Pinellas County Construction LicensingBoard6) Any appointed member of a local government board who

is required to file a statement of financial interests by the appointingauthority or the enabling legislation ordinance or resolution creating theboard7) Persons holding any of these positions in local government

mayor county or city manager chief administrative employee or finance

director of a county municipality or other political subdivision countyor municipal attorney chief county or municipal building inspectorcounty or municipal water resources coordinator county or municipalpollution control director county or municipal environmental controldirector county or municipal administrator with power to grant or denya land development permit chief of police fire chief municipal clerkappointed district school superintendent community college presidentdistrict medical examiner purchasing agent (regardless of title) havingthe authority to make any purchase exceeding $35000 for the localgovernmental unit8) Officers and employees of entities serving as chief administrative

officer of a political subdivision9) Members of governing boards of charter schools operated by a

city or other public entity10) Employees in the office of the Governor or of a Cabinet member

who are exempt from the Career Service System excluding secretarialclerical and similar positions11) The following positions in each state department commission

board or council Secretary Assistant or Deputy Secretary ExecutiveDirector Assistant or Deputy Executive Director and anyone having thepower normally conferred upon such persons regardless of title12) The following positions in each state department or division

Director Assistant or Deputy Director Bureau Chief and any personhaving the power normally conferred upon such persons regardless oftitle13) Assistant State Attorneys Assistant Public Defenders criminal

conflict and civil regional counsel and assistant criminal conflict and civilregional counsel Public Counsel full-time state employees serving ascounsel or assistant counsel to a state agency administrative law judgesand hearing officers14) The Superintendent or Director of a state mental health institute

established for training and research in the mental health field or anymajor state institution or facility established for corrections trainingtreatment or rehabilitation15) State agency Business Managers Finance and Accounting

Directors Personnel Officers Grant Coordinators and purchasingagents (regardless of title) with power to make a purchase exceeding$3500016) The following positions in legislative branch agencies each

employee (other than those employed in maintenance clerical secretarial or similar positions and legislative assistants exemptedby the presiding officer of their house) and each employee of theCommission on Ethics

INSTRUCTIONS FOR COMPLETING FORM 1INTRODUCTORY INFORMATION (Top of Form) If your name mailing address public agency and position are already printed on the form you do not need to provide this information unless it should be changed To change any of this information write the correct information on the form and contact your agencys financial disclosure coordinator You can find your coordinator on the Commission on Ethics website wwwethicsstateflus NAME OF AGENCY The name of the governmental unit which you serve or served by which you are or were employed or for which you are a candidate DISCLOSURE PERIOD The ldquodisclosure periodrdquo for your report is the calendar year ending December 31 2019

OFFICE OR POSITION HELD OR SOUGHT The title of the office or position you hold are seeking or held during the disclosure period even if you have since left that position If you are a candidate for office or are a new employee or appointee check the appropriate boxPUBLIC RECORD The disclosure form and everythingattached to it is a public record Your Social Security Number is not required and you should redact it from any documents you file If you are an active or former officer or employee listed in Section 119071 FS whose home address is exempt from disclosure the Commission will maintain that confidentiality if you submit a written request

WHO MUST FILE FORM 1

CE FORM 1 - Effective January 1 2020 Incorporated by reference in Rule 34-8202 FAC PAGE 3

Examples PART E mdash LIABILITIES mdash You are the sole proprietor of a dry cleaning business from [Required by s 1123145(3)(b)4 FS]which you received more than 10 of your gross incomemdashan List the name and address of each creditor to whom you owed amount that was more than $1500 If only one customer a any amount that at any time during the disclosure period exceeded uniform rental company provided more than 10 of your dry your net worth You are not required to list the amount of any debt cleaning business you must list the name of the uniform rental or your net worth You do not have to disclose credit card and retail company its address and its principal business activity (uniform installment accounts taxes owed (unless reduced to a judgment) rentals) indebtedness on a life insurance policy owed to the company of mdash You are a 20 partner in a partnership that owns a shopping issuance or contingent liabilities A ldquocontingent liabilityrdquo is one mall and your partnership income exceeded the thresholds that will become an actual liability only when one or more future listed above You should list each tenant of the mall that events occur or fail to occur such as where you are liable only as provided more than 10 of the partnershiprsquos gross income and a guarantor surety or endorser on a promissory note If you are a the tenantrsquos address and principal business activity ldquoco-makerrdquo and are jointly liable or jointly and severally liable it is not

a contingent liability PART C mdash REAL PROPERTY Calculations To determine whether the debt exceeds your

[Required by s 1123145(3)(a)3 FS] net worth total all of your liabilities (including promissory notes mortgages credit card debts judgments against you etc) TheIn this part list the location or description of all real property in amount of the liability of a vehicle lease is the sum of any past-due Florida in which you owned directly or indirectly at any time during payments and all unpaid prospective lease payments Subtract the disclosure period in excess of 5 of the propertyrsquos value You the sum total of your liabilities from the value of all your assets are not required to list your residences You should list any vacation as calculated above for Part D This is your ldquonet worthrdquo List each homes if you derive income from them creditor to whom your debt exceeded this amount unless it is one of

Indirect ownership includes situations where you are a the types of indebtedness listed in the paragraph above (credit card beneficiary of a trust that owns the property as well as situations and retail installment accounts etc) Joint liabilities with others for where you own more than 5 of a partnership or corporation that which you are ldquojointly and severally liablerdquo meaning that you may owns the property The value of the property may be determined by be liable for either your part or the whole of the obligation should be the most recently assessed value for tax purposes in the absence included in your calculations at 100 of the amount owed of a more current appraisal

Example You owe $15000 to a bank for student loans $5000 The location or description of the property should be sufficient for credit card debts and $60000 (with spouse) to a savings to enable anyone who looks at the form to identify the property A and loan for a home mortgage Your home (owned by you and street address should be used if one exists your spouse) is worth $80000 and your other property is worth PART D mdash INTANGIBLE PERSONAL PROPERTY $20000 Since your net worth is $20000 ($100000 minus

$80000) you must report only the name and address of the [Required by s 1123145(3)(a)3 FS] savings and loan Describe any intangible personal property that at any time

during the disclosure period was worth more than 10 of your PART F mdash INTERESTS IN SPECIFIED BUSINESSES total assets and state the business entity to which the property [Required by s 1123145 FS] related Intangible personal property includes things such as cash on hand stocks bonds certificates of deposit vehicle leases The types of businesses covered in this disclosure include interests in businesses beneficial interests in trusts money owed state and federally chartered banks state and federal savings and you Deferred Retirement Option Program (DROP) accounts loan associations cemetery companies insurance companies the Florida Prepaid College Plan and bank accounts Intangible mortgage companies credit unions small loan companies alcoholic personal property also includes investment products held in IRAs beverage licensees pari-mutuel wagering companies utilitybrokerage accounts and the Florida College Investment Plan companies entities controlled by the Public Service Commission Note that the product contained in a brokerage account IRA or the and entities granted a franchise to operate by either a city or a Florida College Investment Plan is your assetmdashnot the account or county governmentplan itself Things like automobiles and houses you own jewelry Disclose in this part the fact that you owned during the and paintings are not intangible property Intangibles relating to the disclosure period an interest in or held any of certain positions same business entity may be aggregated for example CDrsquos and with the types of businesses listed above You are requiredsavings accounts with the same bank to make this disclosure if you own or owned (either directly or

Calculations To determine whether the intangible property indirectly in the form of an equitable or beneficial interest) at any exceeds 10 of your total assets total the fair market value of time during the disclosure period more than 5 of the total assets all of your assets (including real property intangible property and or capital stock of one of the types of business entities listed above tangible personal property such as jewelry furniture etc) When You also must complete this part of the form for each of these types making this calculation do not subtract any liabilities (debts) that of businesses for which you are or were at any time during themay relate to the property Multiply the total figure by 10 to arrive disclosure period an officer director partner proprietor or agent at the disclosure threshold List only the intangibles that exceed (other than a resident agent solely for service of process) this threshold amount The value of a leased vehicle is the vehiclersquos If you have or held such a position or ownership interest in present value minus the lease residual (a number which can be one of these types of businesses list the name of the business its found on the lease document) Property that is only jointly owned address and principal business activity and the position held with property should be valued according to the percentage of your the business (if any) If you own(ed) more than a 5 interest in the joint ownership Property owned as tenants by the entirety or as business indicate that fact and describe the nature of your interest joint tenants with right of survivorship should be valued at 100 None of your calculations or the value of the property have to be PART G mdash TRAINING CERTIFICATIONdisclosed on the form

[Required by s 1123142 FS] Example You own 50 of the stock of a small corporation that is worth $100000 the estimated fair market value of If you are a Constitutional or elected municipal officer whoseyour home and other property (bank accounts automobile service began before March 31 of the year for which you are filing furniture etc) is $200000 As your total assets are worth you are required to complete four hours of ethics training which $250000 you must disclose intangibles worth over $25000 addresses Article II Section 8 of the Florida Constitution the Code Since the value of the stock exceeds this threshold you of Ethics for Public Officers and Employees and the public records should list ldquostockrdquo and the name of the corporation If your and open meetings laws of the state You are required to certify on accounts with a particular bank exceed $25000 you should this form that you have taken such training list ldquobank accountsrdquo and bankrsquos name

(

End of Percentage Thresholds Instructions) CE FORM 1 - Effective January 1 2020 Incorporated by reference in Rule 34-8202 FAC PAGE 6

  • 0 HP Cover Page v2
  • 1 Hawks Point Meeting Invite Draft v2
  • 2 Agenda Draft v3
  • 3 EXHIBIT 1
  • 7 HP 05-19-2020 Meeting Minutes Approved
  • 6 EXHIBIT 2
  • 9 HP May FY20 Fin
  • 8 EXHIBIT 3
  • 4 Vacant Position Qualification Requirements for Hawks Point CDD
    • Vacant Position on the Board of Supervisors of the Hawkrsquos Point Community Development District
      • Qualification Requirements
      • Instructions for Interested Candidates
      • Additional Notes
          • 5 Shami Choon Vacant Position - updated 11-5-11 resume
            • 1803 Oak Pond Street Ruskin Fl 33570 E-mailchoons27gmailcom
              • PROFESSIONAL HISTORY
                • Operations Manager Florida Distribution 2002 ndash 2005
                • Operations Manager for Florida Branch Distribution 1999 ndash 2002
                • Warehouse Manager of Miami Distribution Center 1998 ndash 1999
                • Branch Manager of West Palm Beach 1994 ndash 1998
                • Assistant Branch Manager 1991 ndash 1994
                • Customer Service Agent 1990 ndash 1991
                  • 10 EXHIBIT 4
                  • 11 New Business - Hawks Point CDD - MI proposal
                  • 12 EXHIBIT 5
                  • 13 CertaPro Proposal to Paint Exterior Wall 18th to 24th Avenue
                  • 14 Shazam Construction Proposal to Paint Exterior Wall 18th to 24th Street
                    • QUOTE
                      • TO
                          • 15 Photo to accompany Shazam Proposal
                          • 16 EXHIBIT 6
                          • 17 CertaPro Proposal for Pressure Washing Exterior Wall 18th St to 24th Street
                          • 18 Shazam Construction Proposal for Pressure Washing Exterion Wall 18th Street to 24th Street
                            • QUOTE
                              • TO
                                  • 19 EXHIBIT 7
                                  • 20 Form 1_2019i
                                      1. LAST NAME
                                      2. FIRST NAME
                                      3. MIDDLE NAME
                                      4. MAILING ADDRESS ROW 1
                                      5. MAILING ADDRESS ROW 2
                                      6. CITY
                                      7. ZIP
                                      8. COUNTY
                                      9. NAME OF AGENCY
                                      10. NAME OF OFFICE OR POSITION HELD OR SOUGHT
                                      11. CANDIDATE Off
                                      12. NEW EMPLOYEE OR APPOINTEE Off
                                      13. COMPARATIVE (PERCENTAGE) THRESHOLDS Off
                                      14. DOLLAR VALUE THRESHOLDS Off
                                      15. NAME OF SOURCE INCOME ROW 1
                                      16. ADDRESS ROW 1
                                      17. DESCRIPTION OF THE SOURCES PRINCIPAL BUSINESS ACTIVITY ROW 1
                                      18. NAME OF SOURCE INCOME ROW 2
                                      19. ADDRESS ROW 2
                                      20. DESCRIPTION OF THE SOURCES PRINCIPAL BUSINESS ACTIVITY ROW 2
                                      21. NAME OF SOURCE INCOME ROW 3
                                      22. ADDRESS ROW 3
                                      23. DESCRIPTION OF THE SOURCES PRINCIPAL BUSINESS ACTIVITY ROW 3
                                      24. NAME OF SOURCE INCOME ROW 4
                                      25. ADDRESS ROW 4
                                      26. DESCRIPTION OF THE SOURCES PRINCIPAL BUSINESS ACTIVITY ROW 4
                                      27. NAME OF BUSINESS ENTITY ROW 1
                                      28. NAME OF MAJOR SOURCES OF BUSINESS INCOME ROW 1
                                      29. ADDRESS OF SOURCE ROW 1
                                      30. PRINCIPAL BUSINESS ACTIVITY OF SOURCE ROW 1
                                      31. NAME OF BUSINESS ENTITY ROW 2
                                      32. NAME OF MAJOR SOURCES OF BUSINESS INCOME ROW 2
                                      33. ADDRESS OF SOURCE ROW 2
                                      34. PRINCIPAL BUSINESS ACTIVITY OF SOURCE ROW 2
                                      35. NAME OF BUSINESS ENTITY ROW 3
                                      36. NAME OF MAJOR SOURCES OF BUSINESS INCOME ROW 3
                                      37. ADDRESS OF SOURCE ROW 3
                                      38. PRINCIPAL BUSINESS ACTIVITY OF SOURCE ROW 3
                                      39. REAL PROPERTY ROW 1
                                      40. REAL PROPERTY ROW 2
                                      41. REAL PROPERTY ROW 3
                                      42. REAL PROPERTY ROW 4
                                      43. TYPE OF INTANGIBLE ROW 1
                                      44. BUSINESS ENTITY TO WHICH THE PROPERTY RELATES ROW 1
                                      45. TYPE OF INTANGIBLE ROW 2
                                      46. BUSINESS ENTITY TO WHICH THE PROPERTY RELATES ROW 2
                                      47. NAME OF CREDITOR ROW 1
                                      48. ADDRESS OF CREDITOR ROW 1
                                      49. NAME OF CREDITOR ROW 2
                                      50. ADDRESS OF CREDITOR ROW 2
                                      51. ADDRESS OF BUSINESS ENTITY 1
                                      52. PRINCIPAL BUSINESS ACTIVITY 1
                                      53. POSITION HELD WITH ENTITY 1
                                      54. I OWN MORE THAN A 5 INTEREST IN THE BUSINESS 1
                                      55. NATURE OF MY OWNERSHIP INTEREST 1
                                      56. ADDRESS OF BUSINESS ENTITY 2
                                      57. PRINCIPAL BUSINESS ACTIVITY 2
                                      58. POSITION HELD WITH ENTITY 2
                                      59. I OWN MORE THAN A 5 INTEREST IN THE BUSINESS 2
                                      60. NATURE OF MY OWNERSHIP INTEREST 2
                                      61. FOR ELECTED MUNICIPAL OFFICERS REQUIRED TO COMPLETE ANNUAL ETHICS TRAINING PURSUANT TO SECTION 112
                                        1. 3142 F
                                          1. S Off
                                              1. IF ANY OF PARTS A THROUGH G ARE CONTINUED ON A SEPARATE SHEET PLEASE CHECK HERE Off
                                              2. SIGNATURE
                                              3. Date Signed
Page 29: HAWKS POINT COMMUNITY DEVELOPMENT …...2020/06/16  · Hawks Point Community Development District Board of Supervisors Meeting Tuesday, June 16th at 6:30 PM via Zoom All: We welcome

FINISH COATS

Surface Area

Exterior

ManufacturePaint Type

Sherwin Williams Resilience Ext Satin

Coats

1 primer-sealer 1 spray 1 backroll stucco

Color

Same As Existing

Clean Up Daily and upon completion

$1132900 All Labor Paint Materials

$1132900 TOTAL

Signature of Authorized Franchise Representative Date

Payment is due In Full upon Job Completion

(IWE HAVE READ THE TERMS STATED HEREIN THEY HAVE (IWE) HAVE EXAMINED THE JOB STATED HEREIN THEY EXPLAINED TO (MEUS) AND (IWE) FIND THEM TO BE HAVE SHOWN TO (MEUS) AND (IWE) FIND THE JOB TO SATISFACTORY AND HEREBY ACCEPT THEM BE SATISFACTORY AND HEREBY ACCEPT THE JOB AS

COMPLETE

SIGNATURE Date SIGNATURE Date

QUOTE

Shazam Construction LLC DATE MAY 13 2020

Shazam Hera 6773 Waterton Drive Riverview FL 33578 813-385-4591 ShazamConstructionLLCgmailcom Hawks Point CDD

TO Bill to Development Planning and Financing Group 15310 Amberly Drive Suite 175 Tampa FL 33647

QUANITY DESCRIPTION UNIT PRICE LINE TOTAL

Pressure wash the wall that parallels 19th avenue from 18th street to 24th street in Hawks Point CDD in Ruskin

$1270000

Repair any cracks with caulk or elastomeric as neededPrep for paint

Paint the wall that parallels 19th avenue from 18th street to 24th street in Hawks Point CDD in Ruskin

Paint using body trim and caps of exterior wall facing 19th avenue

Paint while matching existing colors

Paint using Sherwin Williams

All paint materials and labor is included

SUBTOTAL

SALES TAX

TOTAL $1270000

Make all checks payable to Shazam Construction LLC

THANK YOU FOR YOUR BUSINESS

EXHIBIT 6

Independent Franchise Owner Job TB443B00157 Terry Beamer 9266 Lazy Ln

Date 06052020

EXTERIOR PROPOSALEXTERIOR PROPOSALEXTERIOR PROPOSALEXTERIOR PROPOSAL Tampa FL 33614 813-936-9242

Fax 813 936-9172

1-800-462-3782

License PA2508

Full Workers Compensation Coverage$2000000 General Liability Insurance

DPFG Management amp Consulting LLC (Hawks Point) Raymond Lotito (SB) Hawks Point CDD Ruskin FL 33570 Phone 813-418-7473 Cell 813-220-6089 Email raymondlotitodpfgcom

Special Notes CERTAPRO PAINTERS PRESSURE WASHING PROPOSAL 18TH-24TH

CERTAPRO PAINTERS WILL PRESSURE WASH WALL FACING 19TH ST ONLY

GENERAL DESCRIPTION Painting to

PREPARATION Washing To remove dirt mildew and loose paint so the new finish coat will adhere properly

PRIMING Surface TypeArea Primer Purpose

Clean Up Daily and upon completion

All Labor Paint Materials

TOTAL

$195000

$195000

Signature of Authorized Franchise Representative Date

Payment is due In Full upon Job Completion

(IWE HAVE READ THE TERMS STATED HEREIN THEY HAVE (IWE) HAVE EXAMINED THE JOB STATED HEREIN THEY EXPLAINED TO (MEUS) AND (IWE) FIND THEM TO BE HAVE SHOWN TO (MEUS) AND (IWE) FIND THE JOB TO SATISFACTORY AND HEREBY ACCEPT THEM BE SATISFACTORY AND HEREBY ACCEPT THE JOB AS

COMPLETE

SIGNATURE Date SIGNATURE Date

QUOTE

Shazam Construction LLC DATE JUNE 5 2020

Shazam Hera 6773 Waterton Drive Riverview FL 33578 813-385-4591 ShazamConstructionLLCgmailcom Hawks Point CDD

TO Bill to Development Planning and Financing Group 15310 Amberly Drive Suite 175 Tampa FL 33647

QUANITY DESCRIPTION UNIT PRICE LINE TOTAL

Pressure wash the wall that parallels 19th avenue from 18th street to 24th street in Hawks Point CDD in Ruskin

$160000

All materials and labor is included

SUBTOTAL

SALES TAX

TOTAL $160000

Make all checks payable to Shazam Construction LLC

THANK YOU FOR YOUR BUSINESS

EXHIBIT 7

2019FORM 1 STATEMENT OF

Please print or type your name mailing FOR OFFICE USE ONLY FINANCIAL INTERESTS address agency name and position below

LAST NAME -- FIRST NAME -- MIDDLE NAME

MAILING ADDRESS

CITY ZIP COUNTY

NAME OF AGENCY

NAME OF OFFICE OR POSITION HELD OR SOUGHT

CHECK ONLY IF CANDIDATE OR NEW EMPLOYEE OR APPOINTEE

THIS SECTION MUST BE COMPLETED DISCLOSURE PERIOD THIS STATEMENT REFLECTS YOUR FINANCIAL INTERESTS FOR CALENDAR YEAR ENDING DECEMBER 31 2019

MANNER OF CALCULATING REPORTABLE INTERESTS FILERS HAVE THE OPTION OF USING REPORTING THRESHOLDS THAT ARE ABSOLUTE DOLLAR VALUES WHICH REQUIRES FEWER CALCULATIONS OR USING COMPARATIVE THRESHOLDS WHICH ARE USUALLY BASED ON PERCENTAGE VALUES (see instructions for further details) CHECK THE ONE YOU ARE USING (must check one)

COMPARATIVE (PERCENTAGE) THRESHOLDS OR DOLLAR VALUE THRESHOLDS

PART A -- PRIMARY SOURCES OF INCOME [Major sources of income to the reporting person - See instructions] (If you have nothing to report write none or na)

NAME OF SOURCE SOURCES DESCRIPTION OF THE SOURCES OF INCOME ADDRESS PRINCIPAL BUSINESS ACTIVITY

PART B -- SECONDARY SOURCES OF INCOME [Major customers clients and other sources of income to businesses owned by the reporting person - See instructions] (If you have nothing to report write none or na)

NAME OF NAME OF MAJOR SOURCES ADDRESS PRINCIPAL BUSINESS BUSINESS ENTITY OF BUSINESS INCOME OF SOURCE ACTIVITY OF SOURCE

PART C -- REAL PROPERTY [Land buildings owned by the reporting person - See instructions] You are not limited to the space on the (If you have nothing to report write none or na) lines on this form Attach additional

sheets if necessary

FILING INSTRUCTIONS for when and where to file this form are located at the bottom of page 2

INSTRUCTIONS on who must file this form and how to fill it out begin on page 3

CE FORM 1 - Effective January 1 2020 (Continued on reverse side) PAGE 1 Incorporated by reference in Rule 34-8202(1) FAC

FILING INSTRUCTIONS

IF ANY OF PARTS A THROUGH G ARE CONTINUED ON A SEPARATE SHEET PLEASE CHECK HERE

PART D mdash INTANGIBLE PERSONAL PROPERTY [Stocks bonds certificates of deposit etc - See instructions] (If you have nothing to report write none or na) TYPE OF INTANGIBLE BUSINESS ENTITY TO WHICH THE PROPERTY RELATES

PART E mdash LIABILITIES [Major debts - See instructions] (If you have nothing to report write none or na)

NAME OF CREDITOR ADDRESS OF CREDITOR

PART F mdash INTERESTS IN SPECIFIED BUSINESSES [Ownership or positions in certain types of businesses - See instructions] (If you have nothing to report write none or na)

BUSINESS ENTITY 1 BUSINESS ENTITY 2

NAME OF BUSINESS ENTITY

ADDRESS OF BUSINESS ENTITY

PRINCIPAL BUSINESS ACTIVITY

POSITION HELD WITH ENTITY

I OWN MORE THAN A 5 INTEREST IN THE BUSINESS

NATURE OF MY OWNERSHIP INTEREST

If you were mailed the form by the Commission on Ethics or a County Supervisor of Elections for your annual disclosure filing return the form to that location To determine what category your position falls under see page 3 of instructions Local officersemployees file with the Supervisor of Elections of the county in which they permanently reside (If you do not permanently reside in Florida file with the Supervisor of the county where your agency has its headquarters) Form 1 filers who file with the Supervisor of Elections may file by mail or email Contact your Supervisor of Elections for the mailing address or email address to use Do not email your form to the Commission on Ethics it will be returned State officers or specified state employees who file with the Commission on Ethics may file by mail or email To file by mail send the completed form to PO Drawer 15709 Tallahassee FL32317-5709 physical address 325 John Knox Rd Bldg E Ste 200 Tallahassee FL 32303 To file with the Commission by email scan your completed form and any attachments as a pdf (do not use any other format) send it to CEForm1legstateflus and retain a copy for your records Do not file by both mail and email Choose only one filing method Form 6s will not be accepted via email

Candidates file this form together with their filing papers MULTIPLE FILING UNNECESSARY A candidate who files a Form 1 with a qualifying officer is not required to file with the Commission or Supervisor of Elections WHEN TO FILE Initially each local officeremployee state officer and specified state employee must file within 30 days of the date of his or her appointment or of the beginning of employment Appointees who must be confirmed by the Senate must file prior to confirmation even if that is less than 30 days from the date of their appointment Candidates must file at the same time they file their qualifying papers Thereafter file by July 1 following each calendar year in which they hold their positions Finally file a final disclosure form (Form 1F) within 60 days of leaving office or employment Filing a CE Form 1F (Final Statement of Financial Interests) does not relieve the filer of filing a CE Form 1 if the filer was in his or her position on December 31 2019

SIGNATURE OF FILER Signature

____________________________________________

Date Signed

____________________________________________

CPA or ATTORNEY SIGNATURE ONLY If a certified public accountant licensed under Chapter 473 or attorney in good standing with the Florida Bar prepared this form for you he or she must complete the following statement

I _______________________________________ prepared the CE Form 1 in accordance with Section 1123145 Florida Statutes and the instructions to the form Upon my reasonable knowledge and belief the disclosure herein is true and correct

CPAAttorney Signature ______________________________

Date Signed _______________________________________

PART G mdash TRAINING For elected municipal officers required to complete annual ethics training pursuant to section 1123142 FS

I CERTIFY THAT I HAVE COMPLETED THE REQUIRED TRAINING

CE FORM 1 - Effective January 1 2020 PAGE 2 Incorporated by reference in Rule 34-8202(1) FAC

Examplesmdash You are the sole proprietor of a dry cleaning business fromwhich you received more than 10 of your gross incomemdashanamount that was more than $1500 If only one customer auniform rental company provided more than 10 of your drycleaning business you must list the name of the uniform rentalcompany its address and its principal business activity (uniform rentals) mdash You are a 20 partner in a partnership that owns a shopping mall and your partnership income exceeded the thresholds listed above You should list each tenant of the mall that provided more than 10 of the partnershiprsquos gross income and the tenantrsquos address and principal business activity

PART C mdash REAL PROPERTY[Required by s 1123145(3)(a)3 FS]In this part list the location or description of all real property in

Florida in which you owned directly or indirectly at any time during the disclosure period in excess of 5 of the propertyrsquos value You are not required to list your residences You should list any vacation homes if you derive income from them

Indirect ownership includes situations where you are abeneficiary of a trust that owns the property as well as situations where you own more than 5 of a partnership or corporation thatowns the property The value of the property may be determined by the most recently assessed value for tax purposes in the absence of a more current appraisal

The location or description of the property should be sufficient to enable anyone who looks at the form to identify the property Astreet address should be used if one exists PART D mdash INTANGIBLE PERSONAL PROPERTY

[Required by s 1123145(3)(a)3 FS]Describe any intangible personal property that at any time

during the disclosure period was worth more than 10 of your total assets and state the business entity to which the property related Intangible personal property includes things such as cash on hand stocks bonds certificates of deposit vehicle leases interests in businesses beneficial interests in trusts money owed you Deferred Retirement Option Program (DROP) accounts the Florida Prepaid College Plan and bank accounts Intangiblepersonal property also includes investment products held in IRAs brokerage accounts and the Florida College Investment Plan Note that the product contained in a brokerage account IRA or the Florida College Investment Plan is your assetmdashnot the account or plan itself Things like automobiles and houses you own jewelryand paintings are not intangible property Intangibles relating to the same business entity may be aggregated for example CDrsquos and savings accounts with the same bank

Calculations To determine whether the intangible property exceeds 10 of your total assets total the fair market value of all of your assets (including real property intangible property and tangible personal property such as jewelry furniture etc) When making this calculation do not subtract any liabilities (debts) that may relate to the property Multiply the total figure by 10 to arrive at the disclosure threshold List only the intangibles that exceed this threshold amount The value of a leased vehicle is the vehiclersquos present value minus the lease residual (a number which can be found on the lease document) Property that is only jointly owned property should be valued according to the percentage of your joint ownership Property owned as tenants by the entirety or as joint tenants with right of survivorship should be valued at 100 None of your calculations or the value of the property have to be disclosed on the form

Example You own 50 of the stock of a small corporation that is worth $100000 the estimated fair market value of your home and other property (bank accounts automobile furniture etc) is $200000 As your total assets are worth $250000 you must disclose intangibles worth over $25000 Since the value of the stock exceeds this threshold you should list ldquostockrdquo and the name of the corporation If your accounts with a particular bank exceed $25000 you should list ldquobank accountsrdquo and bankrsquos name

PART E mdash LIABILITIES[Required by s 1123145(3)(b)4 FS]List the name and address of each creditor to whom you owed

any amount that at any time during the disclosure period exceeded your net worth You are not required to list the amount of any debt or your net worth You do not have to disclose credit card and retail installment accounts taxes owed (unless reduced to a judgment) indebtedness on a life insurance policy owed to the company of issuance or contingent liabilities A ldquocontingent liabilityrdquo is one that will become an actual liability only when one or more future events occur or fail to occur such as where you are liable only as a guarantor surety or endorser on a promissory note If you are a ldquoco-makerrdquo and are jointly liable or jointly and severally liable it is not a contingent liability

Calculations To determine whether the debt exceeds your net worth total all of your liabilities (including promissory notes mortgages credit card debts judgments against you etc) Theamount of the liability of a vehicle lease is the sum of any past-due payments and all unpaid prospective lease payments Subtract the sum total of your liabilities from the value of all your assets as calculated above for Part D This is your ldquonet worthrdquo List each creditor to whom your debt exceeded this amount unless it is one of the types of indebtedness listed in the paragraph above (credit card and retail installment accounts etc) Joint liabilities with others for which you are ldquojointly and severally liablerdquo meaning that you may be liable for either your part or the whole of the obligation should be included in your calculations at 100 of the amount owed

Example You owe $15000 to a bank for student loans $5000 for credit card debts and $60000 (with spouse) to a savings and loan for a home mortgage Your home (owned by you and your spouse) is worth $80000 and your other property is worth $20000 Since your net worth is $20000 ($100000 minus $80000) you must report only the name and address of the savings and loan

PART F mdash INTERESTS IN SPECIFIED BUSINESSES[Required by s 1123145 FS]The types of businesses covered in this disclosure include

state and federally chartered banks state and federal savings and loan associations cemetery companies insurance companies mortgage companies credit unions small loan companies alcoholic beverage licensees pari-mutuel wagering companies utilitycompanies entities controlled by the Public Service Commission and entities granted a franchise to operate by either a city or acounty government

Disclose in this part the fact that you owned during the disclosure period an interest in or held any of certain positions with the types of businesses listed above You are required to make this disclosure if you own or owned (either directly orindirectly in the form of an equitable or beneficial interest) at any time during the disclosure period more than 5 of the total assets or capital stock of one of the types of business entities listed above You also must complete this part of the form for each of these types of businesses for which you are or were at any time during thedisclosure period an officer director partner proprietor or agent (other than a resident agent solely for service of process)

If you have or held such a position or ownership interest in one of these types of businesses list the name of the business its address and principal business activity and the position held with the business (if any) If you own(ed) more than a 5 interest in the business indicate that fact and describe the nature of your interest

PART G mdash TRAINING CERTIFICATION[Required by s 1123142 FS]If you are a Constitutional or elected municipal officer whose

service began before March 31 of the year for which you are filing you are required to complete four hours of ethics training which addresses Article II Section 8 of the Florida Constitution the Code of Ethics for Public Officers and Employees and the public records and open meetings laws of the state You are required to certify on this form that you have taken such training (End of Percentage Thresholds Instructions)

CE FORM 1 - Effective January 1 2020 Incorporated by reference in Rule 34-8202 FAC PAGE 6

NOTICE Annual Statements of Financial Interests are due July 1 If the annual form is not filed or postmarked by September 1 an automatic fine of $25 for each day late will be imposed up to a maximum penalty of $1500 Failure to file also can result in removal from public office or employment [s 1123145 FS]

In addition failure to make any required disclosure constitutes grounds for and may be punished by one or more of the following disqualification from being on the ballot impeachment removal or suspension from office or employment demotion reduction in salary reprimand or a civil penalty not exceeding $10000 [s 112317 FS]

WHO MUST FILE FORM 1 1) Elected public officials not serving in a political subdivision of the

state and any person appointed to fill a vacancy in such office unlessrequired to file full disclosure on Form 62) Appointed members of each board commission authority

or council having statewide jurisdiction excluding members of solelyadvisory bodies but including judicial nominating commission membersDirectors of Enterprise Florida Scripps Florida Funding Corporationand Career Source Florida and members of the Council on the Social Status of Black Men and Boys the Executive Director Governors and senior managers of Citizens Property Insurance CorporationGovernors and senior managers of Florida Workers Compensation JointUnderwriting Association board members of the Northeast Fla RegionalTransportation Commission board members of Triumph Gulf Coast Incboard members of Florida Is For Veterans Inc and members of the Technology Advisory Council within the Agency for State Technology3) The Commissioner of Education members of the State Board

of Education the Board of Governors the local Boards of Trustees and Presidents of state universities and the Florida Prepaid College Board 4) Persons elected to office in any political subdivision (such as

municipalities counties and special districts) and any person appointedto fill a vacancy in such office unless required to file Form 65) Appointed members of the following boards councils

commissions authorities or other bodies of county municipality schooldistrict independent special district or other political subdivision thegoverning body of the subdivision community college or junior collegedistrict boards of trustees boards having the power to enforce local codeprovisions boards of adjustment community redevelopment agenciesplanning or zoning boards having the power to recommend create ormodify land planning or zoning within a political subdivision except forcitizen advisory committees technical coordinating committees andsimilar groups who only have the power to make recommendationsto planning or zoning boards and except for representatives of a military installation acting on behalf of all military installations within thatjurisdiction pension or retirement boards empowered to invest pensionor retirement funds or determine entitlement to or amount of pensions orother retirement benefits and the Pinellas County Construction LicensingBoard 6) Any appointed member of a local government board who

is required to file a statement of financial interests by the appointingauthority or the enabling legislation ordinance or resolution creating theboard 7) Persons holding any of these positions in local government

mayor county or city manager chief administrative employee or finance

director of a county municipality or other political subdivision county or municipal attorney chief county or municipal building inspectorcounty or municipal water resources coordinator county or municipalpollution control director county or municipal environmental control director county or municipal administrator with power to grant or denya land development permit chief of police fire chief municipal clerkappointed district school superintendent community college presidentdistrict medical examiner purchasing agent (regardless of title) havingthe authority to make any purchase exceeding $35000 for the localgovernmental unit8) Officers and employees of entities serving as chief administrative

officer of a political subdivision9) Members of governing boards of charter schools operated by a

city or other public entity10) Employees in the office of the Governor or of a Cabinet member

who are exempt from the Career Service System excluding secretarialclerical and similar positions11) The following positions in each state department commission

board or council Secretary Assistant or Deputy Secretary ExecutiveDirector Assistant or Deputy Executive Director and anyone having thepower normally conferred upon such persons regardless of title12) The following positions in each state department or division

Director Assistant or Deputy Director Bureau Chief and any personhaving the power normally conferred upon such persons regardless oftitle 13) Assistant State Attorneys Assistant Public Defenders criminal

conflict and civil regional counsel and assistant criminal conflict and civilregional counsel Public Counsel full-time state employees serving ascounsel or assistant counsel to a state agency administrative law judgesand hearing officers14) The Superintendent or Director of a state mental health institute

established for training and research in the mental health field or anymajor state institution or facility established for corrections trainingtreatment or rehabilitation 15) State agency Business Managers Finance and Accounting

Directors Personnel Officers Grant Coordinators and purchasingagents (regardless of title) with power to make a purchase exceeding$35000 16) The following positions in legislative branch agencies each

employee (other than those employed in maintenance clerical secretarial or similar positions and legislative assistants exempted by the presiding officer of their house) and each employee of theCommission on Ethics

INSTRUCTIONS FOR COMPLETING FORM 1 INTRODUCTORY INFORMATION (Top of Form) If your name mailing address public agency and position are already printed on the form you do not need to provide this information unless it should be changed To change any of this information write the correct information on the form and contact your agencys financial disclosure coordinator You can find your coordinator on the Commission on Ethics website wwwethics stateflus NAME OF AGENCY The name of the governmental unit which you serve or served by which you are or were employed or for which you are a candidate DISCLOSURE PERIOD The ldquodisclosure periodrdquo for your report is the calendar year ending December 31 2019

OFFICE OR POSITION HELD OR SOUGHT The title of the office or position you hold are seeking or held during the disclosure period even if you have since left that position If you are a candidate for office or are a new employee or appointee check the appropriate box PUBLIC RECORD The disclosure form and everythingattached to it is a public record Your Social Security Number is not required and you should redact it from any documents you file If you are an active or former officer or employee listed in Section 119071 FS whose home address is exempt from disclosure the Commission will maintain that confidentiality if you submit a written request

CE FORM 1 - Effective January 1 2020 Incorporated by reference in Rule 34-8202 FAC PAGE 3

PART E mdash LIABILITIES[Required by s 1123145(3)(b)4 FS]List the name and address of each creditor to whom you owed more

than $10000 at any time during the disclosure period The amount of theliability of a vehicle lease is the sum of any past-due payments and allunpaid prospective lease payments You are not required to list the amountof any debt You do not have to disclose credit card and retail installmentaccounts taxes owed (unless reduced to a judgment) indebtedness ona life insurance policy owed to the company of issuance or contingentliabilities A ldquocontingent liabilityrdquo is one that will become an actual liabilityonly when one or more future events occur or fail to occur such as whereyou are liable only as a guarantor surety or endorser on a promissorynote If you are a ldquoco-makerrdquo and are jointly liable or jointly and severallyliable then it is not a contingent liability

PART F mdash INTERESTS IN SPECIFIED BUSINESSES[Required by s 1123145(6) FS]The types of businesses covered in this disclosure include state and

federally chartered banks state and federal savings and loan associationscemetery companies insurance companies mortgage companies creditunions small loan companies alcoholic beverage licensees pari-mutuelwagering companies utility companies entities controlled by the PublicService Commission and entities granted a franchise to operate by either acity or a county government

Disclose in this part the fact that you owned during the disclosure period aninterest in or held any of certain positions with the types of businesses listedabove You must make this disclosure if you own or owned (either directly orindirectly in the form of an equitable or beneficial interest) at any time duringthe disclosure period more than 5 of the total assets or capital stock ofone of the types of business entities listed above You also must completethis part of the form for each of these types of businesses for which youare or were at any time during the disclosure period an officer directorpartner proprietor or agent (other than a resident agent solely for service ofprocess)

If you have or held such a position or ownership interest in one ofthese types of businesses list the name of the business its address andprincipal business activity and the position held with the business (if any) Ifyou own(ed) more than a 5 interest in the business indicate that fact anddescribe the nature of your interest

PART G mdash TRAINING CERTIFICATION[Required by s 1123142 FS]If you are a Constitutional or elected municipal officer whose

service began before March 31 of the year for which you are filingyou are required to complete four hours of ethics training which addresses Article II Section 8 of the Florida Constitution the Codeof Ethics for Public Officers and Employees and the public recordsand open meetings laws of the state You are required to certify onthis form that you have taken such training

(End of Dollar Value Thresholds Instructions)

PART A mdash PRIMARY SOURCES OF INCOME[Required by s 1123145(3)(a)1 FS]Part A is intended to require the disclosure of your principal

sources of income during the disclosure period You do not haveto disclose any public salary or public position(s) but income from these public sources should be included when calculating your gross income for the disclosure period The income of your spouse need not be disclosed however if there is joint income to you and your spouse from property you own jointly (such as interest or dividends from a bank account or stocks) you should include all of that income when calculating your gross income and disclose the source of that income if it exceeded the threshold

Please list in this part of the form the name address and principal business activity of each source of your income whichexceeded 5 of the gross income received by you in your own name or by any other person for your benefit or use during the disclosure period

Gross income means the same as it does for income tax purposes even if the income is not actually taxable such as interest on tax-free bonds Examples include compensation for servicesincome from business gains from property dealings interest rents dividends pensions IRA distributions social security distributive share of partnership gross income and alimony but not child support

Examplesmdash If you were employed by a company that manufactures computers and received more than 5 of your gross income from the company list the name of the company its address and its principal business activity (computer manufacturing)mdash If you were a partner in a law firm and your distributive share of partnership gross income exceeded 5 of your gross income then list the name of the firm its address and its principal business activity (practice of law)mdash If you were the sole proprietor of a retail gift business andyour gross income from the business exceeded 5 of your total gross income list the name of the business its addressand its principal business activity (retail gift sales)mdash If you received income from investments in stocks and bonds list each individual company from which you derived

more than 5 of your gross income Do not aggregate all of your investment incomemdash If more than 5 of your gross income was gain from the sale of property (not just the selling price) list as a source of income the purchaserrsquos name address and principal business activityIf the purchasers identity is unknown such as where securities listed on an exchange are sold through a brokerage firm the source of income should be listed as sale of (name of company)stock for examplemdash If more than 5 of your gross income was in the form of interest from one particular financial institution (aggregatinginterest from all CDrsquos accounts etc at that institution) list the name of the institution its address and its principal business activity

PART B mdash SECONDARY SOURCES OF INCOME[Required by s 1123145(3)(a)2 FS]This part is intended to require the disclosure of major customers

clients and other sources of income to businesses in which you ownan interest It is not for reporting income from second jobs That kindof income should be reported in Part A Primary Sources of Incomeif it meets the reporting threshold You will not have anything to reportunless during the disclosure period

(1) You owned (either directly or indirectly in the form of anequitable or beneficial interest) more than 5 of the total assetsor capital stock of a business entity (a corporation partnershipLLC limited partnership proprietorship joint venture trust firmetc doing business in Florida) and(2) You received more than 10 of your gross income from thatbusiness entity and(3) You received more than $1500 in gross income from thatbusiness entity

If your interests and gross income exceeded these thresholds thenfor that business entity you must list every source of income to thebusiness entity which exceeded 10 of the business entityrsquos grossincome (computed on the basis of the business entityrsquos most recentlycompleted fiscal year) the sourcersquos address and the sourcersquosprincipal business activity

IF YOU HAVE CHOSEN COMPARATIVE (PERCENTAGE) THRESHOLDSTHE FOLLOWING INSTRUCTIONS APPLY

CE FORM 1 - Effective January 1 2020 Incorporated by reference in Rule 34-8202 FAC PAGE 5

MANNER OF CALCULATING REPORTABLE INTEREST Filers have the option of reporting based on either thresholds that are comparative (usually based on percentage values) or thresholds that are based on absolute dollar values The instructions on the following pages specifically describe the different thresholds Check the box that reflects the choice you have made You must use the type of threshold you have chosen for each part of the form In other words if you choose to report based on absolute dollar value thresholds you cannot use a percentage threshold on any part of the form

IF YOU HAVE CHOSEN DOLLAR VALUE THRESHOLDS THE FOLLOWING INSTRUCTIONS APPLY

PART A mdash PRIMARY SOURCES OF INCOME [Required by s 1123145(3)(b)1 FS] Part A is intended to require the disclosure of your principal

sources of income during the disclosure period You do not have todisclose any public salary or public position(s) The income of yourspouse need not be disclosed however if there is joint income toyou and your spouse from property you own jointly (such as interestor dividends from a bank account or stocks) you should disclose thesource of that income if it exceeded the threshold

Please list in this part of the form the name address andprincipal business activity of each source of your income whichexceeded $2500 of gross income received by you in your own name or by any other person for your use or benefit

Gross income means the same as it does for income tax purposes even if the income is not actually taxable such as interest on tax-free bonds Examples include compensation for servicesincome from business gains from property dealings interest rentsdividends pensions IRA distributions social security distributive share of partnership gross income and alimony but not child support

Examples mdash If you were employed by a company that manufacturescomputers and received more than $2500 list the name of thecompany its address and its principal business activity (computermanufacturing) mdash If you were a partner in a law firm and your distributive shareof partnership gross income exceeded $2500 list the name ofthe firm its address and its principal business activity (practice oflaw) mdash If you were the sole proprietor of a retail gift business and yourgross income from the business exceeded $2500 list the nameof the business its address and its principal business activity(retail gift sales) mdash If you received income from investments in stocks and bondslist each individual company from which you derived more than$2500 Do not aggregate all of your investment income mdash If more than $2500 of your gross income was gain from thesale of property (not just the selling price) list as a source ofincome the purchaserrsquos name address and principal businessactivity If the purchaserrsquos identity is unknown such as wheresecurities listed on an exchange are sold through a brokeragefirm the source of income should be listed as sale of (name of company) stock for example mdash If more than $2500 of your gross income was in the formof interest from one particular financial institution (aggregatinginterest from all CDrsquos accounts etc at that institution) list the name of the institution its address and its principal business activity

PART B mdash SECONDARY SOURCES OF INCOME [Required by s 1123145(3)(b)2 FS] This part is intended to require the disclosure of major customers

clients and other sources of income to businesses in which you own aninterest It is not for reporting income from second jobs That kind of incomeshould be reported in Part A Primary Sources of Income if it meets thereporting threshold You will not have anything to report unless during thedisclosure period

(1) You owned (either directly or indirectly in the form of an equitableor beneficial interest) more than 5 of the total assets or capitalstock of a business entity (a corporation partnership LLC limitedpartnership proprietorship joint venture trust firm etc doing business in Florida) and (2) You received more than $5000 of your gross income during thedisclosure period from that business entity

If your interests and gross income exceeded these thresholds then for thatbusiness entity you must list every source of income to the business entitywhich exceeded 10 of the business entityrsquos gross income (computed onthe basis of the business entitys most recently completed fiscal year) thesourcersquos address and the sources principal business activity

Examples mdash You are the sole proprietor of a dry cleaning business from whichyou received more than $5000 If only one customer a uniform rentalcompany provided more than 10 of your dry cleaning business youmust list the name of the uniform rental company its address and itsprincipal business activity (uniform rentals) mdash You are a 20 partner in a partnership that owns a shopping malland your partnership income exceeded the above thresholds List eachtenant of the mall that provided more than 10 of the partnershipsgross income and the tenants address and principal business activity

PART C mdash REAL PROPERTY [Required by s 1123145(3)(b)3 FS] In this part list the location or description of all real property in Florida

in which you owned directly or indirectly at any time during the disclosureperiod in excess of 5 of the propertyrsquos value You are not required to listyour residences You should list any vacation homes if you derive incomefrom them

Indirect ownership includes situations where you are a beneficiary of atrust that owns the property as well as situations where you own more than5 of a partnership or corporation that owns the property The value of theproperty may be determined by the most recently assessed value for taxpurposes in the absence of a more current appraisal

The location or description of the property should be sufficient toenable anyone who looks at the form to identify the property A streetaddress should be used if one exists

PART D mdash INTANGIBLE PERSONAL PROPERTY [Required by s 1123145(3)(b)3 FS] Describe any intangible personal property that at any time during the

disclosure period was worth more than $10000 and state the businessentity to which the property related Intangible personal property includesthings such as cash on hand stocks bonds certificates of deposit vehicleleases interests in businesses beneficial interests in trusts money owedyou Deferred Retirement Option Program (DROP) accounts the FloridaPrepaid College Plan and bank accounts Intangible personal propertyalso includes investment products held in IRAs brokerage accounts andthe Florida College Investment Plan Note that the product contained in a brokerage account IRA or the Florida College Investment Plan is yourassetmdashnot the account or plan itself Things like automobiles and housesyou own jewelry and paintings are not intangible property Intangiblesrelating to the same business entity may be aggregated for example CDsand savings accounts with the same bank Property owned as tenants bythe entirety or as joint tenants with right of survivorship should be valued at100 The value of a leased vehicle is the vehiclersquos present value minusthe lease residual (a number found on the lease document)

CE FORM 1 - Effective January 1 2020 Incorporated by reference in Rule 34-8202 FAC PAGE 4

PART A mdash PRIMARY SOURCES OF INCOME[Required by s 1123145(3)(b)1 FS]Part A is intended to require the disclosure of your principal

sources of income during the disclosure period You do not have todisclose any public salary or public position(s) The income of yourspouse need not be disclosed however if there is joint income t oyou and your spouse from property you own jointly (such as interestor dividends from a bank account or stocks) you should disclose thesource of that income if it exceeded the threshold

Please list in this part of the form the name address andprincipal business activity of each source of your income whichexceeded $2500 of gross income received by you in your own name or by any other person for your use or benefit

Gross income means the same as it does for income taxpurposes even if the income is not actually taxable such as intereston tax-free bonds Examples include compensation for servicesincome from business gains from property dealings interest rentsdividends pensions IRA distributions social security distributiveshare of partnership gross income and alimony but not child support

Examplesmdash If you were employed by a company that manufacturescomputers and received more than $2500 list the name of thecompany its address and its principal business activity (computermanufacturing)mdash If you were a partner in a law firm and your distributive shareof partnership gross income exceeded $2500 list the name ofthe firm its address and its principal business activity (practice oflaw)mdash If you were the sole proprietor of a retail gift business and yourgross income from the business exceeded $2500 list the nameof the business its address and its principal business activity(retail gift sales)mdash If you received income from investments in stocks and bondslist each individual company from which you derived more than$2500 Do not aggregate all of your investment incomemdash If more than $2500 of your gross income was gain from thesale of property (not just the selling price) list as a source o fincome the purchaserrsquos name address and principal businessactivity If the purchaserrsquos identity is unknown such as wheresecurities listed on an exchange are sold through a brokeragefirm the source of income should be listed as sale of (name of company) stock for examplemdash If more than $2500 of your gross income was in the formof interest from one particular financial institution (aggregatinginterest from all CDrsquos accounts etc at that institution) list thename of the institution its address and its principal business activity

PART B mdash SECONDARY SOURCES OF INCOME[Required by s 1123145(3)(b)2 FS]This part is intended to require the disclosure of major customers

clients and other sources of income to businesses in which you own aninterest It is not for reporting income from second jobs That kind of incomeshould be reported in Part A Primary Sources of Income if it meets thereporting threshold You will not have anything to report unless during thedisclosure period

(1) You owned (either directly or indirectly in the form of an equitableor beneficial interest) more than 5 of the total assets or capitalstock of a business entity (a corporation partnership LLC limitedpartnership proprietorship joint venture trust firm etc doing business in Florida) and(2) You received more than $5000 of your gross income during thedisclosure period from that business entity

If your interests and gross income exceeded these thresholds then for thatbusiness entity you must list every source of income to the business entitywhich exceeded 10 of the business entityrsquos gross income (computed onthe basis of the business entitys most recently completed fiscal year) thesourcersquos address and the sources principal business activity

Examplesmdash You are the sole proprietor of a dry cleaning business from whichyou received more than $5000 If only one customer a uniform rentalcompany provided more than 10 of your dry cleaning business youmust list the name of the uniform rental company its address and itsprincipal business activity (uniform rentals)mdash You are a 20 partner in a partnership that owns a shopping malland your partnership income exceeded the above thresholds List eachtenant of the mall that provided more than 10 of the partnershipsgross income and the tenants address and principal business activity

PART C mdash REAL PROPERTY[Required by s 1123145(3)(b)3 FS]In this part list the location or description of all real property in Florida

in which you owned directly or indirectly at any time during the disclosureperiod in excess of 5 of the propertyrsquos value You are not required to listyour residences You should list any vacation homes if you derive incomefrom them

Indirect ownership includes situations where you are a beneficiary of atrust that owns the property as well as situations where you own more than5 of a partnership or corporation that owns the property The value of theproperty may be determined by the most recently assessed value for taxpurposes in the absence of a more current appraisal

The location or description of the property should be sufficient toenable anyone who looks at the form to identify the property A streetaddress should be used if one exists

PART D mdash INTANGIBLE PERSONAL PROPERTY[Required by s 1123145(3)(b)3 FS]Describe any intangible personal property that at any time during the

disclosure period was worth more than $10000 and state the businessentity to which the property related Intangible personal property includesthings such as cash on hand stocks bonds certificates of deposit vehicleleases interests in businesses beneficial interests in trusts money owedyou Deferred Retirement Option Program (DROP) accounts the FloridaPrepaid College Plan and bank accounts Intangible personal propertyalso includes investment products held in IRAs brokerage accounts andthe Florida College Investment Plan Note that the product contained ina brokerage account IRA or the Florida College Investment Plan is yourassetmdashnot the account or plan itself Things like automobiles and housesyou own jewelry and paintings are not intangible property Intangiblesrelating to the same business entity may be aggregated for example CDsand savings accounts with the same bank Property owned as tenants bythe entirety or as joint tenants with right of survivorship should be valued at100 The value of a leased vehicle is the vehiclersquos present value minusthe lease residual (a number found on the lease document)

Filers have the option of reporting based on either thresholds that are comparative (usually based on percentage values) orthresholds that are based on absolute dollar values The instructions on the following pages specifically describe the differentthresholds Check the box that reflects the choice you have made You must use the type of threshold you have chosen for eachpart of the form In other words if you choose to report based on absolute dollar value thresholds you cannot use a percentagethreshold on any part of the form

MANNER OF CALCULATING REPORTABLE INTEREST

IF YOU HAVE CHOSEN DOLLAR VALUE THRESHOLDSTHE FOLLOWING INSTRUCTIONS APPLY

CE FORM 1 - Effective January 1 2020 Incorporated by reference in Rule 34-8202 FAC PAGE 4

PART E mdash LIABILITIES [Required by s 1123145(3)(b)4 FS] List the name and address of each creditor to whom you owed more

than $10000 at any time during the disclosure period The amount of theliability of a vehicle lease is the sum of any past-due payments and allunpaid prospective lease payments You are not required to list the amountof any debt You do not have to disclose credit card and retail installmentaccounts taxes owed (unless reduced to a judgment) indebtedness ona life insurance policy owed to the company of issuance or contingentliabilities A ldquocontingent liabilityrdquo is one that will become an actual liabilityonly when one or more future events occur or fail to occur such as whereyou are liable only as a guarantor surety or endorser on a promissorynote If you are a ldquoco-makerrdquo and are jointly liable or jointly and severallyliable then it is not a contingent liability

PART F mdash INTERESTS IN SPECIFIED BUSINESSES [Required by s 1123145(6) FS] The types of businesses covered in this disclosure include state and

federally chartered banks state and federal savings and loan associationscemetery companies insurance companies mortgage companies creditunions small loan companies alcoholic beverage licensees pari-mutuelwagering companies utility companies entities controlled by the PublicService Commission and entities granted a franchise to operate by either acity or a county government

Disclose in this part the fact that you owned during the disclosure period aninterest in or held any of certain positions with the types of businesses listedabove You must make this disclosure if you own or owned (either directly orindirectly in the form of an equitable or beneficial interest) at any time duringthe disclosure period more than 5 of the total assets or capital stock ofone of the types of business entities listed above You also must completethis part of the form for each of these types of businesses for which youare or were at any time during the disclosure period an officer directorpartner proprietor or agent (other than a resident agent solely for service ofprocess)

If you have or held such a position or ownership interest in one ofthese types of businesses list the name of the business its address andprincipal business activity and the position held with the business (if any) Ifyou own(ed) more than a 5 interest in the business indicate that fact anddescribe the nature of your interest

PART G mdash TRAINING CERTIFICATION [Required by s 1123142 FS] If you are a Constitutional or elected municipal officer whose

service began before March 31 of the year for which you are filingyou are required to complete four hours of ethics training which addresses Article II Section 8 of the Florida Constitution the Code of Ethics for Public Officers and Employees and the public recordsand open meetings laws of the state You are required to certify onthis form that you have taken such training

(End of Dollar Value Thresholds Instructions)

IF YOU HAVE CHOSEN COMPARATIVE (PERCENTAGE) THRESHOLDS THE FOLLOWING INSTRUCTIONS APPLY

PART A mdash PRIMARY SOURCES OF INCOME [Required by s 1123145(3)(a)1 FS] Part A is intended to require the disclosure of your principal

sources of income during the disclosure period You do not haveto disclose any public salary or public position(s) but income from these public sources should be included when calculating your gross income for the disclosure period The income of your spouse need not be disclosed however if there is joint income to you and your spouse from property you own jointly (such as interest or dividends from a bank account or stocks) you should include all of that income when calculating your gross income and disclose the source of that income if it exceeded the threshold

Please list in this part of the form the name address and principal business activity of each source of your income whichexceeded 5 of the gross income received by you in your own name or by any other person for your benefit or use during the disclosure period

Gross income means the same as it does for income tax purposes even if the income is not actually taxable such as interest on tax-free bonds Examples include compensation for servicesincome from business gains from property dealings interest rents dividends pensions IRA distributions social security distributive share of partnership gross income and alimony but not child support

Examples mdash If you were employed by a company that manufactures computers and received more than 5 of your gross income from the company list the name of the company its address and its principal business activity (computer manufacturing) mdash If you were a partner in a law firm and your distributive share of partnership gross income exceeded 5 of your gross income then list the name of the firm its address and its principal business activity (practice of law) mdash If you were the sole proprietor of a retail gift business andyour gross income from the business exceeded 5 of your total gross income list the name of the business its addressand its principal business activity (retail gift sales) mdash If you received income from investments in stocks and bonds list each individual company from which you derived

more than 5 of your gross income Do not aggregate all of your investment income mdash If more than 5 of your gross income was gain from the sale of property (not just the selling price) list as a source of income the purchaserrsquos name address and principal business activityIf the purchasers identity is unknown such as where securities listed on an exchange are sold through a brokerage firm the source of income should be listed as sale of (name of company)stock for example mdash If more than 5 of your gross income was in the form of interest from one particular financial institution (aggregatinginterest from all CDrsquos accounts etc at that institution) list the name of the institution its address and its principal business activity

PART B mdash SECONDARY SOURCES OF INCOME [Required by s 1123145(3)(a)2 FS] This part is intended to require the disclosure of major customers

clients and other sources of income to businesses in which you ownan interest It is not for reporting income from second jobs That kindof income should be reported in Part A Primary Sources of Incomeif it meets the reporting threshold You will not have anything to report unless during the disclosure period

(1) You owned (either directly or indirectly in the form of anequitable or beneficial interest) more than 5 of the total assetsor capital stock of a business entity (a corporation partnershipLLC limited partnership proprietorship joint venture trust firmetc doing business in Florida) and (2) You received more than 10 of your gross income from thatbusiness entity and (3) You received more than $1500 in gross income from thatbusiness entity

If your interests and gross income exceeded these thresholds thenfor that business entity you must list every source of income to thebusiness entity which exceeded 10 of the business entityrsquos grossincome (computed on the basis of the business entityrsquos most recentlycompleted fiscal year) the sourcersquos address and the sourcersquos principal business activity

CE FORM 1 - Effective January 1 2020 Incorporated by reference in Rule 34-8202 FAC PAGE 5

NOTICE Annual Statements of Financial Interests are due July 1 If the annual form is not filed or postmarked by September 1 an automatic fine of $25 for each day late will be imposed up to a maximum penalty of $1500 Failure to file also can result in removal from public office or employment [s 1123145 FS]

In addition failure to make any required disclosure constitutes grounds for and may be punished by one or more of the following disqualification from being on the ballot impeachment removal or suspension from office or employment demotion reduction in salary reprimand or a civil penalty not exceeding $10000 [s 112317 FS]

1) Elected public officials not serving in a political subdivision of thestate and any person appointed to fill a vacancy in such office unlessrequired to file full disclosure on Form 62) Appointed members of each board commission authority

or council having statewide jurisdiction excluding members of solelyadvisory bodies but including judicial nominating commission membersDirectors of Enterprise Florida Scripps Florida Funding Corporationand Career Source Florida and members of the Council on the SocialStatus of Black Men and Boys the Executive Director Governors and senior managers of Citizens Property Insurance CorporationGovernors and senior managers of Florida Workers Compensation JointUnderwriting Association board members of the Northeast Fla RegionalTransportation Commission board members of Triumph Gulf Coast Incboard members of Florida Is For Veterans Inc and members of theTechnology Advisory Council within the Agency for State Technology3) The Commissioner of Education members of the State Board

of Education the Board of Governors the local Boards of Trustees andPresidents of state universities and the Florida Prepaid College Board4) Persons elected to office in any political subdivision (such a s

municipalities counties and special districts) and any person appointedto fill a vacancy in such office unless required to file Form 65) Appointed members of the following boards councils

commissions authorities or other bodies of county municipality schooldistrict independent special district or other political subdivision thegoverning body of the subdivision community college or junior collegedistrict boards of trustees boards having the power to enforce local codeprovisions boards of adjustment community redevelopment agenciesplanning or zoning boards having the power to recommend create ormodify land planning or zoning within a political subdivision except forcitizen advisory committees technical coordinating committees andsimilar groups who only have the power to make recommendationsto planning or zoning boards and except for representatives of amilitary installation acting on behalf of all military installations within thatjurisdiction pension or retirement boards empowered to invest pensionor retirement funds or determine entitlement to or amount of pensions orother retirement benefits and the Pinellas County Construction LicensingBoard6) Any appointed member of a local government board who

is required to file a statement of financial interests by the appointingauthority or the enabling legislation ordinance or resolution creating theboard7) Persons holding any of these positions in local government

mayor county or city manager chief administrative employee or finance

director of a county municipality or other political subdivision countyor municipal attorney chief county or municipal building inspectorcounty or municipal water resources coordinator county or municipalpollution control director county or municipal environmental controldirector county or municipal administrator with power to grant or denya land development permit chief of police fire chief municipal clerkappointed district school superintendent community college presidentdistrict medical examiner purchasing agent (regardless of title) havingthe authority to make any purchase exceeding $35000 for the localgovernmental unit8) Officers and employees of entities serving as chief administrative

officer of a political subdivision9) Members of governing boards of charter schools operated by a

city or other public entity10) Employees in the office of the Governor or of a Cabinet member

who are exempt from the Career Service System excluding secretarialclerical and similar positions11) The following positions in each state department commission

board or council Secretary Assistant or Deputy Secretary ExecutiveDirector Assistant or Deputy Executive Director and anyone having thepower normally conferred upon such persons regardless of title12) The following positions in each state department or division

Director Assistant or Deputy Director Bureau Chief and any personhaving the power normally conferred upon such persons regardless oftitle13) Assistant State Attorneys Assistant Public Defenders criminal

conflict and civil regional counsel and assistant criminal conflict and civilregional counsel Public Counsel full-time state employees serving ascounsel or assistant counsel to a state agency administrative law judgesand hearing officers14) The Superintendent or Director of a state mental health institute

established for training and research in the mental health field or anymajor state institution or facility established for corrections trainingtreatment or rehabilitation15) State agency Business Managers Finance and Accounting

Directors Personnel Officers Grant Coordinators and purchasingagents (regardless of title) with power to make a purchase exceeding$3500016) The following positions in legislative branch agencies each

employee (other than those employed in maintenance clerical secretarial or similar positions and legislative assistants exemptedby the presiding officer of their house) and each employee of theCommission on Ethics

INSTRUCTIONS FOR COMPLETING FORM 1INTRODUCTORY INFORMATION (Top of Form) If your name mailing address public agency and position are already printed on the form you do not need to provide this information unless it should be changed To change any of this information write the correct information on the form and contact your agencys financial disclosure coordinator You can find your coordinator on the Commission on Ethics website wwwethicsstateflus NAME OF AGENCY The name of the governmental unit which you serve or served by which you are or were employed or for which you are a candidate DISCLOSURE PERIOD The ldquodisclosure periodrdquo for your report is the calendar year ending December 31 2019

OFFICE OR POSITION HELD OR SOUGHT The title of the office or position you hold are seeking or held during the disclosure period even if you have since left that position If you are a candidate for office or are a new employee or appointee check the appropriate boxPUBLIC RECORD The disclosure form and everythingattached to it is a public record Your Social Security Number is not required and you should redact it from any documents you file If you are an active or former officer or employee listed in Section 119071 FS whose home address is exempt from disclosure the Commission will maintain that confidentiality if you submit a written request

WHO MUST FILE FORM 1

CE FORM 1 - Effective January 1 2020 Incorporated by reference in Rule 34-8202 FAC PAGE 3

Examples PART E mdash LIABILITIES mdash You are the sole proprietor of a dry cleaning business from [Required by s 1123145(3)(b)4 FS]which you received more than 10 of your gross incomemdashan List the name and address of each creditor to whom you owed amount that was more than $1500 If only one customer a any amount that at any time during the disclosure period exceeded uniform rental company provided more than 10 of your dry your net worth You are not required to list the amount of any debt cleaning business you must list the name of the uniform rental or your net worth You do not have to disclose credit card and retail company its address and its principal business activity (uniform installment accounts taxes owed (unless reduced to a judgment) rentals) indebtedness on a life insurance policy owed to the company of mdash You are a 20 partner in a partnership that owns a shopping issuance or contingent liabilities A ldquocontingent liabilityrdquo is one mall and your partnership income exceeded the thresholds that will become an actual liability only when one or more future listed above You should list each tenant of the mall that events occur or fail to occur such as where you are liable only as provided more than 10 of the partnershiprsquos gross income and a guarantor surety or endorser on a promissory note If you are a the tenantrsquos address and principal business activity ldquoco-makerrdquo and are jointly liable or jointly and severally liable it is not

a contingent liability PART C mdash REAL PROPERTY Calculations To determine whether the debt exceeds your

[Required by s 1123145(3)(a)3 FS] net worth total all of your liabilities (including promissory notes mortgages credit card debts judgments against you etc) TheIn this part list the location or description of all real property in amount of the liability of a vehicle lease is the sum of any past-due Florida in which you owned directly or indirectly at any time during payments and all unpaid prospective lease payments Subtract the disclosure period in excess of 5 of the propertyrsquos value You the sum total of your liabilities from the value of all your assets are not required to list your residences You should list any vacation as calculated above for Part D This is your ldquonet worthrdquo List each homes if you derive income from them creditor to whom your debt exceeded this amount unless it is one of

Indirect ownership includes situations where you are a the types of indebtedness listed in the paragraph above (credit card beneficiary of a trust that owns the property as well as situations and retail installment accounts etc) Joint liabilities with others for where you own more than 5 of a partnership or corporation that which you are ldquojointly and severally liablerdquo meaning that you may owns the property The value of the property may be determined by be liable for either your part or the whole of the obligation should be the most recently assessed value for tax purposes in the absence included in your calculations at 100 of the amount owed of a more current appraisal

Example You owe $15000 to a bank for student loans $5000 The location or description of the property should be sufficient for credit card debts and $60000 (with spouse) to a savings to enable anyone who looks at the form to identify the property A and loan for a home mortgage Your home (owned by you and street address should be used if one exists your spouse) is worth $80000 and your other property is worth PART D mdash INTANGIBLE PERSONAL PROPERTY $20000 Since your net worth is $20000 ($100000 minus

$80000) you must report only the name and address of the [Required by s 1123145(3)(a)3 FS] savings and loan Describe any intangible personal property that at any time

during the disclosure period was worth more than 10 of your PART F mdash INTERESTS IN SPECIFIED BUSINESSES total assets and state the business entity to which the property [Required by s 1123145 FS] related Intangible personal property includes things such as cash on hand stocks bonds certificates of deposit vehicle leases The types of businesses covered in this disclosure include interests in businesses beneficial interests in trusts money owed state and federally chartered banks state and federal savings and you Deferred Retirement Option Program (DROP) accounts loan associations cemetery companies insurance companies the Florida Prepaid College Plan and bank accounts Intangible mortgage companies credit unions small loan companies alcoholic personal property also includes investment products held in IRAs beverage licensees pari-mutuel wagering companies utilitybrokerage accounts and the Florida College Investment Plan companies entities controlled by the Public Service Commission Note that the product contained in a brokerage account IRA or the and entities granted a franchise to operate by either a city or a Florida College Investment Plan is your assetmdashnot the account or county governmentplan itself Things like automobiles and houses you own jewelry Disclose in this part the fact that you owned during the and paintings are not intangible property Intangibles relating to the disclosure period an interest in or held any of certain positions same business entity may be aggregated for example CDrsquos and with the types of businesses listed above You are requiredsavings accounts with the same bank to make this disclosure if you own or owned (either directly or

Calculations To determine whether the intangible property indirectly in the form of an equitable or beneficial interest) at any exceeds 10 of your total assets total the fair market value of time during the disclosure period more than 5 of the total assets all of your assets (including real property intangible property and or capital stock of one of the types of business entities listed above tangible personal property such as jewelry furniture etc) When You also must complete this part of the form for each of these types making this calculation do not subtract any liabilities (debts) that of businesses for which you are or were at any time during themay relate to the property Multiply the total figure by 10 to arrive disclosure period an officer director partner proprietor or agent at the disclosure threshold List only the intangibles that exceed (other than a resident agent solely for service of process) this threshold amount The value of a leased vehicle is the vehiclersquos If you have or held such a position or ownership interest in present value minus the lease residual (a number which can be one of these types of businesses list the name of the business its found on the lease document) Property that is only jointly owned address and principal business activity and the position held with property should be valued according to the percentage of your the business (if any) If you own(ed) more than a 5 interest in the joint ownership Property owned as tenants by the entirety or as business indicate that fact and describe the nature of your interest joint tenants with right of survivorship should be valued at 100 None of your calculations or the value of the property have to be PART G mdash TRAINING CERTIFICATIONdisclosed on the form

[Required by s 1123142 FS] Example You own 50 of the stock of a small corporation that is worth $100000 the estimated fair market value of If you are a Constitutional or elected municipal officer whoseyour home and other property (bank accounts automobile service began before March 31 of the year for which you are filing furniture etc) is $200000 As your total assets are worth you are required to complete four hours of ethics training which $250000 you must disclose intangibles worth over $25000 addresses Article II Section 8 of the Florida Constitution the Code Since the value of the stock exceeds this threshold you of Ethics for Public Officers and Employees and the public records should list ldquostockrdquo and the name of the corporation If your and open meetings laws of the state You are required to certify on accounts with a particular bank exceed $25000 you should this form that you have taken such training list ldquobank accountsrdquo and bankrsquos name

(

End of Percentage Thresholds Instructions) CE FORM 1 - Effective January 1 2020 Incorporated by reference in Rule 34-8202 FAC PAGE 6

  • 0 HP Cover Page v2
  • 1 Hawks Point Meeting Invite Draft v2
  • 2 Agenda Draft v3
  • 3 EXHIBIT 1
  • 7 HP 05-19-2020 Meeting Minutes Approved
  • 6 EXHIBIT 2
  • 9 HP May FY20 Fin
  • 8 EXHIBIT 3
  • 4 Vacant Position Qualification Requirements for Hawks Point CDD
    • Vacant Position on the Board of Supervisors of the Hawkrsquos Point Community Development District
      • Qualification Requirements
      • Instructions for Interested Candidates
      • Additional Notes
          • 5 Shami Choon Vacant Position - updated 11-5-11 resume
            • 1803 Oak Pond Street Ruskin Fl 33570 E-mailchoons27gmailcom
              • PROFESSIONAL HISTORY
                • Operations Manager Florida Distribution 2002 ndash 2005
                • Operations Manager for Florida Branch Distribution 1999 ndash 2002
                • Warehouse Manager of Miami Distribution Center 1998 ndash 1999
                • Branch Manager of West Palm Beach 1994 ndash 1998
                • Assistant Branch Manager 1991 ndash 1994
                • Customer Service Agent 1990 ndash 1991
                  • 10 EXHIBIT 4
                  • 11 New Business - Hawks Point CDD - MI proposal
                  • 12 EXHIBIT 5
                  • 13 CertaPro Proposal to Paint Exterior Wall 18th to 24th Avenue
                  • 14 Shazam Construction Proposal to Paint Exterior Wall 18th to 24th Street
                    • QUOTE
                      • TO
                          • 15 Photo to accompany Shazam Proposal
                          • 16 EXHIBIT 6
                          • 17 CertaPro Proposal for Pressure Washing Exterior Wall 18th St to 24th Street
                          • 18 Shazam Construction Proposal for Pressure Washing Exterion Wall 18th Street to 24th Street
                            • QUOTE
                              • TO
                                  • 19 EXHIBIT 7
                                  • 20 Form 1_2019i
                                      1. LAST NAME
                                      2. FIRST NAME
                                      3. MIDDLE NAME
                                      4. MAILING ADDRESS ROW 1
                                      5. MAILING ADDRESS ROW 2
                                      6. CITY
                                      7. ZIP
                                      8. COUNTY
                                      9. NAME OF AGENCY
                                      10. NAME OF OFFICE OR POSITION HELD OR SOUGHT
                                      11. CANDIDATE Off
                                      12. NEW EMPLOYEE OR APPOINTEE Off
                                      13. COMPARATIVE (PERCENTAGE) THRESHOLDS Off
                                      14. DOLLAR VALUE THRESHOLDS Off
                                      15. NAME OF SOURCE INCOME ROW 1
                                      16. ADDRESS ROW 1
                                      17. DESCRIPTION OF THE SOURCES PRINCIPAL BUSINESS ACTIVITY ROW 1
                                      18. NAME OF SOURCE INCOME ROW 2
                                      19. ADDRESS ROW 2
                                      20. DESCRIPTION OF THE SOURCES PRINCIPAL BUSINESS ACTIVITY ROW 2
                                      21. NAME OF SOURCE INCOME ROW 3
                                      22. ADDRESS ROW 3
                                      23. DESCRIPTION OF THE SOURCES PRINCIPAL BUSINESS ACTIVITY ROW 3
                                      24. NAME OF SOURCE INCOME ROW 4
                                      25. ADDRESS ROW 4
                                      26. DESCRIPTION OF THE SOURCES PRINCIPAL BUSINESS ACTIVITY ROW 4
                                      27. NAME OF BUSINESS ENTITY ROW 1
                                      28. NAME OF MAJOR SOURCES OF BUSINESS INCOME ROW 1
                                      29. ADDRESS OF SOURCE ROW 1
                                      30. PRINCIPAL BUSINESS ACTIVITY OF SOURCE ROW 1
                                      31. NAME OF BUSINESS ENTITY ROW 2
                                      32. NAME OF MAJOR SOURCES OF BUSINESS INCOME ROW 2
                                      33. ADDRESS OF SOURCE ROW 2
                                      34. PRINCIPAL BUSINESS ACTIVITY OF SOURCE ROW 2
                                      35. NAME OF BUSINESS ENTITY ROW 3
                                      36. NAME OF MAJOR SOURCES OF BUSINESS INCOME ROW 3
                                      37. ADDRESS OF SOURCE ROW 3
                                      38. PRINCIPAL BUSINESS ACTIVITY OF SOURCE ROW 3
                                      39. REAL PROPERTY ROW 1
                                      40. REAL PROPERTY ROW 2
                                      41. REAL PROPERTY ROW 3
                                      42. REAL PROPERTY ROW 4
                                      43. TYPE OF INTANGIBLE ROW 1
                                      44. BUSINESS ENTITY TO WHICH THE PROPERTY RELATES ROW 1
                                      45. TYPE OF INTANGIBLE ROW 2
                                      46. BUSINESS ENTITY TO WHICH THE PROPERTY RELATES ROW 2
                                      47. NAME OF CREDITOR ROW 1
                                      48. ADDRESS OF CREDITOR ROW 1
                                      49. NAME OF CREDITOR ROW 2
                                      50. ADDRESS OF CREDITOR ROW 2
                                      51. ADDRESS OF BUSINESS ENTITY 1
                                      52. PRINCIPAL BUSINESS ACTIVITY 1
                                      53. POSITION HELD WITH ENTITY 1
                                      54. I OWN MORE THAN A 5 INTEREST IN THE BUSINESS 1
                                      55. NATURE OF MY OWNERSHIP INTEREST 1
                                      56. ADDRESS OF BUSINESS ENTITY 2
                                      57. PRINCIPAL BUSINESS ACTIVITY 2
                                      58. POSITION HELD WITH ENTITY 2
                                      59. I OWN MORE THAN A 5 INTEREST IN THE BUSINESS 2
                                      60. NATURE OF MY OWNERSHIP INTEREST 2
                                      61. FOR ELECTED MUNICIPAL OFFICERS REQUIRED TO COMPLETE ANNUAL ETHICS TRAINING PURSUANT TO SECTION 112
                                        1. 3142 F
                                          1. S Off
                                              1. IF ANY OF PARTS A THROUGH G ARE CONTINUED ON A SEPARATE SHEET PLEASE CHECK HERE Off
                                              2. SIGNATURE
                                              3. Date Signed
Page 30: HAWKS POINT COMMUNITY DEVELOPMENT …...2020/06/16  · Hawks Point Community Development District Board of Supervisors Meeting Tuesday, June 16th at 6:30 PM via Zoom All: We welcome

QUOTE

Shazam Construction LLC DATE MAY 13 2020

Shazam Hera 6773 Waterton Drive Riverview FL 33578 813-385-4591 ShazamConstructionLLCgmailcom Hawks Point CDD

TO Bill to Development Planning and Financing Group 15310 Amberly Drive Suite 175 Tampa FL 33647

QUANITY DESCRIPTION UNIT PRICE LINE TOTAL

Pressure wash the wall that parallels 19th avenue from 18th street to 24th street in Hawks Point CDD in Ruskin

$1270000

Repair any cracks with caulk or elastomeric as neededPrep for paint

Paint the wall that parallels 19th avenue from 18th street to 24th street in Hawks Point CDD in Ruskin

Paint using body trim and caps of exterior wall facing 19th avenue

Paint while matching existing colors

Paint using Sherwin Williams

All paint materials and labor is included

SUBTOTAL

SALES TAX

TOTAL $1270000

Make all checks payable to Shazam Construction LLC

THANK YOU FOR YOUR BUSINESS

EXHIBIT 6

Independent Franchise Owner Job TB443B00157 Terry Beamer 9266 Lazy Ln

Date 06052020

EXTERIOR PROPOSALEXTERIOR PROPOSALEXTERIOR PROPOSALEXTERIOR PROPOSAL Tampa FL 33614 813-936-9242

Fax 813 936-9172

1-800-462-3782

License PA2508

Full Workers Compensation Coverage$2000000 General Liability Insurance

DPFG Management amp Consulting LLC (Hawks Point) Raymond Lotito (SB) Hawks Point CDD Ruskin FL 33570 Phone 813-418-7473 Cell 813-220-6089 Email raymondlotitodpfgcom

Special Notes CERTAPRO PAINTERS PRESSURE WASHING PROPOSAL 18TH-24TH

CERTAPRO PAINTERS WILL PRESSURE WASH WALL FACING 19TH ST ONLY

GENERAL DESCRIPTION Painting to

PREPARATION Washing To remove dirt mildew and loose paint so the new finish coat will adhere properly

PRIMING Surface TypeArea Primer Purpose

Clean Up Daily and upon completion

All Labor Paint Materials

TOTAL

$195000

$195000

Signature of Authorized Franchise Representative Date

Payment is due In Full upon Job Completion

(IWE HAVE READ THE TERMS STATED HEREIN THEY HAVE (IWE) HAVE EXAMINED THE JOB STATED HEREIN THEY EXPLAINED TO (MEUS) AND (IWE) FIND THEM TO BE HAVE SHOWN TO (MEUS) AND (IWE) FIND THE JOB TO SATISFACTORY AND HEREBY ACCEPT THEM BE SATISFACTORY AND HEREBY ACCEPT THE JOB AS

COMPLETE

SIGNATURE Date SIGNATURE Date

QUOTE

Shazam Construction LLC DATE JUNE 5 2020

Shazam Hera 6773 Waterton Drive Riverview FL 33578 813-385-4591 ShazamConstructionLLCgmailcom Hawks Point CDD

TO Bill to Development Planning and Financing Group 15310 Amberly Drive Suite 175 Tampa FL 33647

QUANITY DESCRIPTION UNIT PRICE LINE TOTAL

Pressure wash the wall that parallels 19th avenue from 18th street to 24th street in Hawks Point CDD in Ruskin

$160000

All materials and labor is included

SUBTOTAL

SALES TAX

TOTAL $160000

Make all checks payable to Shazam Construction LLC

THANK YOU FOR YOUR BUSINESS

EXHIBIT 7

2019FORM 1 STATEMENT OF

Please print or type your name mailing FOR OFFICE USE ONLY FINANCIAL INTERESTS address agency name and position below

LAST NAME -- FIRST NAME -- MIDDLE NAME

MAILING ADDRESS

CITY ZIP COUNTY

NAME OF AGENCY

NAME OF OFFICE OR POSITION HELD OR SOUGHT

CHECK ONLY IF CANDIDATE OR NEW EMPLOYEE OR APPOINTEE

THIS SECTION MUST BE COMPLETED DISCLOSURE PERIOD THIS STATEMENT REFLECTS YOUR FINANCIAL INTERESTS FOR CALENDAR YEAR ENDING DECEMBER 31 2019

MANNER OF CALCULATING REPORTABLE INTERESTS FILERS HAVE THE OPTION OF USING REPORTING THRESHOLDS THAT ARE ABSOLUTE DOLLAR VALUES WHICH REQUIRES FEWER CALCULATIONS OR USING COMPARATIVE THRESHOLDS WHICH ARE USUALLY BASED ON PERCENTAGE VALUES (see instructions for further details) CHECK THE ONE YOU ARE USING (must check one)

COMPARATIVE (PERCENTAGE) THRESHOLDS OR DOLLAR VALUE THRESHOLDS

PART A -- PRIMARY SOURCES OF INCOME [Major sources of income to the reporting person - See instructions] (If you have nothing to report write none or na)

NAME OF SOURCE SOURCES DESCRIPTION OF THE SOURCES OF INCOME ADDRESS PRINCIPAL BUSINESS ACTIVITY

PART B -- SECONDARY SOURCES OF INCOME [Major customers clients and other sources of income to businesses owned by the reporting person - See instructions] (If you have nothing to report write none or na)

NAME OF NAME OF MAJOR SOURCES ADDRESS PRINCIPAL BUSINESS BUSINESS ENTITY OF BUSINESS INCOME OF SOURCE ACTIVITY OF SOURCE

PART C -- REAL PROPERTY [Land buildings owned by the reporting person - See instructions] You are not limited to the space on the (If you have nothing to report write none or na) lines on this form Attach additional

sheets if necessary

FILING INSTRUCTIONS for when and where to file this form are located at the bottom of page 2

INSTRUCTIONS on who must file this form and how to fill it out begin on page 3

CE FORM 1 - Effective January 1 2020 (Continued on reverse side) PAGE 1 Incorporated by reference in Rule 34-8202(1) FAC

FILING INSTRUCTIONS

IF ANY OF PARTS A THROUGH G ARE CONTINUED ON A SEPARATE SHEET PLEASE CHECK HERE

PART D mdash INTANGIBLE PERSONAL PROPERTY [Stocks bonds certificates of deposit etc - See instructions] (If you have nothing to report write none or na) TYPE OF INTANGIBLE BUSINESS ENTITY TO WHICH THE PROPERTY RELATES

PART E mdash LIABILITIES [Major debts - See instructions] (If you have nothing to report write none or na)

NAME OF CREDITOR ADDRESS OF CREDITOR

PART F mdash INTERESTS IN SPECIFIED BUSINESSES [Ownership or positions in certain types of businesses - See instructions] (If you have nothing to report write none or na)

BUSINESS ENTITY 1 BUSINESS ENTITY 2

NAME OF BUSINESS ENTITY

ADDRESS OF BUSINESS ENTITY

PRINCIPAL BUSINESS ACTIVITY

POSITION HELD WITH ENTITY

I OWN MORE THAN A 5 INTEREST IN THE BUSINESS

NATURE OF MY OWNERSHIP INTEREST

If you were mailed the form by the Commission on Ethics or a County Supervisor of Elections for your annual disclosure filing return the form to that location To determine what category your position falls under see page 3 of instructions Local officersemployees file with the Supervisor of Elections of the county in which they permanently reside (If you do not permanently reside in Florida file with the Supervisor of the county where your agency has its headquarters) Form 1 filers who file with the Supervisor of Elections may file by mail or email Contact your Supervisor of Elections for the mailing address or email address to use Do not email your form to the Commission on Ethics it will be returned State officers or specified state employees who file with the Commission on Ethics may file by mail or email To file by mail send the completed form to PO Drawer 15709 Tallahassee FL32317-5709 physical address 325 John Knox Rd Bldg E Ste 200 Tallahassee FL 32303 To file with the Commission by email scan your completed form and any attachments as a pdf (do not use any other format) send it to CEForm1legstateflus and retain a copy for your records Do not file by both mail and email Choose only one filing method Form 6s will not be accepted via email

Candidates file this form together with their filing papers MULTIPLE FILING UNNECESSARY A candidate who files a Form 1 with a qualifying officer is not required to file with the Commission or Supervisor of Elections WHEN TO FILE Initially each local officeremployee state officer and specified state employee must file within 30 days of the date of his or her appointment or of the beginning of employment Appointees who must be confirmed by the Senate must file prior to confirmation even if that is less than 30 days from the date of their appointment Candidates must file at the same time they file their qualifying papers Thereafter file by July 1 following each calendar year in which they hold their positions Finally file a final disclosure form (Form 1F) within 60 days of leaving office or employment Filing a CE Form 1F (Final Statement of Financial Interests) does not relieve the filer of filing a CE Form 1 if the filer was in his or her position on December 31 2019

SIGNATURE OF FILER Signature

____________________________________________

Date Signed

____________________________________________

CPA or ATTORNEY SIGNATURE ONLY If a certified public accountant licensed under Chapter 473 or attorney in good standing with the Florida Bar prepared this form for you he or she must complete the following statement

I _______________________________________ prepared the CE Form 1 in accordance with Section 1123145 Florida Statutes and the instructions to the form Upon my reasonable knowledge and belief the disclosure herein is true and correct

CPAAttorney Signature ______________________________

Date Signed _______________________________________

PART G mdash TRAINING For elected municipal officers required to complete annual ethics training pursuant to section 1123142 FS

I CERTIFY THAT I HAVE COMPLETED THE REQUIRED TRAINING

CE FORM 1 - Effective January 1 2020 PAGE 2 Incorporated by reference in Rule 34-8202(1) FAC

Examplesmdash You are the sole proprietor of a dry cleaning business fromwhich you received more than 10 of your gross incomemdashanamount that was more than $1500 If only one customer auniform rental company provided more than 10 of your drycleaning business you must list the name of the uniform rentalcompany its address and its principal business activity (uniform rentals) mdash You are a 20 partner in a partnership that owns a shopping mall and your partnership income exceeded the thresholds listed above You should list each tenant of the mall that provided more than 10 of the partnershiprsquos gross income and the tenantrsquos address and principal business activity

PART C mdash REAL PROPERTY[Required by s 1123145(3)(a)3 FS]In this part list the location or description of all real property in

Florida in which you owned directly or indirectly at any time during the disclosure period in excess of 5 of the propertyrsquos value You are not required to list your residences You should list any vacation homes if you derive income from them

Indirect ownership includes situations where you are abeneficiary of a trust that owns the property as well as situations where you own more than 5 of a partnership or corporation thatowns the property The value of the property may be determined by the most recently assessed value for tax purposes in the absence of a more current appraisal

The location or description of the property should be sufficient to enable anyone who looks at the form to identify the property Astreet address should be used if one exists PART D mdash INTANGIBLE PERSONAL PROPERTY

[Required by s 1123145(3)(a)3 FS]Describe any intangible personal property that at any time

during the disclosure period was worth more than 10 of your total assets and state the business entity to which the property related Intangible personal property includes things such as cash on hand stocks bonds certificates of deposit vehicle leases interests in businesses beneficial interests in trusts money owed you Deferred Retirement Option Program (DROP) accounts the Florida Prepaid College Plan and bank accounts Intangiblepersonal property also includes investment products held in IRAs brokerage accounts and the Florida College Investment Plan Note that the product contained in a brokerage account IRA or the Florida College Investment Plan is your assetmdashnot the account or plan itself Things like automobiles and houses you own jewelryand paintings are not intangible property Intangibles relating to the same business entity may be aggregated for example CDrsquos and savings accounts with the same bank

Calculations To determine whether the intangible property exceeds 10 of your total assets total the fair market value of all of your assets (including real property intangible property and tangible personal property such as jewelry furniture etc) When making this calculation do not subtract any liabilities (debts) that may relate to the property Multiply the total figure by 10 to arrive at the disclosure threshold List only the intangibles that exceed this threshold amount The value of a leased vehicle is the vehiclersquos present value minus the lease residual (a number which can be found on the lease document) Property that is only jointly owned property should be valued according to the percentage of your joint ownership Property owned as tenants by the entirety or as joint tenants with right of survivorship should be valued at 100 None of your calculations or the value of the property have to be disclosed on the form

Example You own 50 of the stock of a small corporation that is worth $100000 the estimated fair market value of your home and other property (bank accounts automobile furniture etc) is $200000 As your total assets are worth $250000 you must disclose intangibles worth over $25000 Since the value of the stock exceeds this threshold you should list ldquostockrdquo and the name of the corporation If your accounts with a particular bank exceed $25000 you should list ldquobank accountsrdquo and bankrsquos name

PART E mdash LIABILITIES[Required by s 1123145(3)(b)4 FS]List the name and address of each creditor to whom you owed

any amount that at any time during the disclosure period exceeded your net worth You are not required to list the amount of any debt or your net worth You do not have to disclose credit card and retail installment accounts taxes owed (unless reduced to a judgment) indebtedness on a life insurance policy owed to the company of issuance or contingent liabilities A ldquocontingent liabilityrdquo is one that will become an actual liability only when one or more future events occur or fail to occur such as where you are liable only as a guarantor surety or endorser on a promissory note If you are a ldquoco-makerrdquo and are jointly liable or jointly and severally liable it is not a contingent liability

Calculations To determine whether the debt exceeds your net worth total all of your liabilities (including promissory notes mortgages credit card debts judgments against you etc) Theamount of the liability of a vehicle lease is the sum of any past-due payments and all unpaid prospective lease payments Subtract the sum total of your liabilities from the value of all your assets as calculated above for Part D This is your ldquonet worthrdquo List each creditor to whom your debt exceeded this amount unless it is one of the types of indebtedness listed in the paragraph above (credit card and retail installment accounts etc) Joint liabilities with others for which you are ldquojointly and severally liablerdquo meaning that you may be liable for either your part or the whole of the obligation should be included in your calculations at 100 of the amount owed

Example You owe $15000 to a bank for student loans $5000 for credit card debts and $60000 (with spouse) to a savings and loan for a home mortgage Your home (owned by you and your spouse) is worth $80000 and your other property is worth $20000 Since your net worth is $20000 ($100000 minus $80000) you must report only the name and address of the savings and loan

PART F mdash INTERESTS IN SPECIFIED BUSINESSES[Required by s 1123145 FS]The types of businesses covered in this disclosure include

state and federally chartered banks state and federal savings and loan associations cemetery companies insurance companies mortgage companies credit unions small loan companies alcoholic beverage licensees pari-mutuel wagering companies utilitycompanies entities controlled by the Public Service Commission and entities granted a franchise to operate by either a city or acounty government

Disclose in this part the fact that you owned during the disclosure period an interest in or held any of certain positions with the types of businesses listed above You are required to make this disclosure if you own or owned (either directly orindirectly in the form of an equitable or beneficial interest) at any time during the disclosure period more than 5 of the total assets or capital stock of one of the types of business entities listed above You also must complete this part of the form for each of these types of businesses for which you are or were at any time during thedisclosure period an officer director partner proprietor or agent (other than a resident agent solely for service of process)

If you have or held such a position or ownership interest in one of these types of businesses list the name of the business its address and principal business activity and the position held with the business (if any) If you own(ed) more than a 5 interest in the business indicate that fact and describe the nature of your interest

PART G mdash TRAINING CERTIFICATION[Required by s 1123142 FS]If you are a Constitutional or elected municipal officer whose

service began before March 31 of the year for which you are filing you are required to complete four hours of ethics training which addresses Article II Section 8 of the Florida Constitution the Code of Ethics for Public Officers and Employees and the public records and open meetings laws of the state You are required to certify on this form that you have taken such training (End of Percentage Thresholds Instructions)

CE FORM 1 - Effective January 1 2020 Incorporated by reference in Rule 34-8202 FAC PAGE 6

NOTICE Annual Statements of Financial Interests are due July 1 If the annual form is not filed or postmarked by September 1 an automatic fine of $25 for each day late will be imposed up to a maximum penalty of $1500 Failure to file also can result in removal from public office or employment [s 1123145 FS]

In addition failure to make any required disclosure constitutes grounds for and may be punished by one or more of the following disqualification from being on the ballot impeachment removal or suspension from office or employment demotion reduction in salary reprimand or a civil penalty not exceeding $10000 [s 112317 FS]

WHO MUST FILE FORM 1 1) Elected public officials not serving in a political subdivision of the

state and any person appointed to fill a vacancy in such office unlessrequired to file full disclosure on Form 62) Appointed members of each board commission authority

or council having statewide jurisdiction excluding members of solelyadvisory bodies but including judicial nominating commission membersDirectors of Enterprise Florida Scripps Florida Funding Corporationand Career Source Florida and members of the Council on the Social Status of Black Men and Boys the Executive Director Governors and senior managers of Citizens Property Insurance CorporationGovernors and senior managers of Florida Workers Compensation JointUnderwriting Association board members of the Northeast Fla RegionalTransportation Commission board members of Triumph Gulf Coast Incboard members of Florida Is For Veterans Inc and members of the Technology Advisory Council within the Agency for State Technology3) The Commissioner of Education members of the State Board

of Education the Board of Governors the local Boards of Trustees and Presidents of state universities and the Florida Prepaid College Board 4) Persons elected to office in any political subdivision (such as

municipalities counties and special districts) and any person appointedto fill a vacancy in such office unless required to file Form 65) Appointed members of the following boards councils

commissions authorities or other bodies of county municipality schooldistrict independent special district or other political subdivision thegoverning body of the subdivision community college or junior collegedistrict boards of trustees boards having the power to enforce local codeprovisions boards of adjustment community redevelopment agenciesplanning or zoning boards having the power to recommend create ormodify land planning or zoning within a political subdivision except forcitizen advisory committees technical coordinating committees andsimilar groups who only have the power to make recommendationsto planning or zoning boards and except for representatives of a military installation acting on behalf of all military installations within thatjurisdiction pension or retirement boards empowered to invest pensionor retirement funds or determine entitlement to or amount of pensions orother retirement benefits and the Pinellas County Construction LicensingBoard 6) Any appointed member of a local government board who

is required to file a statement of financial interests by the appointingauthority or the enabling legislation ordinance or resolution creating theboard 7) Persons holding any of these positions in local government

mayor county or city manager chief administrative employee or finance

director of a county municipality or other political subdivision county or municipal attorney chief county or municipal building inspectorcounty or municipal water resources coordinator county or municipalpollution control director county or municipal environmental control director county or municipal administrator with power to grant or denya land development permit chief of police fire chief municipal clerkappointed district school superintendent community college presidentdistrict medical examiner purchasing agent (regardless of title) havingthe authority to make any purchase exceeding $35000 for the localgovernmental unit8) Officers and employees of entities serving as chief administrative

officer of a political subdivision9) Members of governing boards of charter schools operated by a

city or other public entity10) Employees in the office of the Governor or of a Cabinet member

who are exempt from the Career Service System excluding secretarialclerical and similar positions11) The following positions in each state department commission

board or council Secretary Assistant or Deputy Secretary ExecutiveDirector Assistant or Deputy Executive Director and anyone having thepower normally conferred upon such persons regardless of title12) The following positions in each state department or division

Director Assistant or Deputy Director Bureau Chief and any personhaving the power normally conferred upon such persons regardless oftitle 13) Assistant State Attorneys Assistant Public Defenders criminal

conflict and civil regional counsel and assistant criminal conflict and civilregional counsel Public Counsel full-time state employees serving ascounsel or assistant counsel to a state agency administrative law judgesand hearing officers14) The Superintendent or Director of a state mental health institute

established for training and research in the mental health field or anymajor state institution or facility established for corrections trainingtreatment or rehabilitation 15) State agency Business Managers Finance and Accounting

Directors Personnel Officers Grant Coordinators and purchasingagents (regardless of title) with power to make a purchase exceeding$35000 16) The following positions in legislative branch agencies each

employee (other than those employed in maintenance clerical secretarial or similar positions and legislative assistants exempted by the presiding officer of their house) and each employee of theCommission on Ethics

INSTRUCTIONS FOR COMPLETING FORM 1 INTRODUCTORY INFORMATION (Top of Form) If your name mailing address public agency and position are already printed on the form you do not need to provide this information unless it should be changed To change any of this information write the correct information on the form and contact your agencys financial disclosure coordinator You can find your coordinator on the Commission on Ethics website wwwethics stateflus NAME OF AGENCY The name of the governmental unit which you serve or served by which you are or were employed or for which you are a candidate DISCLOSURE PERIOD The ldquodisclosure periodrdquo for your report is the calendar year ending December 31 2019

OFFICE OR POSITION HELD OR SOUGHT The title of the office or position you hold are seeking or held during the disclosure period even if you have since left that position If you are a candidate for office or are a new employee or appointee check the appropriate box PUBLIC RECORD The disclosure form and everythingattached to it is a public record Your Social Security Number is not required and you should redact it from any documents you file If you are an active or former officer or employee listed in Section 119071 FS whose home address is exempt from disclosure the Commission will maintain that confidentiality if you submit a written request

CE FORM 1 - Effective January 1 2020 Incorporated by reference in Rule 34-8202 FAC PAGE 3

PART E mdash LIABILITIES[Required by s 1123145(3)(b)4 FS]List the name and address of each creditor to whom you owed more

than $10000 at any time during the disclosure period The amount of theliability of a vehicle lease is the sum of any past-due payments and allunpaid prospective lease payments You are not required to list the amountof any debt You do not have to disclose credit card and retail installmentaccounts taxes owed (unless reduced to a judgment) indebtedness ona life insurance policy owed to the company of issuance or contingentliabilities A ldquocontingent liabilityrdquo is one that will become an actual liabilityonly when one or more future events occur or fail to occur such as whereyou are liable only as a guarantor surety or endorser on a promissorynote If you are a ldquoco-makerrdquo and are jointly liable or jointly and severallyliable then it is not a contingent liability

PART F mdash INTERESTS IN SPECIFIED BUSINESSES[Required by s 1123145(6) FS]The types of businesses covered in this disclosure include state and

federally chartered banks state and federal savings and loan associationscemetery companies insurance companies mortgage companies creditunions small loan companies alcoholic beverage licensees pari-mutuelwagering companies utility companies entities controlled by the PublicService Commission and entities granted a franchise to operate by either acity or a county government

Disclose in this part the fact that you owned during the disclosure period aninterest in or held any of certain positions with the types of businesses listedabove You must make this disclosure if you own or owned (either directly orindirectly in the form of an equitable or beneficial interest) at any time duringthe disclosure period more than 5 of the total assets or capital stock ofone of the types of business entities listed above You also must completethis part of the form for each of these types of businesses for which youare or were at any time during the disclosure period an officer directorpartner proprietor or agent (other than a resident agent solely for service ofprocess)

If you have or held such a position or ownership interest in one ofthese types of businesses list the name of the business its address andprincipal business activity and the position held with the business (if any) Ifyou own(ed) more than a 5 interest in the business indicate that fact anddescribe the nature of your interest

PART G mdash TRAINING CERTIFICATION[Required by s 1123142 FS]If you are a Constitutional or elected municipal officer whose

service began before March 31 of the year for which you are filingyou are required to complete four hours of ethics training which addresses Article II Section 8 of the Florida Constitution the Codeof Ethics for Public Officers and Employees and the public recordsand open meetings laws of the state You are required to certify onthis form that you have taken such training

(End of Dollar Value Thresholds Instructions)

PART A mdash PRIMARY SOURCES OF INCOME[Required by s 1123145(3)(a)1 FS]Part A is intended to require the disclosure of your principal

sources of income during the disclosure period You do not haveto disclose any public salary or public position(s) but income from these public sources should be included when calculating your gross income for the disclosure period The income of your spouse need not be disclosed however if there is joint income to you and your spouse from property you own jointly (such as interest or dividends from a bank account or stocks) you should include all of that income when calculating your gross income and disclose the source of that income if it exceeded the threshold

Please list in this part of the form the name address and principal business activity of each source of your income whichexceeded 5 of the gross income received by you in your own name or by any other person for your benefit or use during the disclosure period

Gross income means the same as it does for income tax purposes even if the income is not actually taxable such as interest on tax-free bonds Examples include compensation for servicesincome from business gains from property dealings interest rents dividends pensions IRA distributions social security distributive share of partnership gross income and alimony but not child support

Examplesmdash If you were employed by a company that manufactures computers and received more than 5 of your gross income from the company list the name of the company its address and its principal business activity (computer manufacturing)mdash If you were a partner in a law firm and your distributive share of partnership gross income exceeded 5 of your gross income then list the name of the firm its address and its principal business activity (practice of law)mdash If you were the sole proprietor of a retail gift business andyour gross income from the business exceeded 5 of your total gross income list the name of the business its addressand its principal business activity (retail gift sales)mdash If you received income from investments in stocks and bonds list each individual company from which you derived

more than 5 of your gross income Do not aggregate all of your investment incomemdash If more than 5 of your gross income was gain from the sale of property (not just the selling price) list as a source of income the purchaserrsquos name address and principal business activityIf the purchasers identity is unknown such as where securities listed on an exchange are sold through a brokerage firm the source of income should be listed as sale of (name of company)stock for examplemdash If more than 5 of your gross income was in the form of interest from one particular financial institution (aggregatinginterest from all CDrsquos accounts etc at that institution) list the name of the institution its address and its principal business activity

PART B mdash SECONDARY SOURCES OF INCOME[Required by s 1123145(3)(a)2 FS]This part is intended to require the disclosure of major customers

clients and other sources of income to businesses in which you ownan interest It is not for reporting income from second jobs That kindof income should be reported in Part A Primary Sources of Incomeif it meets the reporting threshold You will not have anything to reportunless during the disclosure period

(1) You owned (either directly or indirectly in the form of anequitable or beneficial interest) more than 5 of the total assetsor capital stock of a business entity (a corporation partnershipLLC limited partnership proprietorship joint venture trust firmetc doing business in Florida) and(2) You received more than 10 of your gross income from thatbusiness entity and(3) You received more than $1500 in gross income from thatbusiness entity

If your interests and gross income exceeded these thresholds thenfor that business entity you must list every source of income to thebusiness entity which exceeded 10 of the business entityrsquos grossincome (computed on the basis of the business entityrsquos most recentlycompleted fiscal year) the sourcersquos address and the sourcersquosprincipal business activity

IF YOU HAVE CHOSEN COMPARATIVE (PERCENTAGE) THRESHOLDSTHE FOLLOWING INSTRUCTIONS APPLY

CE FORM 1 - Effective January 1 2020 Incorporated by reference in Rule 34-8202 FAC PAGE 5

MANNER OF CALCULATING REPORTABLE INTEREST Filers have the option of reporting based on either thresholds that are comparative (usually based on percentage values) or thresholds that are based on absolute dollar values The instructions on the following pages specifically describe the different thresholds Check the box that reflects the choice you have made You must use the type of threshold you have chosen for each part of the form In other words if you choose to report based on absolute dollar value thresholds you cannot use a percentage threshold on any part of the form

IF YOU HAVE CHOSEN DOLLAR VALUE THRESHOLDS THE FOLLOWING INSTRUCTIONS APPLY

PART A mdash PRIMARY SOURCES OF INCOME [Required by s 1123145(3)(b)1 FS] Part A is intended to require the disclosure of your principal

sources of income during the disclosure period You do not have todisclose any public salary or public position(s) The income of yourspouse need not be disclosed however if there is joint income toyou and your spouse from property you own jointly (such as interestor dividends from a bank account or stocks) you should disclose thesource of that income if it exceeded the threshold

Please list in this part of the form the name address andprincipal business activity of each source of your income whichexceeded $2500 of gross income received by you in your own name or by any other person for your use or benefit

Gross income means the same as it does for income tax purposes even if the income is not actually taxable such as interest on tax-free bonds Examples include compensation for servicesincome from business gains from property dealings interest rentsdividends pensions IRA distributions social security distributive share of partnership gross income and alimony but not child support

Examples mdash If you were employed by a company that manufacturescomputers and received more than $2500 list the name of thecompany its address and its principal business activity (computermanufacturing) mdash If you were a partner in a law firm and your distributive shareof partnership gross income exceeded $2500 list the name ofthe firm its address and its principal business activity (practice oflaw) mdash If you were the sole proprietor of a retail gift business and yourgross income from the business exceeded $2500 list the nameof the business its address and its principal business activity(retail gift sales) mdash If you received income from investments in stocks and bondslist each individual company from which you derived more than$2500 Do not aggregate all of your investment income mdash If more than $2500 of your gross income was gain from thesale of property (not just the selling price) list as a source ofincome the purchaserrsquos name address and principal businessactivity If the purchaserrsquos identity is unknown such as wheresecurities listed on an exchange are sold through a brokeragefirm the source of income should be listed as sale of (name of company) stock for example mdash If more than $2500 of your gross income was in the formof interest from one particular financial institution (aggregatinginterest from all CDrsquos accounts etc at that institution) list the name of the institution its address and its principal business activity

PART B mdash SECONDARY SOURCES OF INCOME [Required by s 1123145(3)(b)2 FS] This part is intended to require the disclosure of major customers

clients and other sources of income to businesses in which you own aninterest It is not for reporting income from second jobs That kind of incomeshould be reported in Part A Primary Sources of Income if it meets thereporting threshold You will not have anything to report unless during thedisclosure period

(1) You owned (either directly or indirectly in the form of an equitableor beneficial interest) more than 5 of the total assets or capitalstock of a business entity (a corporation partnership LLC limitedpartnership proprietorship joint venture trust firm etc doing business in Florida) and (2) You received more than $5000 of your gross income during thedisclosure period from that business entity

If your interests and gross income exceeded these thresholds then for thatbusiness entity you must list every source of income to the business entitywhich exceeded 10 of the business entityrsquos gross income (computed onthe basis of the business entitys most recently completed fiscal year) thesourcersquos address and the sources principal business activity

Examples mdash You are the sole proprietor of a dry cleaning business from whichyou received more than $5000 If only one customer a uniform rentalcompany provided more than 10 of your dry cleaning business youmust list the name of the uniform rental company its address and itsprincipal business activity (uniform rentals) mdash You are a 20 partner in a partnership that owns a shopping malland your partnership income exceeded the above thresholds List eachtenant of the mall that provided more than 10 of the partnershipsgross income and the tenants address and principal business activity

PART C mdash REAL PROPERTY [Required by s 1123145(3)(b)3 FS] In this part list the location or description of all real property in Florida

in which you owned directly or indirectly at any time during the disclosureperiod in excess of 5 of the propertyrsquos value You are not required to listyour residences You should list any vacation homes if you derive incomefrom them

Indirect ownership includes situations where you are a beneficiary of atrust that owns the property as well as situations where you own more than5 of a partnership or corporation that owns the property The value of theproperty may be determined by the most recently assessed value for taxpurposes in the absence of a more current appraisal

The location or description of the property should be sufficient toenable anyone who looks at the form to identify the property A streetaddress should be used if one exists

PART D mdash INTANGIBLE PERSONAL PROPERTY [Required by s 1123145(3)(b)3 FS] Describe any intangible personal property that at any time during the

disclosure period was worth more than $10000 and state the businessentity to which the property related Intangible personal property includesthings such as cash on hand stocks bonds certificates of deposit vehicleleases interests in businesses beneficial interests in trusts money owedyou Deferred Retirement Option Program (DROP) accounts the FloridaPrepaid College Plan and bank accounts Intangible personal propertyalso includes investment products held in IRAs brokerage accounts andthe Florida College Investment Plan Note that the product contained in a brokerage account IRA or the Florida College Investment Plan is yourassetmdashnot the account or plan itself Things like automobiles and housesyou own jewelry and paintings are not intangible property Intangiblesrelating to the same business entity may be aggregated for example CDsand savings accounts with the same bank Property owned as tenants bythe entirety or as joint tenants with right of survivorship should be valued at100 The value of a leased vehicle is the vehiclersquos present value minusthe lease residual (a number found on the lease document)

CE FORM 1 - Effective January 1 2020 Incorporated by reference in Rule 34-8202 FAC PAGE 4

PART A mdash PRIMARY SOURCES OF INCOME[Required by s 1123145(3)(b)1 FS]Part A is intended to require the disclosure of your principal

sources of income during the disclosure period You do not have todisclose any public salary or public position(s) The income of yourspouse need not be disclosed however if there is joint income t oyou and your spouse from property you own jointly (such as interestor dividends from a bank account or stocks) you should disclose thesource of that income if it exceeded the threshold

Please list in this part of the form the name address andprincipal business activity of each source of your income whichexceeded $2500 of gross income received by you in your own name or by any other person for your use or benefit

Gross income means the same as it does for income taxpurposes even if the income is not actually taxable such as intereston tax-free bonds Examples include compensation for servicesincome from business gains from property dealings interest rentsdividends pensions IRA distributions social security distributiveshare of partnership gross income and alimony but not child support

Examplesmdash If you were employed by a company that manufacturescomputers and received more than $2500 list the name of thecompany its address and its principal business activity (computermanufacturing)mdash If you were a partner in a law firm and your distributive shareof partnership gross income exceeded $2500 list the name ofthe firm its address and its principal business activity (practice oflaw)mdash If you were the sole proprietor of a retail gift business and yourgross income from the business exceeded $2500 list the nameof the business its address and its principal business activity(retail gift sales)mdash If you received income from investments in stocks and bondslist each individual company from which you derived more than$2500 Do not aggregate all of your investment incomemdash If more than $2500 of your gross income was gain from thesale of property (not just the selling price) list as a source o fincome the purchaserrsquos name address and principal businessactivity If the purchaserrsquos identity is unknown such as wheresecurities listed on an exchange are sold through a brokeragefirm the source of income should be listed as sale of (name of company) stock for examplemdash If more than $2500 of your gross income was in the formof interest from one particular financial institution (aggregatinginterest from all CDrsquos accounts etc at that institution) list thename of the institution its address and its principal business activity

PART B mdash SECONDARY SOURCES OF INCOME[Required by s 1123145(3)(b)2 FS]This part is intended to require the disclosure of major customers

clients and other sources of income to businesses in which you own aninterest It is not for reporting income from second jobs That kind of incomeshould be reported in Part A Primary Sources of Income if it meets thereporting threshold You will not have anything to report unless during thedisclosure period

(1) You owned (either directly or indirectly in the form of an equitableor beneficial interest) more than 5 of the total assets or capitalstock of a business entity (a corporation partnership LLC limitedpartnership proprietorship joint venture trust firm etc doing business in Florida) and(2) You received more than $5000 of your gross income during thedisclosure period from that business entity

If your interests and gross income exceeded these thresholds then for thatbusiness entity you must list every source of income to the business entitywhich exceeded 10 of the business entityrsquos gross income (computed onthe basis of the business entitys most recently completed fiscal year) thesourcersquos address and the sources principal business activity

Examplesmdash You are the sole proprietor of a dry cleaning business from whichyou received more than $5000 If only one customer a uniform rentalcompany provided more than 10 of your dry cleaning business youmust list the name of the uniform rental company its address and itsprincipal business activity (uniform rentals)mdash You are a 20 partner in a partnership that owns a shopping malland your partnership income exceeded the above thresholds List eachtenant of the mall that provided more than 10 of the partnershipsgross income and the tenants address and principal business activity

PART C mdash REAL PROPERTY[Required by s 1123145(3)(b)3 FS]In this part list the location or description of all real property in Florida

in which you owned directly or indirectly at any time during the disclosureperiod in excess of 5 of the propertyrsquos value You are not required to listyour residences You should list any vacation homes if you derive incomefrom them

Indirect ownership includes situations where you are a beneficiary of atrust that owns the property as well as situations where you own more than5 of a partnership or corporation that owns the property The value of theproperty may be determined by the most recently assessed value for taxpurposes in the absence of a more current appraisal

The location or description of the property should be sufficient toenable anyone who looks at the form to identify the property A streetaddress should be used if one exists

PART D mdash INTANGIBLE PERSONAL PROPERTY[Required by s 1123145(3)(b)3 FS]Describe any intangible personal property that at any time during the

disclosure period was worth more than $10000 and state the businessentity to which the property related Intangible personal property includesthings such as cash on hand stocks bonds certificates of deposit vehicleleases interests in businesses beneficial interests in trusts money owedyou Deferred Retirement Option Program (DROP) accounts the FloridaPrepaid College Plan and bank accounts Intangible personal propertyalso includes investment products held in IRAs brokerage accounts andthe Florida College Investment Plan Note that the product contained ina brokerage account IRA or the Florida College Investment Plan is yourassetmdashnot the account or plan itself Things like automobiles and housesyou own jewelry and paintings are not intangible property Intangiblesrelating to the same business entity may be aggregated for example CDsand savings accounts with the same bank Property owned as tenants bythe entirety or as joint tenants with right of survivorship should be valued at100 The value of a leased vehicle is the vehiclersquos present value minusthe lease residual (a number found on the lease document)

Filers have the option of reporting based on either thresholds that are comparative (usually based on percentage values) orthresholds that are based on absolute dollar values The instructions on the following pages specifically describe the differentthresholds Check the box that reflects the choice you have made You must use the type of threshold you have chosen for eachpart of the form In other words if you choose to report based on absolute dollar value thresholds you cannot use a percentagethreshold on any part of the form

MANNER OF CALCULATING REPORTABLE INTEREST

IF YOU HAVE CHOSEN DOLLAR VALUE THRESHOLDSTHE FOLLOWING INSTRUCTIONS APPLY

CE FORM 1 - Effective January 1 2020 Incorporated by reference in Rule 34-8202 FAC PAGE 4

PART E mdash LIABILITIES [Required by s 1123145(3)(b)4 FS] List the name and address of each creditor to whom you owed more

than $10000 at any time during the disclosure period The amount of theliability of a vehicle lease is the sum of any past-due payments and allunpaid prospective lease payments You are not required to list the amountof any debt You do not have to disclose credit card and retail installmentaccounts taxes owed (unless reduced to a judgment) indebtedness ona life insurance policy owed to the company of issuance or contingentliabilities A ldquocontingent liabilityrdquo is one that will become an actual liabilityonly when one or more future events occur or fail to occur such as whereyou are liable only as a guarantor surety or endorser on a promissorynote If you are a ldquoco-makerrdquo and are jointly liable or jointly and severallyliable then it is not a contingent liability

PART F mdash INTERESTS IN SPECIFIED BUSINESSES [Required by s 1123145(6) FS] The types of businesses covered in this disclosure include state and

federally chartered banks state and federal savings and loan associationscemetery companies insurance companies mortgage companies creditunions small loan companies alcoholic beverage licensees pari-mutuelwagering companies utility companies entities controlled by the PublicService Commission and entities granted a franchise to operate by either acity or a county government

Disclose in this part the fact that you owned during the disclosure period aninterest in or held any of certain positions with the types of businesses listedabove You must make this disclosure if you own or owned (either directly orindirectly in the form of an equitable or beneficial interest) at any time duringthe disclosure period more than 5 of the total assets or capital stock ofone of the types of business entities listed above You also must completethis part of the form for each of these types of businesses for which youare or were at any time during the disclosure period an officer directorpartner proprietor or agent (other than a resident agent solely for service ofprocess)

If you have or held such a position or ownership interest in one ofthese types of businesses list the name of the business its address andprincipal business activity and the position held with the business (if any) Ifyou own(ed) more than a 5 interest in the business indicate that fact anddescribe the nature of your interest

PART G mdash TRAINING CERTIFICATION [Required by s 1123142 FS] If you are a Constitutional or elected municipal officer whose

service began before March 31 of the year for which you are filingyou are required to complete four hours of ethics training which addresses Article II Section 8 of the Florida Constitution the Code of Ethics for Public Officers and Employees and the public recordsand open meetings laws of the state You are required to certify onthis form that you have taken such training

(End of Dollar Value Thresholds Instructions)

IF YOU HAVE CHOSEN COMPARATIVE (PERCENTAGE) THRESHOLDS THE FOLLOWING INSTRUCTIONS APPLY

PART A mdash PRIMARY SOURCES OF INCOME [Required by s 1123145(3)(a)1 FS] Part A is intended to require the disclosure of your principal

sources of income during the disclosure period You do not haveto disclose any public salary or public position(s) but income from these public sources should be included when calculating your gross income for the disclosure period The income of your spouse need not be disclosed however if there is joint income to you and your spouse from property you own jointly (such as interest or dividends from a bank account or stocks) you should include all of that income when calculating your gross income and disclose the source of that income if it exceeded the threshold

Please list in this part of the form the name address and principal business activity of each source of your income whichexceeded 5 of the gross income received by you in your own name or by any other person for your benefit or use during the disclosure period

Gross income means the same as it does for income tax purposes even if the income is not actually taxable such as interest on tax-free bonds Examples include compensation for servicesincome from business gains from property dealings interest rents dividends pensions IRA distributions social security distributive share of partnership gross income and alimony but not child support

Examples mdash If you were employed by a company that manufactures computers and received more than 5 of your gross income from the company list the name of the company its address and its principal business activity (computer manufacturing) mdash If you were a partner in a law firm and your distributive share of partnership gross income exceeded 5 of your gross income then list the name of the firm its address and its principal business activity (practice of law) mdash If you were the sole proprietor of a retail gift business andyour gross income from the business exceeded 5 of your total gross income list the name of the business its addressand its principal business activity (retail gift sales) mdash If you received income from investments in stocks and bonds list each individual company from which you derived

more than 5 of your gross income Do not aggregate all of your investment income mdash If more than 5 of your gross income was gain from the sale of property (not just the selling price) list as a source of income the purchaserrsquos name address and principal business activityIf the purchasers identity is unknown such as where securities listed on an exchange are sold through a brokerage firm the source of income should be listed as sale of (name of company)stock for example mdash If more than 5 of your gross income was in the form of interest from one particular financial institution (aggregatinginterest from all CDrsquos accounts etc at that institution) list the name of the institution its address and its principal business activity

PART B mdash SECONDARY SOURCES OF INCOME [Required by s 1123145(3)(a)2 FS] This part is intended to require the disclosure of major customers

clients and other sources of income to businesses in which you ownan interest It is not for reporting income from second jobs That kindof income should be reported in Part A Primary Sources of Incomeif it meets the reporting threshold You will not have anything to report unless during the disclosure period

(1) You owned (either directly or indirectly in the form of anequitable or beneficial interest) more than 5 of the total assetsor capital stock of a business entity (a corporation partnershipLLC limited partnership proprietorship joint venture trust firmetc doing business in Florida) and (2) You received more than 10 of your gross income from thatbusiness entity and (3) You received more than $1500 in gross income from thatbusiness entity

If your interests and gross income exceeded these thresholds thenfor that business entity you must list every source of income to thebusiness entity which exceeded 10 of the business entityrsquos grossincome (computed on the basis of the business entityrsquos most recentlycompleted fiscal year) the sourcersquos address and the sourcersquos principal business activity

CE FORM 1 - Effective January 1 2020 Incorporated by reference in Rule 34-8202 FAC PAGE 5

NOTICE Annual Statements of Financial Interests are due July 1 If the annual form is not filed or postmarked by September 1 an automatic fine of $25 for each day late will be imposed up to a maximum penalty of $1500 Failure to file also can result in removal from public office or employment [s 1123145 FS]

In addition failure to make any required disclosure constitutes grounds for and may be punished by one or more of the following disqualification from being on the ballot impeachment removal or suspension from office or employment demotion reduction in salary reprimand or a civil penalty not exceeding $10000 [s 112317 FS]

1) Elected public officials not serving in a political subdivision of thestate and any person appointed to fill a vacancy in such office unlessrequired to file full disclosure on Form 62) Appointed members of each board commission authority

or council having statewide jurisdiction excluding members of solelyadvisory bodies but including judicial nominating commission membersDirectors of Enterprise Florida Scripps Florida Funding Corporationand Career Source Florida and members of the Council on the SocialStatus of Black Men and Boys the Executive Director Governors and senior managers of Citizens Property Insurance CorporationGovernors and senior managers of Florida Workers Compensation JointUnderwriting Association board members of the Northeast Fla RegionalTransportation Commission board members of Triumph Gulf Coast Incboard members of Florida Is For Veterans Inc and members of theTechnology Advisory Council within the Agency for State Technology3) The Commissioner of Education members of the State Board

of Education the Board of Governors the local Boards of Trustees andPresidents of state universities and the Florida Prepaid College Board4) Persons elected to office in any political subdivision (such a s

municipalities counties and special districts) and any person appointedto fill a vacancy in such office unless required to file Form 65) Appointed members of the following boards councils

commissions authorities or other bodies of county municipality schooldistrict independent special district or other political subdivision thegoverning body of the subdivision community college or junior collegedistrict boards of trustees boards having the power to enforce local codeprovisions boards of adjustment community redevelopment agenciesplanning or zoning boards having the power to recommend create ormodify land planning or zoning within a political subdivision except forcitizen advisory committees technical coordinating committees andsimilar groups who only have the power to make recommendationsto planning or zoning boards and except for representatives of amilitary installation acting on behalf of all military installations within thatjurisdiction pension or retirement boards empowered to invest pensionor retirement funds or determine entitlement to or amount of pensions orother retirement benefits and the Pinellas County Construction LicensingBoard6) Any appointed member of a local government board who

is required to file a statement of financial interests by the appointingauthority or the enabling legislation ordinance or resolution creating theboard7) Persons holding any of these positions in local government

mayor county or city manager chief administrative employee or finance

director of a county municipality or other political subdivision countyor municipal attorney chief county or municipal building inspectorcounty or municipal water resources coordinator county or municipalpollution control director county or municipal environmental controldirector county or municipal administrator with power to grant or denya land development permit chief of police fire chief municipal clerkappointed district school superintendent community college presidentdistrict medical examiner purchasing agent (regardless of title) havingthe authority to make any purchase exceeding $35000 for the localgovernmental unit8) Officers and employees of entities serving as chief administrative

officer of a political subdivision9) Members of governing boards of charter schools operated by a

city or other public entity10) Employees in the office of the Governor or of a Cabinet member

who are exempt from the Career Service System excluding secretarialclerical and similar positions11) The following positions in each state department commission

board or council Secretary Assistant or Deputy Secretary ExecutiveDirector Assistant or Deputy Executive Director and anyone having thepower normally conferred upon such persons regardless of title12) The following positions in each state department or division

Director Assistant or Deputy Director Bureau Chief and any personhaving the power normally conferred upon such persons regardless oftitle13) Assistant State Attorneys Assistant Public Defenders criminal

conflict and civil regional counsel and assistant criminal conflict and civilregional counsel Public Counsel full-time state employees serving ascounsel or assistant counsel to a state agency administrative law judgesand hearing officers14) The Superintendent or Director of a state mental health institute

established for training and research in the mental health field or anymajor state institution or facility established for corrections trainingtreatment or rehabilitation15) State agency Business Managers Finance and Accounting

Directors Personnel Officers Grant Coordinators and purchasingagents (regardless of title) with power to make a purchase exceeding$3500016) The following positions in legislative branch agencies each

employee (other than those employed in maintenance clerical secretarial or similar positions and legislative assistants exemptedby the presiding officer of their house) and each employee of theCommission on Ethics

INSTRUCTIONS FOR COMPLETING FORM 1INTRODUCTORY INFORMATION (Top of Form) If your name mailing address public agency and position are already printed on the form you do not need to provide this information unless it should be changed To change any of this information write the correct information on the form and contact your agencys financial disclosure coordinator You can find your coordinator on the Commission on Ethics website wwwethicsstateflus NAME OF AGENCY The name of the governmental unit which you serve or served by which you are or were employed or for which you are a candidate DISCLOSURE PERIOD The ldquodisclosure periodrdquo for your report is the calendar year ending December 31 2019

OFFICE OR POSITION HELD OR SOUGHT The title of the office or position you hold are seeking or held during the disclosure period even if you have since left that position If you are a candidate for office or are a new employee or appointee check the appropriate boxPUBLIC RECORD The disclosure form and everythingattached to it is a public record Your Social Security Number is not required and you should redact it from any documents you file If you are an active or former officer or employee listed in Section 119071 FS whose home address is exempt from disclosure the Commission will maintain that confidentiality if you submit a written request

WHO MUST FILE FORM 1

CE FORM 1 - Effective January 1 2020 Incorporated by reference in Rule 34-8202 FAC PAGE 3

Examples PART E mdash LIABILITIES mdash You are the sole proprietor of a dry cleaning business from [Required by s 1123145(3)(b)4 FS]which you received more than 10 of your gross incomemdashan List the name and address of each creditor to whom you owed amount that was more than $1500 If only one customer a any amount that at any time during the disclosure period exceeded uniform rental company provided more than 10 of your dry your net worth You are not required to list the amount of any debt cleaning business you must list the name of the uniform rental or your net worth You do not have to disclose credit card and retail company its address and its principal business activity (uniform installment accounts taxes owed (unless reduced to a judgment) rentals) indebtedness on a life insurance policy owed to the company of mdash You are a 20 partner in a partnership that owns a shopping issuance or contingent liabilities A ldquocontingent liabilityrdquo is one mall and your partnership income exceeded the thresholds that will become an actual liability only when one or more future listed above You should list each tenant of the mall that events occur or fail to occur such as where you are liable only as provided more than 10 of the partnershiprsquos gross income and a guarantor surety or endorser on a promissory note If you are a the tenantrsquos address and principal business activity ldquoco-makerrdquo and are jointly liable or jointly and severally liable it is not

a contingent liability PART C mdash REAL PROPERTY Calculations To determine whether the debt exceeds your

[Required by s 1123145(3)(a)3 FS] net worth total all of your liabilities (including promissory notes mortgages credit card debts judgments against you etc) TheIn this part list the location or description of all real property in amount of the liability of a vehicle lease is the sum of any past-due Florida in which you owned directly or indirectly at any time during payments and all unpaid prospective lease payments Subtract the disclosure period in excess of 5 of the propertyrsquos value You the sum total of your liabilities from the value of all your assets are not required to list your residences You should list any vacation as calculated above for Part D This is your ldquonet worthrdquo List each homes if you derive income from them creditor to whom your debt exceeded this amount unless it is one of

Indirect ownership includes situations where you are a the types of indebtedness listed in the paragraph above (credit card beneficiary of a trust that owns the property as well as situations and retail installment accounts etc) Joint liabilities with others for where you own more than 5 of a partnership or corporation that which you are ldquojointly and severally liablerdquo meaning that you may owns the property The value of the property may be determined by be liable for either your part or the whole of the obligation should be the most recently assessed value for tax purposes in the absence included in your calculations at 100 of the amount owed of a more current appraisal

Example You owe $15000 to a bank for student loans $5000 The location or description of the property should be sufficient for credit card debts and $60000 (with spouse) to a savings to enable anyone who looks at the form to identify the property A and loan for a home mortgage Your home (owned by you and street address should be used if one exists your spouse) is worth $80000 and your other property is worth PART D mdash INTANGIBLE PERSONAL PROPERTY $20000 Since your net worth is $20000 ($100000 minus

$80000) you must report only the name and address of the [Required by s 1123145(3)(a)3 FS] savings and loan Describe any intangible personal property that at any time

during the disclosure period was worth more than 10 of your PART F mdash INTERESTS IN SPECIFIED BUSINESSES total assets and state the business entity to which the property [Required by s 1123145 FS] related Intangible personal property includes things such as cash on hand stocks bonds certificates of deposit vehicle leases The types of businesses covered in this disclosure include interests in businesses beneficial interests in trusts money owed state and federally chartered banks state and federal savings and you Deferred Retirement Option Program (DROP) accounts loan associations cemetery companies insurance companies the Florida Prepaid College Plan and bank accounts Intangible mortgage companies credit unions small loan companies alcoholic personal property also includes investment products held in IRAs beverage licensees pari-mutuel wagering companies utilitybrokerage accounts and the Florida College Investment Plan companies entities controlled by the Public Service Commission Note that the product contained in a brokerage account IRA or the and entities granted a franchise to operate by either a city or a Florida College Investment Plan is your assetmdashnot the account or county governmentplan itself Things like automobiles and houses you own jewelry Disclose in this part the fact that you owned during the and paintings are not intangible property Intangibles relating to the disclosure period an interest in or held any of certain positions same business entity may be aggregated for example CDrsquos and with the types of businesses listed above You are requiredsavings accounts with the same bank to make this disclosure if you own or owned (either directly or

Calculations To determine whether the intangible property indirectly in the form of an equitable or beneficial interest) at any exceeds 10 of your total assets total the fair market value of time during the disclosure period more than 5 of the total assets all of your assets (including real property intangible property and or capital stock of one of the types of business entities listed above tangible personal property such as jewelry furniture etc) When You also must complete this part of the form for each of these types making this calculation do not subtract any liabilities (debts) that of businesses for which you are or were at any time during themay relate to the property Multiply the total figure by 10 to arrive disclosure period an officer director partner proprietor or agent at the disclosure threshold List only the intangibles that exceed (other than a resident agent solely for service of process) this threshold amount The value of a leased vehicle is the vehiclersquos If you have or held such a position or ownership interest in present value minus the lease residual (a number which can be one of these types of businesses list the name of the business its found on the lease document) Property that is only jointly owned address and principal business activity and the position held with property should be valued according to the percentage of your the business (if any) If you own(ed) more than a 5 interest in the joint ownership Property owned as tenants by the entirety or as business indicate that fact and describe the nature of your interest joint tenants with right of survivorship should be valued at 100 None of your calculations or the value of the property have to be PART G mdash TRAINING CERTIFICATIONdisclosed on the form

[Required by s 1123142 FS] Example You own 50 of the stock of a small corporation that is worth $100000 the estimated fair market value of If you are a Constitutional or elected municipal officer whoseyour home and other property (bank accounts automobile service began before March 31 of the year for which you are filing furniture etc) is $200000 As your total assets are worth you are required to complete four hours of ethics training which $250000 you must disclose intangibles worth over $25000 addresses Article II Section 8 of the Florida Constitution the Code Since the value of the stock exceeds this threshold you of Ethics for Public Officers and Employees and the public records should list ldquostockrdquo and the name of the corporation If your and open meetings laws of the state You are required to certify on accounts with a particular bank exceed $25000 you should this form that you have taken such training list ldquobank accountsrdquo and bankrsquos name

(

End of Percentage Thresholds Instructions) CE FORM 1 - Effective January 1 2020 Incorporated by reference in Rule 34-8202 FAC PAGE 6

  • 0 HP Cover Page v2
  • 1 Hawks Point Meeting Invite Draft v2
  • 2 Agenda Draft v3
  • 3 EXHIBIT 1
  • 7 HP 05-19-2020 Meeting Minutes Approved
  • 6 EXHIBIT 2
  • 9 HP May FY20 Fin
  • 8 EXHIBIT 3
  • 4 Vacant Position Qualification Requirements for Hawks Point CDD
    • Vacant Position on the Board of Supervisors of the Hawkrsquos Point Community Development District
      • Qualification Requirements
      • Instructions for Interested Candidates
      • Additional Notes
          • 5 Shami Choon Vacant Position - updated 11-5-11 resume
            • 1803 Oak Pond Street Ruskin Fl 33570 E-mailchoons27gmailcom
              • PROFESSIONAL HISTORY
                • Operations Manager Florida Distribution 2002 ndash 2005
                • Operations Manager for Florida Branch Distribution 1999 ndash 2002
                • Warehouse Manager of Miami Distribution Center 1998 ndash 1999
                • Branch Manager of West Palm Beach 1994 ndash 1998
                • Assistant Branch Manager 1991 ndash 1994
                • Customer Service Agent 1990 ndash 1991
                  • 10 EXHIBIT 4
                  • 11 New Business - Hawks Point CDD - MI proposal
                  • 12 EXHIBIT 5
                  • 13 CertaPro Proposal to Paint Exterior Wall 18th to 24th Avenue
                  • 14 Shazam Construction Proposal to Paint Exterior Wall 18th to 24th Street
                    • QUOTE
                      • TO
                          • 15 Photo to accompany Shazam Proposal
                          • 16 EXHIBIT 6
                          • 17 CertaPro Proposal for Pressure Washing Exterior Wall 18th St to 24th Street
                          • 18 Shazam Construction Proposal for Pressure Washing Exterion Wall 18th Street to 24th Street
                            • QUOTE
                              • TO
                                  • 19 EXHIBIT 7
                                  • 20 Form 1_2019i
                                      1. LAST NAME
                                      2. FIRST NAME
                                      3. MIDDLE NAME
                                      4. MAILING ADDRESS ROW 1
                                      5. MAILING ADDRESS ROW 2
                                      6. CITY
                                      7. ZIP
                                      8. COUNTY
                                      9. NAME OF AGENCY
                                      10. NAME OF OFFICE OR POSITION HELD OR SOUGHT
                                      11. CANDIDATE Off
                                      12. NEW EMPLOYEE OR APPOINTEE Off
                                      13. COMPARATIVE (PERCENTAGE) THRESHOLDS Off
                                      14. DOLLAR VALUE THRESHOLDS Off
                                      15. NAME OF SOURCE INCOME ROW 1
                                      16. ADDRESS ROW 1
                                      17. DESCRIPTION OF THE SOURCES PRINCIPAL BUSINESS ACTIVITY ROW 1
                                      18. NAME OF SOURCE INCOME ROW 2
                                      19. ADDRESS ROW 2
                                      20. DESCRIPTION OF THE SOURCES PRINCIPAL BUSINESS ACTIVITY ROW 2
                                      21. NAME OF SOURCE INCOME ROW 3
                                      22. ADDRESS ROW 3
                                      23. DESCRIPTION OF THE SOURCES PRINCIPAL BUSINESS ACTIVITY ROW 3
                                      24. NAME OF SOURCE INCOME ROW 4
                                      25. ADDRESS ROW 4
                                      26. DESCRIPTION OF THE SOURCES PRINCIPAL BUSINESS ACTIVITY ROW 4
                                      27. NAME OF BUSINESS ENTITY ROW 1
                                      28. NAME OF MAJOR SOURCES OF BUSINESS INCOME ROW 1
                                      29. ADDRESS OF SOURCE ROW 1
                                      30. PRINCIPAL BUSINESS ACTIVITY OF SOURCE ROW 1
                                      31. NAME OF BUSINESS ENTITY ROW 2
                                      32. NAME OF MAJOR SOURCES OF BUSINESS INCOME ROW 2
                                      33. ADDRESS OF SOURCE ROW 2
                                      34. PRINCIPAL BUSINESS ACTIVITY OF SOURCE ROW 2
                                      35. NAME OF BUSINESS ENTITY ROW 3
                                      36. NAME OF MAJOR SOURCES OF BUSINESS INCOME ROW 3
                                      37. ADDRESS OF SOURCE ROW 3
                                      38. PRINCIPAL BUSINESS ACTIVITY OF SOURCE ROW 3
                                      39. REAL PROPERTY ROW 1
                                      40. REAL PROPERTY ROW 2
                                      41. REAL PROPERTY ROW 3
                                      42. REAL PROPERTY ROW 4
                                      43. TYPE OF INTANGIBLE ROW 1
                                      44. BUSINESS ENTITY TO WHICH THE PROPERTY RELATES ROW 1
                                      45. TYPE OF INTANGIBLE ROW 2
                                      46. BUSINESS ENTITY TO WHICH THE PROPERTY RELATES ROW 2
                                      47. NAME OF CREDITOR ROW 1
                                      48. ADDRESS OF CREDITOR ROW 1
                                      49. NAME OF CREDITOR ROW 2
                                      50. ADDRESS OF CREDITOR ROW 2
                                      51. ADDRESS OF BUSINESS ENTITY 1
                                      52. PRINCIPAL BUSINESS ACTIVITY 1
                                      53. POSITION HELD WITH ENTITY 1
                                      54. I OWN MORE THAN A 5 INTEREST IN THE BUSINESS 1
                                      55. NATURE OF MY OWNERSHIP INTEREST 1
                                      56. ADDRESS OF BUSINESS ENTITY 2
                                      57. PRINCIPAL BUSINESS ACTIVITY 2
                                      58. POSITION HELD WITH ENTITY 2
                                      59. I OWN MORE THAN A 5 INTEREST IN THE BUSINESS 2
                                      60. NATURE OF MY OWNERSHIP INTEREST 2
                                      61. FOR ELECTED MUNICIPAL OFFICERS REQUIRED TO COMPLETE ANNUAL ETHICS TRAINING PURSUANT TO SECTION 112
                                        1. 3142 F
                                          1. S Off
                                              1. IF ANY OF PARTS A THROUGH G ARE CONTINUED ON A SEPARATE SHEET PLEASE CHECK HERE Off
                                              2. SIGNATURE
                                              3. Date Signed
Page 31: HAWKS POINT COMMUNITY DEVELOPMENT …...2020/06/16  · Hawks Point Community Development District Board of Supervisors Meeting Tuesday, June 16th at 6:30 PM via Zoom All: We welcome

EXHIBIT 6

Independent Franchise Owner Job TB443B00157 Terry Beamer 9266 Lazy Ln

Date 06052020

EXTERIOR PROPOSALEXTERIOR PROPOSALEXTERIOR PROPOSALEXTERIOR PROPOSAL Tampa FL 33614 813-936-9242

Fax 813 936-9172

1-800-462-3782

License PA2508

Full Workers Compensation Coverage$2000000 General Liability Insurance

DPFG Management amp Consulting LLC (Hawks Point) Raymond Lotito (SB) Hawks Point CDD Ruskin FL 33570 Phone 813-418-7473 Cell 813-220-6089 Email raymondlotitodpfgcom

Special Notes CERTAPRO PAINTERS PRESSURE WASHING PROPOSAL 18TH-24TH

CERTAPRO PAINTERS WILL PRESSURE WASH WALL FACING 19TH ST ONLY

GENERAL DESCRIPTION Painting to

PREPARATION Washing To remove dirt mildew and loose paint so the new finish coat will adhere properly

PRIMING Surface TypeArea Primer Purpose

Clean Up Daily and upon completion

All Labor Paint Materials

TOTAL

$195000

$195000

Signature of Authorized Franchise Representative Date

Payment is due In Full upon Job Completion

(IWE HAVE READ THE TERMS STATED HEREIN THEY HAVE (IWE) HAVE EXAMINED THE JOB STATED HEREIN THEY EXPLAINED TO (MEUS) AND (IWE) FIND THEM TO BE HAVE SHOWN TO (MEUS) AND (IWE) FIND THE JOB TO SATISFACTORY AND HEREBY ACCEPT THEM BE SATISFACTORY AND HEREBY ACCEPT THE JOB AS

COMPLETE

SIGNATURE Date SIGNATURE Date

QUOTE

Shazam Construction LLC DATE JUNE 5 2020

Shazam Hera 6773 Waterton Drive Riverview FL 33578 813-385-4591 ShazamConstructionLLCgmailcom Hawks Point CDD

TO Bill to Development Planning and Financing Group 15310 Amberly Drive Suite 175 Tampa FL 33647

QUANITY DESCRIPTION UNIT PRICE LINE TOTAL

Pressure wash the wall that parallels 19th avenue from 18th street to 24th street in Hawks Point CDD in Ruskin

$160000

All materials and labor is included

SUBTOTAL

SALES TAX

TOTAL $160000

Make all checks payable to Shazam Construction LLC

THANK YOU FOR YOUR BUSINESS

EXHIBIT 7

2019FORM 1 STATEMENT OF

Please print or type your name mailing FOR OFFICE USE ONLY FINANCIAL INTERESTS address agency name and position below

LAST NAME -- FIRST NAME -- MIDDLE NAME

MAILING ADDRESS

CITY ZIP COUNTY

NAME OF AGENCY

NAME OF OFFICE OR POSITION HELD OR SOUGHT

CHECK ONLY IF CANDIDATE OR NEW EMPLOYEE OR APPOINTEE

THIS SECTION MUST BE COMPLETED DISCLOSURE PERIOD THIS STATEMENT REFLECTS YOUR FINANCIAL INTERESTS FOR CALENDAR YEAR ENDING DECEMBER 31 2019

MANNER OF CALCULATING REPORTABLE INTERESTS FILERS HAVE THE OPTION OF USING REPORTING THRESHOLDS THAT ARE ABSOLUTE DOLLAR VALUES WHICH REQUIRES FEWER CALCULATIONS OR USING COMPARATIVE THRESHOLDS WHICH ARE USUALLY BASED ON PERCENTAGE VALUES (see instructions for further details) CHECK THE ONE YOU ARE USING (must check one)

COMPARATIVE (PERCENTAGE) THRESHOLDS OR DOLLAR VALUE THRESHOLDS

PART A -- PRIMARY SOURCES OF INCOME [Major sources of income to the reporting person - See instructions] (If you have nothing to report write none or na)

NAME OF SOURCE SOURCES DESCRIPTION OF THE SOURCES OF INCOME ADDRESS PRINCIPAL BUSINESS ACTIVITY

PART B -- SECONDARY SOURCES OF INCOME [Major customers clients and other sources of income to businesses owned by the reporting person - See instructions] (If you have nothing to report write none or na)

NAME OF NAME OF MAJOR SOURCES ADDRESS PRINCIPAL BUSINESS BUSINESS ENTITY OF BUSINESS INCOME OF SOURCE ACTIVITY OF SOURCE

PART C -- REAL PROPERTY [Land buildings owned by the reporting person - See instructions] You are not limited to the space on the (If you have nothing to report write none or na) lines on this form Attach additional

sheets if necessary

FILING INSTRUCTIONS for when and where to file this form are located at the bottom of page 2

INSTRUCTIONS on who must file this form and how to fill it out begin on page 3

CE FORM 1 - Effective January 1 2020 (Continued on reverse side) PAGE 1 Incorporated by reference in Rule 34-8202(1) FAC

FILING INSTRUCTIONS

IF ANY OF PARTS A THROUGH G ARE CONTINUED ON A SEPARATE SHEET PLEASE CHECK HERE

PART D mdash INTANGIBLE PERSONAL PROPERTY [Stocks bonds certificates of deposit etc - See instructions] (If you have nothing to report write none or na) TYPE OF INTANGIBLE BUSINESS ENTITY TO WHICH THE PROPERTY RELATES

PART E mdash LIABILITIES [Major debts - See instructions] (If you have nothing to report write none or na)

NAME OF CREDITOR ADDRESS OF CREDITOR

PART F mdash INTERESTS IN SPECIFIED BUSINESSES [Ownership or positions in certain types of businesses - See instructions] (If you have nothing to report write none or na)

BUSINESS ENTITY 1 BUSINESS ENTITY 2

NAME OF BUSINESS ENTITY

ADDRESS OF BUSINESS ENTITY

PRINCIPAL BUSINESS ACTIVITY

POSITION HELD WITH ENTITY

I OWN MORE THAN A 5 INTEREST IN THE BUSINESS

NATURE OF MY OWNERSHIP INTEREST

If you were mailed the form by the Commission on Ethics or a County Supervisor of Elections for your annual disclosure filing return the form to that location To determine what category your position falls under see page 3 of instructions Local officersemployees file with the Supervisor of Elections of the county in which they permanently reside (If you do not permanently reside in Florida file with the Supervisor of the county where your agency has its headquarters) Form 1 filers who file with the Supervisor of Elections may file by mail or email Contact your Supervisor of Elections for the mailing address or email address to use Do not email your form to the Commission on Ethics it will be returned State officers or specified state employees who file with the Commission on Ethics may file by mail or email To file by mail send the completed form to PO Drawer 15709 Tallahassee FL32317-5709 physical address 325 John Knox Rd Bldg E Ste 200 Tallahassee FL 32303 To file with the Commission by email scan your completed form and any attachments as a pdf (do not use any other format) send it to CEForm1legstateflus and retain a copy for your records Do not file by both mail and email Choose only one filing method Form 6s will not be accepted via email

Candidates file this form together with their filing papers MULTIPLE FILING UNNECESSARY A candidate who files a Form 1 with a qualifying officer is not required to file with the Commission or Supervisor of Elections WHEN TO FILE Initially each local officeremployee state officer and specified state employee must file within 30 days of the date of his or her appointment or of the beginning of employment Appointees who must be confirmed by the Senate must file prior to confirmation even if that is less than 30 days from the date of their appointment Candidates must file at the same time they file their qualifying papers Thereafter file by July 1 following each calendar year in which they hold their positions Finally file a final disclosure form (Form 1F) within 60 days of leaving office or employment Filing a CE Form 1F (Final Statement of Financial Interests) does not relieve the filer of filing a CE Form 1 if the filer was in his or her position on December 31 2019

SIGNATURE OF FILER Signature

____________________________________________

Date Signed

____________________________________________

CPA or ATTORNEY SIGNATURE ONLY If a certified public accountant licensed under Chapter 473 or attorney in good standing with the Florida Bar prepared this form for you he or she must complete the following statement

I _______________________________________ prepared the CE Form 1 in accordance with Section 1123145 Florida Statutes and the instructions to the form Upon my reasonable knowledge and belief the disclosure herein is true and correct

CPAAttorney Signature ______________________________

Date Signed _______________________________________

PART G mdash TRAINING For elected municipal officers required to complete annual ethics training pursuant to section 1123142 FS

I CERTIFY THAT I HAVE COMPLETED THE REQUIRED TRAINING

CE FORM 1 - Effective January 1 2020 PAGE 2 Incorporated by reference in Rule 34-8202(1) FAC

Examplesmdash You are the sole proprietor of a dry cleaning business fromwhich you received more than 10 of your gross incomemdashanamount that was more than $1500 If only one customer auniform rental company provided more than 10 of your drycleaning business you must list the name of the uniform rentalcompany its address and its principal business activity (uniform rentals) mdash You are a 20 partner in a partnership that owns a shopping mall and your partnership income exceeded the thresholds listed above You should list each tenant of the mall that provided more than 10 of the partnershiprsquos gross income and the tenantrsquos address and principal business activity

PART C mdash REAL PROPERTY[Required by s 1123145(3)(a)3 FS]In this part list the location or description of all real property in

Florida in which you owned directly or indirectly at any time during the disclosure period in excess of 5 of the propertyrsquos value You are not required to list your residences You should list any vacation homes if you derive income from them

Indirect ownership includes situations where you are abeneficiary of a trust that owns the property as well as situations where you own more than 5 of a partnership or corporation thatowns the property The value of the property may be determined by the most recently assessed value for tax purposes in the absence of a more current appraisal

The location or description of the property should be sufficient to enable anyone who looks at the form to identify the property Astreet address should be used if one exists PART D mdash INTANGIBLE PERSONAL PROPERTY

[Required by s 1123145(3)(a)3 FS]Describe any intangible personal property that at any time

during the disclosure period was worth more than 10 of your total assets and state the business entity to which the property related Intangible personal property includes things such as cash on hand stocks bonds certificates of deposit vehicle leases interests in businesses beneficial interests in trusts money owed you Deferred Retirement Option Program (DROP) accounts the Florida Prepaid College Plan and bank accounts Intangiblepersonal property also includes investment products held in IRAs brokerage accounts and the Florida College Investment Plan Note that the product contained in a brokerage account IRA or the Florida College Investment Plan is your assetmdashnot the account or plan itself Things like automobiles and houses you own jewelryand paintings are not intangible property Intangibles relating to the same business entity may be aggregated for example CDrsquos and savings accounts with the same bank

Calculations To determine whether the intangible property exceeds 10 of your total assets total the fair market value of all of your assets (including real property intangible property and tangible personal property such as jewelry furniture etc) When making this calculation do not subtract any liabilities (debts) that may relate to the property Multiply the total figure by 10 to arrive at the disclosure threshold List only the intangibles that exceed this threshold amount The value of a leased vehicle is the vehiclersquos present value minus the lease residual (a number which can be found on the lease document) Property that is only jointly owned property should be valued according to the percentage of your joint ownership Property owned as tenants by the entirety or as joint tenants with right of survivorship should be valued at 100 None of your calculations or the value of the property have to be disclosed on the form

Example You own 50 of the stock of a small corporation that is worth $100000 the estimated fair market value of your home and other property (bank accounts automobile furniture etc) is $200000 As your total assets are worth $250000 you must disclose intangibles worth over $25000 Since the value of the stock exceeds this threshold you should list ldquostockrdquo and the name of the corporation If your accounts with a particular bank exceed $25000 you should list ldquobank accountsrdquo and bankrsquos name

PART E mdash LIABILITIES[Required by s 1123145(3)(b)4 FS]List the name and address of each creditor to whom you owed

any amount that at any time during the disclosure period exceeded your net worth You are not required to list the amount of any debt or your net worth You do not have to disclose credit card and retail installment accounts taxes owed (unless reduced to a judgment) indebtedness on a life insurance policy owed to the company of issuance or contingent liabilities A ldquocontingent liabilityrdquo is one that will become an actual liability only when one or more future events occur or fail to occur such as where you are liable only as a guarantor surety or endorser on a promissory note If you are a ldquoco-makerrdquo and are jointly liable or jointly and severally liable it is not a contingent liability

Calculations To determine whether the debt exceeds your net worth total all of your liabilities (including promissory notes mortgages credit card debts judgments against you etc) Theamount of the liability of a vehicle lease is the sum of any past-due payments and all unpaid prospective lease payments Subtract the sum total of your liabilities from the value of all your assets as calculated above for Part D This is your ldquonet worthrdquo List each creditor to whom your debt exceeded this amount unless it is one of the types of indebtedness listed in the paragraph above (credit card and retail installment accounts etc) Joint liabilities with others for which you are ldquojointly and severally liablerdquo meaning that you may be liable for either your part or the whole of the obligation should be included in your calculations at 100 of the amount owed

Example You owe $15000 to a bank for student loans $5000 for credit card debts and $60000 (with spouse) to a savings and loan for a home mortgage Your home (owned by you and your spouse) is worth $80000 and your other property is worth $20000 Since your net worth is $20000 ($100000 minus $80000) you must report only the name and address of the savings and loan

PART F mdash INTERESTS IN SPECIFIED BUSINESSES[Required by s 1123145 FS]The types of businesses covered in this disclosure include

state and federally chartered banks state and federal savings and loan associations cemetery companies insurance companies mortgage companies credit unions small loan companies alcoholic beverage licensees pari-mutuel wagering companies utilitycompanies entities controlled by the Public Service Commission and entities granted a franchise to operate by either a city or acounty government

Disclose in this part the fact that you owned during the disclosure period an interest in or held any of certain positions with the types of businesses listed above You are required to make this disclosure if you own or owned (either directly orindirectly in the form of an equitable or beneficial interest) at any time during the disclosure period more than 5 of the total assets or capital stock of one of the types of business entities listed above You also must complete this part of the form for each of these types of businesses for which you are or were at any time during thedisclosure period an officer director partner proprietor or agent (other than a resident agent solely for service of process)

If you have or held such a position or ownership interest in one of these types of businesses list the name of the business its address and principal business activity and the position held with the business (if any) If you own(ed) more than a 5 interest in the business indicate that fact and describe the nature of your interest

PART G mdash TRAINING CERTIFICATION[Required by s 1123142 FS]If you are a Constitutional or elected municipal officer whose

service began before March 31 of the year for which you are filing you are required to complete four hours of ethics training which addresses Article II Section 8 of the Florida Constitution the Code of Ethics for Public Officers and Employees and the public records and open meetings laws of the state You are required to certify on this form that you have taken such training (End of Percentage Thresholds Instructions)

CE FORM 1 - Effective January 1 2020 Incorporated by reference in Rule 34-8202 FAC PAGE 6

NOTICE Annual Statements of Financial Interests are due July 1 If the annual form is not filed or postmarked by September 1 an automatic fine of $25 for each day late will be imposed up to a maximum penalty of $1500 Failure to file also can result in removal from public office or employment [s 1123145 FS]

In addition failure to make any required disclosure constitutes grounds for and may be punished by one or more of the following disqualification from being on the ballot impeachment removal or suspension from office or employment demotion reduction in salary reprimand or a civil penalty not exceeding $10000 [s 112317 FS]

WHO MUST FILE FORM 1 1) Elected public officials not serving in a political subdivision of the

state and any person appointed to fill a vacancy in such office unlessrequired to file full disclosure on Form 62) Appointed members of each board commission authority

or council having statewide jurisdiction excluding members of solelyadvisory bodies but including judicial nominating commission membersDirectors of Enterprise Florida Scripps Florida Funding Corporationand Career Source Florida and members of the Council on the Social Status of Black Men and Boys the Executive Director Governors and senior managers of Citizens Property Insurance CorporationGovernors and senior managers of Florida Workers Compensation JointUnderwriting Association board members of the Northeast Fla RegionalTransportation Commission board members of Triumph Gulf Coast Incboard members of Florida Is For Veterans Inc and members of the Technology Advisory Council within the Agency for State Technology3) The Commissioner of Education members of the State Board

of Education the Board of Governors the local Boards of Trustees and Presidents of state universities and the Florida Prepaid College Board 4) Persons elected to office in any political subdivision (such as

municipalities counties and special districts) and any person appointedto fill a vacancy in such office unless required to file Form 65) Appointed members of the following boards councils

commissions authorities or other bodies of county municipality schooldistrict independent special district or other political subdivision thegoverning body of the subdivision community college or junior collegedistrict boards of trustees boards having the power to enforce local codeprovisions boards of adjustment community redevelopment agenciesplanning or zoning boards having the power to recommend create ormodify land planning or zoning within a political subdivision except forcitizen advisory committees technical coordinating committees andsimilar groups who only have the power to make recommendationsto planning or zoning boards and except for representatives of a military installation acting on behalf of all military installations within thatjurisdiction pension or retirement boards empowered to invest pensionor retirement funds or determine entitlement to or amount of pensions orother retirement benefits and the Pinellas County Construction LicensingBoard 6) Any appointed member of a local government board who

is required to file a statement of financial interests by the appointingauthority or the enabling legislation ordinance or resolution creating theboard 7) Persons holding any of these positions in local government

mayor county or city manager chief administrative employee or finance

director of a county municipality or other political subdivision county or municipal attorney chief county or municipal building inspectorcounty or municipal water resources coordinator county or municipalpollution control director county or municipal environmental control director county or municipal administrator with power to grant or denya land development permit chief of police fire chief municipal clerkappointed district school superintendent community college presidentdistrict medical examiner purchasing agent (regardless of title) havingthe authority to make any purchase exceeding $35000 for the localgovernmental unit8) Officers and employees of entities serving as chief administrative

officer of a political subdivision9) Members of governing boards of charter schools operated by a

city or other public entity10) Employees in the office of the Governor or of a Cabinet member

who are exempt from the Career Service System excluding secretarialclerical and similar positions11) The following positions in each state department commission

board or council Secretary Assistant or Deputy Secretary ExecutiveDirector Assistant or Deputy Executive Director and anyone having thepower normally conferred upon such persons regardless of title12) The following positions in each state department or division

Director Assistant or Deputy Director Bureau Chief and any personhaving the power normally conferred upon such persons regardless oftitle 13) Assistant State Attorneys Assistant Public Defenders criminal

conflict and civil regional counsel and assistant criminal conflict and civilregional counsel Public Counsel full-time state employees serving ascounsel or assistant counsel to a state agency administrative law judgesand hearing officers14) The Superintendent or Director of a state mental health institute

established for training and research in the mental health field or anymajor state institution or facility established for corrections trainingtreatment or rehabilitation 15) State agency Business Managers Finance and Accounting

Directors Personnel Officers Grant Coordinators and purchasingagents (regardless of title) with power to make a purchase exceeding$35000 16) The following positions in legislative branch agencies each

employee (other than those employed in maintenance clerical secretarial or similar positions and legislative assistants exempted by the presiding officer of their house) and each employee of theCommission on Ethics

INSTRUCTIONS FOR COMPLETING FORM 1 INTRODUCTORY INFORMATION (Top of Form) If your name mailing address public agency and position are already printed on the form you do not need to provide this information unless it should be changed To change any of this information write the correct information on the form and contact your agencys financial disclosure coordinator You can find your coordinator on the Commission on Ethics website wwwethics stateflus NAME OF AGENCY The name of the governmental unit which you serve or served by which you are or were employed or for which you are a candidate DISCLOSURE PERIOD The ldquodisclosure periodrdquo for your report is the calendar year ending December 31 2019

OFFICE OR POSITION HELD OR SOUGHT The title of the office or position you hold are seeking or held during the disclosure period even if you have since left that position If you are a candidate for office or are a new employee or appointee check the appropriate box PUBLIC RECORD The disclosure form and everythingattached to it is a public record Your Social Security Number is not required and you should redact it from any documents you file If you are an active or former officer or employee listed in Section 119071 FS whose home address is exempt from disclosure the Commission will maintain that confidentiality if you submit a written request

CE FORM 1 - Effective January 1 2020 Incorporated by reference in Rule 34-8202 FAC PAGE 3

PART E mdash LIABILITIES[Required by s 1123145(3)(b)4 FS]List the name and address of each creditor to whom you owed more

than $10000 at any time during the disclosure period The amount of theliability of a vehicle lease is the sum of any past-due payments and allunpaid prospective lease payments You are not required to list the amountof any debt You do not have to disclose credit card and retail installmentaccounts taxes owed (unless reduced to a judgment) indebtedness ona life insurance policy owed to the company of issuance or contingentliabilities A ldquocontingent liabilityrdquo is one that will become an actual liabilityonly when one or more future events occur or fail to occur such as whereyou are liable only as a guarantor surety or endorser on a promissorynote If you are a ldquoco-makerrdquo and are jointly liable or jointly and severallyliable then it is not a contingent liability

PART F mdash INTERESTS IN SPECIFIED BUSINESSES[Required by s 1123145(6) FS]The types of businesses covered in this disclosure include state and

federally chartered banks state and federal savings and loan associationscemetery companies insurance companies mortgage companies creditunions small loan companies alcoholic beverage licensees pari-mutuelwagering companies utility companies entities controlled by the PublicService Commission and entities granted a franchise to operate by either acity or a county government

Disclose in this part the fact that you owned during the disclosure period aninterest in or held any of certain positions with the types of businesses listedabove You must make this disclosure if you own or owned (either directly orindirectly in the form of an equitable or beneficial interest) at any time duringthe disclosure period more than 5 of the total assets or capital stock ofone of the types of business entities listed above You also must completethis part of the form for each of these types of businesses for which youare or were at any time during the disclosure period an officer directorpartner proprietor or agent (other than a resident agent solely for service ofprocess)

If you have or held such a position or ownership interest in one ofthese types of businesses list the name of the business its address andprincipal business activity and the position held with the business (if any) Ifyou own(ed) more than a 5 interest in the business indicate that fact anddescribe the nature of your interest

PART G mdash TRAINING CERTIFICATION[Required by s 1123142 FS]If you are a Constitutional or elected municipal officer whose

service began before March 31 of the year for which you are filingyou are required to complete four hours of ethics training which addresses Article II Section 8 of the Florida Constitution the Codeof Ethics for Public Officers and Employees and the public recordsand open meetings laws of the state You are required to certify onthis form that you have taken such training

(End of Dollar Value Thresholds Instructions)

PART A mdash PRIMARY SOURCES OF INCOME[Required by s 1123145(3)(a)1 FS]Part A is intended to require the disclosure of your principal

sources of income during the disclosure period You do not haveto disclose any public salary or public position(s) but income from these public sources should be included when calculating your gross income for the disclosure period The income of your spouse need not be disclosed however if there is joint income to you and your spouse from property you own jointly (such as interest or dividends from a bank account or stocks) you should include all of that income when calculating your gross income and disclose the source of that income if it exceeded the threshold

Please list in this part of the form the name address and principal business activity of each source of your income whichexceeded 5 of the gross income received by you in your own name or by any other person for your benefit or use during the disclosure period

Gross income means the same as it does for income tax purposes even if the income is not actually taxable such as interest on tax-free bonds Examples include compensation for servicesincome from business gains from property dealings interest rents dividends pensions IRA distributions social security distributive share of partnership gross income and alimony but not child support

Examplesmdash If you were employed by a company that manufactures computers and received more than 5 of your gross income from the company list the name of the company its address and its principal business activity (computer manufacturing)mdash If you were a partner in a law firm and your distributive share of partnership gross income exceeded 5 of your gross income then list the name of the firm its address and its principal business activity (practice of law)mdash If you were the sole proprietor of a retail gift business andyour gross income from the business exceeded 5 of your total gross income list the name of the business its addressand its principal business activity (retail gift sales)mdash If you received income from investments in stocks and bonds list each individual company from which you derived

more than 5 of your gross income Do not aggregate all of your investment incomemdash If more than 5 of your gross income was gain from the sale of property (not just the selling price) list as a source of income the purchaserrsquos name address and principal business activityIf the purchasers identity is unknown such as where securities listed on an exchange are sold through a brokerage firm the source of income should be listed as sale of (name of company)stock for examplemdash If more than 5 of your gross income was in the form of interest from one particular financial institution (aggregatinginterest from all CDrsquos accounts etc at that institution) list the name of the institution its address and its principal business activity

PART B mdash SECONDARY SOURCES OF INCOME[Required by s 1123145(3)(a)2 FS]This part is intended to require the disclosure of major customers

clients and other sources of income to businesses in which you ownan interest It is not for reporting income from second jobs That kindof income should be reported in Part A Primary Sources of Incomeif it meets the reporting threshold You will not have anything to reportunless during the disclosure period

(1) You owned (either directly or indirectly in the form of anequitable or beneficial interest) more than 5 of the total assetsor capital stock of a business entity (a corporation partnershipLLC limited partnership proprietorship joint venture trust firmetc doing business in Florida) and(2) You received more than 10 of your gross income from thatbusiness entity and(3) You received more than $1500 in gross income from thatbusiness entity

If your interests and gross income exceeded these thresholds thenfor that business entity you must list every source of income to thebusiness entity which exceeded 10 of the business entityrsquos grossincome (computed on the basis of the business entityrsquos most recentlycompleted fiscal year) the sourcersquos address and the sourcersquosprincipal business activity

IF YOU HAVE CHOSEN COMPARATIVE (PERCENTAGE) THRESHOLDSTHE FOLLOWING INSTRUCTIONS APPLY

CE FORM 1 - Effective January 1 2020 Incorporated by reference in Rule 34-8202 FAC PAGE 5

MANNER OF CALCULATING REPORTABLE INTEREST Filers have the option of reporting based on either thresholds that are comparative (usually based on percentage values) or thresholds that are based on absolute dollar values The instructions on the following pages specifically describe the different thresholds Check the box that reflects the choice you have made You must use the type of threshold you have chosen for each part of the form In other words if you choose to report based on absolute dollar value thresholds you cannot use a percentage threshold on any part of the form

IF YOU HAVE CHOSEN DOLLAR VALUE THRESHOLDS THE FOLLOWING INSTRUCTIONS APPLY

PART A mdash PRIMARY SOURCES OF INCOME [Required by s 1123145(3)(b)1 FS] Part A is intended to require the disclosure of your principal

sources of income during the disclosure period You do not have todisclose any public salary or public position(s) The income of yourspouse need not be disclosed however if there is joint income toyou and your spouse from property you own jointly (such as interestor dividends from a bank account or stocks) you should disclose thesource of that income if it exceeded the threshold

Please list in this part of the form the name address andprincipal business activity of each source of your income whichexceeded $2500 of gross income received by you in your own name or by any other person for your use or benefit

Gross income means the same as it does for income tax purposes even if the income is not actually taxable such as interest on tax-free bonds Examples include compensation for servicesincome from business gains from property dealings interest rentsdividends pensions IRA distributions social security distributive share of partnership gross income and alimony but not child support

Examples mdash If you were employed by a company that manufacturescomputers and received more than $2500 list the name of thecompany its address and its principal business activity (computermanufacturing) mdash If you were a partner in a law firm and your distributive shareof partnership gross income exceeded $2500 list the name ofthe firm its address and its principal business activity (practice oflaw) mdash If you were the sole proprietor of a retail gift business and yourgross income from the business exceeded $2500 list the nameof the business its address and its principal business activity(retail gift sales) mdash If you received income from investments in stocks and bondslist each individual company from which you derived more than$2500 Do not aggregate all of your investment income mdash If more than $2500 of your gross income was gain from thesale of property (not just the selling price) list as a source ofincome the purchaserrsquos name address and principal businessactivity If the purchaserrsquos identity is unknown such as wheresecurities listed on an exchange are sold through a brokeragefirm the source of income should be listed as sale of (name of company) stock for example mdash If more than $2500 of your gross income was in the formof interest from one particular financial institution (aggregatinginterest from all CDrsquos accounts etc at that institution) list the name of the institution its address and its principal business activity

PART B mdash SECONDARY SOURCES OF INCOME [Required by s 1123145(3)(b)2 FS] This part is intended to require the disclosure of major customers

clients and other sources of income to businesses in which you own aninterest It is not for reporting income from second jobs That kind of incomeshould be reported in Part A Primary Sources of Income if it meets thereporting threshold You will not have anything to report unless during thedisclosure period

(1) You owned (either directly or indirectly in the form of an equitableor beneficial interest) more than 5 of the total assets or capitalstock of a business entity (a corporation partnership LLC limitedpartnership proprietorship joint venture trust firm etc doing business in Florida) and (2) You received more than $5000 of your gross income during thedisclosure period from that business entity

If your interests and gross income exceeded these thresholds then for thatbusiness entity you must list every source of income to the business entitywhich exceeded 10 of the business entityrsquos gross income (computed onthe basis of the business entitys most recently completed fiscal year) thesourcersquos address and the sources principal business activity

Examples mdash You are the sole proprietor of a dry cleaning business from whichyou received more than $5000 If only one customer a uniform rentalcompany provided more than 10 of your dry cleaning business youmust list the name of the uniform rental company its address and itsprincipal business activity (uniform rentals) mdash You are a 20 partner in a partnership that owns a shopping malland your partnership income exceeded the above thresholds List eachtenant of the mall that provided more than 10 of the partnershipsgross income and the tenants address and principal business activity

PART C mdash REAL PROPERTY [Required by s 1123145(3)(b)3 FS] In this part list the location or description of all real property in Florida

in which you owned directly or indirectly at any time during the disclosureperiod in excess of 5 of the propertyrsquos value You are not required to listyour residences You should list any vacation homes if you derive incomefrom them

Indirect ownership includes situations where you are a beneficiary of atrust that owns the property as well as situations where you own more than5 of a partnership or corporation that owns the property The value of theproperty may be determined by the most recently assessed value for taxpurposes in the absence of a more current appraisal

The location or description of the property should be sufficient toenable anyone who looks at the form to identify the property A streetaddress should be used if one exists

PART D mdash INTANGIBLE PERSONAL PROPERTY [Required by s 1123145(3)(b)3 FS] Describe any intangible personal property that at any time during the

disclosure period was worth more than $10000 and state the businessentity to which the property related Intangible personal property includesthings such as cash on hand stocks bonds certificates of deposit vehicleleases interests in businesses beneficial interests in trusts money owedyou Deferred Retirement Option Program (DROP) accounts the FloridaPrepaid College Plan and bank accounts Intangible personal propertyalso includes investment products held in IRAs brokerage accounts andthe Florida College Investment Plan Note that the product contained in a brokerage account IRA or the Florida College Investment Plan is yourassetmdashnot the account or plan itself Things like automobiles and housesyou own jewelry and paintings are not intangible property Intangiblesrelating to the same business entity may be aggregated for example CDsand savings accounts with the same bank Property owned as tenants bythe entirety or as joint tenants with right of survivorship should be valued at100 The value of a leased vehicle is the vehiclersquos present value minusthe lease residual (a number found on the lease document)

CE FORM 1 - Effective January 1 2020 Incorporated by reference in Rule 34-8202 FAC PAGE 4

PART A mdash PRIMARY SOURCES OF INCOME[Required by s 1123145(3)(b)1 FS]Part A is intended to require the disclosure of your principal

sources of income during the disclosure period You do not have todisclose any public salary or public position(s) The income of yourspouse need not be disclosed however if there is joint income t oyou and your spouse from property you own jointly (such as interestor dividends from a bank account or stocks) you should disclose thesource of that income if it exceeded the threshold

Please list in this part of the form the name address andprincipal business activity of each source of your income whichexceeded $2500 of gross income received by you in your own name or by any other person for your use or benefit

Gross income means the same as it does for income taxpurposes even if the income is not actually taxable such as intereston tax-free bonds Examples include compensation for servicesincome from business gains from property dealings interest rentsdividends pensions IRA distributions social security distributiveshare of partnership gross income and alimony but not child support

Examplesmdash If you were employed by a company that manufacturescomputers and received more than $2500 list the name of thecompany its address and its principal business activity (computermanufacturing)mdash If you were a partner in a law firm and your distributive shareof partnership gross income exceeded $2500 list the name ofthe firm its address and its principal business activity (practice oflaw)mdash If you were the sole proprietor of a retail gift business and yourgross income from the business exceeded $2500 list the nameof the business its address and its principal business activity(retail gift sales)mdash If you received income from investments in stocks and bondslist each individual company from which you derived more than$2500 Do not aggregate all of your investment incomemdash If more than $2500 of your gross income was gain from thesale of property (not just the selling price) list as a source o fincome the purchaserrsquos name address and principal businessactivity If the purchaserrsquos identity is unknown such as wheresecurities listed on an exchange are sold through a brokeragefirm the source of income should be listed as sale of (name of company) stock for examplemdash If more than $2500 of your gross income was in the formof interest from one particular financial institution (aggregatinginterest from all CDrsquos accounts etc at that institution) list thename of the institution its address and its principal business activity

PART B mdash SECONDARY SOURCES OF INCOME[Required by s 1123145(3)(b)2 FS]This part is intended to require the disclosure of major customers

clients and other sources of income to businesses in which you own aninterest It is not for reporting income from second jobs That kind of incomeshould be reported in Part A Primary Sources of Income if it meets thereporting threshold You will not have anything to report unless during thedisclosure period

(1) You owned (either directly or indirectly in the form of an equitableor beneficial interest) more than 5 of the total assets or capitalstock of a business entity (a corporation partnership LLC limitedpartnership proprietorship joint venture trust firm etc doing business in Florida) and(2) You received more than $5000 of your gross income during thedisclosure period from that business entity

If your interests and gross income exceeded these thresholds then for thatbusiness entity you must list every source of income to the business entitywhich exceeded 10 of the business entityrsquos gross income (computed onthe basis of the business entitys most recently completed fiscal year) thesourcersquos address and the sources principal business activity

Examplesmdash You are the sole proprietor of a dry cleaning business from whichyou received more than $5000 If only one customer a uniform rentalcompany provided more than 10 of your dry cleaning business youmust list the name of the uniform rental company its address and itsprincipal business activity (uniform rentals)mdash You are a 20 partner in a partnership that owns a shopping malland your partnership income exceeded the above thresholds List eachtenant of the mall that provided more than 10 of the partnershipsgross income and the tenants address and principal business activity

PART C mdash REAL PROPERTY[Required by s 1123145(3)(b)3 FS]In this part list the location or description of all real property in Florida

in which you owned directly or indirectly at any time during the disclosureperiod in excess of 5 of the propertyrsquos value You are not required to listyour residences You should list any vacation homes if you derive incomefrom them

Indirect ownership includes situations where you are a beneficiary of atrust that owns the property as well as situations where you own more than5 of a partnership or corporation that owns the property The value of theproperty may be determined by the most recently assessed value for taxpurposes in the absence of a more current appraisal

The location or description of the property should be sufficient toenable anyone who looks at the form to identify the property A streetaddress should be used if one exists

PART D mdash INTANGIBLE PERSONAL PROPERTY[Required by s 1123145(3)(b)3 FS]Describe any intangible personal property that at any time during the

disclosure period was worth more than $10000 and state the businessentity to which the property related Intangible personal property includesthings such as cash on hand stocks bonds certificates of deposit vehicleleases interests in businesses beneficial interests in trusts money owedyou Deferred Retirement Option Program (DROP) accounts the FloridaPrepaid College Plan and bank accounts Intangible personal propertyalso includes investment products held in IRAs brokerage accounts andthe Florida College Investment Plan Note that the product contained ina brokerage account IRA or the Florida College Investment Plan is yourassetmdashnot the account or plan itself Things like automobiles and housesyou own jewelry and paintings are not intangible property Intangiblesrelating to the same business entity may be aggregated for example CDsand savings accounts with the same bank Property owned as tenants bythe entirety or as joint tenants with right of survivorship should be valued at100 The value of a leased vehicle is the vehiclersquos present value minusthe lease residual (a number found on the lease document)

Filers have the option of reporting based on either thresholds that are comparative (usually based on percentage values) orthresholds that are based on absolute dollar values The instructions on the following pages specifically describe the differentthresholds Check the box that reflects the choice you have made You must use the type of threshold you have chosen for eachpart of the form In other words if you choose to report based on absolute dollar value thresholds you cannot use a percentagethreshold on any part of the form

MANNER OF CALCULATING REPORTABLE INTEREST

IF YOU HAVE CHOSEN DOLLAR VALUE THRESHOLDSTHE FOLLOWING INSTRUCTIONS APPLY

CE FORM 1 - Effective January 1 2020 Incorporated by reference in Rule 34-8202 FAC PAGE 4

PART E mdash LIABILITIES [Required by s 1123145(3)(b)4 FS] List the name and address of each creditor to whom you owed more

than $10000 at any time during the disclosure period The amount of theliability of a vehicle lease is the sum of any past-due payments and allunpaid prospective lease payments You are not required to list the amountof any debt You do not have to disclose credit card and retail installmentaccounts taxes owed (unless reduced to a judgment) indebtedness ona life insurance policy owed to the company of issuance or contingentliabilities A ldquocontingent liabilityrdquo is one that will become an actual liabilityonly when one or more future events occur or fail to occur such as whereyou are liable only as a guarantor surety or endorser on a promissorynote If you are a ldquoco-makerrdquo and are jointly liable or jointly and severallyliable then it is not a contingent liability

PART F mdash INTERESTS IN SPECIFIED BUSINESSES [Required by s 1123145(6) FS] The types of businesses covered in this disclosure include state and

federally chartered banks state and federal savings and loan associationscemetery companies insurance companies mortgage companies creditunions small loan companies alcoholic beverage licensees pari-mutuelwagering companies utility companies entities controlled by the PublicService Commission and entities granted a franchise to operate by either acity or a county government

Disclose in this part the fact that you owned during the disclosure period aninterest in or held any of certain positions with the types of businesses listedabove You must make this disclosure if you own or owned (either directly orindirectly in the form of an equitable or beneficial interest) at any time duringthe disclosure period more than 5 of the total assets or capital stock ofone of the types of business entities listed above You also must completethis part of the form for each of these types of businesses for which youare or were at any time during the disclosure period an officer directorpartner proprietor or agent (other than a resident agent solely for service ofprocess)

If you have or held such a position or ownership interest in one ofthese types of businesses list the name of the business its address andprincipal business activity and the position held with the business (if any) Ifyou own(ed) more than a 5 interest in the business indicate that fact anddescribe the nature of your interest

PART G mdash TRAINING CERTIFICATION [Required by s 1123142 FS] If you are a Constitutional or elected municipal officer whose

service began before March 31 of the year for which you are filingyou are required to complete four hours of ethics training which addresses Article II Section 8 of the Florida Constitution the Code of Ethics for Public Officers and Employees and the public recordsand open meetings laws of the state You are required to certify onthis form that you have taken such training

(End of Dollar Value Thresholds Instructions)

IF YOU HAVE CHOSEN COMPARATIVE (PERCENTAGE) THRESHOLDS THE FOLLOWING INSTRUCTIONS APPLY

PART A mdash PRIMARY SOURCES OF INCOME [Required by s 1123145(3)(a)1 FS] Part A is intended to require the disclosure of your principal

sources of income during the disclosure period You do not haveto disclose any public salary or public position(s) but income from these public sources should be included when calculating your gross income for the disclosure period The income of your spouse need not be disclosed however if there is joint income to you and your spouse from property you own jointly (such as interest or dividends from a bank account or stocks) you should include all of that income when calculating your gross income and disclose the source of that income if it exceeded the threshold

Please list in this part of the form the name address and principal business activity of each source of your income whichexceeded 5 of the gross income received by you in your own name or by any other person for your benefit or use during the disclosure period

Gross income means the same as it does for income tax purposes even if the income is not actually taxable such as interest on tax-free bonds Examples include compensation for servicesincome from business gains from property dealings interest rents dividends pensions IRA distributions social security distributive share of partnership gross income and alimony but not child support

Examples mdash If you were employed by a company that manufactures computers and received more than 5 of your gross income from the company list the name of the company its address and its principal business activity (computer manufacturing) mdash If you were a partner in a law firm and your distributive share of partnership gross income exceeded 5 of your gross income then list the name of the firm its address and its principal business activity (practice of law) mdash If you were the sole proprietor of a retail gift business andyour gross income from the business exceeded 5 of your total gross income list the name of the business its addressand its principal business activity (retail gift sales) mdash If you received income from investments in stocks and bonds list each individual company from which you derived

more than 5 of your gross income Do not aggregate all of your investment income mdash If more than 5 of your gross income was gain from the sale of property (not just the selling price) list as a source of income the purchaserrsquos name address and principal business activityIf the purchasers identity is unknown such as where securities listed on an exchange are sold through a brokerage firm the source of income should be listed as sale of (name of company)stock for example mdash If more than 5 of your gross income was in the form of interest from one particular financial institution (aggregatinginterest from all CDrsquos accounts etc at that institution) list the name of the institution its address and its principal business activity

PART B mdash SECONDARY SOURCES OF INCOME [Required by s 1123145(3)(a)2 FS] This part is intended to require the disclosure of major customers

clients and other sources of income to businesses in which you ownan interest It is not for reporting income from second jobs That kindof income should be reported in Part A Primary Sources of Incomeif it meets the reporting threshold You will not have anything to report unless during the disclosure period

(1) You owned (either directly or indirectly in the form of anequitable or beneficial interest) more than 5 of the total assetsor capital stock of a business entity (a corporation partnershipLLC limited partnership proprietorship joint venture trust firmetc doing business in Florida) and (2) You received more than 10 of your gross income from thatbusiness entity and (3) You received more than $1500 in gross income from thatbusiness entity

If your interests and gross income exceeded these thresholds thenfor that business entity you must list every source of income to thebusiness entity which exceeded 10 of the business entityrsquos grossincome (computed on the basis of the business entityrsquos most recentlycompleted fiscal year) the sourcersquos address and the sourcersquos principal business activity

CE FORM 1 - Effective January 1 2020 Incorporated by reference in Rule 34-8202 FAC PAGE 5

NOTICE Annual Statements of Financial Interests are due July 1 If the annual form is not filed or postmarked by September 1 an automatic fine of $25 for each day late will be imposed up to a maximum penalty of $1500 Failure to file also can result in removal from public office or employment [s 1123145 FS]

In addition failure to make any required disclosure constitutes grounds for and may be punished by one or more of the following disqualification from being on the ballot impeachment removal or suspension from office or employment demotion reduction in salary reprimand or a civil penalty not exceeding $10000 [s 112317 FS]

1) Elected public officials not serving in a political subdivision of thestate and any person appointed to fill a vacancy in such office unlessrequired to file full disclosure on Form 62) Appointed members of each board commission authority

or council having statewide jurisdiction excluding members of solelyadvisory bodies but including judicial nominating commission membersDirectors of Enterprise Florida Scripps Florida Funding Corporationand Career Source Florida and members of the Council on the SocialStatus of Black Men and Boys the Executive Director Governors and senior managers of Citizens Property Insurance CorporationGovernors and senior managers of Florida Workers Compensation JointUnderwriting Association board members of the Northeast Fla RegionalTransportation Commission board members of Triumph Gulf Coast Incboard members of Florida Is For Veterans Inc and members of theTechnology Advisory Council within the Agency for State Technology3) The Commissioner of Education members of the State Board

of Education the Board of Governors the local Boards of Trustees andPresidents of state universities and the Florida Prepaid College Board4) Persons elected to office in any political subdivision (such a s

municipalities counties and special districts) and any person appointedto fill a vacancy in such office unless required to file Form 65) Appointed members of the following boards councils

commissions authorities or other bodies of county municipality schooldistrict independent special district or other political subdivision thegoverning body of the subdivision community college or junior collegedistrict boards of trustees boards having the power to enforce local codeprovisions boards of adjustment community redevelopment agenciesplanning or zoning boards having the power to recommend create ormodify land planning or zoning within a political subdivision except forcitizen advisory committees technical coordinating committees andsimilar groups who only have the power to make recommendationsto planning or zoning boards and except for representatives of amilitary installation acting on behalf of all military installations within thatjurisdiction pension or retirement boards empowered to invest pensionor retirement funds or determine entitlement to or amount of pensions orother retirement benefits and the Pinellas County Construction LicensingBoard6) Any appointed member of a local government board who

is required to file a statement of financial interests by the appointingauthority or the enabling legislation ordinance or resolution creating theboard7) Persons holding any of these positions in local government

mayor county or city manager chief administrative employee or finance

director of a county municipality or other political subdivision countyor municipal attorney chief county or municipal building inspectorcounty or municipal water resources coordinator county or municipalpollution control director county or municipal environmental controldirector county or municipal administrator with power to grant or denya land development permit chief of police fire chief municipal clerkappointed district school superintendent community college presidentdistrict medical examiner purchasing agent (regardless of title) havingthe authority to make any purchase exceeding $35000 for the localgovernmental unit8) Officers and employees of entities serving as chief administrative

officer of a political subdivision9) Members of governing boards of charter schools operated by a

city or other public entity10) Employees in the office of the Governor or of a Cabinet member

who are exempt from the Career Service System excluding secretarialclerical and similar positions11) The following positions in each state department commission

board or council Secretary Assistant or Deputy Secretary ExecutiveDirector Assistant or Deputy Executive Director and anyone having thepower normally conferred upon such persons regardless of title12) The following positions in each state department or division

Director Assistant or Deputy Director Bureau Chief and any personhaving the power normally conferred upon such persons regardless oftitle13) Assistant State Attorneys Assistant Public Defenders criminal

conflict and civil regional counsel and assistant criminal conflict and civilregional counsel Public Counsel full-time state employees serving ascounsel or assistant counsel to a state agency administrative law judgesand hearing officers14) The Superintendent or Director of a state mental health institute

established for training and research in the mental health field or anymajor state institution or facility established for corrections trainingtreatment or rehabilitation15) State agency Business Managers Finance and Accounting

Directors Personnel Officers Grant Coordinators and purchasingagents (regardless of title) with power to make a purchase exceeding$3500016) The following positions in legislative branch agencies each

employee (other than those employed in maintenance clerical secretarial or similar positions and legislative assistants exemptedby the presiding officer of their house) and each employee of theCommission on Ethics

INSTRUCTIONS FOR COMPLETING FORM 1INTRODUCTORY INFORMATION (Top of Form) If your name mailing address public agency and position are already printed on the form you do not need to provide this information unless it should be changed To change any of this information write the correct information on the form and contact your agencys financial disclosure coordinator You can find your coordinator on the Commission on Ethics website wwwethicsstateflus NAME OF AGENCY The name of the governmental unit which you serve or served by which you are or were employed or for which you are a candidate DISCLOSURE PERIOD The ldquodisclosure periodrdquo for your report is the calendar year ending December 31 2019

OFFICE OR POSITION HELD OR SOUGHT The title of the office or position you hold are seeking or held during the disclosure period even if you have since left that position If you are a candidate for office or are a new employee or appointee check the appropriate boxPUBLIC RECORD The disclosure form and everythingattached to it is a public record Your Social Security Number is not required and you should redact it from any documents you file If you are an active or former officer or employee listed in Section 119071 FS whose home address is exempt from disclosure the Commission will maintain that confidentiality if you submit a written request

WHO MUST FILE FORM 1

CE FORM 1 - Effective January 1 2020 Incorporated by reference in Rule 34-8202 FAC PAGE 3

Examples PART E mdash LIABILITIES mdash You are the sole proprietor of a dry cleaning business from [Required by s 1123145(3)(b)4 FS]which you received more than 10 of your gross incomemdashan List the name and address of each creditor to whom you owed amount that was more than $1500 If only one customer a any amount that at any time during the disclosure period exceeded uniform rental company provided more than 10 of your dry your net worth You are not required to list the amount of any debt cleaning business you must list the name of the uniform rental or your net worth You do not have to disclose credit card and retail company its address and its principal business activity (uniform installment accounts taxes owed (unless reduced to a judgment) rentals) indebtedness on a life insurance policy owed to the company of mdash You are a 20 partner in a partnership that owns a shopping issuance or contingent liabilities A ldquocontingent liabilityrdquo is one mall and your partnership income exceeded the thresholds that will become an actual liability only when one or more future listed above You should list each tenant of the mall that events occur or fail to occur such as where you are liable only as provided more than 10 of the partnershiprsquos gross income and a guarantor surety or endorser on a promissory note If you are a the tenantrsquos address and principal business activity ldquoco-makerrdquo and are jointly liable or jointly and severally liable it is not

a contingent liability PART C mdash REAL PROPERTY Calculations To determine whether the debt exceeds your

[Required by s 1123145(3)(a)3 FS] net worth total all of your liabilities (including promissory notes mortgages credit card debts judgments against you etc) TheIn this part list the location or description of all real property in amount of the liability of a vehicle lease is the sum of any past-due Florida in which you owned directly or indirectly at any time during payments and all unpaid prospective lease payments Subtract the disclosure period in excess of 5 of the propertyrsquos value You the sum total of your liabilities from the value of all your assets are not required to list your residences You should list any vacation as calculated above for Part D This is your ldquonet worthrdquo List each homes if you derive income from them creditor to whom your debt exceeded this amount unless it is one of

Indirect ownership includes situations where you are a the types of indebtedness listed in the paragraph above (credit card beneficiary of a trust that owns the property as well as situations and retail installment accounts etc) Joint liabilities with others for where you own more than 5 of a partnership or corporation that which you are ldquojointly and severally liablerdquo meaning that you may owns the property The value of the property may be determined by be liable for either your part or the whole of the obligation should be the most recently assessed value for tax purposes in the absence included in your calculations at 100 of the amount owed of a more current appraisal

Example You owe $15000 to a bank for student loans $5000 The location or description of the property should be sufficient for credit card debts and $60000 (with spouse) to a savings to enable anyone who looks at the form to identify the property A and loan for a home mortgage Your home (owned by you and street address should be used if one exists your spouse) is worth $80000 and your other property is worth PART D mdash INTANGIBLE PERSONAL PROPERTY $20000 Since your net worth is $20000 ($100000 minus

$80000) you must report only the name and address of the [Required by s 1123145(3)(a)3 FS] savings and loan Describe any intangible personal property that at any time

during the disclosure period was worth more than 10 of your PART F mdash INTERESTS IN SPECIFIED BUSINESSES total assets and state the business entity to which the property [Required by s 1123145 FS] related Intangible personal property includes things such as cash on hand stocks bonds certificates of deposit vehicle leases The types of businesses covered in this disclosure include interests in businesses beneficial interests in trusts money owed state and federally chartered banks state and federal savings and you Deferred Retirement Option Program (DROP) accounts loan associations cemetery companies insurance companies the Florida Prepaid College Plan and bank accounts Intangible mortgage companies credit unions small loan companies alcoholic personal property also includes investment products held in IRAs beverage licensees pari-mutuel wagering companies utilitybrokerage accounts and the Florida College Investment Plan companies entities controlled by the Public Service Commission Note that the product contained in a brokerage account IRA or the and entities granted a franchise to operate by either a city or a Florida College Investment Plan is your assetmdashnot the account or county governmentplan itself Things like automobiles and houses you own jewelry Disclose in this part the fact that you owned during the and paintings are not intangible property Intangibles relating to the disclosure period an interest in or held any of certain positions same business entity may be aggregated for example CDrsquos and with the types of businesses listed above You are requiredsavings accounts with the same bank to make this disclosure if you own or owned (either directly or

Calculations To determine whether the intangible property indirectly in the form of an equitable or beneficial interest) at any exceeds 10 of your total assets total the fair market value of time during the disclosure period more than 5 of the total assets all of your assets (including real property intangible property and or capital stock of one of the types of business entities listed above tangible personal property such as jewelry furniture etc) When You also must complete this part of the form for each of these types making this calculation do not subtract any liabilities (debts) that of businesses for which you are or were at any time during themay relate to the property Multiply the total figure by 10 to arrive disclosure period an officer director partner proprietor or agent at the disclosure threshold List only the intangibles that exceed (other than a resident agent solely for service of process) this threshold amount The value of a leased vehicle is the vehiclersquos If you have or held such a position or ownership interest in present value minus the lease residual (a number which can be one of these types of businesses list the name of the business its found on the lease document) Property that is only jointly owned address and principal business activity and the position held with property should be valued according to the percentage of your the business (if any) If you own(ed) more than a 5 interest in the joint ownership Property owned as tenants by the entirety or as business indicate that fact and describe the nature of your interest joint tenants with right of survivorship should be valued at 100 None of your calculations or the value of the property have to be PART G mdash TRAINING CERTIFICATIONdisclosed on the form

[Required by s 1123142 FS] Example You own 50 of the stock of a small corporation that is worth $100000 the estimated fair market value of If you are a Constitutional or elected municipal officer whoseyour home and other property (bank accounts automobile service began before March 31 of the year for which you are filing furniture etc) is $200000 As your total assets are worth you are required to complete four hours of ethics training which $250000 you must disclose intangibles worth over $25000 addresses Article II Section 8 of the Florida Constitution the Code Since the value of the stock exceeds this threshold you of Ethics for Public Officers and Employees and the public records should list ldquostockrdquo and the name of the corporation If your and open meetings laws of the state You are required to certify on accounts with a particular bank exceed $25000 you should this form that you have taken such training list ldquobank accountsrdquo and bankrsquos name

(

End of Percentage Thresholds Instructions) CE FORM 1 - Effective January 1 2020 Incorporated by reference in Rule 34-8202 FAC PAGE 6

  • 0 HP Cover Page v2
  • 1 Hawks Point Meeting Invite Draft v2
  • 2 Agenda Draft v3
  • 3 EXHIBIT 1
  • 7 HP 05-19-2020 Meeting Minutes Approved
  • 6 EXHIBIT 2
  • 9 HP May FY20 Fin
  • 8 EXHIBIT 3
  • 4 Vacant Position Qualification Requirements for Hawks Point CDD
    • Vacant Position on the Board of Supervisors of the Hawkrsquos Point Community Development District
      • Qualification Requirements
      • Instructions for Interested Candidates
      • Additional Notes
          • 5 Shami Choon Vacant Position - updated 11-5-11 resume
            • 1803 Oak Pond Street Ruskin Fl 33570 E-mailchoons27gmailcom
              • PROFESSIONAL HISTORY
                • Operations Manager Florida Distribution 2002 ndash 2005
                • Operations Manager for Florida Branch Distribution 1999 ndash 2002
                • Warehouse Manager of Miami Distribution Center 1998 ndash 1999
                • Branch Manager of West Palm Beach 1994 ndash 1998
                • Assistant Branch Manager 1991 ndash 1994
                • Customer Service Agent 1990 ndash 1991
                  • 10 EXHIBIT 4
                  • 11 New Business - Hawks Point CDD - MI proposal
                  • 12 EXHIBIT 5
                  • 13 CertaPro Proposal to Paint Exterior Wall 18th to 24th Avenue
                  • 14 Shazam Construction Proposal to Paint Exterior Wall 18th to 24th Street
                    • QUOTE
                      • TO
                          • 15 Photo to accompany Shazam Proposal
                          • 16 EXHIBIT 6
                          • 17 CertaPro Proposal for Pressure Washing Exterior Wall 18th St to 24th Street
                          • 18 Shazam Construction Proposal for Pressure Washing Exterion Wall 18th Street to 24th Street
                            • QUOTE
                              • TO
                                  • 19 EXHIBIT 7
                                  • 20 Form 1_2019i
                                      1. LAST NAME
                                      2. FIRST NAME
                                      3. MIDDLE NAME
                                      4. MAILING ADDRESS ROW 1
                                      5. MAILING ADDRESS ROW 2
                                      6. CITY
                                      7. ZIP
                                      8. COUNTY
                                      9. NAME OF AGENCY
                                      10. NAME OF OFFICE OR POSITION HELD OR SOUGHT
                                      11. CANDIDATE Off
                                      12. NEW EMPLOYEE OR APPOINTEE Off
                                      13. COMPARATIVE (PERCENTAGE) THRESHOLDS Off
                                      14. DOLLAR VALUE THRESHOLDS Off
                                      15. NAME OF SOURCE INCOME ROW 1
                                      16. ADDRESS ROW 1
                                      17. DESCRIPTION OF THE SOURCES PRINCIPAL BUSINESS ACTIVITY ROW 1
                                      18. NAME OF SOURCE INCOME ROW 2
                                      19. ADDRESS ROW 2
                                      20. DESCRIPTION OF THE SOURCES PRINCIPAL BUSINESS ACTIVITY ROW 2
                                      21. NAME OF SOURCE INCOME ROW 3
                                      22. ADDRESS ROW 3
                                      23. DESCRIPTION OF THE SOURCES PRINCIPAL BUSINESS ACTIVITY ROW 3
                                      24. NAME OF SOURCE INCOME ROW 4
                                      25. ADDRESS ROW 4
                                      26. DESCRIPTION OF THE SOURCES PRINCIPAL BUSINESS ACTIVITY ROW 4
                                      27. NAME OF BUSINESS ENTITY ROW 1
                                      28. NAME OF MAJOR SOURCES OF BUSINESS INCOME ROW 1
                                      29. ADDRESS OF SOURCE ROW 1
                                      30. PRINCIPAL BUSINESS ACTIVITY OF SOURCE ROW 1
                                      31. NAME OF BUSINESS ENTITY ROW 2
                                      32. NAME OF MAJOR SOURCES OF BUSINESS INCOME ROW 2
                                      33. ADDRESS OF SOURCE ROW 2
                                      34. PRINCIPAL BUSINESS ACTIVITY OF SOURCE ROW 2
                                      35. NAME OF BUSINESS ENTITY ROW 3
                                      36. NAME OF MAJOR SOURCES OF BUSINESS INCOME ROW 3
                                      37. ADDRESS OF SOURCE ROW 3
                                      38. PRINCIPAL BUSINESS ACTIVITY OF SOURCE ROW 3
                                      39. REAL PROPERTY ROW 1
                                      40. REAL PROPERTY ROW 2
                                      41. REAL PROPERTY ROW 3
                                      42. REAL PROPERTY ROW 4
                                      43. TYPE OF INTANGIBLE ROW 1
                                      44. BUSINESS ENTITY TO WHICH THE PROPERTY RELATES ROW 1
                                      45. TYPE OF INTANGIBLE ROW 2
                                      46. BUSINESS ENTITY TO WHICH THE PROPERTY RELATES ROW 2
                                      47. NAME OF CREDITOR ROW 1
                                      48. ADDRESS OF CREDITOR ROW 1
                                      49. NAME OF CREDITOR ROW 2
                                      50. ADDRESS OF CREDITOR ROW 2
                                      51. ADDRESS OF BUSINESS ENTITY 1
                                      52. PRINCIPAL BUSINESS ACTIVITY 1
                                      53. POSITION HELD WITH ENTITY 1
                                      54. I OWN MORE THAN A 5 INTEREST IN THE BUSINESS 1
                                      55. NATURE OF MY OWNERSHIP INTEREST 1
                                      56. ADDRESS OF BUSINESS ENTITY 2
                                      57. PRINCIPAL BUSINESS ACTIVITY 2
                                      58. POSITION HELD WITH ENTITY 2
                                      59. I OWN MORE THAN A 5 INTEREST IN THE BUSINESS 2
                                      60. NATURE OF MY OWNERSHIP INTEREST 2
                                      61. FOR ELECTED MUNICIPAL OFFICERS REQUIRED TO COMPLETE ANNUAL ETHICS TRAINING PURSUANT TO SECTION 112
                                        1. 3142 F
                                          1. S Off
                                              1. IF ANY OF PARTS A THROUGH G ARE CONTINUED ON A SEPARATE SHEET PLEASE CHECK HERE Off
                                              2. SIGNATURE
                                              3. Date Signed
Page 32: HAWKS POINT COMMUNITY DEVELOPMENT …...2020/06/16  · Hawks Point Community Development District Board of Supervisors Meeting Tuesday, June 16th at 6:30 PM via Zoom All: We welcome

Independent Franchise Owner Job TB443B00157 Terry Beamer 9266 Lazy Ln

Date 06052020

EXTERIOR PROPOSALEXTERIOR PROPOSALEXTERIOR PROPOSALEXTERIOR PROPOSAL Tampa FL 33614 813-936-9242

Fax 813 936-9172

1-800-462-3782

License PA2508

Full Workers Compensation Coverage$2000000 General Liability Insurance

DPFG Management amp Consulting LLC (Hawks Point) Raymond Lotito (SB) Hawks Point CDD Ruskin FL 33570 Phone 813-418-7473 Cell 813-220-6089 Email raymondlotitodpfgcom

Special Notes CERTAPRO PAINTERS PRESSURE WASHING PROPOSAL 18TH-24TH

CERTAPRO PAINTERS WILL PRESSURE WASH WALL FACING 19TH ST ONLY

GENERAL DESCRIPTION Painting to

PREPARATION Washing To remove dirt mildew and loose paint so the new finish coat will adhere properly

PRIMING Surface TypeArea Primer Purpose

Clean Up Daily and upon completion

All Labor Paint Materials

TOTAL

$195000

$195000

Signature of Authorized Franchise Representative Date

Payment is due In Full upon Job Completion

(IWE HAVE READ THE TERMS STATED HEREIN THEY HAVE (IWE) HAVE EXAMINED THE JOB STATED HEREIN THEY EXPLAINED TO (MEUS) AND (IWE) FIND THEM TO BE HAVE SHOWN TO (MEUS) AND (IWE) FIND THE JOB TO SATISFACTORY AND HEREBY ACCEPT THEM BE SATISFACTORY AND HEREBY ACCEPT THE JOB AS

COMPLETE

SIGNATURE Date SIGNATURE Date

QUOTE

Shazam Construction LLC DATE JUNE 5 2020

Shazam Hera 6773 Waterton Drive Riverview FL 33578 813-385-4591 ShazamConstructionLLCgmailcom Hawks Point CDD

TO Bill to Development Planning and Financing Group 15310 Amberly Drive Suite 175 Tampa FL 33647

QUANITY DESCRIPTION UNIT PRICE LINE TOTAL

Pressure wash the wall that parallels 19th avenue from 18th street to 24th street in Hawks Point CDD in Ruskin

$160000

All materials and labor is included

SUBTOTAL

SALES TAX

TOTAL $160000

Make all checks payable to Shazam Construction LLC

THANK YOU FOR YOUR BUSINESS

EXHIBIT 7

2019FORM 1 STATEMENT OF

Please print or type your name mailing FOR OFFICE USE ONLY FINANCIAL INTERESTS address agency name and position below

LAST NAME -- FIRST NAME -- MIDDLE NAME

MAILING ADDRESS

CITY ZIP COUNTY

NAME OF AGENCY

NAME OF OFFICE OR POSITION HELD OR SOUGHT

CHECK ONLY IF CANDIDATE OR NEW EMPLOYEE OR APPOINTEE

THIS SECTION MUST BE COMPLETED DISCLOSURE PERIOD THIS STATEMENT REFLECTS YOUR FINANCIAL INTERESTS FOR CALENDAR YEAR ENDING DECEMBER 31 2019

MANNER OF CALCULATING REPORTABLE INTERESTS FILERS HAVE THE OPTION OF USING REPORTING THRESHOLDS THAT ARE ABSOLUTE DOLLAR VALUES WHICH REQUIRES FEWER CALCULATIONS OR USING COMPARATIVE THRESHOLDS WHICH ARE USUALLY BASED ON PERCENTAGE VALUES (see instructions for further details) CHECK THE ONE YOU ARE USING (must check one)

COMPARATIVE (PERCENTAGE) THRESHOLDS OR DOLLAR VALUE THRESHOLDS

PART A -- PRIMARY SOURCES OF INCOME [Major sources of income to the reporting person - See instructions] (If you have nothing to report write none or na)

NAME OF SOURCE SOURCES DESCRIPTION OF THE SOURCES OF INCOME ADDRESS PRINCIPAL BUSINESS ACTIVITY

PART B -- SECONDARY SOURCES OF INCOME [Major customers clients and other sources of income to businesses owned by the reporting person - See instructions] (If you have nothing to report write none or na)

NAME OF NAME OF MAJOR SOURCES ADDRESS PRINCIPAL BUSINESS BUSINESS ENTITY OF BUSINESS INCOME OF SOURCE ACTIVITY OF SOURCE

PART C -- REAL PROPERTY [Land buildings owned by the reporting person - See instructions] You are not limited to the space on the (If you have nothing to report write none or na) lines on this form Attach additional

sheets if necessary

FILING INSTRUCTIONS for when and where to file this form are located at the bottom of page 2

INSTRUCTIONS on who must file this form and how to fill it out begin on page 3

CE FORM 1 - Effective January 1 2020 (Continued on reverse side) PAGE 1 Incorporated by reference in Rule 34-8202(1) FAC

FILING INSTRUCTIONS

IF ANY OF PARTS A THROUGH G ARE CONTINUED ON A SEPARATE SHEET PLEASE CHECK HERE

PART D mdash INTANGIBLE PERSONAL PROPERTY [Stocks bonds certificates of deposit etc - See instructions] (If you have nothing to report write none or na) TYPE OF INTANGIBLE BUSINESS ENTITY TO WHICH THE PROPERTY RELATES

PART E mdash LIABILITIES [Major debts - See instructions] (If you have nothing to report write none or na)

NAME OF CREDITOR ADDRESS OF CREDITOR

PART F mdash INTERESTS IN SPECIFIED BUSINESSES [Ownership or positions in certain types of businesses - See instructions] (If you have nothing to report write none or na)

BUSINESS ENTITY 1 BUSINESS ENTITY 2

NAME OF BUSINESS ENTITY

ADDRESS OF BUSINESS ENTITY

PRINCIPAL BUSINESS ACTIVITY

POSITION HELD WITH ENTITY

I OWN MORE THAN A 5 INTEREST IN THE BUSINESS

NATURE OF MY OWNERSHIP INTEREST

If you were mailed the form by the Commission on Ethics or a County Supervisor of Elections for your annual disclosure filing return the form to that location To determine what category your position falls under see page 3 of instructions Local officersemployees file with the Supervisor of Elections of the county in which they permanently reside (If you do not permanently reside in Florida file with the Supervisor of the county where your agency has its headquarters) Form 1 filers who file with the Supervisor of Elections may file by mail or email Contact your Supervisor of Elections for the mailing address or email address to use Do not email your form to the Commission on Ethics it will be returned State officers or specified state employees who file with the Commission on Ethics may file by mail or email To file by mail send the completed form to PO Drawer 15709 Tallahassee FL32317-5709 physical address 325 John Knox Rd Bldg E Ste 200 Tallahassee FL 32303 To file with the Commission by email scan your completed form and any attachments as a pdf (do not use any other format) send it to CEForm1legstateflus and retain a copy for your records Do not file by both mail and email Choose only one filing method Form 6s will not be accepted via email

Candidates file this form together with their filing papers MULTIPLE FILING UNNECESSARY A candidate who files a Form 1 with a qualifying officer is not required to file with the Commission or Supervisor of Elections WHEN TO FILE Initially each local officeremployee state officer and specified state employee must file within 30 days of the date of his or her appointment or of the beginning of employment Appointees who must be confirmed by the Senate must file prior to confirmation even if that is less than 30 days from the date of their appointment Candidates must file at the same time they file their qualifying papers Thereafter file by July 1 following each calendar year in which they hold their positions Finally file a final disclosure form (Form 1F) within 60 days of leaving office or employment Filing a CE Form 1F (Final Statement of Financial Interests) does not relieve the filer of filing a CE Form 1 if the filer was in his or her position on December 31 2019

SIGNATURE OF FILER Signature

____________________________________________

Date Signed

____________________________________________

CPA or ATTORNEY SIGNATURE ONLY If a certified public accountant licensed under Chapter 473 or attorney in good standing with the Florida Bar prepared this form for you he or she must complete the following statement

I _______________________________________ prepared the CE Form 1 in accordance with Section 1123145 Florida Statutes and the instructions to the form Upon my reasonable knowledge and belief the disclosure herein is true and correct

CPAAttorney Signature ______________________________

Date Signed _______________________________________

PART G mdash TRAINING For elected municipal officers required to complete annual ethics training pursuant to section 1123142 FS

I CERTIFY THAT I HAVE COMPLETED THE REQUIRED TRAINING

CE FORM 1 - Effective January 1 2020 PAGE 2 Incorporated by reference in Rule 34-8202(1) FAC

Examplesmdash You are the sole proprietor of a dry cleaning business fromwhich you received more than 10 of your gross incomemdashanamount that was more than $1500 If only one customer auniform rental company provided more than 10 of your drycleaning business you must list the name of the uniform rentalcompany its address and its principal business activity (uniform rentals) mdash You are a 20 partner in a partnership that owns a shopping mall and your partnership income exceeded the thresholds listed above You should list each tenant of the mall that provided more than 10 of the partnershiprsquos gross income and the tenantrsquos address and principal business activity

PART C mdash REAL PROPERTY[Required by s 1123145(3)(a)3 FS]In this part list the location or description of all real property in

Florida in which you owned directly or indirectly at any time during the disclosure period in excess of 5 of the propertyrsquos value You are not required to list your residences You should list any vacation homes if you derive income from them

Indirect ownership includes situations where you are abeneficiary of a trust that owns the property as well as situations where you own more than 5 of a partnership or corporation thatowns the property The value of the property may be determined by the most recently assessed value for tax purposes in the absence of a more current appraisal

The location or description of the property should be sufficient to enable anyone who looks at the form to identify the property Astreet address should be used if one exists PART D mdash INTANGIBLE PERSONAL PROPERTY

[Required by s 1123145(3)(a)3 FS]Describe any intangible personal property that at any time

during the disclosure period was worth more than 10 of your total assets and state the business entity to which the property related Intangible personal property includes things such as cash on hand stocks bonds certificates of deposit vehicle leases interests in businesses beneficial interests in trusts money owed you Deferred Retirement Option Program (DROP) accounts the Florida Prepaid College Plan and bank accounts Intangiblepersonal property also includes investment products held in IRAs brokerage accounts and the Florida College Investment Plan Note that the product contained in a brokerage account IRA or the Florida College Investment Plan is your assetmdashnot the account or plan itself Things like automobiles and houses you own jewelryand paintings are not intangible property Intangibles relating to the same business entity may be aggregated for example CDrsquos and savings accounts with the same bank

Calculations To determine whether the intangible property exceeds 10 of your total assets total the fair market value of all of your assets (including real property intangible property and tangible personal property such as jewelry furniture etc) When making this calculation do not subtract any liabilities (debts) that may relate to the property Multiply the total figure by 10 to arrive at the disclosure threshold List only the intangibles that exceed this threshold amount The value of a leased vehicle is the vehiclersquos present value minus the lease residual (a number which can be found on the lease document) Property that is only jointly owned property should be valued according to the percentage of your joint ownership Property owned as tenants by the entirety or as joint tenants with right of survivorship should be valued at 100 None of your calculations or the value of the property have to be disclosed on the form

Example You own 50 of the stock of a small corporation that is worth $100000 the estimated fair market value of your home and other property (bank accounts automobile furniture etc) is $200000 As your total assets are worth $250000 you must disclose intangibles worth over $25000 Since the value of the stock exceeds this threshold you should list ldquostockrdquo and the name of the corporation If your accounts with a particular bank exceed $25000 you should list ldquobank accountsrdquo and bankrsquos name

PART E mdash LIABILITIES[Required by s 1123145(3)(b)4 FS]List the name and address of each creditor to whom you owed

any amount that at any time during the disclosure period exceeded your net worth You are not required to list the amount of any debt or your net worth You do not have to disclose credit card and retail installment accounts taxes owed (unless reduced to a judgment) indebtedness on a life insurance policy owed to the company of issuance or contingent liabilities A ldquocontingent liabilityrdquo is one that will become an actual liability only when one or more future events occur or fail to occur such as where you are liable only as a guarantor surety or endorser on a promissory note If you are a ldquoco-makerrdquo and are jointly liable or jointly and severally liable it is not a contingent liability

Calculations To determine whether the debt exceeds your net worth total all of your liabilities (including promissory notes mortgages credit card debts judgments against you etc) Theamount of the liability of a vehicle lease is the sum of any past-due payments and all unpaid prospective lease payments Subtract the sum total of your liabilities from the value of all your assets as calculated above for Part D This is your ldquonet worthrdquo List each creditor to whom your debt exceeded this amount unless it is one of the types of indebtedness listed in the paragraph above (credit card and retail installment accounts etc) Joint liabilities with others for which you are ldquojointly and severally liablerdquo meaning that you may be liable for either your part or the whole of the obligation should be included in your calculations at 100 of the amount owed

Example You owe $15000 to a bank for student loans $5000 for credit card debts and $60000 (with spouse) to a savings and loan for a home mortgage Your home (owned by you and your spouse) is worth $80000 and your other property is worth $20000 Since your net worth is $20000 ($100000 minus $80000) you must report only the name and address of the savings and loan

PART F mdash INTERESTS IN SPECIFIED BUSINESSES[Required by s 1123145 FS]The types of businesses covered in this disclosure include

state and federally chartered banks state and federal savings and loan associations cemetery companies insurance companies mortgage companies credit unions small loan companies alcoholic beverage licensees pari-mutuel wagering companies utilitycompanies entities controlled by the Public Service Commission and entities granted a franchise to operate by either a city or acounty government

Disclose in this part the fact that you owned during the disclosure period an interest in or held any of certain positions with the types of businesses listed above You are required to make this disclosure if you own or owned (either directly orindirectly in the form of an equitable or beneficial interest) at any time during the disclosure period more than 5 of the total assets or capital stock of one of the types of business entities listed above You also must complete this part of the form for each of these types of businesses for which you are or were at any time during thedisclosure period an officer director partner proprietor or agent (other than a resident agent solely for service of process)

If you have or held such a position or ownership interest in one of these types of businesses list the name of the business its address and principal business activity and the position held with the business (if any) If you own(ed) more than a 5 interest in the business indicate that fact and describe the nature of your interest

PART G mdash TRAINING CERTIFICATION[Required by s 1123142 FS]If you are a Constitutional or elected municipal officer whose

service began before March 31 of the year for which you are filing you are required to complete four hours of ethics training which addresses Article II Section 8 of the Florida Constitution the Code of Ethics for Public Officers and Employees and the public records and open meetings laws of the state You are required to certify on this form that you have taken such training (End of Percentage Thresholds Instructions)

CE FORM 1 - Effective January 1 2020 Incorporated by reference in Rule 34-8202 FAC PAGE 6

NOTICE Annual Statements of Financial Interests are due July 1 If the annual form is not filed or postmarked by September 1 an automatic fine of $25 for each day late will be imposed up to a maximum penalty of $1500 Failure to file also can result in removal from public office or employment [s 1123145 FS]

In addition failure to make any required disclosure constitutes grounds for and may be punished by one or more of the following disqualification from being on the ballot impeachment removal or suspension from office or employment demotion reduction in salary reprimand or a civil penalty not exceeding $10000 [s 112317 FS]

WHO MUST FILE FORM 1 1) Elected public officials not serving in a political subdivision of the

state and any person appointed to fill a vacancy in such office unlessrequired to file full disclosure on Form 62) Appointed members of each board commission authority

or council having statewide jurisdiction excluding members of solelyadvisory bodies but including judicial nominating commission membersDirectors of Enterprise Florida Scripps Florida Funding Corporationand Career Source Florida and members of the Council on the Social Status of Black Men and Boys the Executive Director Governors and senior managers of Citizens Property Insurance CorporationGovernors and senior managers of Florida Workers Compensation JointUnderwriting Association board members of the Northeast Fla RegionalTransportation Commission board members of Triumph Gulf Coast Incboard members of Florida Is For Veterans Inc and members of the Technology Advisory Council within the Agency for State Technology3) The Commissioner of Education members of the State Board

of Education the Board of Governors the local Boards of Trustees and Presidents of state universities and the Florida Prepaid College Board 4) Persons elected to office in any political subdivision (such as

municipalities counties and special districts) and any person appointedto fill a vacancy in such office unless required to file Form 65) Appointed members of the following boards councils

commissions authorities or other bodies of county municipality schooldistrict independent special district or other political subdivision thegoverning body of the subdivision community college or junior collegedistrict boards of trustees boards having the power to enforce local codeprovisions boards of adjustment community redevelopment agenciesplanning or zoning boards having the power to recommend create ormodify land planning or zoning within a political subdivision except forcitizen advisory committees technical coordinating committees andsimilar groups who only have the power to make recommendationsto planning or zoning boards and except for representatives of a military installation acting on behalf of all military installations within thatjurisdiction pension or retirement boards empowered to invest pensionor retirement funds or determine entitlement to or amount of pensions orother retirement benefits and the Pinellas County Construction LicensingBoard 6) Any appointed member of a local government board who

is required to file a statement of financial interests by the appointingauthority or the enabling legislation ordinance or resolution creating theboard 7) Persons holding any of these positions in local government

mayor county or city manager chief administrative employee or finance

director of a county municipality or other political subdivision county or municipal attorney chief county or municipal building inspectorcounty or municipal water resources coordinator county or municipalpollution control director county or municipal environmental control director county or municipal administrator with power to grant or denya land development permit chief of police fire chief municipal clerkappointed district school superintendent community college presidentdistrict medical examiner purchasing agent (regardless of title) havingthe authority to make any purchase exceeding $35000 for the localgovernmental unit8) Officers and employees of entities serving as chief administrative

officer of a political subdivision9) Members of governing boards of charter schools operated by a

city or other public entity10) Employees in the office of the Governor or of a Cabinet member

who are exempt from the Career Service System excluding secretarialclerical and similar positions11) The following positions in each state department commission

board or council Secretary Assistant or Deputy Secretary ExecutiveDirector Assistant or Deputy Executive Director and anyone having thepower normally conferred upon such persons regardless of title12) The following positions in each state department or division

Director Assistant or Deputy Director Bureau Chief and any personhaving the power normally conferred upon such persons regardless oftitle 13) Assistant State Attorneys Assistant Public Defenders criminal

conflict and civil regional counsel and assistant criminal conflict and civilregional counsel Public Counsel full-time state employees serving ascounsel or assistant counsel to a state agency administrative law judgesand hearing officers14) The Superintendent or Director of a state mental health institute

established for training and research in the mental health field or anymajor state institution or facility established for corrections trainingtreatment or rehabilitation 15) State agency Business Managers Finance and Accounting

Directors Personnel Officers Grant Coordinators and purchasingagents (regardless of title) with power to make a purchase exceeding$35000 16) The following positions in legislative branch agencies each

employee (other than those employed in maintenance clerical secretarial or similar positions and legislative assistants exempted by the presiding officer of their house) and each employee of theCommission on Ethics

INSTRUCTIONS FOR COMPLETING FORM 1 INTRODUCTORY INFORMATION (Top of Form) If your name mailing address public agency and position are already printed on the form you do not need to provide this information unless it should be changed To change any of this information write the correct information on the form and contact your agencys financial disclosure coordinator You can find your coordinator on the Commission on Ethics website wwwethics stateflus NAME OF AGENCY The name of the governmental unit which you serve or served by which you are or were employed or for which you are a candidate DISCLOSURE PERIOD The ldquodisclosure periodrdquo for your report is the calendar year ending December 31 2019

OFFICE OR POSITION HELD OR SOUGHT The title of the office or position you hold are seeking or held during the disclosure period even if you have since left that position If you are a candidate for office or are a new employee or appointee check the appropriate box PUBLIC RECORD The disclosure form and everythingattached to it is a public record Your Social Security Number is not required and you should redact it from any documents you file If you are an active or former officer or employee listed in Section 119071 FS whose home address is exempt from disclosure the Commission will maintain that confidentiality if you submit a written request

CE FORM 1 - Effective January 1 2020 Incorporated by reference in Rule 34-8202 FAC PAGE 3

PART E mdash LIABILITIES[Required by s 1123145(3)(b)4 FS]List the name and address of each creditor to whom you owed more

than $10000 at any time during the disclosure period The amount of theliability of a vehicle lease is the sum of any past-due payments and allunpaid prospective lease payments You are not required to list the amountof any debt You do not have to disclose credit card and retail installmentaccounts taxes owed (unless reduced to a judgment) indebtedness ona life insurance policy owed to the company of issuance or contingentliabilities A ldquocontingent liabilityrdquo is one that will become an actual liabilityonly when one or more future events occur or fail to occur such as whereyou are liable only as a guarantor surety or endorser on a promissorynote If you are a ldquoco-makerrdquo and are jointly liable or jointly and severallyliable then it is not a contingent liability

PART F mdash INTERESTS IN SPECIFIED BUSINESSES[Required by s 1123145(6) FS]The types of businesses covered in this disclosure include state and

federally chartered banks state and federal savings and loan associationscemetery companies insurance companies mortgage companies creditunions small loan companies alcoholic beverage licensees pari-mutuelwagering companies utility companies entities controlled by the PublicService Commission and entities granted a franchise to operate by either acity or a county government

Disclose in this part the fact that you owned during the disclosure period aninterest in or held any of certain positions with the types of businesses listedabove You must make this disclosure if you own or owned (either directly orindirectly in the form of an equitable or beneficial interest) at any time duringthe disclosure period more than 5 of the total assets or capital stock ofone of the types of business entities listed above You also must completethis part of the form for each of these types of businesses for which youare or were at any time during the disclosure period an officer directorpartner proprietor or agent (other than a resident agent solely for service ofprocess)

If you have or held such a position or ownership interest in one ofthese types of businesses list the name of the business its address andprincipal business activity and the position held with the business (if any) Ifyou own(ed) more than a 5 interest in the business indicate that fact anddescribe the nature of your interest

PART G mdash TRAINING CERTIFICATION[Required by s 1123142 FS]If you are a Constitutional or elected municipal officer whose

service began before March 31 of the year for which you are filingyou are required to complete four hours of ethics training which addresses Article II Section 8 of the Florida Constitution the Codeof Ethics for Public Officers and Employees and the public recordsand open meetings laws of the state You are required to certify onthis form that you have taken such training

(End of Dollar Value Thresholds Instructions)

PART A mdash PRIMARY SOURCES OF INCOME[Required by s 1123145(3)(a)1 FS]Part A is intended to require the disclosure of your principal

sources of income during the disclosure period You do not haveto disclose any public salary or public position(s) but income from these public sources should be included when calculating your gross income for the disclosure period The income of your spouse need not be disclosed however if there is joint income to you and your spouse from property you own jointly (such as interest or dividends from a bank account or stocks) you should include all of that income when calculating your gross income and disclose the source of that income if it exceeded the threshold

Please list in this part of the form the name address and principal business activity of each source of your income whichexceeded 5 of the gross income received by you in your own name or by any other person for your benefit or use during the disclosure period

Gross income means the same as it does for income tax purposes even if the income is not actually taxable such as interest on tax-free bonds Examples include compensation for servicesincome from business gains from property dealings interest rents dividends pensions IRA distributions social security distributive share of partnership gross income and alimony but not child support

Examplesmdash If you were employed by a company that manufactures computers and received more than 5 of your gross income from the company list the name of the company its address and its principal business activity (computer manufacturing)mdash If you were a partner in a law firm and your distributive share of partnership gross income exceeded 5 of your gross income then list the name of the firm its address and its principal business activity (practice of law)mdash If you were the sole proprietor of a retail gift business andyour gross income from the business exceeded 5 of your total gross income list the name of the business its addressand its principal business activity (retail gift sales)mdash If you received income from investments in stocks and bonds list each individual company from which you derived

more than 5 of your gross income Do not aggregate all of your investment incomemdash If more than 5 of your gross income was gain from the sale of property (not just the selling price) list as a source of income the purchaserrsquos name address and principal business activityIf the purchasers identity is unknown such as where securities listed on an exchange are sold through a brokerage firm the source of income should be listed as sale of (name of company)stock for examplemdash If more than 5 of your gross income was in the form of interest from one particular financial institution (aggregatinginterest from all CDrsquos accounts etc at that institution) list the name of the institution its address and its principal business activity

PART B mdash SECONDARY SOURCES OF INCOME[Required by s 1123145(3)(a)2 FS]This part is intended to require the disclosure of major customers

clients and other sources of income to businesses in which you ownan interest It is not for reporting income from second jobs That kindof income should be reported in Part A Primary Sources of Incomeif it meets the reporting threshold You will not have anything to reportunless during the disclosure period

(1) You owned (either directly or indirectly in the form of anequitable or beneficial interest) more than 5 of the total assetsor capital stock of a business entity (a corporation partnershipLLC limited partnership proprietorship joint venture trust firmetc doing business in Florida) and(2) You received more than 10 of your gross income from thatbusiness entity and(3) You received more than $1500 in gross income from thatbusiness entity

If your interests and gross income exceeded these thresholds thenfor that business entity you must list every source of income to thebusiness entity which exceeded 10 of the business entityrsquos grossincome (computed on the basis of the business entityrsquos most recentlycompleted fiscal year) the sourcersquos address and the sourcersquosprincipal business activity

IF YOU HAVE CHOSEN COMPARATIVE (PERCENTAGE) THRESHOLDSTHE FOLLOWING INSTRUCTIONS APPLY

CE FORM 1 - Effective January 1 2020 Incorporated by reference in Rule 34-8202 FAC PAGE 5

MANNER OF CALCULATING REPORTABLE INTEREST Filers have the option of reporting based on either thresholds that are comparative (usually based on percentage values) or thresholds that are based on absolute dollar values The instructions on the following pages specifically describe the different thresholds Check the box that reflects the choice you have made You must use the type of threshold you have chosen for each part of the form In other words if you choose to report based on absolute dollar value thresholds you cannot use a percentage threshold on any part of the form

IF YOU HAVE CHOSEN DOLLAR VALUE THRESHOLDS THE FOLLOWING INSTRUCTIONS APPLY

PART A mdash PRIMARY SOURCES OF INCOME [Required by s 1123145(3)(b)1 FS] Part A is intended to require the disclosure of your principal

sources of income during the disclosure period You do not have todisclose any public salary or public position(s) The income of yourspouse need not be disclosed however if there is joint income toyou and your spouse from property you own jointly (such as interestor dividends from a bank account or stocks) you should disclose thesource of that income if it exceeded the threshold

Please list in this part of the form the name address andprincipal business activity of each source of your income whichexceeded $2500 of gross income received by you in your own name or by any other person for your use or benefit

Gross income means the same as it does for income tax purposes even if the income is not actually taxable such as interest on tax-free bonds Examples include compensation for servicesincome from business gains from property dealings interest rentsdividends pensions IRA distributions social security distributive share of partnership gross income and alimony but not child support

Examples mdash If you were employed by a company that manufacturescomputers and received more than $2500 list the name of thecompany its address and its principal business activity (computermanufacturing) mdash If you were a partner in a law firm and your distributive shareof partnership gross income exceeded $2500 list the name ofthe firm its address and its principal business activity (practice oflaw) mdash If you were the sole proprietor of a retail gift business and yourgross income from the business exceeded $2500 list the nameof the business its address and its principal business activity(retail gift sales) mdash If you received income from investments in stocks and bondslist each individual company from which you derived more than$2500 Do not aggregate all of your investment income mdash If more than $2500 of your gross income was gain from thesale of property (not just the selling price) list as a source ofincome the purchaserrsquos name address and principal businessactivity If the purchaserrsquos identity is unknown such as wheresecurities listed on an exchange are sold through a brokeragefirm the source of income should be listed as sale of (name of company) stock for example mdash If more than $2500 of your gross income was in the formof interest from one particular financial institution (aggregatinginterest from all CDrsquos accounts etc at that institution) list the name of the institution its address and its principal business activity

PART B mdash SECONDARY SOURCES OF INCOME [Required by s 1123145(3)(b)2 FS] This part is intended to require the disclosure of major customers

clients and other sources of income to businesses in which you own aninterest It is not for reporting income from second jobs That kind of incomeshould be reported in Part A Primary Sources of Income if it meets thereporting threshold You will not have anything to report unless during thedisclosure period

(1) You owned (either directly or indirectly in the form of an equitableor beneficial interest) more than 5 of the total assets or capitalstock of a business entity (a corporation partnership LLC limitedpartnership proprietorship joint venture trust firm etc doing business in Florida) and (2) You received more than $5000 of your gross income during thedisclosure period from that business entity

If your interests and gross income exceeded these thresholds then for thatbusiness entity you must list every source of income to the business entitywhich exceeded 10 of the business entityrsquos gross income (computed onthe basis of the business entitys most recently completed fiscal year) thesourcersquos address and the sources principal business activity

Examples mdash You are the sole proprietor of a dry cleaning business from whichyou received more than $5000 If only one customer a uniform rentalcompany provided more than 10 of your dry cleaning business youmust list the name of the uniform rental company its address and itsprincipal business activity (uniform rentals) mdash You are a 20 partner in a partnership that owns a shopping malland your partnership income exceeded the above thresholds List eachtenant of the mall that provided more than 10 of the partnershipsgross income and the tenants address and principal business activity

PART C mdash REAL PROPERTY [Required by s 1123145(3)(b)3 FS] In this part list the location or description of all real property in Florida

in which you owned directly or indirectly at any time during the disclosureperiod in excess of 5 of the propertyrsquos value You are not required to listyour residences You should list any vacation homes if you derive incomefrom them

Indirect ownership includes situations where you are a beneficiary of atrust that owns the property as well as situations where you own more than5 of a partnership or corporation that owns the property The value of theproperty may be determined by the most recently assessed value for taxpurposes in the absence of a more current appraisal

The location or description of the property should be sufficient toenable anyone who looks at the form to identify the property A streetaddress should be used if one exists

PART D mdash INTANGIBLE PERSONAL PROPERTY [Required by s 1123145(3)(b)3 FS] Describe any intangible personal property that at any time during the

disclosure period was worth more than $10000 and state the businessentity to which the property related Intangible personal property includesthings such as cash on hand stocks bonds certificates of deposit vehicleleases interests in businesses beneficial interests in trusts money owedyou Deferred Retirement Option Program (DROP) accounts the FloridaPrepaid College Plan and bank accounts Intangible personal propertyalso includes investment products held in IRAs brokerage accounts andthe Florida College Investment Plan Note that the product contained in a brokerage account IRA or the Florida College Investment Plan is yourassetmdashnot the account or plan itself Things like automobiles and housesyou own jewelry and paintings are not intangible property Intangiblesrelating to the same business entity may be aggregated for example CDsand savings accounts with the same bank Property owned as tenants bythe entirety or as joint tenants with right of survivorship should be valued at100 The value of a leased vehicle is the vehiclersquos present value minusthe lease residual (a number found on the lease document)

CE FORM 1 - Effective January 1 2020 Incorporated by reference in Rule 34-8202 FAC PAGE 4

PART A mdash PRIMARY SOURCES OF INCOME[Required by s 1123145(3)(b)1 FS]Part A is intended to require the disclosure of your principal

sources of income during the disclosure period You do not have todisclose any public salary or public position(s) The income of yourspouse need not be disclosed however if there is joint income t oyou and your spouse from property you own jointly (such as interestor dividends from a bank account or stocks) you should disclose thesource of that income if it exceeded the threshold

Please list in this part of the form the name address andprincipal business activity of each source of your income whichexceeded $2500 of gross income received by you in your own name or by any other person for your use or benefit

Gross income means the same as it does for income taxpurposes even if the income is not actually taxable such as intereston tax-free bonds Examples include compensation for servicesincome from business gains from property dealings interest rentsdividends pensions IRA distributions social security distributiveshare of partnership gross income and alimony but not child support

Examplesmdash If you were employed by a company that manufacturescomputers and received more than $2500 list the name of thecompany its address and its principal business activity (computermanufacturing)mdash If you were a partner in a law firm and your distributive shareof partnership gross income exceeded $2500 list the name ofthe firm its address and its principal business activity (practice oflaw)mdash If you were the sole proprietor of a retail gift business and yourgross income from the business exceeded $2500 list the nameof the business its address and its principal business activity(retail gift sales)mdash If you received income from investments in stocks and bondslist each individual company from which you derived more than$2500 Do not aggregate all of your investment incomemdash If more than $2500 of your gross income was gain from thesale of property (not just the selling price) list as a source o fincome the purchaserrsquos name address and principal businessactivity If the purchaserrsquos identity is unknown such as wheresecurities listed on an exchange are sold through a brokeragefirm the source of income should be listed as sale of (name of company) stock for examplemdash If more than $2500 of your gross income was in the formof interest from one particular financial institution (aggregatinginterest from all CDrsquos accounts etc at that institution) list thename of the institution its address and its principal business activity

PART B mdash SECONDARY SOURCES OF INCOME[Required by s 1123145(3)(b)2 FS]This part is intended to require the disclosure of major customers

clients and other sources of income to businesses in which you own aninterest It is not for reporting income from second jobs That kind of incomeshould be reported in Part A Primary Sources of Income if it meets thereporting threshold You will not have anything to report unless during thedisclosure period

(1) You owned (either directly or indirectly in the form of an equitableor beneficial interest) more than 5 of the total assets or capitalstock of a business entity (a corporation partnership LLC limitedpartnership proprietorship joint venture trust firm etc doing business in Florida) and(2) You received more than $5000 of your gross income during thedisclosure period from that business entity

If your interests and gross income exceeded these thresholds then for thatbusiness entity you must list every source of income to the business entitywhich exceeded 10 of the business entityrsquos gross income (computed onthe basis of the business entitys most recently completed fiscal year) thesourcersquos address and the sources principal business activity

Examplesmdash You are the sole proprietor of a dry cleaning business from whichyou received more than $5000 If only one customer a uniform rentalcompany provided more than 10 of your dry cleaning business youmust list the name of the uniform rental company its address and itsprincipal business activity (uniform rentals)mdash You are a 20 partner in a partnership that owns a shopping malland your partnership income exceeded the above thresholds List eachtenant of the mall that provided more than 10 of the partnershipsgross income and the tenants address and principal business activity

PART C mdash REAL PROPERTY[Required by s 1123145(3)(b)3 FS]In this part list the location or description of all real property in Florida

in which you owned directly or indirectly at any time during the disclosureperiod in excess of 5 of the propertyrsquos value You are not required to listyour residences You should list any vacation homes if you derive incomefrom them

Indirect ownership includes situations where you are a beneficiary of atrust that owns the property as well as situations where you own more than5 of a partnership or corporation that owns the property The value of theproperty may be determined by the most recently assessed value for taxpurposes in the absence of a more current appraisal

The location or description of the property should be sufficient toenable anyone who looks at the form to identify the property A streetaddress should be used if one exists

PART D mdash INTANGIBLE PERSONAL PROPERTY[Required by s 1123145(3)(b)3 FS]Describe any intangible personal property that at any time during the

disclosure period was worth more than $10000 and state the businessentity to which the property related Intangible personal property includesthings such as cash on hand stocks bonds certificates of deposit vehicleleases interests in businesses beneficial interests in trusts money owedyou Deferred Retirement Option Program (DROP) accounts the FloridaPrepaid College Plan and bank accounts Intangible personal propertyalso includes investment products held in IRAs brokerage accounts andthe Florida College Investment Plan Note that the product contained ina brokerage account IRA or the Florida College Investment Plan is yourassetmdashnot the account or plan itself Things like automobiles and housesyou own jewelry and paintings are not intangible property Intangiblesrelating to the same business entity may be aggregated for example CDsand savings accounts with the same bank Property owned as tenants bythe entirety or as joint tenants with right of survivorship should be valued at100 The value of a leased vehicle is the vehiclersquos present value minusthe lease residual (a number found on the lease document)

Filers have the option of reporting based on either thresholds that are comparative (usually based on percentage values) orthresholds that are based on absolute dollar values The instructions on the following pages specifically describe the differentthresholds Check the box that reflects the choice you have made You must use the type of threshold you have chosen for eachpart of the form In other words if you choose to report based on absolute dollar value thresholds you cannot use a percentagethreshold on any part of the form

MANNER OF CALCULATING REPORTABLE INTEREST

IF YOU HAVE CHOSEN DOLLAR VALUE THRESHOLDSTHE FOLLOWING INSTRUCTIONS APPLY

CE FORM 1 - Effective January 1 2020 Incorporated by reference in Rule 34-8202 FAC PAGE 4

PART E mdash LIABILITIES [Required by s 1123145(3)(b)4 FS] List the name and address of each creditor to whom you owed more

than $10000 at any time during the disclosure period The amount of theliability of a vehicle lease is the sum of any past-due payments and allunpaid prospective lease payments You are not required to list the amountof any debt You do not have to disclose credit card and retail installmentaccounts taxes owed (unless reduced to a judgment) indebtedness ona life insurance policy owed to the company of issuance or contingentliabilities A ldquocontingent liabilityrdquo is one that will become an actual liabilityonly when one or more future events occur or fail to occur such as whereyou are liable only as a guarantor surety or endorser on a promissorynote If you are a ldquoco-makerrdquo and are jointly liable or jointly and severallyliable then it is not a contingent liability

PART F mdash INTERESTS IN SPECIFIED BUSINESSES [Required by s 1123145(6) FS] The types of businesses covered in this disclosure include state and

federally chartered banks state and federal savings and loan associationscemetery companies insurance companies mortgage companies creditunions small loan companies alcoholic beverage licensees pari-mutuelwagering companies utility companies entities controlled by the PublicService Commission and entities granted a franchise to operate by either acity or a county government

Disclose in this part the fact that you owned during the disclosure period aninterest in or held any of certain positions with the types of businesses listedabove You must make this disclosure if you own or owned (either directly orindirectly in the form of an equitable or beneficial interest) at any time duringthe disclosure period more than 5 of the total assets or capital stock ofone of the types of business entities listed above You also must completethis part of the form for each of these types of businesses for which youare or were at any time during the disclosure period an officer directorpartner proprietor or agent (other than a resident agent solely for service ofprocess)

If you have or held such a position or ownership interest in one ofthese types of businesses list the name of the business its address andprincipal business activity and the position held with the business (if any) Ifyou own(ed) more than a 5 interest in the business indicate that fact anddescribe the nature of your interest

PART G mdash TRAINING CERTIFICATION [Required by s 1123142 FS] If you are a Constitutional or elected municipal officer whose

service began before March 31 of the year for which you are filingyou are required to complete four hours of ethics training which addresses Article II Section 8 of the Florida Constitution the Code of Ethics for Public Officers and Employees and the public recordsand open meetings laws of the state You are required to certify onthis form that you have taken such training

(End of Dollar Value Thresholds Instructions)

IF YOU HAVE CHOSEN COMPARATIVE (PERCENTAGE) THRESHOLDS THE FOLLOWING INSTRUCTIONS APPLY

PART A mdash PRIMARY SOURCES OF INCOME [Required by s 1123145(3)(a)1 FS] Part A is intended to require the disclosure of your principal

sources of income during the disclosure period You do not haveto disclose any public salary or public position(s) but income from these public sources should be included when calculating your gross income for the disclosure period The income of your spouse need not be disclosed however if there is joint income to you and your spouse from property you own jointly (such as interest or dividends from a bank account or stocks) you should include all of that income when calculating your gross income and disclose the source of that income if it exceeded the threshold

Please list in this part of the form the name address and principal business activity of each source of your income whichexceeded 5 of the gross income received by you in your own name or by any other person for your benefit or use during the disclosure period

Gross income means the same as it does for income tax purposes even if the income is not actually taxable such as interest on tax-free bonds Examples include compensation for servicesincome from business gains from property dealings interest rents dividends pensions IRA distributions social security distributive share of partnership gross income and alimony but not child support

Examples mdash If you were employed by a company that manufactures computers and received more than 5 of your gross income from the company list the name of the company its address and its principal business activity (computer manufacturing) mdash If you were a partner in a law firm and your distributive share of partnership gross income exceeded 5 of your gross income then list the name of the firm its address and its principal business activity (practice of law) mdash If you were the sole proprietor of a retail gift business andyour gross income from the business exceeded 5 of your total gross income list the name of the business its addressand its principal business activity (retail gift sales) mdash If you received income from investments in stocks and bonds list each individual company from which you derived

more than 5 of your gross income Do not aggregate all of your investment income mdash If more than 5 of your gross income was gain from the sale of property (not just the selling price) list as a source of income the purchaserrsquos name address and principal business activityIf the purchasers identity is unknown such as where securities listed on an exchange are sold through a brokerage firm the source of income should be listed as sale of (name of company)stock for example mdash If more than 5 of your gross income was in the form of interest from one particular financial institution (aggregatinginterest from all CDrsquos accounts etc at that institution) list the name of the institution its address and its principal business activity

PART B mdash SECONDARY SOURCES OF INCOME [Required by s 1123145(3)(a)2 FS] This part is intended to require the disclosure of major customers

clients and other sources of income to businesses in which you ownan interest It is not for reporting income from second jobs That kindof income should be reported in Part A Primary Sources of Incomeif it meets the reporting threshold You will not have anything to report unless during the disclosure period

(1) You owned (either directly or indirectly in the form of anequitable or beneficial interest) more than 5 of the total assetsor capital stock of a business entity (a corporation partnershipLLC limited partnership proprietorship joint venture trust firmetc doing business in Florida) and (2) You received more than 10 of your gross income from thatbusiness entity and (3) You received more than $1500 in gross income from thatbusiness entity

If your interests and gross income exceeded these thresholds thenfor that business entity you must list every source of income to thebusiness entity which exceeded 10 of the business entityrsquos grossincome (computed on the basis of the business entityrsquos most recentlycompleted fiscal year) the sourcersquos address and the sourcersquos principal business activity

CE FORM 1 - Effective January 1 2020 Incorporated by reference in Rule 34-8202 FAC PAGE 5

NOTICE Annual Statements of Financial Interests are due July 1 If the annual form is not filed or postmarked by September 1 an automatic fine of $25 for each day late will be imposed up to a maximum penalty of $1500 Failure to file also can result in removal from public office or employment [s 1123145 FS]

In addition failure to make any required disclosure constitutes grounds for and may be punished by one or more of the following disqualification from being on the ballot impeachment removal or suspension from office or employment demotion reduction in salary reprimand or a civil penalty not exceeding $10000 [s 112317 FS]

1) Elected public officials not serving in a political subdivision of thestate and any person appointed to fill a vacancy in such office unlessrequired to file full disclosure on Form 62) Appointed members of each board commission authority

or council having statewide jurisdiction excluding members of solelyadvisory bodies but including judicial nominating commission membersDirectors of Enterprise Florida Scripps Florida Funding Corporationand Career Source Florida and members of the Council on the SocialStatus of Black Men and Boys the Executive Director Governors and senior managers of Citizens Property Insurance CorporationGovernors and senior managers of Florida Workers Compensation JointUnderwriting Association board members of the Northeast Fla RegionalTransportation Commission board members of Triumph Gulf Coast Incboard members of Florida Is For Veterans Inc and members of theTechnology Advisory Council within the Agency for State Technology3) The Commissioner of Education members of the State Board

of Education the Board of Governors the local Boards of Trustees andPresidents of state universities and the Florida Prepaid College Board4) Persons elected to office in any political subdivision (such a s

municipalities counties and special districts) and any person appointedto fill a vacancy in such office unless required to file Form 65) Appointed members of the following boards councils

commissions authorities or other bodies of county municipality schooldistrict independent special district or other political subdivision thegoverning body of the subdivision community college or junior collegedistrict boards of trustees boards having the power to enforce local codeprovisions boards of adjustment community redevelopment agenciesplanning or zoning boards having the power to recommend create ormodify land planning or zoning within a political subdivision except forcitizen advisory committees technical coordinating committees andsimilar groups who only have the power to make recommendationsto planning or zoning boards and except for representatives of amilitary installation acting on behalf of all military installations within thatjurisdiction pension or retirement boards empowered to invest pensionor retirement funds or determine entitlement to or amount of pensions orother retirement benefits and the Pinellas County Construction LicensingBoard6) Any appointed member of a local government board who

is required to file a statement of financial interests by the appointingauthority or the enabling legislation ordinance or resolution creating theboard7) Persons holding any of these positions in local government

mayor county or city manager chief administrative employee or finance

director of a county municipality or other political subdivision countyor municipal attorney chief county or municipal building inspectorcounty or municipal water resources coordinator county or municipalpollution control director county or municipal environmental controldirector county or municipal administrator with power to grant or denya land development permit chief of police fire chief municipal clerkappointed district school superintendent community college presidentdistrict medical examiner purchasing agent (regardless of title) havingthe authority to make any purchase exceeding $35000 for the localgovernmental unit8) Officers and employees of entities serving as chief administrative

officer of a political subdivision9) Members of governing boards of charter schools operated by a

city or other public entity10) Employees in the office of the Governor or of a Cabinet member

who are exempt from the Career Service System excluding secretarialclerical and similar positions11) The following positions in each state department commission

board or council Secretary Assistant or Deputy Secretary ExecutiveDirector Assistant or Deputy Executive Director and anyone having thepower normally conferred upon such persons regardless of title12) The following positions in each state department or division

Director Assistant or Deputy Director Bureau Chief and any personhaving the power normally conferred upon such persons regardless oftitle13) Assistant State Attorneys Assistant Public Defenders criminal

conflict and civil regional counsel and assistant criminal conflict and civilregional counsel Public Counsel full-time state employees serving ascounsel or assistant counsel to a state agency administrative law judgesand hearing officers14) The Superintendent or Director of a state mental health institute

established for training and research in the mental health field or anymajor state institution or facility established for corrections trainingtreatment or rehabilitation15) State agency Business Managers Finance and Accounting

Directors Personnel Officers Grant Coordinators and purchasingagents (regardless of title) with power to make a purchase exceeding$3500016) The following positions in legislative branch agencies each

employee (other than those employed in maintenance clerical secretarial or similar positions and legislative assistants exemptedby the presiding officer of their house) and each employee of theCommission on Ethics

INSTRUCTIONS FOR COMPLETING FORM 1INTRODUCTORY INFORMATION (Top of Form) If your name mailing address public agency and position are already printed on the form you do not need to provide this information unless it should be changed To change any of this information write the correct information on the form and contact your agencys financial disclosure coordinator You can find your coordinator on the Commission on Ethics website wwwethicsstateflus NAME OF AGENCY The name of the governmental unit which you serve or served by which you are or were employed or for which you are a candidate DISCLOSURE PERIOD The ldquodisclosure periodrdquo for your report is the calendar year ending December 31 2019

OFFICE OR POSITION HELD OR SOUGHT The title of the office or position you hold are seeking or held during the disclosure period even if you have since left that position If you are a candidate for office or are a new employee or appointee check the appropriate boxPUBLIC RECORD The disclosure form and everythingattached to it is a public record Your Social Security Number is not required and you should redact it from any documents you file If you are an active or former officer or employee listed in Section 119071 FS whose home address is exempt from disclosure the Commission will maintain that confidentiality if you submit a written request

WHO MUST FILE FORM 1

CE FORM 1 - Effective January 1 2020 Incorporated by reference in Rule 34-8202 FAC PAGE 3

Examples PART E mdash LIABILITIES mdash You are the sole proprietor of a dry cleaning business from [Required by s 1123145(3)(b)4 FS]which you received more than 10 of your gross incomemdashan List the name and address of each creditor to whom you owed amount that was more than $1500 If only one customer a any amount that at any time during the disclosure period exceeded uniform rental company provided more than 10 of your dry your net worth You are not required to list the amount of any debt cleaning business you must list the name of the uniform rental or your net worth You do not have to disclose credit card and retail company its address and its principal business activity (uniform installment accounts taxes owed (unless reduced to a judgment) rentals) indebtedness on a life insurance policy owed to the company of mdash You are a 20 partner in a partnership that owns a shopping issuance or contingent liabilities A ldquocontingent liabilityrdquo is one mall and your partnership income exceeded the thresholds that will become an actual liability only when one or more future listed above You should list each tenant of the mall that events occur or fail to occur such as where you are liable only as provided more than 10 of the partnershiprsquos gross income and a guarantor surety or endorser on a promissory note If you are a the tenantrsquos address and principal business activity ldquoco-makerrdquo and are jointly liable or jointly and severally liable it is not

a contingent liability PART C mdash REAL PROPERTY Calculations To determine whether the debt exceeds your

[Required by s 1123145(3)(a)3 FS] net worth total all of your liabilities (including promissory notes mortgages credit card debts judgments against you etc) TheIn this part list the location or description of all real property in amount of the liability of a vehicle lease is the sum of any past-due Florida in which you owned directly or indirectly at any time during payments and all unpaid prospective lease payments Subtract the disclosure period in excess of 5 of the propertyrsquos value You the sum total of your liabilities from the value of all your assets are not required to list your residences You should list any vacation as calculated above for Part D This is your ldquonet worthrdquo List each homes if you derive income from them creditor to whom your debt exceeded this amount unless it is one of

Indirect ownership includes situations where you are a the types of indebtedness listed in the paragraph above (credit card beneficiary of a trust that owns the property as well as situations and retail installment accounts etc) Joint liabilities with others for where you own more than 5 of a partnership or corporation that which you are ldquojointly and severally liablerdquo meaning that you may owns the property The value of the property may be determined by be liable for either your part or the whole of the obligation should be the most recently assessed value for tax purposes in the absence included in your calculations at 100 of the amount owed of a more current appraisal

Example You owe $15000 to a bank for student loans $5000 The location or description of the property should be sufficient for credit card debts and $60000 (with spouse) to a savings to enable anyone who looks at the form to identify the property A and loan for a home mortgage Your home (owned by you and street address should be used if one exists your spouse) is worth $80000 and your other property is worth PART D mdash INTANGIBLE PERSONAL PROPERTY $20000 Since your net worth is $20000 ($100000 minus

$80000) you must report only the name and address of the [Required by s 1123145(3)(a)3 FS] savings and loan Describe any intangible personal property that at any time

during the disclosure period was worth more than 10 of your PART F mdash INTERESTS IN SPECIFIED BUSINESSES total assets and state the business entity to which the property [Required by s 1123145 FS] related Intangible personal property includes things such as cash on hand stocks bonds certificates of deposit vehicle leases The types of businesses covered in this disclosure include interests in businesses beneficial interests in trusts money owed state and federally chartered banks state and federal savings and you Deferred Retirement Option Program (DROP) accounts loan associations cemetery companies insurance companies the Florida Prepaid College Plan and bank accounts Intangible mortgage companies credit unions small loan companies alcoholic personal property also includes investment products held in IRAs beverage licensees pari-mutuel wagering companies utilitybrokerage accounts and the Florida College Investment Plan companies entities controlled by the Public Service Commission Note that the product contained in a brokerage account IRA or the and entities granted a franchise to operate by either a city or a Florida College Investment Plan is your assetmdashnot the account or county governmentplan itself Things like automobiles and houses you own jewelry Disclose in this part the fact that you owned during the and paintings are not intangible property Intangibles relating to the disclosure period an interest in or held any of certain positions same business entity may be aggregated for example CDrsquos and with the types of businesses listed above You are requiredsavings accounts with the same bank to make this disclosure if you own or owned (either directly or

Calculations To determine whether the intangible property indirectly in the form of an equitable or beneficial interest) at any exceeds 10 of your total assets total the fair market value of time during the disclosure period more than 5 of the total assets all of your assets (including real property intangible property and or capital stock of one of the types of business entities listed above tangible personal property such as jewelry furniture etc) When You also must complete this part of the form for each of these types making this calculation do not subtract any liabilities (debts) that of businesses for which you are or were at any time during themay relate to the property Multiply the total figure by 10 to arrive disclosure period an officer director partner proprietor or agent at the disclosure threshold List only the intangibles that exceed (other than a resident agent solely for service of process) this threshold amount The value of a leased vehicle is the vehiclersquos If you have or held such a position or ownership interest in present value minus the lease residual (a number which can be one of these types of businesses list the name of the business its found on the lease document) Property that is only jointly owned address and principal business activity and the position held with property should be valued according to the percentage of your the business (if any) If you own(ed) more than a 5 interest in the joint ownership Property owned as tenants by the entirety or as business indicate that fact and describe the nature of your interest joint tenants with right of survivorship should be valued at 100 None of your calculations or the value of the property have to be PART G mdash TRAINING CERTIFICATIONdisclosed on the form

[Required by s 1123142 FS] Example You own 50 of the stock of a small corporation that is worth $100000 the estimated fair market value of If you are a Constitutional or elected municipal officer whoseyour home and other property (bank accounts automobile service began before March 31 of the year for which you are filing furniture etc) is $200000 As your total assets are worth you are required to complete four hours of ethics training which $250000 you must disclose intangibles worth over $25000 addresses Article II Section 8 of the Florida Constitution the Code Since the value of the stock exceeds this threshold you of Ethics for Public Officers and Employees and the public records should list ldquostockrdquo and the name of the corporation If your and open meetings laws of the state You are required to certify on accounts with a particular bank exceed $25000 you should this form that you have taken such training list ldquobank accountsrdquo and bankrsquos name

(

End of Percentage Thresholds Instructions) CE FORM 1 - Effective January 1 2020 Incorporated by reference in Rule 34-8202 FAC PAGE 6

  • 0 HP Cover Page v2
  • 1 Hawks Point Meeting Invite Draft v2
  • 2 Agenda Draft v3
  • 3 EXHIBIT 1
  • 7 HP 05-19-2020 Meeting Minutes Approved
  • 6 EXHIBIT 2
  • 9 HP May FY20 Fin
  • 8 EXHIBIT 3
  • 4 Vacant Position Qualification Requirements for Hawks Point CDD
    • Vacant Position on the Board of Supervisors of the Hawkrsquos Point Community Development District
      • Qualification Requirements
      • Instructions for Interested Candidates
      • Additional Notes
          • 5 Shami Choon Vacant Position - updated 11-5-11 resume
            • 1803 Oak Pond Street Ruskin Fl 33570 E-mailchoons27gmailcom
              • PROFESSIONAL HISTORY
                • Operations Manager Florida Distribution 2002 ndash 2005
                • Operations Manager for Florida Branch Distribution 1999 ndash 2002
                • Warehouse Manager of Miami Distribution Center 1998 ndash 1999
                • Branch Manager of West Palm Beach 1994 ndash 1998
                • Assistant Branch Manager 1991 ndash 1994
                • Customer Service Agent 1990 ndash 1991
                  • 10 EXHIBIT 4
                  • 11 New Business - Hawks Point CDD - MI proposal
                  • 12 EXHIBIT 5
                  • 13 CertaPro Proposal to Paint Exterior Wall 18th to 24th Avenue
                  • 14 Shazam Construction Proposal to Paint Exterior Wall 18th to 24th Street
                    • QUOTE
                      • TO
                          • 15 Photo to accompany Shazam Proposal
                          • 16 EXHIBIT 6
                          • 17 CertaPro Proposal for Pressure Washing Exterior Wall 18th St to 24th Street
                          • 18 Shazam Construction Proposal for Pressure Washing Exterion Wall 18th Street to 24th Street
                            • QUOTE
                              • TO
                                  • 19 EXHIBIT 7
                                  • 20 Form 1_2019i
                                      1. LAST NAME
                                      2. FIRST NAME
                                      3. MIDDLE NAME
                                      4. MAILING ADDRESS ROW 1
                                      5. MAILING ADDRESS ROW 2
                                      6. CITY
                                      7. ZIP
                                      8. COUNTY
                                      9. NAME OF AGENCY
                                      10. NAME OF OFFICE OR POSITION HELD OR SOUGHT
                                      11. CANDIDATE Off
                                      12. NEW EMPLOYEE OR APPOINTEE Off
                                      13. COMPARATIVE (PERCENTAGE) THRESHOLDS Off
                                      14. DOLLAR VALUE THRESHOLDS Off
                                      15. NAME OF SOURCE INCOME ROW 1
                                      16. ADDRESS ROW 1
                                      17. DESCRIPTION OF THE SOURCES PRINCIPAL BUSINESS ACTIVITY ROW 1
                                      18. NAME OF SOURCE INCOME ROW 2
                                      19. ADDRESS ROW 2
                                      20. DESCRIPTION OF THE SOURCES PRINCIPAL BUSINESS ACTIVITY ROW 2
                                      21. NAME OF SOURCE INCOME ROW 3
                                      22. ADDRESS ROW 3
                                      23. DESCRIPTION OF THE SOURCES PRINCIPAL BUSINESS ACTIVITY ROW 3
                                      24. NAME OF SOURCE INCOME ROW 4
                                      25. ADDRESS ROW 4
                                      26. DESCRIPTION OF THE SOURCES PRINCIPAL BUSINESS ACTIVITY ROW 4
                                      27. NAME OF BUSINESS ENTITY ROW 1
                                      28. NAME OF MAJOR SOURCES OF BUSINESS INCOME ROW 1
                                      29. ADDRESS OF SOURCE ROW 1
                                      30. PRINCIPAL BUSINESS ACTIVITY OF SOURCE ROW 1
                                      31. NAME OF BUSINESS ENTITY ROW 2
                                      32. NAME OF MAJOR SOURCES OF BUSINESS INCOME ROW 2
                                      33. ADDRESS OF SOURCE ROW 2
                                      34. PRINCIPAL BUSINESS ACTIVITY OF SOURCE ROW 2
                                      35. NAME OF BUSINESS ENTITY ROW 3
                                      36. NAME OF MAJOR SOURCES OF BUSINESS INCOME ROW 3
                                      37. ADDRESS OF SOURCE ROW 3
                                      38. PRINCIPAL BUSINESS ACTIVITY OF SOURCE ROW 3
                                      39. REAL PROPERTY ROW 1
                                      40. REAL PROPERTY ROW 2
                                      41. REAL PROPERTY ROW 3
                                      42. REAL PROPERTY ROW 4
                                      43. TYPE OF INTANGIBLE ROW 1
                                      44. BUSINESS ENTITY TO WHICH THE PROPERTY RELATES ROW 1
                                      45. TYPE OF INTANGIBLE ROW 2
                                      46. BUSINESS ENTITY TO WHICH THE PROPERTY RELATES ROW 2
                                      47. NAME OF CREDITOR ROW 1
                                      48. ADDRESS OF CREDITOR ROW 1
                                      49. NAME OF CREDITOR ROW 2
                                      50. ADDRESS OF CREDITOR ROW 2
                                      51. ADDRESS OF BUSINESS ENTITY 1
                                      52. PRINCIPAL BUSINESS ACTIVITY 1
                                      53. POSITION HELD WITH ENTITY 1
                                      54. I OWN MORE THAN A 5 INTEREST IN THE BUSINESS 1
                                      55. NATURE OF MY OWNERSHIP INTEREST 1
                                      56. ADDRESS OF BUSINESS ENTITY 2
                                      57. PRINCIPAL BUSINESS ACTIVITY 2
                                      58. POSITION HELD WITH ENTITY 2
                                      59. I OWN MORE THAN A 5 INTEREST IN THE BUSINESS 2
                                      60. NATURE OF MY OWNERSHIP INTEREST 2
                                      61. FOR ELECTED MUNICIPAL OFFICERS REQUIRED TO COMPLETE ANNUAL ETHICS TRAINING PURSUANT TO SECTION 112
                                        1. 3142 F
                                          1. S Off
                                              1. IF ANY OF PARTS A THROUGH G ARE CONTINUED ON A SEPARATE SHEET PLEASE CHECK HERE Off
                                              2. SIGNATURE
                                              3. Date Signed
Page 33: HAWKS POINT COMMUNITY DEVELOPMENT …...2020/06/16  · Hawks Point Community Development District Board of Supervisors Meeting Tuesday, June 16th at 6:30 PM via Zoom All: We welcome

QUOTE

Shazam Construction LLC DATE JUNE 5 2020

Shazam Hera 6773 Waterton Drive Riverview FL 33578 813-385-4591 ShazamConstructionLLCgmailcom Hawks Point CDD

TO Bill to Development Planning and Financing Group 15310 Amberly Drive Suite 175 Tampa FL 33647

QUANITY DESCRIPTION UNIT PRICE LINE TOTAL

Pressure wash the wall that parallels 19th avenue from 18th street to 24th street in Hawks Point CDD in Ruskin

$160000

All materials and labor is included

SUBTOTAL

SALES TAX

TOTAL $160000

Make all checks payable to Shazam Construction LLC

THANK YOU FOR YOUR BUSINESS

EXHIBIT 7

2019FORM 1 STATEMENT OF

Please print or type your name mailing FOR OFFICE USE ONLY FINANCIAL INTERESTS address agency name and position below

LAST NAME -- FIRST NAME -- MIDDLE NAME

MAILING ADDRESS

CITY ZIP COUNTY

NAME OF AGENCY

NAME OF OFFICE OR POSITION HELD OR SOUGHT

CHECK ONLY IF CANDIDATE OR NEW EMPLOYEE OR APPOINTEE

THIS SECTION MUST BE COMPLETED DISCLOSURE PERIOD THIS STATEMENT REFLECTS YOUR FINANCIAL INTERESTS FOR CALENDAR YEAR ENDING DECEMBER 31 2019

MANNER OF CALCULATING REPORTABLE INTERESTS FILERS HAVE THE OPTION OF USING REPORTING THRESHOLDS THAT ARE ABSOLUTE DOLLAR VALUES WHICH REQUIRES FEWER CALCULATIONS OR USING COMPARATIVE THRESHOLDS WHICH ARE USUALLY BASED ON PERCENTAGE VALUES (see instructions for further details) CHECK THE ONE YOU ARE USING (must check one)

COMPARATIVE (PERCENTAGE) THRESHOLDS OR DOLLAR VALUE THRESHOLDS

PART A -- PRIMARY SOURCES OF INCOME [Major sources of income to the reporting person - See instructions] (If you have nothing to report write none or na)

NAME OF SOURCE SOURCES DESCRIPTION OF THE SOURCES OF INCOME ADDRESS PRINCIPAL BUSINESS ACTIVITY

PART B -- SECONDARY SOURCES OF INCOME [Major customers clients and other sources of income to businesses owned by the reporting person - See instructions] (If you have nothing to report write none or na)

NAME OF NAME OF MAJOR SOURCES ADDRESS PRINCIPAL BUSINESS BUSINESS ENTITY OF BUSINESS INCOME OF SOURCE ACTIVITY OF SOURCE

PART C -- REAL PROPERTY [Land buildings owned by the reporting person - See instructions] You are not limited to the space on the (If you have nothing to report write none or na) lines on this form Attach additional

sheets if necessary

FILING INSTRUCTIONS for when and where to file this form are located at the bottom of page 2

INSTRUCTIONS on who must file this form and how to fill it out begin on page 3

CE FORM 1 - Effective January 1 2020 (Continued on reverse side) PAGE 1 Incorporated by reference in Rule 34-8202(1) FAC

FILING INSTRUCTIONS

IF ANY OF PARTS A THROUGH G ARE CONTINUED ON A SEPARATE SHEET PLEASE CHECK HERE

PART D mdash INTANGIBLE PERSONAL PROPERTY [Stocks bonds certificates of deposit etc - See instructions] (If you have nothing to report write none or na) TYPE OF INTANGIBLE BUSINESS ENTITY TO WHICH THE PROPERTY RELATES

PART E mdash LIABILITIES [Major debts - See instructions] (If you have nothing to report write none or na)

NAME OF CREDITOR ADDRESS OF CREDITOR

PART F mdash INTERESTS IN SPECIFIED BUSINESSES [Ownership or positions in certain types of businesses - See instructions] (If you have nothing to report write none or na)

BUSINESS ENTITY 1 BUSINESS ENTITY 2

NAME OF BUSINESS ENTITY

ADDRESS OF BUSINESS ENTITY

PRINCIPAL BUSINESS ACTIVITY

POSITION HELD WITH ENTITY

I OWN MORE THAN A 5 INTEREST IN THE BUSINESS

NATURE OF MY OWNERSHIP INTEREST

If you were mailed the form by the Commission on Ethics or a County Supervisor of Elections for your annual disclosure filing return the form to that location To determine what category your position falls under see page 3 of instructions Local officersemployees file with the Supervisor of Elections of the county in which they permanently reside (If you do not permanently reside in Florida file with the Supervisor of the county where your agency has its headquarters) Form 1 filers who file with the Supervisor of Elections may file by mail or email Contact your Supervisor of Elections for the mailing address or email address to use Do not email your form to the Commission on Ethics it will be returned State officers or specified state employees who file with the Commission on Ethics may file by mail or email To file by mail send the completed form to PO Drawer 15709 Tallahassee FL32317-5709 physical address 325 John Knox Rd Bldg E Ste 200 Tallahassee FL 32303 To file with the Commission by email scan your completed form and any attachments as a pdf (do not use any other format) send it to CEForm1legstateflus and retain a copy for your records Do not file by both mail and email Choose only one filing method Form 6s will not be accepted via email

Candidates file this form together with their filing papers MULTIPLE FILING UNNECESSARY A candidate who files a Form 1 with a qualifying officer is not required to file with the Commission or Supervisor of Elections WHEN TO FILE Initially each local officeremployee state officer and specified state employee must file within 30 days of the date of his or her appointment or of the beginning of employment Appointees who must be confirmed by the Senate must file prior to confirmation even if that is less than 30 days from the date of their appointment Candidates must file at the same time they file their qualifying papers Thereafter file by July 1 following each calendar year in which they hold their positions Finally file a final disclosure form (Form 1F) within 60 days of leaving office or employment Filing a CE Form 1F (Final Statement of Financial Interests) does not relieve the filer of filing a CE Form 1 if the filer was in his or her position on December 31 2019

SIGNATURE OF FILER Signature

____________________________________________

Date Signed

____________________________________________

CPA or ATTORNEY SIGNATURE ONLY If a certified public accountant licensed under Chapter 473 or attorney in good standing with the Florida Bar prepared this form for you he or she must complete the following statement

I _______________________________________ prepared the CE Form 1 in accordance with Section 1123145 Florida Statutes and the instructions to the form Upon my reasonable knowledge and belief the disclosure herein is true and correct

CPAAttorney Signature ______________________________

Date Signed _______________________________________

PART G mdash TRAINING For elected municipal officers required to complete annual ethics training pursuant to section 1123142 FS

I CERTIFY THAT I HAVE COMPLETED THE REQUIRED TRAINING

CE FORM 1 - Effective January 1 2020 PAGE 2 Incorporated by reference in Rule 34-8202(1) FAC

Examplesmdash You are the sole proprietor of a dry cleaning business fromwhich you received more than 10 of your gross incomemdashanamount that was more than $1500 If only one customer auniform rental company provided more than 10 of your drycleaning business you must list the name of the uniform rentalcompany its address and its principal business activity (uniform rentals) mdash You are a 20 partner in a partnership that owns a shopping mall and your partnership income exceeded the thresholds listed above You should list each tenant of the mall that provided more than 10 of the partnershiprsquos gross income and the tenantrsquos address and principal business activity

PART C mdash REAL PROPERTY[Required by s 1123145(3)(a)3 FS]In this part list the location or description of all real property in

Florida in which you owned directly or indirectly at any time during the disclosure period in excess of 5 of the propertyrsquos value You are not required to list your residences You should list any vacation homes if you derive income from them

Indirect ownership includes situations where you are abeneficiary of a trust that owns the property as well as situations where you own more than 5 of a partnership or corporation thatowns the property The value of the property may be determined by the most recently assessed value for tax purposes in the absence of a more current appraisal

The location or description of the property should be sufficient to enable anyone who looks at the form to identify the property Astreet address should be used if one exists PART D mdash INTANGIBLE PERSONAL PROPERTY

[Required by s 1123145(3)(a)3 FS]Describe any intangible personal property that at any time

during the disclosure period was worth more than 10 of your total assets and state the business entity to which the property related Intangible personal property includes things such as cash on hand stocks bonds certificates of deposit vehicle leases interests in businesses beneficial interests in trusts money owed you Deferred Retirement Option Program (DROP) accounts the Florida Prepaid College Plan and bank accounts Intangiblepersonal property also includes investment products held in IRAs brokerage accounts and the Florida College Investment Plan Note that the product contained in a brokerage account IRA or the Florida College Investment Plan is your assetmdashnot the account or plan itself Things like automobiles and houses you own jewelryand paintings are not intangible property Intangibles relating to the same business entity may be aggregated for example CDrsquos and savings accounts with the same bank

Calculations To determine whether the intangible property exceeds 10 of your total assets total the fair market value of all of your assets (including real property intangible property and tangible personal property such as jewelry furniture etc) When making this calculation do not subtract any liabilities (debts) that may relate to the property Multiply the total figure by 10 to arrive at the disclosure threshold List only the intangibles that exceed this threshold amount The value of a leased vehicle is the vehiclersquos present value minus the lease residual (a number which can be found on the lease document) Property that is only jointly owned property should be valued according to the percentage of your joint ownership Property owned as tenants by the entirety or as joint tenants with right of survivorship should be valued at 100 None of your calculations or the value of the property have to be disclosed on the form

Example You own 50 of the stock of a small corporation that is worth $100000 the estimated fair market value of your home and other property (bank accounts automobile furniture etc) is $200000 As your total assets are worth $250000 you must disclose intangibles worth over $25000 Since the value of the stock exceeds this threshold you should list ldquostockrdquo and the name of the corporation If your accounts with a particular bank exceed $25000 you should list ldquobank accountsrdquo and bankrsquos name

PART E mdash LIABILITIES[Required by s 1123145(3)(b)4 FS]List the name and address of each creditor to whom you owed

any amount that at any time during the disclosure period exceeded your net worth You are not required to list the amount of any debt or your net worth You do not have to disclose credit card and retail installment accounts taxes owed (unless reduced to a judgment) indebtedness on a life insurance policy owed to the company of issuance or contingent liabilities A ldquocontingent liabilityrdquo is one that will become an actual liability only when one or more future events occur or fail to occur such as where you are liable only as a guarantor surety or endorser on a promissory note If you are a ldquoco-makerrdquo and are jointly liable or jointly and severally liable it is not a contingent liability

Calculations To determine whether the debt exceeds your net worth total all of your liabilities (including promissory notes mortgages credit card debts judgments against you etc) Theamount of the liability of a vehicle lease is the sum of any past-due payments and all unpaid prospective lease payments Subtract the sum total of your liabilities from the value of all your assets as calculated above for Part D This is your ldquonet worthrdquo List each creditor to whom your debt exceeded this amount unless it is one of the types of indebtedness listed in the paragraph above (credit card and retail installment accounts etc) Joint liabilities with others for which you are ldquojointly and severally liablerdquo meaning that you may be liable for either your part or the whole of the obligation should be included in your calculations at 100 of the amount owed

Example You owe $15000 to a bank for student loans $5000 for credit card debts and $60000 (with spouse) to a savings and loan for a home mortgage Your home (owned by you and your spouse) is worth $80000 and your other property is worth $20000 Since your net worth is $20000 ($100000 minus $80000) you must report only the name and address of the savings and loan

PART F mdash INTERESTS IN SPECIFIED BUSINESSES[Required by s 1123145 FS]The types of businesses covered in this disclosure include

state and federally chartered banks state and federal savings and loan associations cemetery companies insurance companies mortgage companies credit unions small loan companies alcoholic beverage licensees pari-mutuel wagering companies utilitycompanies entities controlled by the Public Service Commission and entities granted a franchise to operate by either a city or acounty government

Disclose in this part the fact that you owned during the disclosure period an interest in or held any of certain positions with the types of businesses listed above You are required to make this disclosure if you own or owned (either directly orindirectly in the form of an equitable or beneficial interest) at any time during the disclosure period more than 5 of the total assets or capital stock of one of the types of business entities listed above You also must complete this part of the form for each of these types of businesses for which you are or were at any time during thedisclosure period an officer director partner proprietor or agent (other than a resident agent solely for service of process)

If you have or held such a position or ownership interest in one of these types of businesses list the name of the business its address and principal business activity and the position held with the business (if any) If you own(ed) more than a 5 interest in the business indicate that fact and describe the nature of your interest

PART G mdash TRAINING CERTIFICATION[Required by s 1123142 FS]If you are a Constitutional or elected municipal officer whose

service began before March 31 of the year for which you are filing you are required to complete four hours of ethics training which addresses Article II Section 8 of the Florida Constitution the Code of Ethics for Public Officers and Employees and the public records and open meetings laws of the state You are required to certify on this form that you have taken such training (End of Percentage Thresholds Instructions)

CE FORM 1 - Effective January 1 2020 Incorporated by reference in Rule 34-8202 FAC PAGE 6

NOTICE Annual Statements of Financial Interests are due July 1 If the annual form is not filed or postmarked by September 1 an automatic fine of $25 for each day late will be imposed up to a maximum penalty of $1500 Failure to file also can result in removal from public office or employment [s 1123145 FS]

In addition failure to make any required disclosure constitutes grounds for and may be punished by one or more of the following disqualification from being on the ballot impeachment removal or suspension from office or employment demotion reduction in salary reprimand or a civil penalty not exceeding $10000 [s 112317 FS]

WHO MUST FILE FORM 1 1) Elected public officials not serving in a political subdivision of the

state and any person appointed to fill a vacancy in such office unlessrequired to file full disclosure on Form 62) Appointed members of each board commission authority

or council having statewide jurisdiction excluding members of solelyadvisory bodies but including judicial nominating commission membersDirectors of Enterprise Florida Scripps Florida Funding Corporationand Career Source Florida and members of the Council on the Social Status of Black Men and Boys the Executive Director Governors and senior managers of Citizens Property Insurance CorporationGovernors and senior managers of Florida Workers Compensation JointUnderwriting Association board members of the Northeast Fla RegionalTransportation Commission board members of Triumph Gulf Coast Incboard members of Florida Is For Veterans Inc and members of the Technology Advisory Council within the Agency for State Technology3) The Commissioner of Education members of the State Board

of Education the Board of Governors the local Boards of Trustees and Presidents of state universities and the Florida Prepaid College Board 4) Persons elected to office in any political subdivision (such as

municipalities counties and special districts) and any person appointedto fill a vacancy in such office unless required to file Form 65) Appointed members of the following boards councils

commissions authorities or other bodies of county municipality schooldistrict independent special district or other political subdivision thegoverning body of the subdivision community college or junior collegedistrict boards of trustees boards having the power to enforce local codeprovisions boards of adjustment community redevelopment agenciesplanning or zoning boards having the power to recommend create ormodify land planning or zoning within a political subdivision except forcitizen advisory committees technical coordinating committees andsimilar groups who only have the power to make recommendationsto planning or zoning boards and except for representatives of a military installation acting on behalf of all military installations within thatjurisdiction pension or retirement boards empowered to invest pensionor retirement funds or determine entitlement to or amount of pensions orother retirement benefits and the Pinellas County Construction LicensingBoard 6) Any appointed member of a local government board who

is required to file a statement of financial interests by the appointingauthority or the enabling legislation ordinance or resolution creating theboard 7) Persons holding any of these positions in local government

mayor county or city manager chief administrative employee or finance

director of a county municipality or other political subdivision county or municipal attorney chief county or municipal building inspectorcounty or municipal water resources coordinator county or municipalpollution control director county or municipal environmental control director county or municipal administrator with power to grant or denya land development permit chief of police fire chief municipal clerkappointed district school superintendent community college presidentdistrict medical examiner purchasing agent (regardless of title) havingthe authority to make any purchase exceeding $35000 for the localgovernmental unit8) Officers and employees of entities serving as chief administrative

officer of a political subdivision9) Members of governing boards of charter schools operated by a

city or other public entity10) Employees in the office of the Governor or of a Cabinet member

who are exempt from the Career Service System excluding secretarialclerical and similar positions11) The following positions in each state department commission

board or council Secretary Assistant or Deputy Secretary ExecutiveDirector Assistant or Deputy Executive Director and anyone having thepower normally conferred upon such persons regardless of title12) The following positions in each state department or division

Director Assistant or Deputy Director Bureau Chief and any personhaving the power normally conferred upon such persons regardless oftitle 13) Assistant State Attorneys Assistant Public Defenders criminal

conflict and civil regional counsel and assistant criminal conflict and civilregional counsel Public Counsel full-time state employees serving ascounsel or assistant counsel to a state agency administrative law judgesand hearing officers14) The Superintendent or Director of a state mental health institute

established for training and research in the mental health field or anymajor state institution or facility established for corrections trainingtreatment or rehabilitation 15) State agency Business Managers Finance and Accounting

Directors Personnel Officers Grant Coordinators and purchasingagents (regardless of title) with power to make a purchase exceeding$35000 16) The following positions in legislative branch agencies each

employee (other than those employed in maintenance clerical secretarial or similar positions and legislative assistants exempted by the presiding officer of their house) and each employee of theCommission on Ethics

INSTRUCTIONS FOR COMPLETING FORM 1 INTRODUCTORY INFORMATION (Top of Form) If your name mailing address public agency and position are already printed on the form you do not need to provide this information unless it should be changed To change any of this information write the correct information on the form and contact your agencys financial disclosure coordinator You can find your coordinator on the Commission on Ethics website wwwethics stateflus NAME OF AGENCY The name of the governmental unit which you serve or served by which you are or were employed or for which you are a candidate DISCLOSURE PERIOD The ldquodisclosure periodrdquo for your report is the calendar year ending December 31 2019

OFFICE OR POSITION HELD OR SOUGHT The title of the office or position you hold are seeking or held during the disclosure period even if you have since left that position If you are a candidate for office or are a new employee or appointee check the appropriate box PUBLIC RECORD The disclosure form and everythingattached to it is a public record Your Social Security Number is not required and you should redact it from any documents you file If you are an active or former officer or employee listed in Section 119071 FS whose home address is exempt from disclosure the Commission will maintain that confidentiality if you submit a written request

CE FORM 1 - Effective January 1 2020 Incorporated by reference in Rule 34-8202 FAC PAGE 3

PART E mdash LIABILITIES[Required by s 1123145(3)(b)4 FS]List the name and address of each creditor to whom you owed more

than $10000 at any time during the disclosure period The amount of theliability of a vehicle lease is the sum of any past-due payments and allunpaid prospective lease payments You are not required to list the amountof any debt You do not have to disclose credit card and retail installmentaccounts taxes owed (unless reduced to a judgment) indebtedness ona life insurance policy owed to the company of issuance or contingentliabilities A ldquocontingent liabilityrdquo is one that will become an actual liabilityonly when one or more future events occur or fail to occur such as whereyou are liable only as a guarantor surety or endorser on a promissorynote If you are a ldquoco-makerrdquo and are jointly liable or jointly and severallyliable then it is not a contingent liability

PART F mdash INTERESTS IN SPECIFIED BUSINESSES[Required by s 1123145(6) FS]The types of businesses covered in this disclosure include state and

federally chartered banks state and federal savings and loan associationscemetery companies insurance companies mortgage companies creditunions small loan companies alcoholic beverage licensees pari-mutuelwagering companies utility companies entities controlled by the PublicService Commission and entities granted a franchise to operate by either acity or a county government

Disclose in this part the fact that you owned during the disclosure period aninterest in or held any of certain positions with the types of businesses listedabove You must make this disclosure if you own or owned (either directly orindirectly in the form of an equitable or beneficial interest) at any time duringthe disclosure period more than 5 of the total assets or capital stock ofone of the types of business entities listed above You also must completethis part of the form for each of these types of businesses for which youare or were at any time during the disclosure period an officer directorpartner proprietor or agent (other than a resident agent solely for service ofprocess)

If you have or held such a position or ownership interest in one ofthese types of businesses list the name of the business its address andprincipal business activity and the position held with the business (if any) Ifyou own(ed) more than a 5 interest in the business indicate that fact anddescribe the nature of your interest

PART G mdash TRAINING CERTIFICATION[Required by s 1123142 FS]If you are a Constitutional or elected municipal officer whose

service began before March 31 of the year for which you are filingyou are required to complete four hours of ethics training which addresses Article II Section 8 of the Florida Constitution the Codeof Ethics for Public Officers and Employees and the public recordsand open meetings laws of the state You are required to certify onthis form that you have taken such training

(End of Dollar Value Thresholds Instructions)

PART A mdash PRIMARY SOURCES OF INCOME[Required by s 1123145(3)(a)1 FS]Part A is intended to require the disclosure of your principal

sources of income during the disclosure period You do not haveto disclose any public salary or public position(s) but income from these public sources should be included when calculating your gross income for the disclosure period The income of your spouse need not be disclosed however if there is joint income to you and your spouse from property you own jointly (such as interest or dividends from a bank account or stocks) you should include all of that income when calculating your gross income and disclose the source of that income if it exceeded the threshold

Please list in this part of the form the name address and principal business activity of each source of your income whichexceeded 5 of the gross income received by you in your own name or by any other person for your benefit or use during the disclosure period

Gross income means the same as it does for income tax purposes even if the income is not actually taxable such as interest on tax-free bonds Examples include compensation for servicesincome from business gains from property dealings interest rents dividends pensions IRA distributions social security distributive share of partnership gross income and alimony but not child support

Examplesmdash If you were employed by a company that manufactures computers and received more than 5 of your gross income from the company list the name of the company its address and its principal business activity (computer manufacturing)mdash If you were a partner in a law firm and your distributive share of partnership gross income exceeded 5 of your gross income then list the name of the firm its address and its principal business activity (practice of law)mdash If you were the sole proprietor of a retail gift business andyour gross income from the business exceeded 5 of your total gross income list the name of the business its addressand its principal business activity (retail gift sales)mdash If you received income from investments in stocks and bonds list each individual company from which you derived

more than 5 of your gross income Do not aggregate all of your investment incomemdash If more than 5 of your gross income was gain from the sale of property (not just the selling price) list as a source of income the purchaserrsquos name address and principal business activityIf the purchasers identity is unknown such as where securities listed on an exchange are sold through a brokerage firm the source of income should be listed as sale of (name of company)stock for examplemdash If more than 5 of your gross income was in the form of interest from one particular financial institution (aggregatinginterest from all CDrsquos accounts etc at that institution) list the name of the institution its address and its principal business activity

PART B mdash SECONDARY SOURCES OF INCOME[Required by s 1123145(3)(a)2 FS]This part is intended to require the disclosure of major customers

clients and other sources of income to businesses in which you ownan interest It is not for reporting income from second jobs That kindof income should be reported in Part A Primary Sources of Incomeif it meets the reporting threshold You will not have anything to reportunless during the disclosure period

(1) You owned (either directly or indirectly in the form of anequitable or beneficial interest) more than 5 of the total assetsor capital stock of a business entity (a corporation partnershipLLC limited partnership proprietorship joint venture trust firmetc doing business in Florida) and(2) You received more than 10 of your gross income from thatbusiness entity and(3) You received more than $1500 in gross income from thatbusiness entity

If your interests and gross income exceeded these thresholds thenfor that business entity you must list every source of income to thebusiness entity which exceeded 10 of the business entityrsquos grossincome (computed on the basis of the business entityrsquos most recentlycompleted fiscal year) the sourcersquos address and the sourcersquosprincipal business activity

IF YOU HAVE CHOSEN COMPARATIVE (PERCENTAGE) THRESHOLDSTHE FOLLOWING INSTRUCTIONS APPLY

CE FORM 1 - Effective January 1 2020 Incorporated by reference in Rule 34-8202 FAC PAGE 5

MANNER OF CALCULATING REPORTABLE INTEREST Filers have the option of reporting based on either thresholds that are comparative (usually based on percentage values) or thresholds that are based on absolute dollar values The instructions on the following pages specifically describe the different thresholds Check the box that reflects the choice you have made You must use the type of threshold you have chosen for each part of the form In other words if you choose to report based on absolute dollar value thresholds you cannot use a percentage threshold on any part of the form

IF YOU HAVE CHOSEN DOLLAR VALUE THRESHOLDS THE FOLLOWING INSTRUCTIONS APPLY

PART A mdash PRIMARY SOURCES OF INCOME [Required by s 1123145(3)(b)1 FS] Part A is intended to require the disclosure of your principal

sources of income during the disclosure period You do not have todisclose any public salary or public position(s) The income of yourspouse need not be disclosed however if there is joint income toyou and your spouse from property you own jointly (such as interestor dividends from a bank account or stocks) you should disclose thesource of that income if it exceeded the threshold

Please list in this part of the form the name address andprincipal business activity of each source of your income whichexceeded $2500 of gross income received by you in your own name or by any other person for your use or benefit

Gross income means the same as it does for income tax purposes even if the income is not actually taxable such as interest on tax-free bonds Examples include compensation for servicesincome from business gains from property dealings interest rentsdividends pensions IRA distributions social security distributive share of partnership gross income and alimony but not child support

Examples mdash If you were employed by a company that manufacturescomputers and received more than $2500 list the name of thecompany its address and its principal business activity (computermanufacturing) mdash If you were a partner in a law firm and your distributive shareof partnership gross income exceeded $2500 list the name ofthe firm its address and its principal business activity (practice oflaw) mdash If you were the sole proprietor of a retail gift business and yourgross income from the business exceeded $2500 list the nameof the business its address and its principal business activity(retail gift sales) mdash If you received income from investments in stocks and bondslist each individual company from which you derived more than$2500 Do not aggregate all of your investment income mdash If more than $2500 of your gross income was gain from thesale of property (not just the selling price) list as a source ofincome the purchaserrsquos name address and principal businessactivity If the purchaserrsquos identity is unknown such as wheresecurities listed on an exchange are sold through a brokeragefirm the source of income should be listed as sale of (name of company) stock for example mdash If more than $2500 of your gross income was in the formof interest from one particular financial institution (aggregatinginterest from all CDrsquos accounts etc at that institution) list the name of the institution its address and its principal business activity

PART B mdash SECONDARY SOURCES OF INCOME [Required by s 1123145(3)(b)2 FS] This part is intended to require the disclosure of major customers

clients and other sources of income to businesses in which you own aninterest It is not for reporting income from second jobs That kind of incomeshould be reported in Part A Primary Sources of Income if it meets thereporting threshold You will not have anything to report unless during thedisclosure period

(1) You owned (either directly or indirectly in the form of an equitableor beneficial interest) more than 5 of the total assets or capitalstock of a business entity (a corporation partnership LLC limitedpartnership proprietorship joint venture trust firm etc doing business in Florida) and (2) You received more than $5000 of your gross income during thedisclosure period from that business entity

If your interests and gross income exceeded these thresholds then for thatbusiness entity you must list every source of income to the business entitywhich exceeded 10 of the business entityrsquos gross income (computed onthe basis of the business entitys most recently completed fiscal year) thesourcersquos address and the sources principal business activity

Examples mdash You are the sole proprietor of a dry cleaning business from whichyou received more than $5000 If only one customer a uniform rentalcompany provided more than 10 of your dry cleaning business youmust list the name of the uniform rental company its address and itsprincipal business activity (uniform rentals) mdash You are a 20 partner in a partnership that owns a shopping malland your partnership income exceeded the above thresholds List eachtenant of the mall that provided more than 10 of the partnershipsgross income and the tenants address and principal business activity

PART C mdash REAL PROPERTY [Required by s 1123145(3)(b)3 FS] In this part list the location or description of all real property in Florida

in which you owned directly or indirectly at any time during the disclosureperiod in excess of 5 of the propertyrsquos value You are not required to listyour residences You should list any vacation homes if you derive incomefrom them

Indirect ownership includes situations where you are a beneficiary of atrust that owns the property as well as situations where you own more than5 of a partnership or corporation that owns the property The value of theproperty may be determined by the most recently assessed value for taxpurposes in the absence of a more current appraisal

The location or description of the property should be sufficient toenable anyone who looks at the form to identify the property A streetaddress should be used if one exists

PART D mdash INTANGIBLE PERSONAL PROPERTY [Required by s 1123145(3)(b)3 FS] Describe any intangible personal property that at any time during the

disclosure period was worth more than $10000 and state the businessentity to which the property related Intangible personal property includesthings such as cash on hand stocks bonds certificates of deposit vehicleleases interests in businesses beneficial interests in trusts money owedyou Deferred Retirement Option Program (DROP) accounts the FloridaPrepaid College Plan and bank accounts Intangible personal propertyalso includes investment products held in IRAs brokerage accounts andthe Florida College Investment Plan Note that the product contained in a brokerage account IRA or the Florida College Investment Plan is yourassetmdashnot the account or plan itself Things like automobiles and housesyou own jewelry and paintings are not intangible property Intangiblesrelating to the same business entity may be aggregated for example CDsand savings accounts with the same bank Property owned as tenants bythe entirety or as joint tenants with right of survivorship should be valued at100 The value of a leased vehicle is the vehiclersquos present value minusthe lease residual (a number found on the lease document)

CE FORM 1 - Effective January 1 2020 Incorporated by reference in Rule 34-8202 FAC PAGE 4

PART A mdash PRIMARY SOURCES OF INCOME[Required by s 1123145(3)(b)1 FS]Part A is intended to require the disclosure of your principal

sources of income during the disclosure period You do not have todisclose any public salary or public position(s) The income of yourspouse need not be disclosed however if there is joint income t oyou and your spouse from property you own jointly (such as interestor dividends from a bank account or stocks) you should disclose thesource of that income if it exceeded the threshold

Please list in this part of the form the name address andprincipal business activity of each source of your income whichexceeded $2500 of gross income received by you in your own name or by any other person for your use or benefit

Gross income means the same as it does for income taxpurposes even if the income is not actually taxable such as intereston tax-free bonds Examples include compensation for servicesincome from business gains from property dealings interest rentsdividends pensions IRA distributions social security distributiveshare of partnership gross income and alimony but not child support

Examplesmdash If you were employed by a company that manufacturescomputers and received more than $2500 list the name of thecompany its address and its principal business activity (computermanufacturing)mdash If you were a partner in a law firm and your distributive shareof partnership gross income exceeded $2500 list the name ofthe firm its address and its principal business activity (practice oflaw)mdash If you were the sole proprietor of a retail gift business and yourgross income from the business exceeded $2500 list the nameof the business its address and its principal business activity(retail gift sales)mdash If you received income from investments in stocks and bondslist each individual company from which you derived more than$2500 Do not aggregate all of your investment incomemdash If more than $2500 of your gross income was gain from thesale of property (not just the selling price) list as a source o fincome the purchaserrsquos name address and principal businessactivity If the purchaserrsquos identity is unknown such as wheresecurities listed on an exchange are sold through a brokeragefirm the source of income should be listed as sale of (name of company) stock for examplemdash If more than $2500 of your gross income was in the formof interest from one particular financial institution (aggregatinginterest from all CDrsquos accounts etc at that institution) list thename of the institution its address and its principal business activity

PART B mdash SECONDARY SOURCES OF INCOME[Required by s 1123145(3)(b)2 FS]This part is intended to require the disclosure of major customers

clients and other sources of income to businesses in which you own aninterest It is not for reporting income from second jobs That kind of incomeshould be reported in Part A Primary Sources of Income if it meets thereporting threshold You will not have anything to report unless during thedisclosure period

(1) You owned (either directly or indirectly in the form of an equitableor beneficial interest) more than 5 of the total assets or capitalstock of a business entity (a corporation partnership LLC limitedpartnership proprietorship joint venture trust firm etc doing business in Florida) and(2) You received more than $5000 of your gross income during thedisclosure period from that business entity

If your interests and gross income exceeded these thresholds then for thatbusiness entity you must list every source of income to the business entitywhich exceeded 10 of the business entityrsquos gross income (computed onthe basis of the business entitys most recently completed fiscal year) thesourcersquos address and the sources principal business activity

Examplesmdash You are the sole proprietor of a dry cleaning business from whichyou received more than $5000 If only one customer a uniform rentalcompany provided more than 10 of your dry cleaning business youmust list the name of the uniform rental company its address and itsprincipal business activity (uniform rentals)mdash You are a 20 partner in a partnership that owns a shopping malland your partnership income exceeded the above thresholds List eachtenant of the mall that provided more than 10 of the partnershipsgross income and the tenants address and principal business activity

PART C mdash REAL PROPERTY[Required by s 1123145(3)(b)3 FS]In this part list the location or description of all real property in Florida

in which you owned directly or indirectly at any time during the disclosureperiod in excess of 5 of the propertyrsquos value You are not required to listyour residences You should list any vacation homes if you derive incomefrom them

Indirect ownership includes situations where you are a beneficiary of atrust that owns the property as well as situations where you own more than5 of a partnership or corporation that owns the property The value of theproperty may be determined by the most recently assessed value for taxpurposes in the absence of a more current appraisal

The location or description of the property should be sufficient toenable anyone who looks at the form to identify the property A streetaddress should be used if one exists

PART D mdash INTANGIBLE PERSONAL PROPERTY[Required by s 1123145(3)(b)3 FS]Describe any intangible personal property that at any time during the

disclosure period was worth more than $10000 and state the businessentity to which the property related Intangible personal property includesthings such as cash on hand stocks bonds certificates of deposit vehicleleases interests in businesses beneficial interests in trusts money owedyou Deferred Retirement Option Program (DROP) accounts the FloridaPrepaid College Plan and bank accounts Intangible personal propertyalso includes investment products held in IRAs brokerage accounts andthe Florida College Investment Plan Note that the product contained ina brokerage account IRA or the Florida College Investment Plan is yourassetmdashnot the account or plan itself Things like automobiles and housesyou own jewelry and paintings are not intangible property Intangiblesrelating to the same business entity may be aggregated for example CDsand savings accounts with the same bank Property owned as tenants bythe entirety or as joint tenants with right of survivorship should be valued at100 The value of a leased vehicle is the vehiclersquos present value minusthe lease residual (a number found on the lease document)

Filers have the option of reporting based on either thresholds that are comparative (usually based on percentage values) orthresholds that are based on absolute dollar values The instructions on the following pages specifically describe the differentthresholds Check the box that reflects the choice you have made You must use the type of threshold you have chosen for eachpart of the form In other words if you choose to report based on absolute dollar value thresholds you cannot use a percentagethreshold on any part of the form

MANNER OF CALCULATING REPORTABLE INTEREST

IF YOU HAVE CHOSEN DOLLAR VALUE THRESHOLDSTHE FOLLOWING INSTRUCTIONS APPLY

CE FORM 1 - Effective January 1 2020 Incorporated by reference in Rule 34-8202 FAC PAGE 4

PART E mdash LIABILITIES [Required by s 1123145(3)(b)4 FS] List the name and address of each creditor to whom you owed more

than $10000 at any time during the disclosure period The amount of theliability of a vehicle lease is the sum of any past-due payments and allunpaid prospective lease payments You are not required to list the amountof any debt You do not have to disclose credit card and retail installmentaccounts taxes owed (unless reduced to a judgment) indebtedness ona life insurance policy owed to the company of issuance or contingentliabilities A ldquocontingent liabilityrdquo is one that will become an actual liabilityonly when one or more future events occur or fail to occur such as whereyou are liable only as a guarantor surety or endorser on a promissorynote If you are a ldquoco-makerrdquo and are jointly liable or jointly and severallyliable then it is not a contingent liability

PART F mdash INTERESTS IN SPECIFIED BUSINESSES [Required by s 1123145(6) FS] The types of businesses covered in this disclosure include state and

federally chartered banks state and federal savings and loan associationscemetery companies insurance companies mortgage companies creditunions small loan companies alcoholic beverage licensees pari-mutuelwagering companies utility companies entities controlled by the PublicService Commission and entities granted a franchise to operate by either acity or a county government

Disclose in this part the fact that you owned during the disclosure period aninterest in or held any of certain positions with the types of businesses listedabove You must make this disclosure if you own or owned (either directly orindirectly in the form of an equitable or beneficial interest) at any time duringthe disclosure period more than 5 of the total assets or capital stock ofone of the types of business entities listed above You also must completethis part of the form for each of these types of businesses for which youare or were at any time during the disclosure period an officer directorpartner proprietor or agent (other than a resident agent solely for service ofprocess)

If you have or held such a position or ownership interest in one ofthese types of businesses list the name of the business its address andprincipal business activity and the position held with the business (if any) Ifyou own(ed) more than a 5 interest in the business indicate that fact anddescribe the nature of your interest

PART G mdash TRAINING CERTIFICATION [Required by s 1123142 FS] If you are a Constitutional or elected municipal officer whose

service began before March 31 of the year for which you are filingyou are required to complete four hours of ethics training which addresses Article II Section 8 of the Florida Constitution the Code of Ethics for Public Officers and Employees and the public recordsand open meetings laws of the state You are required to certify onthis form that you have taken such training

(End of Dollar Value Thresholds Instructions)

IF YOU HAVE CHOSEN COMPARATIVE (PERCENTAGE) THRESHOLDS THE FOLLOWING INSTRUCTIONS APPLY

PART A mdash PRIMARY SOURCES OF INCOME [Required by s 1123145(3)(a)1 FS] Part A is intended to require the disclosure of your principal

sources of income during the disclosure period You do not haveto disclose any public salary or public position(s) but income from these public sources should be included when calculating your gross income for the disclosure period The income of your spouse need not be disclosed however if there is joint income to you and your spouse from property you own jointly (such as interest or dividends from a bank account or stocks) you should include all of that income when calculating your gross income and disclose the source of that income if it exceeded the threshold

Please list in this part of the form the name address and principal business activity of each source of your income whichexceeded 5 of the gross income received by you in your own name or by any other person for your benefit or use during the disclosure period

Gross income means the same as it does for income tax purposes even if the income is not actually taxable such as interest on tax-free bonds Examples include compensation for servicesincome from business gains from property dealings interest rents dividends pensions IRA distributions social security distributive share of partnership gross income and alimony but not child support

Examples mdash If you were employed by a company that manufactures computers and received more than 5 of your gross income from the company list the name of the company its address and its principal business activity (computer manufacturing) mdash If you were a partner in a law firm and your distributive share of partnership gross income exceeded 5 of your gross income then list the name of the firm its address and its principal business activity (practice of law) mdash If you were the sole proprietor of a retail gift business andyour gross income from the business exceeded 5 of your total gross income list the name of the business its addressand its principal business activity (retail gift sales) mdash If you received income from investments in stocks and bonds list each individual company from which you derived

more than 5 of your gross income Do not aggregate all of your investment income mdash If more than 5 of your gross income was gain from the sale of property (not just the selling price) list as a source of income the purchaserrsquos name address and principal business activityIf the purchasers identity is unknown such as where securities listed on an exchange are sold through a brokerage firm the source of income should be listed as sale of (name of company)stock for example mdash If more than 5 of your gross income was in the form of interest from one particular financial institution (aggregatinginterest from all CDrsquos accounts etc at that institution) list the name of the institution its address and its principal business activity

PART B mdash SECONDARY SOURCES OF INCOME [Required by s 1123145(3)(a)2 FS] This part is intended to require the disclosure of major customers

clients and other sources of income to businesses in which you ownan interest It is not for reporting income from second jobs That kindof income should be reported in Part A Primary Sources of Incomeif it meets the reporting threshold You will not have anything to report unless during the disclosure period

(1) You owned (either directly or indirectly in the form of anequitable or beneficial interest) more than 5 of the total assetsor capital stock of a business entity (a corporation partnershipLLC limited partnership proprietorship joint venture trust firmetc doing business in Florida) and (2) You received more than 10 of your gross income from thatbusiness entity and (3) You received more than $1500 in gross income from thatbusiness entity

If your interests and gross income exceeded these thresholds thenfor that business entity you must list every source of income to thebusiness entity which exceeded 10 of the business entityrsquos grossincome (computed on the basis of the business entityrsquos most recentlycompleted fiscal year) the sourcersquos address and the sourcersquos principal business activity

CE FORM 1 - Effective January 1 2020 Incorporated by reference in Rule 34-8202 FAC PAGE 5

NOTICE Annual Statements of Financial Interests are due July 1 If the annual form is not filed or postmarked by September 1 an automatic fine of $25 for each day late will be imposed up to a maximum penalty of $1500 Failure to file also can result in removal from public office or employment [s 1123145 FS]

In addition failure to make any required disclosure constitutes grounds for and may be punished by one or more of the following disqualification from being on the ballot impeachment removal or suspension from office or employment demotion reduction in salary reprimand or a civil penalty not exceeding $10000 [s 112317 FS]

1) Elected public officials not serving in a political subdivision of thestate and any person appointed to fill a vacancy in such office unlessrequired to file full disclosure on Form 62) Appointed members of each board commission authority

or council having statewide jurisdiction excluding members of solelyadvisory bodies but including judicial nominating commission membersDirectors of Enterprise Florida Scripps Florida Funding Corporationand Career Source Florida and members of the Council on the SocialStatus of Black Men and Boys the Executive Director Governors and senior managers of Citizens Property Insurance CorporationGovernors and senior managers of Florida Workers Compensation JointUnderwriting Association board members of the Northeast Fla RegionalTransportation Commission board members of Triumph Gulf Coast Incboard members of Florida Is For Veterans Inc and members of theTechnology Advisory Council within the Agency for State Technology3) The Commissioner of Education members of the State Board

of Education the Board of Governors the local Boards of Trustees andPresidents of state universities and the Florida Prepaid College Board4) Persons elected to office in any political subdivision (such a s

municipalities counties and special districts) and any person appointedto fill a vacancy in such office unless required to file Form 65) Appointed members of the following boards councils

commissions authorities or other bodies of county municipality schooldistrict independent special district or other political subdivision thegoverning body of the subdivision community college or junior collegedistrict boards of trustees boards having the power to enforce local codeprovisions boards of adjustment community redevelopment agenciesplanning or zoning boards having the power to recommend create ormodify land planning or zoning within a political subdivision except forcitizen advisory committees technical coordinating committees andsimilar groups who only have the power to make recommendationsto planning or zoning boards and except for representatives of amilitary installation acting on behalf of all military installations within thatjurisdiction pension or retirement boards empowered to invest pensionor retirement funds or determine entitlement to or amount of pensions orother retirement benefits and the Pinellas County Construction LicensingBoard6) Any appointed member of a local government board who

is required to file a statement of financial interests by the appointingauthority or the enabling legislation ordinance or resolution creating theboard7) Persons holding any of these positions in local government

mayor county or city manager chief administrative employee or finance

director of a county municipality or other political subdivision countyor municipal attorney chief county or municipal building inspectorcounty or municipal water resources coordinator county or municipalpollution control director county or municipal environmental controldirector county or municipal administrator with power to grant or denya land development permit chief of police fire chief municipal clerkappointed district school superintendent community college presidentdistrict medical examiner purchasing agent (regardless of title) havingthe authority to make any purchase exceeding $35000 for the localgovernmental unit8) Officers and employees of entities serving as chief administrative

officer of a political subdivision9) Members of governing boards of charter schools operated by a

city or other public entity10) Employees in the office of the Governor or of a Cabinet member

who are exempt from the Career Service System excluding secretarialclerical and similar positions11) The following positions in each state department commission

board or council Secretary Assistant or Deputy Secretary ExecutiveDirector Assistant or Deputy Executive Director and anyone having thepower normally conferred upon such persons regardless of title12) The following positions in each state department or division

Director Assistant or Deputy Director Bureau Chief and any personhaving the power normally conferred upon such persons regardless oftitle13) Assistant State Attorneys Assistant Public Defenders criminal

conflict and civil regional counsel and assistant criminal conflict and civilregional counsel Public Counsel full-time state employees serving ascounsel or assistant counsel to a state agency administrative law judgesand hearing officers14) The Superintendent or Director of a state mental health institute

established for training and research in the mental health field or anymajor state institution or facility established for corrections trainingtreatment or rehabilitation15) State agency Business Managers Finance and Accounting

Directors Personnel Officers Grant Coordinators and purchasingagents (regardless of title) with power to make a purchase exceeding$3500016) The following positions in legislative branch agencies each

employee (other than those employed in maintenance clerical secretarial or similar positions and legislative assistants exemptedby the presiding officer of their house) and each employee of theCommission on Ethics

INSTRUCTIONS FOR COMPLETING FORM 1INTRODUCTORY INFORMATION (Top of Form) If your name mailing address public agency and position are already printed on the form you do not need to provide this information unless it should be changed To change any of this information write the correct information on the form and contact your agencys financial disclosure coordinator You can find your coordinator on the Commission on Ethics website wwwethicsstateflus NAME OF AGENCY The name of the governmental unit which you serve or served by which you are or were employed or for which you are a candidate DISCLOSURE PERIOD The ldquodisclosure periodrdquo for your report is the calendar year ending December 31 2019

OFFICE OR POSITION HELD OR SOUGHT The title of the office or position you hold are seeking or held during the disclosure period even if you have since left that position If you are a candidate for office or are a new employee or appointee check the appropriate boxPUBLIC RECORD The disclosure form and everythingattached to it is a public record Your Social Security Number is not required and you should redact it from any documents you file If you are an active or former officer or employee listed in Section 119071 FS whose home address is exempt from disclosure the Commission will maintain that confidentiality if you submit a written request

WHO MUST FILE FORM 1

CE FORM 1 - Effective January 1 2020 Incorporated by reference in Rule 34-8202 FAC PAGE 3

Examples PART E mdash LIABILITIES mdash You are the sole proprietor of a dry cleaning business from [Required by s 1123145(3)(b)4 FS]which you received more than 10 of your gross incomemdashan List the name and address of each creditor to whom you owed amount that was more than $1500 If only one customer a any amount that at any time during the disclosure period exceeded uniform rental company provided more than 10 of your dry your net worth You are not required to list the amount of any debt cleaning business you must list the name of the uniform rental or your net worth You do not have to disclose credit card and retail company its address and its principal business activity (uniform installment accounts taxes owed (unless reduced to a judgment) rentals) indebtedness on a life insurance policy owed to the company of mdash You are a 20 partner in a partnership that owns a shopping issuance or contingent liabilities A ldquocontingent liabilityrdquo is one mall and your partnership income exceeded the thresholds that will become an actual liability only when one or more future listed above You should list each tenant of the mall that events occur or fail to occur such as where you are liable only as provided more than 10 of the partnershiprsquos gross income and a guarantor surety or endorser on a promissory note If you are a the tenantrsquos address and principal business activity ldquoco-makerrdquo and are jointly liable or jointly and severally liable it is not

a contingent liability PART C mdash REAL PROPERTY Calculations To determine whether the debt exceeds your

[Required by s 1123145(3)(a)3 FS] net worth total all of your liabilities (including promissory notes mortgages credit card debts judgments against you etc) TheIn this part list the location or description of all real property in amount of the liability of a vehicle lease is the sum of any past-due Florida in which you owned directly or indirectly at any time during payments and all unpaid prospective lease payments Subtract the disclosure period in excess of 5 of the propertyrsquos value You the sum total of your liabilities from the value of all your assets are not required to list your residences You should list any vacation as calculated above for Part D This is your ldquonet worthrdquo List each homes if you derive income from them creditor to whom your debt exceeded this amount unless it is one of

Indirect ownership includes situations where you are a the types of indebtedness listed in the paragraph above (credit card beneficiary of a trust that owns the property as well as situations and retail installment accounts etc) Joint liabilities with others for where you own more than 5 of a partnership or corporation that which you are ldquojointly and severally liablerdquo meaning that you may owns the property The value of the property may be determined by be liable for either your part or the whole of the obligation should be the most recently assessed value for tax purposes in the absence included in your calculations at 100 of the amount owed of a more current appraisal

Example You owe $15000 to a bank for student loans $5000 The location or description of the property should be sufficient for credit card debts and $60000 (with spouse) to a savings to enable anyone who looks at the form to identify the property A and loan for a home mortgage Your home (owned by you and street address should be used if one exists your spouse) is worth $80000 and your other property is worth PART D mdash INTANGIBLE PERSONAL PROPERTY $20000 Since your net worth is $20000 ($100000 minus

$80000) you must report only the name and address of the [Required by s 1123145(3)(a)3 FS] savings and loan Describe any intangible personal property that at any time

during the disclosure period was worth more than 10 of your PART F mdash INTERESTS IN SPECIFIED BUSINESSES total assets and state the business entity to which the property [Required by s 1123145 FS] related Intangible personal property includes things such as cash on hand stocks bonds certificates of deposit vehicle leases The types of businesses covered in this disclosure include interests in businesses beneficial interests in trusts money owed state and federally chartered banks state and federal savings and you Deferred Retirement Option Program (DROP) accounts loan associations cemetery companies insurance companies the Florida Prepaid College Plan and bank accounts Intangible mortgage companies credit unions small loan companies alcoholic personal property also includes investment products held in IRAs beverage licensees pari-mutuel wagering companies utilitybrokerage accounts and the Florida College Investment Plan companies entities controlled by the Public Service Commission Note that the product contained in a brokerage account IRA or the and entities granted a franchise to operate by either a city or a Florida College Investment Plan is your assetmdashnot the account or county governmentplan itself Things like automobiles and houses you own jewelry Disclose in this part the fact that you owned during the and paintings are not intangible property Intangibles relating to the disclosure period an interest in or held any of certain positions same business entity may be aggregated for example CDrsquos and with the types of businesses listed above You are requiredsavings accounts with the same bank to make this disclosure if you own or owned (either directly or

Calculations To determine whether the intangible property indirectly in the form of an equitable or beneficial interest) at any exceeds 10 of your total assets total the fair market value of time during the disclosure period more than 5 of the total assets all of your assets (including real property intangible property and or capital stock of one of the types of business entities listed above tangible personal property such as jewelry furniture etc) When You also must complete this part of the form for each of these types making this calculation do not subtract any liabilities (debts) that of businesses for which you are or were at any time during themay relate to the property Multiply the total figure by 10 to arrive disclosure period an officer director partner proprietor or agent at the disclosure threshold List only the intangibles that exceed (other than a resident agent solely for service of process) this threshold amount The value of a leased vehicle is the vehiclersquos If you have or held such a position or ownership interest in present value minus the lease residual (a number which can be one of these types of businesses list the name of the business its found on the lease document) Property that is only jointly owned address and principal business activity and the position held with property should be valued according to the percentage of your the business (if any) If you own(ed) more than a 5 interest in the joint ownership Property owned as tenants by the entirety or as business indicate that fact and describe the nature of your interest joint tenants with right of survivorship should be valued at 100 None of your calculations or the value of the property have to be PART G mdash TRAINING CERTIFICATIONdisclosed on the form

[Required by s 1123142 FS] Example You own 50 of the stock of a small corporation that is worth $100000 the estimated fair market value of If you are a Constitutional or elected municipal officer whoseyour home and other property (bank accounts automobile service began before March 31 of the year for which you are filing furniture etc) is $200000 As your total assets are worth you are required to complete four hours of ethics training which $250000 you must disclose intangibles worth over $25000 addresses Article II Section 8 of the Florida Constitution the Code Since the value of the stock exceeds this threshold you of Ethics for Public Officers and Employees and the public records should list ldquostockrdquo and the name of the corporation If your and open meetings laws of the state You are required to certify on accounts with a particular bank exceed $25000 you should this form that you have taken such training list ldquobank accountsrdquo and bankrsquos name

(

End of Percentage Thresholds Instructions) CE FORM 1 - Effective January 1 2020 Incorporated by reference in Rule 34-8202 FAC PAGE 6

  • 0 HP Cover Page v2
  • 1 Hawks Point Meeting Invite Draft v2
  • 2 Agenda Draft v3
  • 3 EXHIBIT 1
  • 7 HP 05-19-2020 Meeting Minutes Approved
  • 6 EXHIBIT 2
  • 9 HP May FY20 Fin
  • 8 EXHIBIT 3
  • 4 Vacant Position Qualification Requirements for Hawks Point CDD
    • Vacant Position on the Board of Supervisors of the Hawkrsquos Point Community Development District
      • Qualification Requirements
      • Instructions for Interested Candidates
      • Additional Notes
          • 5 Shami Choon Vacant Position - updated 11-5-11 resume
            • 1803 Oak Pond Street Ruskin Fl 33570 E-mailchoons27gmailcom
              • PROFESSIONAL HISTORY
                • Operations Manager Florida Distribution 2002 ndash 2005
                • Operations Manager for Florida Branch Distribution 1999 ndash 2002
                • Warehouse Manager of Miami Distribution Center 1998 ndash 1999
                • Branch Manager of West Palm Beach 1994 ndash 1998
                • Assistant Branch Manager 1991 ndash 1994
                • Customer Service Agent 1990 ndash 1991
                  • 10 EXHIBIT 4
                  • 11 New Business - Hawks Point CDD - MI proposal
                  • 12 EXHIBIT 5
                  • 13 CertaPro Proposal to Paint Exterior Wall 18th to 24th Avenue
                  • 14 Shazam Construction Proposal to Paint Exterior Wall 18th to 24th Street
                    • QUOTE
                      • TO
                          • 15 Photo to accompany Shazam Proposal
                          • 16 EXHIBIT 6
                          • 17 CertaPro Proposal for Pressure Washing Exterior Wall 18th St to 24th Street
                          • 18 Shazam Construction Proposal for Pressure Washing Exterion Wall 18th Street to 24th Street
                            • QUOTE
                              • TO
                                  • 19 EXHIBIT 7
                                  • 20 Form 1_2019i
                                      1. LAST NAME
                                      2. FIRST NAME
                                      3. MIDDLE NAME
                                      4. MAILING ADDRESS ROW 1
                                      5. MAILING ADDRESS ROW 2
                                      6. CITY
                                      7. ZIP
                                      8. COUNTY
                                      9. NAME OF AGENCY
                                      10. NAME OF OFFICE OR POSITION HELD OR SOUGHT
                                      11. CANDIDATE Off
                                      12. NEW EMPLOYEE OR APPOINTEE Off
                                      13. COMPARATIVE (PERCENTAGE) THRESHOLDS Off
                                      14. DOLLAR VALUE THRESHOLDS Off
                                      15. NAME OF SOURCE INCOME ROW 1
                                      16. ADDRESS ROW 1
                                      17. DESCRIPTION OF THE SOURCES PRINCIPAL BUSINESS ACTIVITY ROW 1
                                      18. NAME OF SOURCE INCOME ROW 2
                                      19. ADDRESS ROW 2
                                      20. DESCRIPTION OF THE SOURCES PRINCIPAL BUSINESS ACTIVITY ROW 2
                                      21. NAME OF SOURCE INCOME ROW 3
                                      22. ADDRESS ROW 3
                                      23. DESCRIPTION OF THE SOURCES PRINCIPAL BUSINESS ACTIVITY ROW 3
                                      24. NAME OF SOURCE INCOME ROW 4
                                      25. ADDRESS ROW 4
                                      26. DESCRIPTION OF THE SOURCES PRINCIPAL BUSINESS ACTIVITY ROW 4
                                      27. NAME OF BUSINESS ENTITY ROW 1
                                      28. NAME OF MAJOR SOURCES OF BUSINESS INCOME ROW 1
                                      29. ADDRESS OF SOURCE ROW 1
                                      30. PRINCIPAL BUSINESS ACTIVITY OF SOURCE ROW 1
                                      31. NAME OF BUSINESS ENTITY ROW 2
                                      32. NAME OF MAJOR SOURCES OF BUSINESS INCOME ROW 2
                                      33. ADDRESS OF SOURCE ROW 2
                                      34. PRINCIPAL BUSINESS ACTIVITY OF SOURCE ROW 2
                                      35. NAME OF BUSINESS ENTITY ROW 3
                                      36. NAME OF MAJOR SOURCES OF BUSINESS INCOME ROW 3
                                      37. ADDRESS OF SOURCE ROW 3
                                      38. PRINCIPAL BUSINESS ACTIVITY OF SOURCE ROW 3
                                      39. REAL PROPERTY ROW 1
                                      40. REAL PROPERTY ROW 2
                                      41. REAL PROPERTY ROW 3
                                      42. REAL PROPERTY ROW 4
                                      43. TYPE OF INTANGIBLE ROW 1
                                      44. BUSINESS ENTITY TO WHICH THE PROPERTY RELATES ROW 1
                                      45. TYPE OF INTANGIBLE ROW 2
                                      46. BUSINESS ENTITY TO WHICH THE PROPERTY RELATES ROW 2
                                      47. NAME OF CREDITOR ROW 1
                                      48. ADDRESS OF CREDITOR ROW 1
                                      49. NAME OF CREDITOR ROW 2
                                      50. ADDRESS OF CREDITOR ROW 2
                                      51. ADDRESS OF BUSINESS ENTITY 1
                                      52. PRINCIPAL BUSINESS ACTIVITY 1
                                      53. POSITION HELD WITH ENTITY 1
                                      54. I OWN MORE THAN A 5 INTEREST IN THE BUSINESS 1
                                      55. NATURE OF MY OWNERSHIP INTEREST 1
                                      56. ADDRESS OF BUSINESS ENTITY 2
                                      57. PRINCIPAL BUSINESS ACTIVITY 2
                                      58. POSITION HELD WITH ENTITY 2
                                      59. I OWN MORE THAN A 5 INTEREST IN THE BUSINESS 2
                                      60. NATURE OF MY OWNERSHIP INTEREST 2
                                      61. FOR ELECTED MUNICIPAL OFFICERS REQUIRED TO COMPLETE ANNUAL ETHICS TRAINING PURSUANT TO SECTION 112
                                        1. 3142 F
                                          1. S Off
                                              1. IF ANY OF PARTS A THROUGH G ARE CONTINUED ON A SEPARATE SHEET PLEASE CHECK HERE Off
                                              2. SIGNATURE
                                              3. Date Signed
Page 34: HAWKS POINT COMMUNITY DEVELOPMENT …...2020/06/16  · Hawks Point Community Development District Board of Supervisors Meeting Tuesday, June 16th at 6:30 PM via Zoom All: We welcome

EXHIBIT 7

2019FORM 1 STATEMENT OF

Please print or type your name mailing FOR OFFICE USE ONLY FINANCIAL INTERESTS address agency name and position below

LAST NAME -- FIRST NAME -- MIDDLE NAME

MAILING ADDRESS

CITY ZIP COUNTY

NAME OF AGENCY

NAME OF OFFICE OR POSITION HELD OR SOUGHT

CHECK ONLY IF CANDIDATE OR NEW EMPLOYEE OR APPOINTEE

THIS SECTION MUST BE COMPLETED DISCLOSURE PERIOD THIS STATEMENT REFLECTS YOUR FINANCIAL INTERESTS FOR CALENDAR YEAR ENDING DECEMBER 31 2019

MANNER OF CALCULATING REPORTABLE INTERESTS FILERS HAVE THE OPTION OF USING REPORTING THRESHOLDS THAT ARE ABSOLUTE DOLLAR VALUES WHICH REQUIRES FEWER CALCULATIONS OR USING COMPARATIVE THRESHOLDS WHICH ARE USUALLY BASED ON PERCENTAGE VALUES (see instructions for further details) CHECK THE ONE YOU ARE USING (must check one)

COMPARATIVE (PERCENTAGE) THRESHOLDS OR DOLLAR VALUE THRESHOLDS

PART A -- PRIMARY SOURCES OF INCOME [Major sources of income to the reporting person - See instructions] (If you have nothing to report write none or na)

NAME OF SOURCE SOURCES DESCRIPTION OF THE SOURCES OF INCOME ADDRESS PRINCIPAL BUSINESS ACTIVITY

PART B -- SECONDARY SOURCES OF INCOME [Major customers clients and other sources of income to businesses owned by the reporting person - See instructions] (If you have nothing to report write none or na)

NAME OF NAME OF MAJOR SOURCES ADDRESS PRINCIPAL BUSINESS BUSINESS ENTITY OF BUSINESS INCOME OF SOURCE ACTIVITY OF SOURCE

PART C -- REAL PROPERTY [Land buildings owned by the reporting person - See instructions] You are not limited to the space on the (If you have nothing to report write none or na) lines on this form Attach additional

sheets if necessary

FILING INSTRUCTIONS for when and where to file this form are located at the bottom of page 2

INSTRUCTIONS on who must file this form and how to fill it out begin on page 3

CE FORM 1 - Effective January 1 2020 (Continued on reverse side) PAGE 1 Incorporated by reference in Rule 34-8202(1) FAC

FILING INSTRUCTIONS

IF ANY OF PARTS A THROUGH G ARE CONTINUED ON A SEPARATE SHEET PLEASE CHECK HERE

PART D mdash INTANGIBLE PERSONAL PROPERTY [Stocks bonds certificates of deposit etc - See instructions] (If you have nothing to report write none or na) TYPE OF INTANGIBLE BUSINESS ENTITY TO WHICH THE PROPERTY RELATES

PART E mdash LIABILITIES [Major debts - See instructions] (If you have nothing to report write none or na)

NAME OF CREDITOR ADDRESS OF CREDITOR

PART F mdash INTERESTS IN SPECIFIED BUSINESSES [Ownership or positions in certain types of businesses - See instructions] (If you have nothing to report write none or na)

BUSINESS ENTITY 1 BUSINESS ENTITY 2

NAME OF BUSINESS ENTITY

ADDRESS OF BUSINESS ENTITY

PRINCIPAL BUSINESS ACTIVITY

POSITION HELD WITH ENTITY

I OWN MORE THAN A 5 INTEREST IN THE BUSINESS

NATURE OF MY OWNERSHIP INTEREST

If you were mailed the form by the Commission on Ethics or a County Supervisor of Elections for your annual disclosure filing return the form to that location To determine what category your position falls under see page 3 of instructions Local officersemployees file with the Supervisor of Elections of the county in which they permanently reside (If you do not permanently reside in Florida file with the Supervisor of the county where your agency has its headquarters) Form 1 filers who file with the Supervisor of Elections may file by mail or email Contact your Supervisor of Elections for the mailing address or email address to use Do not email your form to the Commission on Ethics it will be returned State officers or specified state employees who file with the Commission on Ethics may file by mail or email To file by mail send the completed form to PO Drawer 15709 Tallahassee FL32317-5709 physical address 325 John Knox Rd Bldg E Ste 200 Tallahassee FL 32303 To file with the Commission by email scan your completed form and any attachments as a pdf (do not use any other format) send it to CEForm1legstateflus and retain a copy for your records Do not file by both mail and email Choose only one filing method Form 6s will not be accepted via email

Candidates file this form together with their filing papers MULTIPLE FILING UNNECESSARY A candidate who files a Form 1 with a qualifying officer is not required to file with the Commission or Supervisor of Elections WHEN TO FILE Initially each local officeremployee state officer and specified state employee must file within 30 days of the date of his or her appointment or of the beginning of employment Appointees who must be confirmed by the Senate must file prior to confirmation even if that is less than 30 days from the date of their appointment Candidates must file at the same time they file their qualifying papers Thereafter file by July 1 following each calendar year in which they hold their positions Finally file a final disclosure form (Form 1F) within 60 days of leaving office or employment Filing a CE Form 1F (Final Statement of Financial Interests) does not relieve the filer of filing a CE Form 1 if the filer was in his or her position on December 31 2019

SIGNATURE OF FILER Signature

____________________________________________

Date Signed

____________________________________________

CPA or ATTORNEY SIGNATURE ONLY If a certified public accountant licensed under Chapter 473 or attorney in good standing with the Florida Bar prepared this form for you he or she must complete the following statement

I _______________________________________ prepared the CE Form 1 in accordance with Section 1123145 Florida Statutes and the instructions to the form Upon my reasonable knowledge and belief the disclosure herein is true and correct

CPAAttorney Signature ______________________________

Date Signed _______________________________________

PART G mdash TRAINING For elected municipal officers required to complete annual ethics training pursuant to section 1123142 FS

I CERTIFY THAT I HAVE COMPLETED THE REQUIRED TRAINING

CE FORM 1 - Effective January 1 2020 PAGE 2 Incorporated by reference in Rule 34-8202(1) FAC

Examplesmdash You are the sole proprietor of a dry cleaning business fromwhich you received more than 10 of your gross incomemdashanamount that was more than $1500 If only one customer auniform rental company provided more than 10 of your drycleaning business you must list the name of the uniform rentalcompany its address and its principal business activity (uniform rentals) mdash You are a 20 partner in a partnership that owns a shopping mall and your partnership income exceeded the thresholds listed above You should list each tenant of the mall that provided more than 10 of the partnershiprsquos gross income and the tenantrsquos address and principal business activity

PART C mdash REAL PROPERTY[Required by s 1123145(3)(a)3 FS]In this part list the location or description of all real property in

Florida in which you owned directly or indirectly at any time during the disclosure period in excess of 5 of the propertyrsquos value You are not required to list your residences You should list any vacation homes if you derive income from them

Indirect ownership includes situations where you are abeneficiary of a trust that owns the property as well as situations where you own more than 5 of a partnership or corporation thatowns the property The value of the property may be determined by the most recently assessed value for tax purposes in the absence of a more current appraisal

The location or description of the property should be sufficient to enable anyone who looks at the form to identify the property Astreet address should be used if one exists PART D mdash INTANGIBLE PERSONAL PROPERTY

[Required by s 1123145(3)(a)3 FS]Describe any intangible personal property that at any time

during the disclosure period was worth more than 10 of your total assets and state the business entity to which the property related Intangible personal property includes things such as cash on hand stocks bonds certificates of deposit vehicle leases interests in businesses beneficial interests in trusts money owed you Deferred Retirement Option Program (DROP) accounts the Florida Prepaid College Plan and bank accounts Intangiblepersonal property also includes investment products held in IRAs brokerage accounts and the Florida College Investment Plan Note that the product contained in a brokerage account IRA or the Florida College Investment Plan is your assetmdashnot the account or plan itself Things like automobiles and houses you own jewelryand paintings are not intangible property Intangibles relating to the same business entity may be aggregated for example CDrsquos and savings accounts with the same bank

Calculations To determine whether the intangible property exceeds 10 of your total assets total the fair market value of all of your assets (including real property intangible property and tangible personal property such as jewelry furniture etc) When making this calculation do not subtract any liabilities (debts) that may relate to the property Multiply the total figure by 10 to arrive at the disclosure threshold List only the intangibles that exceed this threshold amount The value of a leased vehicle is the vehiclersquos present value minus the lease residual (a number which can be found on the lease document) Property that is only jointly owned property should be valued according to the percentage of your joint ownership Property owned as tenants by the entirety or as joint tenants with right of survivorship should be valued at 100 None of your calculations or the value of the property have to be disclosed on the form

Example You own 50 of the stock of a small corporation that is worth $100000 the estimated fair market value of your home and other property (bank accounts automobile furniture etc) is $200000 As your total assets are worth $250000 you must disclose intangibles worth over $25000 Since the value of the stock exceeds this threshold you should list ldquostockrdquo and the name of the corporation If your accounts with a particular bank exceed $25000 you should list ldquobank accountsrdquo and bankrsquos name

PART E mdash LIABILITIES[Required by s 1123145(3)(b)4 FS]List the name and address of each creditor to whom you owed

any amount that at any time during the disclosure period exceeded your net worth You are not required to list the amount of any debt or your net worth You do not have to disclose credit card and retail installment accounts taxes owed (unless reduced to a judgment) indebtedness on a life insurance policy owed to the company of issuance or contingent liabilities A ldquocontingent liabilityrdquo is one that will become an actual liability only when one or more future events occur or fail to occur such as where you are liable only as a guarantor surety or endorser on a promissory note If you are a ldquoco-makerrdquo and are jointly liable or jointly and severally liable it is not a contingent liability

Calculations To determine whether the debt exceeds your net worth total all of your liabilities (including promissory notes mortgages credit card debts judgments against you etc) Theamount of the liability of a vehicle lease is the sum of any past-due payments and all unpaid prospective lease payments Subtract the sum total of your liabilities from the value of all your assets as calculated above for Part D This is your ldquonet worthrdquo List each creditor to whom your debt exceeded this amount unless it is one of the types of indebtedness listed in the paragraph above (credit card and retail installment accounts etc) Joint liabilities with others for which you are ldquojointly and severally liablerdquo meaning that you may be liable for either your part or the whole of the obligation should be included in your calculations at 100 of the amount owed

Example You owe $15000 to a bank for student loans $5000 for credit card debts and $60000 (with spouse) to a savings and loan for a home mortgage Your home (owned by you and your spouse) is worth $80000 and your other property is worth $20000 Since your net worth is $20000 ($100000 minus $80000) you must report only the name and address of the savings and loan

PART F mdash INTERESTS IN SPECIFIED BUSINESSES[Required by s 1123145 FS]The types of businesses covered in this disclosure include

state and federally chartered banks state and federal savings and loan associations cemetery companies insurance companies mortgage companies credit unions small loan companies alcoholic beverage licensees pari-mutuel wagering companies utilitycompanies entities controlled by the Public Service Commission and entities granted a franchise to operate by either a city or acounty government

Disclose in this part the fact that you owned during the disclosure period an interest in or held any of certain positions with the types of businesses listed above You are required to make this disclosure if you own or owned (either directly orindirectly in the form of an equitable or beneficial interest) at any time during the disclosure period more than 5 of the total assets or capital stock of one of the types of business entities listed above You also must complete this part of the form for each of these types of businesses for which you are or were at any time during thedisclosure period an officer director partner proprietor or agent (other than a resident agent solely for service of process)

If you have or held such a position or ownership interest in one of these types of businesses list the name of the business its address and principal business activity and the position held with the business (if any) If you own(ed) more than a 5 interest in the business indicate that fact and describe the nature of your interest

PART G mdash TRAINING CERTIFICATION[Required by s 1123142 FS]If you are a Constitutional or elected municipal officer whose

service began before March 31 of the year for which you are filing you are required to complete four hours of ethics training which addresses Article II Section 8 of the Florida Constitution the Code of Ethics for Public Officers and Employees and the public records and open meetings laws of the state You are required to certify on this form that you have taken such training (End of Percentage Thresholds Instructions)

CE FORM 1 - Effective January 1 2020 Incorporated by reference in Rule 34-8202 FAC PAGE 6

NOTICE Annual Statements of Financial Interests are due July 1 If the annual form is not filed or postmarked by September 1 an automatic fine of $25 for each day late will be imposed up to a maximum penalty of $1500 Failure to file also can result in removal from public office or employment [s 1123145 FS]

In addition failure to make any required disclosure constitutes grounds for and may be punished by one or more of the following disqualification from being on the ballot impeachment removal or suspension from office or employment demotion reduction in salary reprimand or a civil penalty not exceeding $10000 [s 112317 FS]

WHO MUST FILE FORM 1 1) Elected public officials not serving in a political subdivision of the

state and any person appointed to fill a vacancy in such office unlessrequired to file full disclosure on Form 62) Appointed members of each board commission authority

or council having statewide jurisdiction excluding members of solelyadvisory bodies but including judicial nominating commission membersDirectors of Enterprise Florida Scripps Florida Funding Corporationand Career Source Florida and members of the Council on the Social Status of Black Men and Boys the Executive Director Governors and senior managers of Citizens Property Insurance CorporationGovernors and senior managers of Florida Workers Compensation JointUnderwriting Association board members of the Northeast Fla RegionalTransportation Commission board members of Triumph Gulf Coast Incboard members of Florida Is For Veterans Inc and members of the Technology Advisory Council within the Agency for State Technology3) The Commissioner of Education members of the State Board

of Education the Board of Governors the local Boards of Trustees and Presidents of state universities and the Florida Prepaid College Board 4) Persons elected to office in any political subdivision (such as

municipalities counties and special districts) and any person appointedto fill a vacancy in such office unless required to file Form 65) Appointed members of the following boards councils

commissions authorities or other bodies of county municipality schooldistrict independent special district or other political subdivision thegoverning body of the subdivision community college or junior collegedistrict boards of trustees boards having the power to enforce local codeprovisions boards of adjustment community redevelopment agenciesplanning or zoning boards having the power to recommend create ormodify land planning or zoning within a political subdivision except forcitizen advisory committees technical coordinating committees andsimilar groups who only have the power to make recommendationsto planning or zoning boards and except for representatives of a military installation acting on behalf of all military installations within thatjurisdiction pension or retirement boards empowered to invest pensionor retirement funds or determine entitlement to or amount of pensions orother retirement benefits and the Pinellas County Construction LicensingBoard 6) Any appointed member of a local government board who

is required to file a statement of financial interests by the appointingauthority or the enabling legislation ordinance or resolution creating theboard 7) Persons holding any of these positions in local government

mayor county or city manager chief administrative employee or finance

director of a county municipality or other political subdivision county or municipal attorney chief county or municipal building inspectorcounty or municipal water resources coordinator county or municipalpollution control director county or municipal environmental control director county or municipal administrator with power to grant or denya land development permit chief of police fire chief municipal clerkappointed district school superintendent community college presidentdistrict medical examiner purchasing agent (regardless of title) havingthe authority to make any purchase exceeding $35000 for the localgovernmental unit8) Officers and employees of entities serving as chief administrative

officer of a political subdivision9) Members of governing boards of charter schools operated by a

city or other public entity10) Employees in the office of the Governor or of a Cabinet member

who are exempt from the Career Service System excluding secretarialclerical and similar positions11) The following positions in each state department commission

board or council Secretary Assistant or Deputy Secretary ExecutiveDirector Assistant or Deputy Executive Director and anyone having thepower normally conferred upon such persons regardless of title12) The following positions in each state department or division

Director Assistant or Deputy Director Bureau Chief and any personhaving the power normally conferred upon such persons regardless oftitle 13) Assistant State Attorneys Assistant Public Defenders criminal

conflict and civil regional counsel and assistant criminal conflict and civilregional counsel Public Counsel full-time state employees serving ascounsel or assistant counsel to a state agency administrative law judgesand hearing officers14) The Superintendent or Director of a state mental health institute

established for training and research in the mental health field or anymajor state institution or facility established for corrections trainingtreatment or rehabilitation 15) State agency Business Managers Finance and Accounting

Directors Personnel Officers Grant Coordinators and purchasingagents (regardless of title) with power to make a purchase exceeding$35000 16) The following positions in legislative branch agencies each

employee (other than those employed in maintenance clerical secretarial or similar positions and legislative assistants exempted by the presiding officer of their house) and each employee of theCommission on Ethics

INSTRUCTIONS FOR COMPLETING FORM 1 INTRODUCTORY INFORMATION (Top of Form) If your name mailing address public agency and position are already printed on the form you do not need to provide this information unless it should be changed To change any of this information write the correct information on the form and contact your agencys financial disclosure coordinator You can find your coordinator on the Commission on Ethics website wwwethics stateflus NAME OF AGENCY The name of the governmental unit which you serve or served by which you are or were employed or for which you are a candidate DISCLOSURE PERIOD The ldquodisclosure periodrdquo for your report is the calendar year ending December 31 2019

OFFICE OR POSITION HELD OR SOUGHT The title of the office or position you hold are seeking or held during the disclosure period even if you have since left that position If you are a candidate for office or are a new employee or appointee check the appropriate box PUBLIC RECORD The disclosure form and everythingattached to it is a public record Your Social Security Number is not required and you should redact it from any documents you file If you are an active or former officer or employee listed in Section 119071 FS whose home address is exempt from disclosure the Commission will maintain that confidentiality if you submit a written request

CE FORM 1 - Effective January 1 2020 Incorporated by reference in Rule 34-8202 FAC PAGE 3

PART E mdash LIABILITIES[Required by s 1123145(3)(b)4 FS]List the name and address of each creditor to whom you owed more

than $10000 at any time during the disclosure period The amount of theliability of a vehicle lease is the sum of any past-due payments and allunpaid prospective lease payments You are not required to list the amountof any debt You do not have to disclose credit card and retail installmentaccounts taxes owed (unless reduced to a judgment) indebtedness ona life insurance policy owed to the company of issuance or contingentliabilities A ldquocontingent liabilityrdquo is one that will become an actual liabilityonly when one or more future events occur or fail to occur such as whereyou are liable only as a guarantor surety or endorser on a promissorynote If you are a ldquoco-makerrdquo and are jointly liable or jointly and severallyliable then it is not a contingent liability

PART F mdash INTERESTS IN SPECIFIED BUSINESSES[Required by s 1123145(6) FS]The types of businesses covered in this disclosure include state and

federally chartered banks state and federal savings and loan associationscemetery companies insurance companies mortgage companies creditunions small loan companies alcoholic beverage licensees pari-mutuelwagering companies utility companies entities controlled by the PublicService Commission and entities granted a franchise to operate by either acity or a county government

Disclose in this part the fact that you owned during the disclosure period aninterest in or held any of certain positions with the types of businesses listedabove You must make this disclosure if you own or owned (either directly orindirectly in the form of an equitable or beneficial interest) at any time duringthe disclosure period more than 5 of the total assets or capital stock ofone of the types of business entities listed above You also must completethis part of the form for each of these types of businesses for which youare or were at any time during the disclosure period an officer directorpartner proprietor or agent (other than a resident agent solely for service ofprocess)

If you have or held such a position or ownership interest in one ofthese types of businesses list the name of the business its address andprincipal business activity and the position held with the business (if any) Ifyou own(ed) more than a 5 interest in the business indicate that fact anddescribe the nature of your interest

PART G mdash TRAINING CERTIFICATION[Required by s 1123142 FS]If you are a Constitutional or elected municipal officer whose

service began before March 31 of the year for which you are filingyou are required to complete four hours of ethics training which addresses Article II Section 8 of the Florida Constitution the Codeof Ethics for Public Officers and Employees and the public recordsand open meetings laws of the state You are required to certify onthis form that you have taken such training

(End of Dollar Value Thresholds Instructions)

PART A mdash PRIMARY SOURCES OF INCOME[Required by s 1123145(3)(a)1 FS]Part A is intended to require the disclosure of your principal

sources of income during the disclosure period You do not haveto disclose any public salary or public position(s) but income from these public sources should be included when calculating your gross income for the disclosure period The income of your spouse need not be disclosed however if there is joint income to you and your spouse from property you own jointly (such as interest or dividends from a bank account or stocks) you should include all of that income when calculating your gross income and disclose the source of that income if it exceeded the threshold

Please list in this part of the form the name address and principal business activity of each source of your income whichexceeded 5 of the gross income received by you in your own name or by any other person for your benefit or use during the disclosure period

Gross income means the same as it does for income tax purposes even if the income is not actually taxable such as interest on tax-free bonds Examples include compensation for servicesincome from business gains from property dealings interest rents dividends pensions IRA distributions social security distributive share of partnership gross income and alimony but not child support

Examplesmdash If you were employed by a company that manufactures computers and received more than 5 of your gross income from the company list the name of the company its address and its principal business activity (computer manufacturing)mdash If you were a partner in a law firm and your distributive share of partnership gross income exceeded 5 of your gross income then list the name of the firm its address and its principal business activity (practice of law)mdash If you were the sole proprietor of a retail gift business andyour gross income from the business exceeded 5 of your total gross income list the name of the business its addressand its principal business activity (retail gift sales)mdash If you received income from investments in stocks and bonds list each individual company from which you derived

more than 5 of your gross income Do not aggregate all of your investment incomemdash If more than 5 of your gross income was gain from the sale of property (not just the selling price) list as a source of income the purchaserrsquos name address and principal business activityIf the purchasers identity is unknown such as where securities listed on an exchange are sold through a brokerage firm the source of income should be listed as sale of (name of company)stock for examplemdash If more than 5 of your gross income was in the form of interest from one particular financial institution (aggregatinginterest from all CDrsquos accounts etc at that institution) list the name of the institution its address and its principal business activity

PART B mdash SECONDARY SOURCES OF INCOME[Required by s 1123145(3)(a)2 FS]This part is intended to require the disclosure of major customers

clients and other sources of income to businesses in which you ownan interest It is not for reporting income from second jobs That kindof income should be reported in Part A Primary Sources of Incomeif it meets the reporting threshold You will not have anything to reportunless during the disclosure period

(1) You owned (either directly or indirectly in the form of anequitable or beneficial interest) more than 5 of the total assetsor capital stock of a business entity (a corporation partnershipLLC limited partnership proprietorship joint venture trust firmetc doing business in Florida) and(2) You received more than 10 of your gross income from thatbusiness entity and(3) You received more than $1500 in gross income from thatbusiness entity

If your interests and gross income exceeded these thresholds thenfor that business entity you must list every source of income to thebusiness entity which exceeded 10 of the business entityrsquos grossincome (computed on the basis of the business entityrsquos most recentlycompleted fiscal year) the sourcersquos address and the sourcersquosprincipal business activity

IF YOU HAVE CHOSEN COMPARATIVE (PERCENTAGE) THRESHOLDSTHE FOLLOWING INSTRUCTIONS APPLY

CE FORM 1 - Effective January 1 2020 Incorporated by reference in Rule 34-8202 FAC PAGE 5

MANNER OF CALCULATING REPORTABLE INTEREST Filers have the option of reporting based on either thresholds that are comparative (usually based on percentage values) or thresholds that are based on absolute dollar values The instructions on the following pages specifically describe the different thresholds Check the box that reflects the choice you have made You must use the type of threshold you have chosen for each part of the form In other words if you choose to report based on absolute dollar value thresholds you cannot use a percentage threshold on any part of the form

IF YOU HAVE CHOSEN DOLLAR VALUE THRESHOLDS THE FOLLOWING INSTRUCTIONS APPLY

PART A mdash PRIMARY SOURCES OF INCOME [Required by s 1123145(3)(b)1 FS] Part A is intended to require the disclosure of your principal

sources of income during the disclosure period You do not have todisclose any public salary or public position(s) The income of yourspouse need not be disclosed however if there is joint income toyou and your spouse from property you own jointly (such as interestor dividends from a bank account or stocks) you should disclose thesource of that income if it exceeded the threshold

Please list in this part of the form the name address andprincipal business activity of each source of your income whichexceeded $2500 of gross income received by you in your own name or by any other person for your use or benefit

Gross income means the same as it does for income tax purposes even if the income is not actually taxable such as interest on tax-free bonds Examples include compensation for servicesincome from business gains from property dealings interest rentsdividends pensions IRA distributions social security distributive share of partnership gross income and alimony but not child support

Examples mdash If you were employed by a company that manufacturescomputers and received more than $2500 list the name of thecompany its address and its principal business activity (computermanufacturing) mdash If you were a partner in a law firm and your distributive shareof partnership gross income exceeded $2500 list the name ofthe firm its address and its principal business activity (practice oflaw) mdash If you were the sole proprietor of a retail gift business and yourgross income from the business exceeded $2500 list the nameof the business its address and its principal business activity(retail gift sales) mdash If you received income from investments in stocks and bondslist each individual company from which you derived more than$2500 Do not aggregate all of your investment income mdash If more than $2500 of your gross income was gain from thesale of property (not just the selling price) list as a source ofincome the purchaserrsquos name address and principal businessactivity If the purchaserrsquos identity is unknown such as wheresecurities listed on an exchange are sold through a brokeragefirm the source of income should be listed as sale of (name of company) stock for example mdash If more than $2500 of your gross income was in the formof interest from one particular financial institution (aggregatinginterest from all CDrsquos accounts etc at that institution) list the name of the institution its address and its principal business activity

PART B mdash SECONDARY SOURCES OF INCOME [Required by s 1123145(3)(b)2 FS] This part is intended to require the disclosure of major customers

clients and other sources of income to businesses in which you own aninterest It is not for reporting income from second jobs That kind of incomeshould be reported in Part A Primary Sources of Income if it meets thereporting threshold You will not have anything to report unless during thedisclosure period

(1) You owned (either directly or indirectly in the form of an equitableor beneficial interest) more than 5 of the total assets or capitalstock of a business entity (a corporation partnership LLC limitedpartnership proprietorship joint venture trust firm etc doing business in Florida) and (2) You received more than $5000 of your gross income during thedisclosure period from that business entity

If your interests and gross income exceeded these thresholds then for thatbusiness entity you must list every source of income to the business entitywhich exceeded 10 of the business entityrsquos gross income (computed onthe basis of the business entitys most recently completed fiscal year) thesourcersquos address and the sources principal business activity

Examples mdash You are the sole proprietor of a dry cleaning business from whichyou received more than $5000 If only one customer a uniform rentalcompany provided more than 10 of your dry cleaning business youmust list the name of the uniform rental company its address and itsprincipal business activity (uniform rentals) mdash You are a 20 partner in a partnership that owns a shopping malland your partnership income exceeded the above thresholds List eachtenant of the mall that provided more than 10 of the partnershipsgross income and the tenants address and principal business activity

PART C mdash REAL PROPERTY [Required by s 1123145(3)(b)3 FS] In this part list the location or description of all real property in Florida

in which you owned directly or indirectly at any time during the disclosureperiod in excess of 5 of the propertyrsquos value You are not required to listyour residences You should list any vacation homes if you derive incomefrom them

Indirect ownership includes situations where you are a beneficiary of atrust that owns the property as well as situations where you own more than5 of a partnership or corporation that owns the property The value of theproperty may be determined by the most recently assessed value for taxpurposes in the absence of a more current appraisal

The location or description of the property should be sufficient toenable anyone who looks at the form to identify the property A streetaddress should be used if one exists

PART D mdash INTANGIBLE PERSONAL PROPERTY [Required by s 1123145(3)(b)3 FS] Describe any intangible personal property that at any time during the

disclosure period was worth more than $10000 and state the businessentity to which the property related Intangible personal property includesthings such as cash on hand stocks bonds certificates of deposit vehicleleases interests in businesses beneficial interests in trusts money owedyou Deferred Retirement Option Program (DROP) accounts the FloridaPrepaid College Plan and bank accounts Intangible personal propertyalso includes investment products held in IRAs brokerage accounts andthe Florida College Investment Plan Note that the product contained in a brokerage account IRA or the Florida College Investment Plan is yourassetmdashnot the account or plan itself Things like automobiles and housesyou own jewelry and paintings are not intangible property Intangiblesrelating to the same business entity may be aggregated for example CDsand savings accounts with the same bank Property owned as tenants bythe entirety or as joint tenants with right of survivorship should be valued at100 The value of a leased vehicle is the vehiclersquos present value minusthe lease residual (a number found on the lease document)

CE FORM 1 - Effective January 1 2020 Incorporated by reference in Rule 34-8202 FAC PAGE 4

PART A mdash PRIMARY SOURCES OF INCOME[Required by s 1123145(3)(b)1 FS]Part A is intended to require the disclosure of your principal

sources of income during the disclosure period You do not have todisclose any public salary or public position(s) The income of yourspouse need not be disclosed however if there is joint income t oyou and your spouse from property you own jointly (such as interestor dividends from a bank account or stocks) you should disclose thesource of that income if it exceeded the threshold

Please list in this part of the form the name address andprincipal business activity of each source of your income whichexceeded $2500 of gross income received by you in your own name or by any other person for your use or benefit

Gross income means the same as it does for income taxpurposes even if the income is not actually taxable such as intereston tax-free bonds Examples include compensation for servicesincome from business gains from property dealings interest rentsdividends pensions IRA distributions social security distributiveshare of partnership gross income and alimony but not child support

Examplesmdash If you were employed by a company that manufacturescomputers and received more than $2500 list the name of thecompany its address and its principal business activity (computermanufacturing)mdash If you were a partner in a law firm and your distributive shareof partnership gross income exceeded $2500 list the name ofthe firm its address and its principal business activity (practice oflaw)mdash If you were the sole proprietor of a retail gift business and yourgross income from the business exceeded $2500 list the nameof the business its address and its principal business activity(retail gift sales)mdash If you received income from investments in stocks and bondslist each individual company from which you derived more than$2500 Do not aggregate all of your investment incomemdash If more than $2500 of your gross income was gain from thesale of property (not just the selling price) list as a source o fincome the purchaserrsquos name address and principal businessactivity If the purchaserrsquos identity is unknown such as wheresecurities listed on an exchange are sold through a brokeragefirm the source of income should be listed as sale of (name of company) stock for examplemdash If more than $2500 of your gross income was in the formof interest from one particular financial institution (aggregatinginterest from all CDrsquos accounts etc at that institution) list thename of the institution its address and its principal business activity

PART B mdash SECONDARY SOURCES OF INCOME[Required by s 1123145(3)(b)2 FS]This part is intended to require the disclosure of major customers

clients and other sources of income to businesses in which you own aninterest It is not for reporting income from second jobs That kind of incomeshould be reported in Part A Primary Sources of Income if it meets thereporting threshold You will not have anything to report unless during thedisclosure period

(1) You owned (either directly or indirectly in the form of an equitableor beneficial interest) more than 5 of the total assets or capitalstock of a business entity (a corporation partnership LLC limitedpartnership proprietorship joint venture trust firm etc doing business in Florida) and(2) You received more than $5000 of your gross income during thedisclosure period from that business entity

If your interests and gross income exceeded these thresholds then for thatbusiness entity you must list every source of income to the business entitywhich exceeded 10 of the business entityrsquos gross income (computed onthe basis of the business entitys most recently completed fiscal year) thesourcersquos address and the sources principal business activity

Examplesmdash You are the sole proprietor of a dry cleaning business from whichyou received more than $5000 If only one customer a uniform rentalcompany provided more than 10 of your dry cleaning business youmust list the name of the uniform rental company its address and itsprincipal business activity (uniform rentals)mdash You are a 20 partner in a partnership that owns a shopping malland your partnership income exceeded the above thresholds List eachtenant of the mall that provided more than 10 of the partnershipsgross income and the tenants address and principal business activity

PART C mdash REAL PROPERTY[Required by s 1123145(3)(b)3 FS]In this part list the location or description of all real property in Florida

in which you owned directly or indirectly at any time during the disclosureperiod in excess of 5 of the propertyrsquos value You are not required to listyour residences You should list any vacation homes if you derive incomefrom them

Indirect ownership includes situations where you are a beneficiary of atrust that owns the property as well as situations where you own more than5 of a partnership or corporation that owns the property The value of theproperty may be determined by the most recently assessed value for taxpurposes in the absence of a more current appraisal

The location or description of the property should be sufficient toenable anyone who looks at the form to identify the property A streetaddress should be used if one exists

PART D mdash INTANGIBLE PERSONAL PROPERTY[Required by s 1123145(3)(b)3 FS]Describe any intangible personal property that at any time during the

disclosure period was worth more than $10000 and state the businessentity to which the property related Intangible personal property includesthings such as cash on hand stocks bonds certificates of deposit vehicleleases interests in businesses beneficial interests in trusts money owedyou Deferred Retirement Option Program (DROP) accounts the FloridaPrepaid College Plan and bank accounts Intangible personal propertyalso includes investment products held in IRAs brokerage accounts andthe Florida College Investment Plan Note that the product contained ina brokerage account IRA or the Florida College Investment Plan is yourassetmdashnot the account or plan itself Things like automobiles and housesyou own jewelry and paintings are not intangible property Intangiblesrelating to the same business entity may be aggregated for example CDsand savings accounts with the same bank Property owned as tenants bythe entirety or as joint tenants with right of survivorship should be valued at100 The value of a leased vehicle is the vehiclersquos present value minusthe lease residual (a number found on the lease document)

Filers have the option of reporting based on either thresholds that are comparative (usually based on percentage values) orthresholds that are based on absolute dollar values The instructions on the following pages specifically describe the differentthresholds Check the box that reflects the choice you have made You must use the type of threshold you have chosen for eachpart of the form In other words if you choose to report based on absolute dollar value thresholds you cannot use a percentagethreshold on any part of the form

MANNER OF CALCULATING REPORTABLE INTEREST

IF YOU HAVE CHOSEN DOLLAR VALUE THRESHOLDSTHE FOLLOWING INSTRUCTIONS APPLY

CE FORM 1 - Effective January 1 2020 Incorporated by reference in Rule 34-8202 FAC PAGE 4

PART E mdash LIABILITIES [Required by s 1123145(3)(b)4 FS] List the name and address of each creditor to whom you owed more

than $10000 at any time during the disclosure period The amount of theliability of a vehicle lease is the sum of any past-due payments and allunpaid prospective lease payments You are not required to list the amountof any debt You do not have to disclose credit card and retail installmentaccounts taxes owed (unless reduced to a judgment) indebtedness ona life insurance policy owed to the company of issuance or contingentliabilities A ldquocontingent liabilityrdquo is one that will become an actual liabilityonly when one or more future events occur or fail to occur such as whereyou are liable only as a guarantor surety or endorser on a promissorynote If you are a ldquoco-makerrdquo and are jointly liable or jointly and severallyliable then it is not a contingent liability

PART F mdash INTERESTS IN SPECIFIED BUSINESSES [Required by s 1123145(6) FS] The types of businesses covered in this disclosure include state and

federally chartered banks state and federal savings and loan associationscemetery companies insurance companies mortgage companies creditunions small loan companies alcoholic beverage licensees pari-mutuelwagering companies utility companies entities controlled by the PublicService Commission and entities granted a franchise to operate by either acity or a county government

Disclose in this part the fact that you owned during the disclosure period aninterest in or held any of certain positions with the types of businesses listedabove You must make this disclosure if you own or owned (either directly orindirectly in the form of an equitable or beneficial interest) at any time duringthe disclosure period more than 5 of the total assets or capital stock ofone of the types of business entities listed above You also must completethis part of the form for each of these types of businesses for which youare or were at any time during the disclosure period an officer directorpartner proprietor or agent (other than a resident agent solely for service ofprocess)

If you have or held such a position or ownership interest in one ofthese types of businesses list the name of the business its address andprincipal business activity and the position held with the business (if any) Ifyou own(ed) more than a 5 interest in the business indicate that fact anddescribe the nature of your interest

PART G mdash TRAINING CERTIFICATION [Required by s 1123142 FS] If you are a Constitutional or elected municipal officer whose

service began before March 31 of the year for which you are filingyou are required to complete four hours of ethics training which addresses Article II Section 8 of the Florida Constitution the Code of Ethics for Public Officers and Employees and the public recordsand open meetings laws of the state You are required to certify onthis form that you have taken such training

(End of Dollar Value Thresholds Instructions)

IF YOU HAVE CHOSEN COMPARATIVE (PERCENTAGE) THRESHOLDS THE FOLLOWING INSTRUCTIONS APPLY

PART A mdash PRIMARY SOURCES OF INCOME [Required by s 1123145(3)(a)1 FS] Part A is intended to require the disclosure of your principal

sources of income during the disclosure period You do not haveto disclose any public salary or public position(s) but income from these public sources should be included when calculating your gross income for the disclosure period The income of your spouse need not be disclosed however if there is joint income to you and your spouse from property you own jointly (such as interest or dividends from a bank account or stocks) you should include all of that income when calculating your gross income and disclose the source of that income if it exceeded the threshold

Please list in this part of the form the name address and principal business activity of each source of your income whichexceeded 5 of the gross income received by you in your own name or by any other person for your benefit or use during the disclosure period

Gross income means the same as it does for income tax purposes even if the income is not actually taxable such as interest on tax-free bonds Examples include compensation for servicesincome from business gains from property dealings interest rents dividends pensions IRA distributions social security distributive share of partnership gross income and alimony but not child support

Examples mdash If you were employed by a company that manufactures computers and received more than 5 of your gross income from the company list the name of the company its address and its principal business activity (computer manufacturing) mdash If you were a partner in a law firm and your distributive share of partnership gross income exceeded 5 of your gross income then list the name of the firm its address and its principal business activity (practice of law) mdash If you were the sole proprietor of a retail gift business andyour gross income from the business exceeded 5 of your total gross income list the name of the business its addressand its principal business activity (retail gift sales) mdash If you received income from investments in stocks and bonds list each individual company from which you derived

more than 5 of your gross income Do not aggregate all of your investment income mdash If more than 5 of your gross income was gain from the sale of property (not just the selling price) list as a source of income the purchaserrsquos name address and principal business activityIf the purchasers identity is unknown such as where securities listed on an exchange are sold through a brokerage firm the source of income should be listed as sale of (name of company)stock for example mdash If more than 5 of your gross income was in the form of interest from one particular financial institution (aggregatinginterest from all CDrsquos accounts etc at that institution) list the name of the institution its address and its principal business activity

PART B mdash SECONDARY SOURCES OF INCOME [Required by s 1123145(3)(a)2 FS] This part is intended to require the disclosure of major customers

clients and other sources of income to businesses in which you ownan interest It is not for reporting income from second jobs That kindof income should be reported in Part A Primary Sources of Incomeif it meets the reporting threshold You will not have anything to report unless during the disclosure period

(1) You owned (either directly or indirectly in the form of anequitable or beneficial interest) more than 5 of the total assetsor capital stock of a business entity (a corporation partnershipLLC limited partnership proprietorship joint venture trust firmetc doing business in Florida) and (2) You received more than 10 of your gross income from thatbusiness entity and (3) You received more than $1500 in gross income from thatbusiness entity

If your interests and gross income exceeded these thresholds thenfor that business entity you must list every source of income to thebusiness entity which exceeded 10 of the business entityrsquos grossincome (computed on the basis of the business entityrsquos most recentlycompleted fiscal year) the sourcersquos address and the sourcersquos principal business activity

CE FORM 1 - Effective January 1 2020 Incorporated by reference in Rule 34-8202 FAC PAGE 5

NOTICE Annual Statements of Financial Interests are due July 1 If the annual form is not filed or postmarked by September 1 an automatic fine of $25 for each day late will be imposed up to a maximum penalty of $1500 Failure to file also can result in removal from public office or employment [s 1123145 FS]

In addition failure to make any required disclosure constitutes grounds for and may be punished by one or more of the following disqualification from being on the ballot impeachment removal or suspension from office or employment demotion reduction in salary reprimand or a civil penalty not exceeding $10000 [s 112317 FS]

1) Elected public officials not serving in a political subdivision of thestate and any person appointed to fill a vacancy in such office unlessrequired to file full disclosure on Form 62) Appointed members of each board commission authority

or council having statewide jurisdiction excluding members of solelyadvisory bodies but including judicial nominating commission membersDirectors of Enterprise Florida Scripps Florida Funding Corporationand Career Source Florida and members of the Council on the SocialStatus of Black Men and Boys the Executive Director Governors and senior managers of Citizens Property Insurance CorporationGovernors and senior managers of Florida Workers Compensation JointUnderwriting Association board members of the Northeast Fla RegionalTransportation Commission board members of Triumph Gulf Coast Incboard members of Florida Is For Veterans Inc and members of theTechnology Advisory Council within the Agency for State Technology3) The Commissioner of Education members of the State Board

of Education the Board of Governors the local Boards of Trustees andPresidents of state universities and the Florida Prepaid College Board4) Persons elected to office in any political subdivision (such a s

municipalities counties and special districts) and any person appointedto fill a vacancy in such office unless required to file Form 65) Appointed members of the following boards councils

commissions authorities or other bodies of county municipality schooldistrict independent special district or other political subdivision thegoverning body of the subdivision community college or junior collegedistrict boards of trustees boards having the power to enforce local codeprovisions boards of adjustment community redevelopment agenciesplanning or zoning boards having the power to recommend create ormodify land planning or zoning within a political subdivision except forcitizen advisory committees technical coordinating committees andsimilar groups who only have the power to make recommendationsto planning or zoning boards and except for representatives of amilitary installation acting on behalf of all military installations within thatjurisdiction pension or retirement boards empowered to invest pensionor retirement funds or determine entitlement to or amount of pensions orother retirement benefits and the Pinellas County Construction LicensingBoard6) Any appointed member of a local government board who

is required to file a statement of financial interests by the appointingauthority or the enabling legislation ordinance or resolution creating theboard7) Persons holding any of these positions in local government

mayor county or city manager chief administrative employee or finance

director of a county municipality or other political subdivision countyor municipal attorney chief county or municipal building inspectorcounty or municipal water resources coordinator county or municipalpollution control director county or municipal environmental controldirector county or municipal administrator with power to grant or denya land development permit chief of police fire chief municipal clerkappointed district school superintendent community college presidentdistrict medical examiner purchasing agent (regardless of title) havingthe authority to make any purchase exceeding $35000 for the localgovernmental unit8) Officers and employees of entities serving as chief administrative

officer of a political subdivision9) Members of governing boards of charter schools operated by a

city or other public entity10) Employees in the office of the Governor or of a Cabinet member

who are exempt from the Career Service System excluding secretarialclerical and similar positions11) The following positions in each state department commission

board or council Secretary Assistant or Deputy Secretary ExecutiveDirector Assistant or Deputy Executive Director and anyone having thepower normally conferred upon such persons regardless of title12) The following positions in each state department or division

Director Assistant or Deputy Director Bureau Chief and any personhaving the power normally conferred upon such persons regardless oftitle13) Assistant State Attorneys Assistant Public Defenders criminal

conflict and civil regional counsel and assistant criminal conflict and civilregional counsel Public Counsel full-time state employees serving ascounsel or assistant counsel to a state agency administrative law judgesand hearing officers14) The Superintendent or Director of a state mental health institute

established for training and research in the mental health field or anymajor state institution or facility established for corrections trainingtreatment or rehabilitation15) State agency Business Managers Finance and Accounting

Directors Personnel Officers Grant Coordinators and purchasingagents (regardless of title) with power to make a purchase exceeding$3500016) The following positions in legislative branch agencies each

employee (other than those employed in maintenance clerical secretarial or similar positions and legislative assistants exemptedby the presiding officer of their house) and each employee of theCommission on Ethics

INSTRUCTIONS FOR COMPLETING FORM 1INTRODUCTORY INFORMATION (Top of Form) If your name mailing address public agency and position are already printed on the form you do not need to provide this information unless it should be changed To change any of this information write the correct information on the form and contact your agencys financial disclosure coordinator You can find your coordinator on the Commission on Ethics website wwwethicsstateflus NAME OF AGENCY The name of the governmental unit which you serve or served by which you are or were employed or for which you are a candidate DISCLOSURE PERIOD The ldquodisclosure periodrdquo for your report is the calendar year ending December 31 2019

OFFICE OR POSITION HELD OR SOUGHT The title of the office or position you hold are seeking or held during the disclosure period even if you have since left that position If you are a candidate for office or are a new employee or appointee check the appropriate boxPUBLIC RECORD The disclosure form and everythingattached to it is a public record Your Social Security Number is not required and you should redact it from any documents you file If you are an active or former officer or employee listed in Section 119071 FS whose home address is exempt from disclosure the Commission will maintain that confidentiality if you submit a written request

WHO MUST FILE FORM 1

CE FORM 1 - Effective January 1 2020 Incorporated by reference in Rule 34-8202 FAC PAGE 3

Examples PART E mdash LIABILITIES mdash You are the sole proprietor of a dry cleaning business from [Required by s 1123145(3)(b)4 FS]which you received more than 10 of your gross incomemdashan List the name and address of each creditor to whom you owed amount that was more than $1500 If only one customer a any amount that at any time during the disclosure period exceeded uniform rental company provided more than 10 of your dry your net worth You are not required to list the amount of any debt cleaning business you must list the name of the uniform rental or your net worth You do not have to disclose credit card and retail company its address and its principal business activity (uniform installment accounts taxes owed (unless reduced to a judgment) rentals) indebtedness on a life insurance policy owed to the company of mdash You are a 20 partner in a partnership that owns a shopping issuance or contingent liabilities A ldquocontingent liabilityrdquo is one mall and your partnership income exceeded the thresholds that will become an actual liability only when one or more future listed above You should list each tenant of the mall that events occur or fail to occur such as where you are liable only as provided more than 10 of the partnershiprsquos gross income and a guarantor surety or endorser on a promissory note If you are a the tenantrsquos address and principal business activity ldquoco-makerrdquo and are jointly liable or jointly and severally liable it is not

a contingent liability PART C mdash REAL PROPERTY Calculations To determine whether the debt exceeds your

[Required by s 1123145(3)(a)3 FS] net worth total all of your liabilities (including promissory notes mortgages credit card debts judgments against you etc) TheIn this part list the location or description of all real property in amount of the liability of a vehicle lease is the sum of any past-due Florida in which you owned directly or indirectly at any time during payments and all unpaid prospective lease payments Subtract the disclosure period in excess of 5 of the propertyrsquos value You the sum total of your liabilities from the value of all your assets are not required to list your residences You should list any vacation as calculated above for Part D This is your ldquonet worthrdquo List each homes if you derive income from them creditor to whom your debt exceeded this amount unless it is one of

Indirect ownership includes situations where you are a the types of indebtedness listed in the paragraph above (credit card beneficiary of a trust that owns the property as well as situations and retail installment accounts etc) Joint liabilities with others for where you own more than 5 of a partnership or corporation that which you are ldquojointly and severally liablerdquo meaning that you may owns the property The value of the property may be determined by be liable for either your part or the whole of the obligation should be the most recently assessed value for tax purposes in the absence included in your calculations at 100 of the amount owed of a more current appraisal

Example You owe $15000 to a bank for student loans $5000 The location or description of the property should be sufficient for credit card debts and $60000 (with spouse) to a savings to enable anyone who looks at the form to identify the property A and loan for a home mortgage Your home (owned by you and street address should be used if one exists your spouse) is worth $80000 and your other property is worth PART D mdash INTANGIBLE PERSONAL PROPERTY $20000 Since your net worth is $20000 ($100000 minus

$80000) you must report only the name and address of the [Required by s 1123145(3)(a)3 FS] savings and loan Describe any intangible personal property that at any time

during the disclosure period was worth more than 10 of your PART F mdash INTERESTS IN SPECIFIED BUSINESSES total assets and state the business entity to which the property [Required by s 1123145 FS] related Intangible personal property includes things such as cash on hand stocks bonds certificates of deposit vehicle leases The types of businesses covered in this disclosure include interests in businesses beneficial interests in trusts money owed state and federally chartered banks state and federal savings and you Deferred Retirement Option Program (DROP) accounts loan associations cemetery companies insurance companies the Florida Prepaid College Plan and bank accounts Intangible mortgage companies credit unions small loan companies alcoholic personal property also includes investment products held in IRAs beverage licensees pari-mutuel wagering companies utilitybrokerage accounts and the Florida College Investment Plan companies entities controlled by the Public Service Commission Note that the product contained in a brokerage account IRA or the and entities granted a franchise to operate by either a city or a Florida College Investment Plan is your assetmdashnot the account or county governmentplan itself Things like automobiles and houses you own jewelry Disclose in this part the fact that you owned during the and paintings are not intangible property Intangibles relating to the disclosure period an interest in or held any of certain positions same business entity may be aggregated for example CDrsquos and with the types of businesses listed above You are requiredsavings accounts with the same bank to make this disclosure if you own or owned (either directly or

Calculations To determine whether the intangible property indirectly in the form of an equitable or beneficial interest) at any exceeds 10 of your total assets total the fair market value of time during the disclosure period more than 5 of the total assets all of your assets (including real property intangible property and or capital stock of one of the types of business entities listed above tangible personal property such as jewelry furniture etc) When You also must complete this part of the form for each of these types making this calculation do not subtract any liabilities (debts) that of businesses for which you are or were at any time during themay relate to the property Multiply the total figure by 10 to arrive disclosure period an officer director partner proprietor or agent at the disclosure threshold List only the intangibles that exceed (other than a resident agent solely for service of process) this threshold amount The value of a leased vehicle is the vehiclersquos If you have or held such a position or ownership interest in present value minus the lease residual (a number which can be one of these types of businesses list the name of the business its found on the lease document) Property that is only jointly owned address and principal business activity and the position held with property should be valued according to the percentage of your the business (if any) If you own(ed) more than a 5 interest in the joint ownership Property owned as tenants by the entirety or as business indicate that fact and describe the nature of your interest joint tenants with right of survivorship should be valued at 100 None of your calculations or the value of the property have to be PART G mdash TRAINING CERTIFICATIONdisclosed on the form

[Required by s 1123142 FS] Example You own 50 of the stock of a small corporation that is worth $100000 the estimated fair market value of If you are a Constitutional or elected municipal officer whoseyour home and other property (bank accounts automobile service began before March 31 of the year for which you are filing furniture etc) is $200000 As your total assets are worth you are required to complete four hours of ethics training which $250000 you must disclose intangibles worth over $25000 addresses Article II Section 8 of the Florida Constitution the Code Since the value of the stock exceeds this threshold you of Ethics for Public Officers and Employees and the public records should list ldquostockrdquo and the name of the corporation If your and open meetings laws of the state You are required to certify on accounts with a particular bank exceed $25000 you should this form that you have taken such training list ldquobank accountsrdquo and bankrsquos name

(

End of Percentage Thresholds Instructions) CE FORM 1 - Effective January 1 2020 Incorporated by reference in Rule 34-8202 FAC PAGE 6

  • 0 HP Cover Page v2
  • 1 Hawks Point Meeting Invite Draft v2
  • 2 Agenda Draft v3
  • 3 EXHIBIT 1
  • 7 HP 05-19-2020 Meeting Minutes Approved
  • 6 EXHIBIT 2
  • 9 HP May FY20 Fin
  • 8 EXHIBIT 3
  • 4 Vacant Position Qualification Requirements for Hawks Point CDD
    • Vacant Position on the Board of Supervisors of the Hawkrsquos Point Community Development District
      • Qualification Requirements
      • Instructions for Interested Candidates
      • Additional Notes
          • 5 Shami Choon Vacant Position - updated 11-5-11 resume
            • 1803 Oak Pond Street Ruskin Fl 33570 E-mailchoons27gmailcom
              • PROFESSIONAL HISTORY
                • Operations Manager Florida Distribution 2002 ndash 2005
                • Operations Manager for Florida Branch Distribution 1999 ndash 2002
                • Warehouse Manager of Miami Distribution Center 1998 ndash 1999
                • Branch Manager of West Palm Beach 1994 ndash 1998
                • Assistant Branch Manager 1991 ndash 1994
                • Customer Service Agent 1990 ndash 1991
                  • 10 EXHIBIT 4
                  • 11 New Business - Hawks Point CDD - MI proposal
                  • 12 EXHIBIT 5
                  • 13 CertaPro Proposal to Paint Exterior Wall 18th to 24th Avenue
                  • 14 Shazam Construction Proposal to Paint Exterior Wall 18th to 24th Street
                    • QUOTE
                      • TO
                          • 15 Photo to accompany Shazam Proposal
                          • 16 EXHIBIT 6
                          • 17 CertaPro Proposal for Pressure Washing Exterior Wall 18th St to 24th Street
                          • 18 Shazam Construction Proposal for Pressure Washing Exterion Wall 18th Street to 24th Street
                            • QUOTE
                              • TO
                                  • 19 EXHIBIT 7
                                  • 20 Form 1_2019i
                                      1. LAST NAME
                                      2. FIRST NAME
                                      3. MIDDLE NAME
                                      4. MAILING ADDRESS ROW 1
                                      5. MAILING ADDRESS ROW 2
                                      6. CITY
                                      7. ZIP
                                      8. COUNTY
                                      9. NAME OF AGENCY
                                      10. NAME OF OFFICE OR POSITION HELD OR SOUGHT
                                      11. CANDIDATE Off
                                      12. NEW EMPLOYEE OR APPOINTEE Off
                                      13. COMPARATIVE (PERCENTAGE) THRESHOLDS Off
                                      14. DOLLAR VALUE THRESHOLDS Off
                                      15. NAME OF SOURCE INCOME ROW 1
                                      16. ADDRESS ROW 1
                                      17. DESCRIPTION OF THE SOURCES PRINCIPAL BUSINESS ACTIVITY ROW 1
                                      18. NAME OF SOURCE INCOME ROW 2
                                      19. ADDRESS ROW 2
                                      20. DESCRIPTION OF THE SOURCES PRINCIPAL BUSINESS ACTIVITY ROW 2
                                      21. NAME OF SOURCE INCOME ROW 3
                                      22. ADDRESS ROW 3
                                      23. DESCRIPTION OF THE SOURCES PRINCIPAL BUSINESS ACTIVITY ROW 3
                                      24. NAME OF SOURCE INCOME ROW 4
                                      25. ADDRESS ROW 4
                                      26. DESCRIPTION OF THE SOURCES PRINCIPAL BUSINESS ACTIVITY ROW 4
                                      27. NAME OF BUSINESS ENTITY ROW 1
                                      28. NAME OF MAJOR SOURCES OF BUSINESS INCOME ROW 1
                                      29. ADDRESS OF SOURCE ROW 1
                                      30. PRINCIPAL BUSINESS ACTIVITY OF SOURCE ROW 1
                                      31. NAME OF BUSINESS ENTITY ROW 2
                                      32. NAME OF MAJOR SOURCES OF BUSINESS INCOME ROW 2
                                      33. ADDRESS OF SOURCE ROW 2
                                      34. PRINCIPAL BUSINESS ACTIVITY OF SOURCE ROW 2
                                      35. NAME OF BUSINESS ENTITY ROW 3
                                      36. NAME OF MAJOR SOURCES OF BUSINESS INCOME ROW 3
                                      37. ADDRESS OF SOURCE ROW 3
                                      38. PRINCIPAL BUSINESS ACTIVITY OF SOURCE ROW 3
                                      39. REAL PROPERTY ROW 1
                                      40. REAL PROPERTY ROW 2
                                      41. REAL PROPERTY ROW 3
                                      42. REAL PROPERTY ROW 4
                                      43. TYPE OF INTANGIBLE ROW 1
                                      44. BUSINESS ENTITY TO WHICH THE PROPERTY RELATES ROW 1
                                      45. TYPE OF INTANGIBLE ROW 2
                                      46. BUSINESS ENTITY TO WHICH THE PROPERTY RELATES ROW 2
                                      47. NAME OF CREDITOR ROW 1
                                      48. ADDRESS OF CREDITOR ROW 1
                                      49. NAME OF CREDITOR ROW 2
                                      50. ADDRESS OF CREDITOR ROW 2
                                      51. ADDRESS OF BUSINESS ENTITY 1
                                      52. PRINCIPAL BUSINESS ACTIVITY 1
                                      53. POSITION HELD WITH ENTITY 1
                                      54. I OWN MORE THAN A 5 INTEREST IN THE BUSINESS 1
                                      55. NATURE OF MY OWNERSHIP INTEREST 1
                                      56. ADDRESS OF BUSINESS ENTITY 2
                                      57. PRINCIPAL BUSINESS ACTIVITY 2
                                      58. POSITION HELD WITH ENTITY 2
                                      59. I OWN MORE THAN A 5 INTEREST IN THE BUSINESS 2
                                      60. NATURE OF MY OWNERSHIP INTEREST 2
                                      61. FOR ELECTED MUNICIPAL OFFICERS REQUIRED TO COMPLETE ANNUAL ETHICS TRAINING PURSUANT TO SECTION 112
                                        1. 3142 F
                                          1. S Off
                                              1. IF ANY OF PARTS A THROUGH G ARE CONTINUED ON A SEPARATE SHEET PLEASE CHECK HERE Off
                                              2. SIGNATURE
                                              3. Date Signed
Page 35: HAWKS POINT COMMUNITY DEVELOPMENT …...2020/06/16  · Hawks Point Community Development District Board of Supervisors Meeting Tuesday, June 16th at 6:30 PM via Zoom All: We welcome

2019FORM 1 STATEMENT OF

Please print or type your name mailing FOR OFFICE USE ONLY FINANCIAL INTERESTS address agency name and position below

LAST NAME -- FIRST NAME -- MIDDLE NAME

MAILING ADDRESS

CITY ZIP COUNTY

NAME OF AGENCY

NAME OF OFFICE OR POSITION HELD OR SOUGHT

CHECK ONLY IF CANDIDATE OR NEW EMPLOYEE OR APPOINTEE

THIS SECTION MUST BE COMPLETED DISCLOSURE PERIOD THIS STATEMENT REFLECTS YOUR FINANCIAL INTERESTS FOR CALENDAR YEAR ENDING DECEMBER 31 2019

MANNER OF CALCULATING REPORTABLE INTERESTS FILERS HAVE THE OPTION OF USING REPORTING THRESHOLDS THAT ARE ABSOLUTE DOLLAR VALUES WHICH REQUIRES FEWER CALCULATIONS OR USING COMPARATIVE THRESHOLDS WHICH ARE USUALLY BASED ON PERCENTAGE VALUES (see instructions for further details) CHECK THE ONE YOU ARE USING (must check one)

COMPARATIVE (PERCENTAGE) THRESHOLDS OR DOLLAR VALUE THRESHOLDS

PART A -- PRIMARY SOURCES OF INCOME [Major sources of income to the reporting person - See instructions] (If you have nothing to report write none or na)

NAME OF SOURCE SOURCES DESCRIPTION OF THE SOURCES OF INCOME ADDRESS PRINCIPAL BUSINESS ACTIVITY

PART B -- SECONDARY SOURCES OF INCOME [Major customers clients and other sources of income to businesses owned by the reporting person - See instructions] (If you have nothing to report write none or na)

NAME OF NAME OF MAJOR SOURCES ADDRESS PRINCIPAL BUSINESS BUSINESS ENTITY OF BUSINESS INCOME OF SOURCE ACTIVITY OF SOURCE

PART C -- REAL PROPERTY [Land buildings owned by the reporting person - See instructions] You are not limited to the space on the (If you have nothing to report write none or na) lines on this form Attach additional

sheets if necessary

FILING INSTRUCTIONS for when and where to file this form are located at the bottom of page 2

INSTRUCTIONS on who must file this form and how to fill it out begin on page 3

CE FORM 1 - Effective January 1 2020 (Continued on reverse side) PAGE 1 Incorporated by reference in Rule 34-8202(1) FAC

FILING INSTRUCTIONS

IF ANY OF PARTS A THROUGH G ARE CONTINUED ON A SEPARATE SHEET PLEASE CHECK HERE

PART D mdash INTANGIBLE PERSONAL PROPERTY [Stocks bonds certificates of deposit etc - See instructions] (If you have nothing to report write none or na) TYPE OF INTANGIBLE BUSINESS ENTITY TO WHICH THE PROPERTY RELATES

PART E mdash LIABILITIES [Major debts - See instructions] (If you have nothing to report write none or na)

NAME OF CREDITOR ADDRESS OF CREDITOR

PART F mdash INTERESTS IN SPECIFIED BUSINESSES [Ownership or positions in certain types of businesses - See instructions] (If you have nothing to report write none or na)

BUSINESS ENTITY 1 BUSINESS ENTITY 2

NAME OF BUSINESS ENTITY

ADDRESS OF BUSINESS ENTITY

PRINCIPAL BUSINESS ACTIVITY

POSITION HELD WITH ENTITY

I OWN MORE THAN A 5 INTEREST IN THE BUSINESS

NATURE OF MY OWNERSHIP INTEREST

If you were mailed the form by the Commission on Ethics or a County Supervisor of Elections for your annual disclosure filing return the form to that location To determine what category your position falls under see page 3 of instructions Local officersemployees file with the Supervisor of Elections of the county in which they permanently reside (If you do not permanently reside in Florida file with the Supervisor of the county where your agency has its headquarters) Form 1 filers who file with the Supervisor of Elections may file by mail or email Contact your Supervisor of Elections for the mailing address or email address to use Do not email your form to the Commission on Ethics it will be returned State officers or specified state employees who file with the Commission on Ethics may file by mail or email To file by mail send the completed form to PO Drawer 15709 Tallahassee FL32317-5709 physical address 325 John Knox Rd Bldg E Ste 200 Tallahassee FL 32303 To file with the Commission by email scan your completed form and any attachments as a pdf (do not use any other format) send it to CEForm1legstateflus and retain a copy for your records Do not file by both mail and email Choose only one filing method Form 6s will not be accepted via email

Candidates file this form together with their filing papers MULTIPLE FILING UNNECESSARY A candidate who files a Form 1 with a qualifying officer is not required to file with the Commission or Supervisor of Elections WHEN TO FILE Initially each local officeremployee state officer and specified state employee must file within 30 days of the date of his or her appointment or of the beginning of employment Appointees who must be confirmed by the Senate must file prior to confirmation even if that is less than 30 days from the date of their appointment Candidates must file at the same time they file their qualifying papers Thereafter file by July 1 following each calendar year in which they hold their positions Finally file a final disclosure form (Form 1F) within 60 days of leaving office or employment Filing a CE Form 1F (Final Statement of Financial Interests) does not relieve the filer of filing a CE Form 1 if the filer was in his or her position on December 31 2019

SIGNATURE OF FILER Signature

____________________________________________

Date Signed

____________________________________________

CPA or ATTORNEY SIGNATURE ONLY If a certified public accountant licensed under Chapter 473 or attorney in good standing with the Florida Bar prepared this form for you he or she must complete the following statement

I _______________________________________ prepared the CE Form 1 in accordance with Section 1123145 Florida Statutes and the instructions to the form Upon my reasonable knowledge and belief the disclosure herein is true and correct

CPAAttorney Signature ______________________________

Date Signed _______________________________________

PART G mdash TRAINING For elected municipal officers required to complete annual ethics training pursuant to section 1123142 FS

I CERTIFY THAT I HAVE COMPLETED THE REQUIRED TRAINING

CE FORM 1 - Effective January 1 2020 PAGE 2 Incorporated by reference in Rule 34-8202(1) FAC

Examplesmdash You are the sole proprietor of a dry cleaning business fromwhich you received more than 10 of your gross incomemdashanamount that was more than $1500 If only one customer auniform rental company provided more than 10 of your drycleaning business you must list the name of the uniform rentalcompany its address and its principal business activity (uniform rentals) mdash You are a 20 partner in a partnership that owns a shopping mall and your partnership income exceeded the thresholds listed above You should list each tenant of the mall that provided more than 10 of the partnershiprsquos gross income and the tenantrsquos address and principal business activity

PART C mdash REAL PROPERTY[Required by s 1123145(3)(a)3 FS]In this part list the location or description of all real property in

Florida in which you owned directly or indirectly at any time during the disclosure period in excess of 5 of the propertyrsquos value You are not required to list your residences You should list any vacation homes if you derive income from them

Indirect ownership includes situations where you are abeneficiary of a trust that owns the property as well as situations where you own more than 5 of a partnership or corporation thatowns the property The value of the property may be determined by the most recently assessed value for tax purposes in the absence of a more current appraisal

The location or description of the property should be sufficient to enable anyone who looks at the form to identify the property Astreet address should be used if one exists PART D mdash INTANGIBLE PERSONAL PROPERTY

[Required by s 1123145(3)(a)3 FS]Describe any intangible personal property that at any time

during the disclosure period was worth more than 10 of your total assets and state the business entity to which the property related Intangible personal property includes things such as cash on hand stocks bonds certificates of deposit vehicle leases interests in businesses beneficial interests in trusts money owed you Deferred Retirement Option Program (DROP) accounts the Florida Prepaid College Plan and bank accounts Intangiblepersonal property also includes investment products held in IRAs brokerage accounts and the Florida College Investment Plan Note that the product contained in a brokerage account IRA or the Florida College Investment Plan is your assetmdashnot the account or plan itself Things like automobiles and houses you own jewelryand paintings are not intangible property Intangibles relating to the same business entity may be aggregated for example CDrsquos and savings accounts with the same bank

Calculations To determine whether the intangible property exceeds 10 of your total assets total the fair market value of all of your assets (including real property intangible property and tangible personal property such as jewelry furniture etc) When making this calculation do not subtract any liabilities (debts) that may relate to the property Multiply the total figure by 10 to arrive at the disclosure threshold List only the intangibles that exceed this threshold amount The value of a leased vehicle is the vehiclersquos present value minus the lease residual (a number which can be found on the lease document) Property that is only jointly owned property should be valued according to the percentage of your joint ownership Property owned as tenants by the entirety or as joint tenants with right of survivorship should be valued at 100 None of your calculations or the value of the property have to be disclosed on the form

Example You own 50 of the stock of a small corporation that is worth $100000 the estimated fair market value of your home and other property (bank accounts automobile furniture etc) is $200000 As your total assets are worth $250000 you must disclose intangibles worth over $25000 Since the value of the stock exceeds this threshold you should list ldquostockrdquo and the name of the corporation If your accounts with a particular bank exceed $25000 you should list ldquobank accountsrdquo and bankrsquos name

PART E mdash LIABILITIES[Required by s 1123145(3)(b)4 FS]List the name and address of each creditor to whom you owed

any amount that at any time during the disclosure period exceeded your net worth You are not required to list the amount of any debt or your net worth You do not have to disclose credit card and retail installment accounts taxes owed (unless reduced to a judgment) indebtedness on a life insurance policy owed to the company of issuance or contingent liabilities A ldquocontingent liabilityrdquo is one that will become an actual liability only when one or more future events occur or fail to occur such as where you are liable only as a guarantor surety or endorser on a promissory note If you are a ldquoco-makerrdquo and are jointly liable or jointly and severally liable it is not a contingent liability

Calculations To determine whether the debt exceeds your net worth total all of your liabilities (including promissory notes mortgages credit card debts judgments against you etc) Theamount of the liability of a vehicle lease is the sum of any past-due payments and all unpaid prospective lease payments Subtract the sum total of your liabilities from the value of all your assets as calculated above for Part D This is your ldquonet worthrdquo List each creditor to whom your debt exceeded this amount unless it is one of the types of indebtedness listed in the paragraph above (credit card and retail installment accounts etc) Joint liabilities with others for which you are ldquojointly and severally liablerdquo meaning that you may be liable for either your part or the whole of the obligation should be included in your calculations at 100 of the amount owed

Example You owe $15000 to a bank for student loans $5000 for credit card debts and $60000 (with spouse) to a savings and loan for a home mortgage Your home (owned by you and your spouse) is worth $80000 and your other property is worth $20000 Since your net worth is $20000 ($100000 minus $80000) you must report only the name and address of the savings and loan

PART F mdash INTERESTS IN SPECIFIED BUSINESSES[Required by s 1123145 FS]The types of businesses covered in this disclosure include

state and federally chartered banks state and federal savings and loan associations cemetery companies insurance companies mortgage companies credit unions small loan companies alcoholic beverage licensees pari-mutuel wagering companies utilitycompanies entities controlled by the Public Service Commission and entities granted a franchise to operate by either a city or acounty government

Disclose in this part the fact that you owned during the disclosure period an interest in or held any of certain positions with the types of businesses listed above You are required to make this disclosure if you own or owned (either directly orindirectly in the form of an equitable or beneficial interest) at any time during the disclosure period more than 5 of the total assets or capital stock of one of the types of business entities listed above You also must complete this part of the form for each of these types of businesses for which you are or were at any time during thedisclosure period an officer director partner proprietor or agent (other than a resident agent solely for service of process)

If you have or held such a position or ownership interest in one of these types of businesses list the name of the business its address and principal business activity and the position held with the business (if any) If you own(ed) more than a 5 interest in the business indicate that fact and describe the nature of your interest

PART G mdash TRAINING CERTIFICATION[Required by s 1123142 FS]If you are a Constitutional or elected municipal officer whose

service began before March 31 of the year for which you are filing you are required to complete four hours of ethics training which addresses Article II Section 8 of the Florida Constitution the Code of Ethics for Public Officers and Employees and the public records and open meetings laws of the state You are required to certify on this form that you have taken such training (End of Percentage Thresholds Instructions)

CE FORM 1 - Effective January 1 2020 Incorporated by reference in Rule 34-8202 FAC PAGE 6

NOTICE Annual Statements of Financial Interests are due July 1 If the annual form is not filed or postmarked by September 1 an automatic fine of $25 for each day late will be imposed up to a maximum penalty of $1500 Failure to file also can result in removal from public office or employment [s 1123145 FS]

In addition failure to make any required disclosure constitutes grounds for and may be punished by one or more of the following disqualification from being on the ballot impeachment removal or suspension from office or employment demotion reduction in salary reprimand or a civil penalty not exceeding $10000 [s 112317 FS]

WHO MUST FILE FORM 1 1) Elected public officials not serving in a political subdivision of the

state and any person appointed to fill a vacancy in such office unlessrequired to file full disclosure on Form 62) Appointed members of each board commission authority

or council having statewide jurisdiction excluding members of solelyadvisory bodies but including judicial nominating commission membersDirectors of Enterprise Florida Scripps Florida Funding Corporationand Career Source Florida and members of the Council on the Social Status of Black Men and Boys the Executive Director Governors and senior managers of Citizens Property Insurance CorporationGovernors and senior managers of Florida Workers Compensation JointUnderwriting Association board members of the Northeast Fla RegionalTransportation Commission board members of Triumph Gulf Coast Incboard members of Florida Is For Veterans Inc and members of the Technology Advisory Council within the Agency for State Technology3) The Commissioner of Education members of the State Board

of Education the Board of Governors the local Boards of Trustees and Presidents of state universities and the Florida Prepaid College Board 4) Persons elected to office in any political subdivision (such as

municipalities counties and special districts) and any person appointedto fill a vacancy in such office unless required to file Form 65) Appointed members of the following boards councils

commissions authorities or other bodies of county municipality schooldistrict independent special district or other political subdivision thegoverning body of the subdivision community college or junior collegedistrict boards of trustees boards having the power to enforce local codeprovisions boards of adjustment community redevelopment agenciesplanning or zoning boards having the power to recommend create ormodify land planning or zoning within a political subdivision except forcitizen advisory committees technical coordinating committees andsimilar groups who only have the power to make recommendationsto planning or zoning boards and except for representatives of a military installation acting on behalf of all military installations within thatjurisdiction pension or retirement boards empowered to invest pensionor retirement funds or determine entitlement to or amount of pensions orother retirement benefits and the Pinellas County Construction LicensingBoard 6) Any appointed member of a local government board who

is required to file a statement of financial interests by the appointingauthority or the enabling legislation ordinance or resolution creating theboard 7) Persons holding any of these positions in local government

mayor county or city manager chief administrative employee or finance

director of a county municipality or other political subdivision county or municipal attorney chief county or municipal building inspectorcounty or municipal water resources coordinator county or municipalpollution control director county or municipal environmental control director county or municipal administrator with power to grant or denya land development permit chief of police fire chief municipal clerkappointed district school superintendent community college presidentdistrict medical examiner purchasing agent (regardless of title) havingthe authority to make any purchase exceeding $35000 for the localgovernmental unit8) Officers and employees of entities serving as chief administrative

officer of a political subdivision9) Members of governing boards of charter schools operated by a

city or other public entity10) Employees in the office of the Governor or of a Cabinet member

who are exempt from the Career Service System excluding secretarialclerical and similar positions11) The following positions in each state department commission

board or council Secretary Assistant or Deputy Secretary ExecutiveDirector Assistant or Deputy Executive Director and anyone having thepower normally conferred upon such persons regardless of title12) The following positions in each state department or division

Director Assistant or Deputy Director Bureau Chief and any personhaving the power normally conferred upon such persons regardless oftitle 13) Assistant State Attorneys Assistant Public Defenders criminal

conflict and civil regional counsel and assistant criminal conflict and civilregional counsel Public Counsel full-time state employees serving ascounsel or assistant counsel to a state agency administrative law judgesand hearing officers14) The Superintendent or Director of a state mental health institute

established for training and research in the mental health field or anymajor state institution or facility established for corrections trainingtreatment or rehabilitation 15) State agency Business Managers Finance and Accounting

Directors Personnel Officers Grant Coordinators and purchasingagents (regardless of title) with power to make a purchase exceeding$35000 16) The following positions in legislative branch agencies each

employee (other than those employed in maintenance clerical secretarial or similar positions and legislative assistants exempted by the presiding officer of their house) and each employee of theCommission on Ethics

INSTRUCTIONS FOR COMPLETING FORM 1 INTRODUCTORY INFORMATION (Top of Form) If your name mailing address public agency and position are already printed on the form you do not need to provide this information unless it should be changed To change any of this information write the correct information on the form and contact your agencys financial disclosure coordinator You can find your coordinator on the Commission on Ethics website wwwethics stateflus NAME OF AGENCY The name of the governmental unit which you serve or served by which you are or were employed or for which you are a candidate DISCLOSURE PERIOD The ldquodisclosure periodrdquo for your report is the calendar year ending December 31 2019

OFFICE OR POSITION HELD OR SOUGHT The title of the office or position you hold are seeking or held during the disclosure period even if you have since left that position If you are a candidate for office or are a new employee or appointee check the appropriate box PUBLIC RECORD The disclosure form and everythingattached to it is a public record Your Social Security Number is not required and you should redact it from any documents you file If you are an active or former officer or employee listed in Section 119071 FS whose home address is exempt from disclosure the Commission will maintain that confidentiality if you submit a written request

CE FORM 1 - Effective January 1 2020 Incorporated by reference in Rule 34-8202 FAC PAGE 3

PART E mdash LIABILITIES[Required by s 1123145(3)(b)4 FS]List the name and address of each creditor to whom you owed more

than $10000 at any time during the disclosure period The amount of theliability of a vehicle lease is the sum of any past-due payments and allunpaid prospective lease payments You are not required to list the amountof any debt You do not have to disclose credit card and retail installmentaccounts taxes owed (unless reduced to a judgment) indebtedness ona life insurance policy owed to the company of issuance or contingentliabilities A ldquocontingent liabilityrdquo is one that will become an actual liabilityonly when one or more future events occur or fail to occur such as whereyou are liable only as a guarantor surety or endorser on a promissorynote If you are a ldquoco-makerrdquo and are jointly liable or jointly and severallyliable then it is not a contingent liability

PART F mdash INTERESTS IN SPECIFIED BUSINESSES[Required by s 1123145(6) FS]The types of businesses covered in this disclosure include state and

federally chartered banks state and federal savings and loan associationscemetery companies insurance companies mortgage companies creditunions small loan companies alcoholic beverage licensees pari-mutuelwagering companies utility companies entities controlled by the PublicService Commission and entities granted a franchise to operate by either acity or a county government

Disclose in this part the fact that you owned during the disclosure period aninterest in or held any of certain positions with the types of businesses listedabove You must make this disclosure if you own or owned (either directly orindirectly in the form of an equitable or beneficial interest) at any time duringthe disclosure period more than 5 of the total assets or capital stock ofone of the types of business entities listed above You also must completethis part of the form for each of these types of businesses for which youare or were at any time during the disclosure period an officer directorpartner proprietor or agent (other than a resident agent solely for service ofprocess)

If you have or held such a position or ownership interest in one ofthese types of businesses list the name of the business its address andprincipal business activity and the position held with the business (if any) Ifyou own(ed) more than a 5 interest in the business indicate that fact anddescribe the nature of your interest

PART G mdash TRAINING CERTIFICATION[Required by s 1123142 FS]If you are a Constitutional or elected municipal officer whose

service began before March 31 of the year for which you are filingyou are required to complete four hours of ethics training which addresses Article II Section 8 of the Florida Constitution the Codeof Ethics for Public Officers and Employees and the public recordsand open meetings laws of the state You are required to certify onthis form that you have taken such training

(End of Dollar Value Thresholds Instructions)

PART A mdash PRIMARY SOURCES OF INCOME[Required by s 1123145(3)(a)1 FS]Part A is intended to require the disclosure of your principal

sources of income during the disclosure period You do not haveto disclose any public salary or public position(s) but income from these public sources should be included when calculating your gross income for the disclosure period The income of your spouse need not be disclosed however if there is joint income to you and your spouse from property you own jointly (such as interest or dividends from a bank account or stocks) you should include all of that income when calculating your gross income and disclose the source of that income if it exceeded the threshold

Please list in this part of the form the name address and principal business activity of each source of your income whichexceeded 5 of the gross income received by you in your own name or by any other person for your benefit or use during the disclosure period

Gross income means the same as it does for income tax purposes even if the income is not actually taxable such as interest on tax-free bonds Examples include compensation for servicesincome from business gains from property dealings interest rents dividends pensions IRA distributions social security distributive share of partnership gross income and alimony but not child support

Examplesmdash If you were employed by a company that manufactures computers and received more than 5 of your gross income from the company list the name of the company its address and its principal business activity (computer manufacturing)mdash If you were a partner in a law firm and your distributive share of partnership gross income exceeded 5 of your gross income then list the name of the firm its address and its principal business activity (practice of law)mdash If you were the sole proprietor of a retail gift business andyour gross income from the business exceeded 5 of your total gross income list the name of the business its addressand its principal business activity (retail gift sales)mdash If you received income from investments in stocks and bonds list each individual company from which you derived

more than 5 of your gross income Do not aggregate all of your investment incomemdash If more than 5 of your gross income was gain from the sale of property (not just the selling price) list as a source of income the purchaserrsquos name address and principal business activityIf the purchasers identity is unknown such as where securities listed on an exchange are sold through a brokerage firm the source of income should be listed as sale of (name of company)stock for examplemdash If more than 5 of your gross income was in the form of interest from one particular financial institution (aggregatinginterest from all CDrsquos accounts etc at that institution) list the name of the institution its address and its principal business activity

PART B mdash SECONDARY SOURCES OF INCOME[Required by s 1123145(3)(a)2 FS]This part is intended to require the disclosure of major customers

clients and other sources of income to businesses in which you ownan interest It is not for reporting income from second jobs That kindof income should be reported in Part A Primary Sources of Incomeif it meets the reporting threshold You will not have anything to reportunless during the disclosure period

(1) You owned (either directly or indirectly in the form of anequitable or beneficial interest) more than 5 of the total assetsor capital stock of a business entity (a corporation partnershipLLC limited partnership proprietorship joint venture trust firmetc doing business in Florida) and(2) You received more than 10 of your gross income from thatbusiness entity and(3) You received more than $1500 in gross income from thatbusiness entity

If your interests and gross income exceeded these thresholds thenfor that business entity you must list every source of income to thebusiness entity which exceeded 10 of the business entityrsquos grossincome (computed on the basis of the business entityrsquos most recentlycompleted fiscal year) the sourcersquos address and the sourcersquosprincipal business activity

IF YOU HAVE CHOSEN COMPARATIVE (PERCENTAGE) THRESHOLDSTHE FOLLOWING INSTRUCTIONS APPLY

CE FORM 1 - Effective January 1 2020 Incorporated by reference in Rule 34-8202 FAC PAGE 5

MANNER OF CALCULATING REPORTABLE INTEREST Filers have the option of reporting based on either thresholds that are comparative (usually based on percentage values) or thresholds that are based on absolute dollar values The instructions on the following pages specifically describe the different thresholds Check the box that reflects the choice you have made You must use the type of threshold you have chosen for each part of the form In other words if you choose to report based on absolute dollar value thresholds you cannot use a percentage threshold on any part of the form

IF YOU HAVE CHOSEN DOLLAR VALUE THRESHOLDS THE FOLLOWING INSTRUCTIONS APPLY

PART A mdash PRIMARY SOURCES OF INCOME [Required by s 1123145(3)(b)1 FS] Part A is intended to require the disclosure of your principal

sources of income during the disclosure period You do not have todisclose any public salary or public position(s) The income of yourspouse need not be disclosed however if there is joint income toyou and your spouse from property you own jointly (such as interestor dividends from a bank account or stocks) you should disclose thesource of that income if it exceeded the threshold

Please list in this part of the form the name address andprincipal business activity of each source of your income whichexceeded $2500 of gross income received by you in your own name or by any other person for your use or benefit

Gross income means the same as it does for income tax purposes even if the income is not actually taxable such as interest on tax-free bonds Examples include compensation for servicesincome from business gains from property dealings interest rentsdividends pensions IRA distributions social security distributive share of partnership gross income and alimony but not child support

Examples mdash If you were employed by a company that manufacturescomputers and received more than $2500 list the name of thecompany its address and its principal business activity (computermanufacturing) mdash If you were a partner in a law firm and your distributive shareof partnership gross income exceeded $2500 list the name ofthe firm its address and its principal business activity (practice oflaw) mdash If you were the sole proprietor of a retail gift business and yourgross income from the business exceeded $2500 list the nameof the business its address and its principal business activity(retail gift sales) mdash If you received income from investments in stocks and bondslist each individual company from which you derived more than$2500 Do not aggregate all of your investment income mdash If more than $2500 of your gross income was gain from thesale of property (not just the selling price) list as a source ofincome the purchaserrsquos name address and principal businessactivity If the purchaserrsquos identity is unknown such as wheresecurities listed on an exchange are sold through a brokeragefirm the source of income should be listed as sale of (name of company) stock for example mdash If more than $2500 of your gross income was in the formof interest from one particular financial institution (aggregatinginterest from all CDrsquos accounts etc at that institution) list the name of the institution its address and its principal business activity

PART B mdash SECONDARY SOURCES OF INCOME [Required by s 1123145(3)(b)2 FS] This part is intended to require the disclosure of major customers

clients and other sources of income to businesses in which you own aninterest It is not for reporting income from second jobs That kind of incomeshould be reported in Part A Primary Sources of Income if it meets thereporting threshold You will not have anything to report unless during thedisclosure period

(1) You owned (either directly or indirectly in the form of an equitableor beneficial interest) more than 5 of the total assets or capitalstock of a business entity (a corporation partnership LLC limitedpartnership proprietorship joint venture trust firm etc doing business in Florida) and (2) You received more than $5000 of your gross income during thedisclosure period from that business entity

If your interests and gross income exceeded these thresholds then for thatbusiness entity you must list every source of income to the business entitywhich exceeded 10 of the business entityrsquos gross income (computed onthe basis of the business entitys most recently completed fiscal year) thesourcersquos address and the sources principal business activity

Examples mdash You are the sole proprietor of a dry cleaning business from whichyou received more than $5000 If only one customer a uniform rentalcompany provided more than 10 of your dry cleaning business youmust list the name of the uniform rental company its address and itsprincipal business activity (uniform rentals) mdash You are a 20 partner in a partnership that owns a shopping malland your partnership income exceeded the above thresholds List eachtenant of the mall that provided more than 10 of the partnershipsgross income and the tenants address and principal business activity

PART C mdash REAL PROPERTY [Required by s 1123145(3)(b)3 FS] In this part list the location or description of all real property in Florida

in which you owned directly or indirectly at any time during the disclosureperiod in excess of 5 of the propertyrsquos value You are not required to listyour residences You should list any vacation homes if you derive incomefrom them

Indirect ownership includes situations where you are a beneficiary of atrust that owns the property as well as situations where you own more than5 of a partnership or corporation that owns the property The value of theproperty may be determined by the most recently assessed value for taxpurposes in the absence of a more current appraisal

The location or description of the property should be sufficient toenable anyone who looks at the form to identify the property A streetaddress should be used if one exists

PART D mdash INTANGIBLE PERSONAL PROPERTY [Required by s 1123145(3)(b)3 FS] Describe any intangible personal property that at any time during the

disclosure period was worth more than $10000 and state the businessentity to which the property related Intangible personal property includesthings such as cash on hand stocks bonds certificates of deposit vehicleleases interests in businesses beneficial interests in trusts money owedyou Deferred Retirement Option Program (DROP) accounts the FloridaPrepaid College Plan and bank accounts Intangible personal propertyalso includes investment products held in IRAs brokerage accounts andthe Florida College Investment Plan Note that the product contained in a brokerage account IRA or the Florida College Investment Plan is yourassetmdashnot the account or plan itself Things like automobiles and housesyou own jewelry and paintings are not intangible property Intangiblesrelating to the same business entity may be aggregated for example CDsand savings accounts with the same bank Property owned as tenants bythe entirety or as joint tenants with right of survivorship should be valued at100 The value of a leased vehicle is the vehiclersquos present value minusthe lease residual (a number found on the lease document)

CE FORM 1 - Effective January 1 2020 Incorporated by reference in Rule 34-8202 FAC PAGE 4

PART A mdash PRIMARY SOURCES OF INCOME[Required by s 1123145(3)(b)1 FS]Part A is intended to require the disclosure of your principal

sources of income during the disclosure period You do not have todisclose any public salary or public position(s) The income of yourspouse need not be disclosed however if there is joint income t oyou and your spouse from property you own jointly (such as interestor dividends from a bank account or stocks) you should disclose thesource of that income if it exceeded the threshold

Please list in this part of the form the name address andprincipal business activity of each source of your income whichexceeded $2500 of gross income received by you in your own name or by any other person for your use or benefit

Gross income means the same as it does for income taxpurposes even if the income is not actually taxable such as intereston tax-free bonds Examples include compensation for servicesincome from business gains from property dealings interest rentsdividends pensions IRA distributions social security distributiveshare of partnership gross income and alimony but not child support

Examplesmdash If you were employed by a company that manufacturescomputers and received more than $2500 list the name of thecompany its address and its principal business activity (computermanufacturing)mdash If you were a partner in a law firm and your distributive shareof partnership gross income exceeded $2500 list the name ofthe firm its address and its principal business activity (practice oflaw)mdash If you were the sole proprietor of a retail gift business and yourgross income from the business exceeded $2500 list the nameof the business its address and its principal business activity(retail gift sales)mdash If you received income from investments in stocks and bondslist each individual company from which you derived more than$2500 Do not aggregate all of your investment incomemdash If more than $2500 of your gross income was gain from thesale of property (not just the selling price) list as a source o fincome the purchaserrsquos name address and principal businessactivity If the purchaserrsquos identity is unknown such as wheresecurities listed on an exchange are sold through a brokeragefirm the source of income should be listed as sale of (name of company) stock for examplemdash If more than $2500 of your gross income was in the formof interest from one particular financial institution (aggregatinginterest from all CDrsquos accounts etc at that institution) list thename of the institution its address and its principal business activity

PART B mdash SECONDARY SOURCES OF INCOME[Required by s 1123145(3)(b)2 FS]This part is intended to require the disclosure of major customers

clients and other sources of income to businesses in which you own aninterest It is not for reporting income from second jobs That kind of incomeshould be reported in Part A Primary Sources of Income if it meets thereporting threshold You will not have anything to report unless during thedisclosure period

(1) You owned (either directly or indirectly in the form of an equitableor beneficial interest) more than 5 of the total assets or capitalstock of a business entity (a corporation partnership LLC limitedpartnership proprietorship joint venture trust firm etc doing business in Florida) and(2) You received more than $5000 of your gross income during thedisclosure period from that business entity

If your interests and gross income exceeded these thresholds then for thatbusiness entity you must list every source of income to the business entitywhich exceeded 10 of the business entityrsquos gross income (computed onthe basis of the business entitys most recently completed fiscal year) thesourcersquos address and the sources principal business activity

Examplesmdash You are the sole proprietor of a dry cleaning business from whichyou received more than $5000 If only one customer a uniform rentalcompany provided more than 10 of your dry cleaning business youmust list the name of the uniform rental company its address and itsprincipal business activity (uniform rentals)mdash You are a 20 partner in a partnership that owns a shopping malland your partnership income exceeded the above thresholds List eachtenant of the mall that provided more than 10 of the partnershipsgross income and the tenants address and principal business activity

PART C mdash REAL PROPERTY[Required by s 1123145(3)(b)3 FS]In this part list the location or description of all real property in Florida

in which you owned directly or indirectly at any time during the disclosureperiod in excess of 5 of the propertyrsquos value You are not required to listyour residences You should list any vacation homes if you derive incomefrom them

Indirect ownership includes situations where you are a beneficiary of atrust that owns the property as well as situations where you own more than5 of a partnership or corporation that owns the property The value of theproperty may be determined by the most recently assessed value for taxpurposes in the absence of a more current appraisal

The location or description of the property should be sufficient toenable anyone who looks at the form to identify the property A streetaddress should be used if one exists

PART D mdash INTANGIBLE PERSONAL PROPERTY[Required by s 1123145(3)(b)3 FS]Describe any intangible personal property that at any time during the

disclosure period was worth more than $10000 and state the businessentity to which the property related Intangible personal property includesthings such as cash on hand stocks bonds certificates of deposit vehicleleases interests in businesses beneficial interests in trusts money owedyou Deferred Retirement Option Program (DROP) accounts the FloridaPrepaid College Plan and bank accounts Intangible personal propertyalso includes investment products held in IRAs brokerage accounts andthe Florida College Investment Plan Note that the product contained ina brokerage account IRA or the Florida College Investment Plan is yourassetmdashnot the account or plan itself Things like automobiles and housesyou own jewelry and paintings are not intangible property Intangiblesrelating to the same business entity may be aggregated for example CDsand savings accounts with the same bank Property owned as tenants bythe entirety or as joint tenants with right of survivorship should be valued at100 The value of a leased vehicle is the vehiclersquos present value minusthe lease residual (a number found on the lease document)

Filers have the option of reporting based on either thresholds that are comparative (usually based on percentage values) orthresholds that are based on absolute dollar values The instructions on the following pages specifically describe the differentthresholds Check the box that reflects the choice you have made You must use the type of threshold you have chosen for eachpart of the form In other words if you choose to report based on absolute dollar value thresholds you cannot use a percentagethreshold on any part of the form

MANNER OF CALCULATING REPORTABLE INTEREST

IF YOU HAVE CHOSEN DOLLAR VALUE THRESHOLDSTHE FOLLOWING INSTRUCTIONS APPLY

CE FORM 1 - Effective January 1 2020 Incorporated by reference in Rule 34-8202 FAC PAGE 4

PART E mdash LIABILITIES [Required by s 1123145(3)(b)4 FS] List the name and address of each creditor to whom you owed more

than $10000 at any time during the disclosure period The amount of theliability of a vehicle lease is the sum of any past-due payments and allunpaid prospective lease payments You are not required to list the amountof any debt You do not have to disclose credit card and retail installmentaccounts taxes owed (unless reduced to a judgment) indebtedness ona life insurance policy owed to the company of issuance or contingentliabilities A ldquocontingent liabilityrdquo is one that will become an actual liabilityonly when one or more future events occur or fail to occur such as whereyou are liable only as a guarantor surety or endorser on a promissorynote If you are a ldquoco-makerrdquo and are jointly liable or jointly and severallyliable then it is not a contingent liability

PART F mdash INTERESTS IN SPECIFIED BUSINESSES [Required by s 1123145(6) FS] The types of businesses covered in this disclosure include state and

federally chartered banks state and federal savings and loan associationscemetery companies insurance companies mortgage companies creditunions small loan companies alcoholic beverage licensees pari-mutuelwagering companies utility companies entities controlled by the PublicService Commission and entities granted a franchise to operate by either acity or a county government

Disclose in this part the fact that you owned during the disclosure period aninterest in or held any of certain positions with the types of businesses listedabove You must make this disclosure if you own or owned (either directly orindirectly in the form of an equitable or beneficial interest) at any time duringthe disclosure period more than 5 of the total assets or capital stock ofone of the types of business entities listed above You also must completethis part of the form for each of these types of businesses for which youare or were at any time during the disclosure period an officer directorpartner proprietor or agent (other than a resident agent solely for service ofprocess)

If you have or held such a position or ownership interest in one ofthese types of businesses list the name of the business its address andprincipal business activity and the position held with the business (if any) Ifyou own(ed) more than a 5 interest in the business indicate that fact anddescribe the nature of your interest

PART G mdash TRAINING CERTIFICATION [Required by s 1123142 FS] If you are a Constitutional or elected municipal officer whose

service began before March 31 of the year for which you are filingyou are required to complete four hours of ethics training which addresses Article II Section 8 of the Florida Constitution the Code of Ethics for Public Officers and Employees and the public recordsand open meetings laws of the state You are required to certify onthis form that you have taken such training

(End of Dollar Value Thresholds Instructions)

IF YOU HAVE CHOSEN COMPARATIVE (PERCENTAGE) THRESHOLDS THE FOLLOWING INSTRUCTIONS APPLY

PART A mdash PRIMARY SOURCES OF INCOME [Required by s 1123145(3)(a)1 FS] Part A is intended to require the disclosure of your principal

sources of income during the disclosure period You do not haveto disclose any public salary or public position(s) but income from these public sources should be included when calculating your gross income for the disclosure period The income of your spouse need not be disclosed however if there is joint income to you and your spouse from property you own jointly (such as interest or dividends from a bank account or stocks) you should include all of that income when calculating your gross income and disclose the source of that income if it exceeded the threshold

Please list in this part of the form the name address and principal business activity of each source of your income whichexceeded 5 of the gross income received by you in your own name or by any other person for your benefit or use during the disclosure period

Gross income means the same as it does for income tax purposes even if the income is not actually taxable such as interest on tax-free bonds Examples include compensation for servicesincome from business gains from property dealings interest rents dividends pensions IRA distributions social security distributive share of partnership gross income and alimony but not child support

Examples mdash If you were employed by a company that manufactures computers and received more than 5 of your gross income from the company list the name of the company its address and its principal business activity (computer manufacturing) mdash If you were a partner in a law firm and your distributive share of partnership gross income exceeded 5 of your gross income then list the name of the firm its address and its principal business activity (practice of law) mdash If you were the sole proprietor of a retail gift business andyour gross income from the business exceeded 5 of your total gross income list the name of the business its addressand its principal business activity (retail gift sales) mdash If you received income from investments in stocks and bonds list each individual company from which you derived

more than 5 of your gross income Do not aggregate all of your investment income mdash If more than 5 of your gross income was gain from the sale of property (not just the selling price) list as a source of income the purchaserrsquos name address and principal business activityIf the purchasers identity is unknown such as where securities listed on an exchange are sold through a brokerage firm the source of income should be listed as sale of (name of company)stock for example mdash If more than 5 of your gross income was in the form of interest from one particular financial institution (aggregatinginterest from all CDrsquos accounts etc at that institution) list the name of the institution its address and its principal business activity

PART B mdash SECONDARY SOURCES OF INCOME [Required by s 1123145(3)(a)2 FS] This part is intended to require the disclosure of major customers

clients and other sources of income to businesses in which you ownan interest It is not for reporting income from second jobs That kindof income should be reported in Part A Primary Sources of Incomeif it meets the reporting threshold You will not have anything to report unless during the disclosure period

(1) You owned (either directly or indirectly in the form of anequitable or beneficial interest) more than 5 of the total assetsor capital stock of a business entity (a corporation partnershipLLC limited partnership proprietorship joint venture trust firmetc doing business in Florida) and (2) You received more than 10 of your gross income from thatbusiness entity and (3) You received more than $1500 in gross income from thatbusiness entity

If your interests and gross income exceeded these thresholds thenfor that business entity you must list every source of income to thebusiness entity which exceeded 10 of the business entityrsquos grossincome (computed on the basis of the business entityrsquos most recentlycompleted fiscal year) the sourcersquos address and the sourcersquos principal business activity

CE FORM 1 - Effective January 1 2020 Incorporated by reference in Rule 34-8202 FAC PAGE 5

NOTICE Annual Statements of Financial Interests are due July 1 If the annual form is not filed or postmarked by September 1 an automatic fine of $25 for each day late will be imposed up to a maximum penalty of $1500 Failure to file also can result in removal from public office or employment [s 1123145 FS]

In addition failure to make any required disclosure constitutes grounds for and may be punished by one or more of the following disqualification from being on the ballot impeachment removal or suspension from office or employment demotion reduction in salary reprimand or a civil penalty not exceeding $10000 [s 112317 FS]

1) Elected public officials not serving in a political subdivision of thestate and any person appointed to fill a vacancy in such office unlessrequired to file full disclosure on Form 62) Appointed members of each board commission authority

or council having statewide jurisdiction excluding members of solelyadvisory bodies but including judicial nominating commission membersDirectors of Enterprise Florida Scripps Florida Funding Corporationand Career Source Florida and members of the Council on the SocialStatus of Black Men and Boys the Executive Director Governors and senior managers of Citizens Property Insurance CorporationGovernors and senior managers of Florida Workers Compensation JointUnderwriting Association board members of the Northeast Fla RegionalTransportation Commission board members of Triumph Gulf Coast Incboard members of Florida Is For Veterans Inc and members of theTechnology Advisory Council within the Agency for State Technology3) The Commissioner of Education members of the State Board

of Education the Board of Governors the local Boards of Trustees andPresidents of state universities and the Florida Prepaid College Board4) Persons elected to office in any political subdivision (such a s

municipalities counties and special districts) and any person appointedto fill a vacancy in such office unless required to file Form 65) Appointed members of the following boards councils

commissions authorities or other bodies of county municipality schooldistrict independent special district or other political subdivision thegoverning body of the subdivision community college or junior collegedistrict boards of trustees boards having the power to enforce local codeprovisions boards of adjustment community redevelopment agenciesplanning or zoning boards having the power to recommend create ormodify land planning or zoning within a political subdivision except forcitizen advisory committees technical coordinating committees andsimilar groups who only have the power to make recommendationsto planning or zoning boards and except for representatives of amilitary installation acting on behalf of all military installations within thatjurisdiction pension or retirement boards empowered to invest pensionor retirement funds or determine entitlement to or amount of pensions orother retirement benefits and the Pinellas County Construction LicensingBoard6) Any appointed member of a local government board who

is required to file a statement of financial interests by the appointingauthority or the enabling legislation ordinance or resolution creating theboard7) Persons holding any of these positions in local government

mayor county or city manager chief administrative employee or finance

director of a county municipality or other political subdivision countyor municipal attorney chief county or municipal building inspectorcounty or municipal water resources coordinator county or municipalpollution control director county or municipal environmental controldirector county or municipal administrator with power to grant or denya land development permit chief of police fire chief municipal clerkappointed district school superintendent community college presidentdistrict medical examiner purchasing agent (regardless of title) havingthe authority to make any purchase exceeding $35000 for the localgovernmental unit8) Officers and employees of entities serving as chief administrative

officer of a political subdivision9) Members of governing boards of charter schools operated by a

city or other public entity10) Employees in the office of the Governor or of a Cabinet member

who are exempt from the Career Service System excluding secretarialclerical and similar positions11) The following positions in each state department commission

board or council Secretary Assistant or Deputy Secretary ExecutiveDirector Assistant or Deputy Executive Director and anyone having thepower normally conferred upon such persons regardless of title12) The following positions in each state department or division

Director Assistant or Deputy Director Bureau Chief and any personhaving the power normally conferred upon such persons regardless oftitle13) Assistant State Attorneys Assistant Public Defenders criminal

conflict and civil regional counsel and assistant criminal conflict and civilregional counsel Public Counsel full-time state employees serving ascounsel or assistant counsel to a state agency administrative law judgesand hearing officers14) The Superintendent or Director of a state mental health institute

established for training and research in the mental health field or anymajor state institution or facility established for corrections trainingtreatment or rehabilitation15) State agency Business Managers Finance and Accounting

Directors Personnel Officers Grant Coordinators and purchasingagents (regardless of title) with power to make a purchase exceeding$3500016) The following positions in legislative branch agencies each

employee (other than those employed in maintenance clerical secretarial or similar positions and legislative assistants exemptedby the presiding officer of their house) and each employee of theCommission on Ethics

INSTRUCTIONS FOR COMPLETING FORM 1INTRODUCTORY INFORMATION (Top of Form) If your name mailing address public agency and position are already printed on the form you do not need to provide this information unless it should be changed To change any of this information write the correct information on the form and contact your agencys financial disclosure coordinator You can find your coordinator on the Commission on Ethics website wwwethicsstateflus NAME OF AGENCY The name of the governmental unit which you serve or served by which you are or were employed or for which you are a candidate DISCLOSURE PERIOD The ldquodisclosure periodrdquo for your report is the calendar year ending December 31 2019

OFFICE OR POSITION HELD OR SOUGHT The title of the office or position you hold are seeking or held during the disclosure period even if you have since left that position If you are a candidate for office or are a new employee or appointee check the appropriate boxPUBLIC RECORD The disclosure form and everythingattached to it is a public record Your Social Security Number is not required and you should redact it from any documents you file If you are an active or former officer or employee listed in Section 119071 FS whose home address is exempt from disclosure the Commission will maintain that confidentiality if you submit a written request

WHO MUST FILE FORM 1

CE FORM 1 - Effective January 1 2020 Incorporated by reference in Rule 34-8202 FAC PAGE 3

Examples PART E mdash LIABILITIES mdash You are the sole proprietor of a dry cleaning business from [Required by s 1123145(3)(b)4 FS]which you received more than 10 of your gross incomemdashan List the name and address of each creditor to whom you owed amount that was more than $1500 If only one customer a any amount that at any time during the disclosure period exceeded uniform rental company provided more than 10 of your dry your net worth You are not required to list the amount of any debt cleaning business you must list the name of the uniform rental or your net worth You do not have to disclose credit card and retail company its address and its principal business activity (uniform installment accounts taxes owed (unless reduced to a judgment) rentals) indebtedness on a life insurance policy owed to the company of mdash You are a 20 partner in a partnership that owns a shopping issuance or contingent liabilities A ldquocontingent liabilityrdquo is one mall and your partnership income exceeded the thresholds that will become an actual liability only when one or more future listed above You should list each tenant of the mall that events occur or fail to occur such as where you are liable only as provided more than 10 of the partnershiprsquos gross income and a guarantor surety or endorser on a promissory note If you are a the tenantrsquos address and principal business activity ldquoco-makerrdquo and are jointly liable or jointly and severally liable it is not

a contingent liability PART C mdash REAL PROPERTY Calculations To determine whether the debt exceeds your

[Required by s 1123145(3)(a)3 FS] net worth total all of your liabilities (including promissory notes mortgages credit card debts judgments against you etc) TheIn this part list the location or description of all real property in amount of the liability of a vehicle lease is the sum of any past-due Florida in which you owned directly or indirectly at any time during payments and all unpaid prospective lease payments Subtract the disclosure period in excess of 5 of the propertyrsquos value You the sum total of your liabilities from the value of all your assets are not required to list your residences You should list any vacation as calculated above for Part D This is your ldquonet worthrdquo List each homes if you derive income from them creditor to whom your debt exceeded this amount unless it is one of

Indirect ownership includes situations where you are a the types of indebtedness listed in the paragraph above (credit card beneficiary of a trust that owns the property as well as situations and retail installment accounts etc) Joint liabilities with others for where you own more than 5 of a partnership or corporation that which you are ldquojointly and severally liablerdquo meaning that you may owns the property The value of the property may be determined by be liable for either your part or the whole of the obligation should be the most recently assessed value for tax purposes in the absence included in your calculations at 100 of the amount owed of a more current appraisal

Example You owe $15000 to a bank for student loans $5000 The location or description of the property should be sufficient for credit card debts and $60000 (with spouse) to a savings to enable anyone who looks at the form to identify the property A and loan for a home mortgage Your home (owned by you and street address should be used if one exists your spouse) is worth $80000 and your other property is worth PART D mdash INTANGIBLE PERSONAL PROPERTY $20000 Since your net worth is $20000 ($100000 minus

$80000) you must report only the name and address of the [Required by s 1123145(3)(a)3 FS] savings and loan Describe any intangible personal property that at any time

during the disclosure period was worth more than 10 of your PART F mdash INTERESTS IN SPECIFIED BUSINESSES total assets and state the business entity to which the property [Required by s 1123145 FS] related Intangible personal property includes things such as cash on hand stocks bonds certificates of deposit vehicle leases The types of businesses covered in this disclosure include interests in businesses beneficial interests in trusts money owed state and federally chartered banks state and federal savings and you Deferred Retirement Option Program (DROP) accounts loan associations cemetery companies insurance companies the Florida Prepaid College Plan and bank accounts Intangible mortgage companies credit unions small loan companies alcoholic personal property also includes investment products held in IRAs beverage licensees pari-mutuel wagering companies utilitybrokerage accounts and the Florida College Investment Plan companies entities controlled by the Public Service Commission Note that the product contained in a brokerage account IRA or the and entities granted a franchise to operate by either a city or a Florida College Investment Plan is your assetmdashnot the account or county governmentplan itself Things like automobiles and houses you own jewelry Disclose in this part the fact that you owned during the and paintings are not intangible property Intangibles relating to the disclosure period an interest in or held any of certain positions same business entity may be aggregated for example CDrsquos and with the types of businesses listed above You are requiredsavings accounts with the same bank to make this disclosure if you own or owned (either directly or

Calculations To determine whether the intangible property indirectly in the form of an equitable or beneficial interest) at any exceeds 10 of your total assets total the fair market value of time during the disclosure period more than 5 of the total assets all of your assets (including real property intangible property and or capital stock of one of the types of business entities listed above tangible personal property such as jewelry furniture etc) When You also must complete this part of the form for each of these types making this calculation do not subtract any liabilities (debts) that of businesses for which you are or were at any time during themay relate to the property Multiply the total figure by 10 to arrive disclosure period an officer director partner proprietor or agent at the disclosure threshold List only the intangibles that exceed (other than a resident agent solely for service of process) this threshold amount The value of a leased vehicle is the vehiclersquos If you have or held such a position or ownership interest in present value minus the lease residual (a number which can be one of these types of businesses list the name of the business its found on the lease document) Property that is only jointly owned address and principal business activity and the position held with property should be valued according to the percentage of your the business (if any) If you own(ed) more than a 5 interest in the joint ownership Property owned as tenants by the entirety or as business indicate that fact and describe the nature of your interest joint tenants with right of survivorship should be valued at 100 None of your calculations or the value of the property have to be PART G mdash TRAINING CERTIFICATIONdisclosed on the form

[Required by s 1123142 FS] Example You own 50 of the stock of a small corporation that is worth $100000 the estimated fair market value of If you are a Constitutional or elected municipal officer whoseyour home and other property (bank accounts automobile service began before March 31 of the year for which you are filing furniture etc) is $200000 As your total assets are worth you are required to complete four hours of ethics training which $250000 you must disclose intangibles worth over $25000 addresses Article II Section 8 of the Florida Constitution the Code Since the value of the stock exceeds this threshold you of Ethics for Public Officers and Employees and the public records should list ldquostockrdquo and the name of the corporation If your and open meetings laws of the state You are required to certify on accounts with a particular bank exceed $25000 you should this form that you have taken such training list ldquobank accountsrdquo and bankrsquos name

(

End of Percentage Thresholds Instructions) CE FORM 1 - Effective January 1 2020 Incorporated by reference in Rule 34-8202 FAC PAGE 6

  • 0 HP Cover Page v2
  • 1 Hawks Point Meeting Invite Draft v2
  • 2 Agenda Draft v3
  • 3 EXHIBIT 1
  • 7 HP 05-19-2020 Meeting Minutes Approved
  • 6 EXHIBIT 2
  • 9 HP May FY20 Fin
  • 8 EXHIBIT 3
  • 4 Vacant Position Qualification Requirements for Hawks Point CDD
    • Vacant Position on the Board of Supervisors of the Hawkrsquos Point Community Development District
      • Qualification Requirements
      • Instructions for Interested Candidates
      • Additional Notes
          • 5 Shami Choon Vacant Position - updated 11-5-11 resume
            • 1803 Oak Pond Street Ruskin Fl 33570 E-mailchoons27gmailcom
              • PROFESSIONAL HISTORY
                • Operations Manager Florida Distribution 2002 ndash 2005
                • Operations Manager for Florida Branch Distribution 1999 ndash 2002
                • Warehouse Manager of Miami Distribution Center 1998 ndash 1999
                • Branch Manager of West Palm Beach 1994 ndash 1998
                • Assistant Branch Manager 1991 ndash 1994
                • Customer Service Agent 1990 ndash 1991
                  • 10 EXHIBIT 4
                  • 11 New Business - Hawks Point CDD - MI proposal
                  • 12 EXHIBIT 5
                  • 13 CertaPro Proposal to Paint Exterior Wall 18th to 24th Avenue
                  • 14 Shazam Construction Proposal to Paint Exterior Wall 18th to 24th Street
                    • QUOTE
                      • TO
                          • 15 Photo to accompany Shazam Proposal
                          • 16 EXHIBIT 6
                          • 17 CertaPro Proposal for Pressure Washing Exterior Wall 18th St to 24th Street
                          • 18 Shazam Construction Proposal for Pressure Washing Exterion Wall 18th Street to 24th Street
                            • QUOTE
                              • TO
                                  • 19 EXHIBIT 7
                                  • 20 Form 1_2019i
                                      1. LAST NAME
                                      2. FIRST NAME
                                      3. MIDDLE NAME
                                      4. MAILING ADDRESS ROW 1
                                      5. MAILING ADDRESS ROW 2
                                      6. CITY
                                      7. ZIP
                                      8. COUNTY
                                      9. NAME OF AGENCY
                                      10. NAME OF OFFICE OR POSITION HELD OR SOUGHT
                                      11. CANDIDATE Off
                                      12. NEW EMPLOYEE OR APPOINTEE Off
                                      13. COMPARATIVE (PERCENTAGE) THRESHOLDS Off
                                      14. DOLLAR VALUE THRESHOLDS Off
                                      15. NAME OF SOURCE INCOME ROW 1
                                      16. ADDRESS ROW 1
                                      17. DESCRIPTION OF THE SOURCES PRINCIPAL BUSINESS ACTIVITY ROW 1
                                      18. NAME OF SOURCE INCOME ROW 2
                                      19. ADDRESS ROW 2
                                      20. DESCRIPTION OF THE SOURCES PRINCIPAL BUSINESS ACTIVITY ROW 2
                                      21. NAME OF SOURCE INCOME ROW 3
                                      22. ADDRESS ROW 3
                                      23. DESCRIPTION OF THE SOURCES PRINCIPAL BUSINESS ACTIVITY ROW 3
                                      24. NAME OF SOURCE INCOME ROW 4
                                      25. ADDRESS ROW 4
                                      26. DESCRIPTION OF THE SOURCES PRINCIPAL BUSINESS ACTIVITY ROW 4
                                      27. NAME OF BUSINESS ENTITY ROW 1
                                      28. NAME OF MAJOR SOURCES OF BUSINESS INCOME ROW 1
                                      29. ADDRESS OF SOURCE ROW 1
                                      30. PRINCIPAL BUSINESS ACTIVITY OF SOURCE ROW 1
                                      31. NAME OF BUSINESS ENTITY ROW 2
                                      32. NAME OF MAJOR SOURCES OF BUSINESS INCOME ROW 2
                                      33. ADDRESS OF SOURCE ROW 2
                                      34. PRINCIPAL BUSINESS ACTIVITY OF SOURCE ROW 2
                                      35. NAME OF BUSINESS ENTITY ROW 3
                                      36. NAME OF MAJOR SOURCES OF BUSINESS INCOME ROW 3
                                      37. ADDRESS OF SOURCE ROW 3
                                      38. PRINCIPAL BUSINESS ACTIVITY OF SOURCE ROW 3
                                      39. REAL PROPERTY ROW 1
                                      40. REAL PROPERTY ROW 2
                                      41. REAL PROPERTY ROW 3
                                      42. REAL PROPERTY ROW 4
                                      43. TYPE OF INTANGIBLE ROW 1
                                      44. BUSINESS ENTITY TO WHICH THE PROPERTY RELATES ROW 1
                                      45. TYPE OF INTANGIBLE ROW 2
                                      46. BUSINESS ENTITY TO WHICH THE PROPERTY RELATES ROW 2
                                      47. NAME OF CREDITOR ROW 1
                                      48. ADDRESS OF CREDITOR ROW 1
                                      49. NAME OF CREDITOR ROW 2
                                      50. ADDRESS OF CREDITOR ROW 2
                                      51. ADDRESS OF BUSINESS ENTITY 1
                                      52. PRINCIPAL BUSINESS ACTIVITY 1
                                      53. POSITION HELD WITH ENTITY 1
                                      54. I OWN MORE THAN A 5 INTEREST IN THE BUSINESS 1
                                      55. NATURE OF MY OWNERSHIP INTEREST 1
                                      56. ADDRESS OF BUSINESS ENTITY 2
                                      57. PRINCIPAL BUSINESS ACTIVITY 2
                                      58. POSITION HELD WITH ENTITY 2
                                      59. I OWN MORE THAN A 5 INTEREST IN THE BUSINESS 2
                                      60. NATURE OF MY OWNERSHIP INTEREST 2
                                      61. FOR ELECTED MUNICIPAL OFFICERS REQUIRED TO COMPLETE ANNUAL ETHICS TRAINING PURSUANT TO SECTION 112
                                        1. 3142 F
                                          1. S Off
                                              1. IF ANY OF PARTS A THROUGH G ARE CONTINUED ON A SEPARATE SHEET PLEASE CHECK HERE Off
                                              2. SIGNATURE
                                              3. Date Signed
Page 36: HAWKS POINT COMMUNITY DEVELOPMENT …...2020/06/16  · Hawks Point Community Development District Board of Supervisors Meeting Tuesday, June 16th at 6:30 PM via Zoom All: We welcome

FILING INSTRUCTIONS

IF ANY OF PARTS A THROUGH G ARE CONTINUED ON A SEPARATE SHEET PLEASE CHECK HERE

PART D mdash INTANGIBLE PERSONAL PROPERTY [Stocks bonds certificates of deposit etc - See instructions] (If you have nothing to report write none or na) TYPE OF INTANGIBLE BUSINESS ENTITY TO WHICH THE PROPERTY RELATES

PART E mdash LIABILITIES [Major debts - See instructions] (If you have nothing to report write none or na)

NAME OF CREDITOR ADDRESS OF CREDITOR

PART F mdash INTERESTS IN SPECIFIED BUSINESSES [Ownership or positions in certain types of businesses - See instructions] (If you have nothing to report write none or na)

BUSINESS ENTITY 1 BUSINESS ENTITY 2

NAME OF BUSINESS ENTITY

ADDRESS OF BUSINESS ENTITY

PRINCIPAL BUSINESS ACTIVITY

POSITION HELD WITH ENTITY

I OWN MORE THAN A 5 INTEREST IN THE BUSINESS

NATURE OF MY OWNERSHIP INTEREST

If you were mailed the form by the Commission on Ethics or a County Supervisor of Elections for your annual disclosure filing return the form to that location To determine what category your position falls under see page 3 of instructions Local officersemployees file with the Supervisor of Elections of the county in which they permanently reside (If you do not permanently reside in Florida file with the Supervisor of the county where your agency has its headquarters) Form 1 filers who file with the Supervisor of Elections may file by mail or email Contact your Supervisor of Elections for the mailing address or email address to use Do not email your form to the Commission on Ethics it will be returned State officers or specified state employees who file with the Commission on Ethics may file by mail or email To file by mail send the completed form to PO Drawer 15709 Tallahassee FL32317-5709 physical address 325 John Knox Rd Bldg E Ste 200 Tallahassee FL 32303 To file with the Commission by email scan your completed form and any attachments as a pdf (do not use any other format) send it to CEForm1legstateflus and retain a copy for your records Do not file by both mail and email Choose only one filing method Form 6s will not be accepted via email

Candidates file this form together with their filing papers MULTIPLE FILING UNNECESSARY A candidate who files a Form 1 with a qualifying officer is not required to file with the Commission or Supervisor of Elections WHEN TO FILE Initially each local officeremployee state officer and specified state employee must file within 30 days of the date of his or her appointment or of the beginning of employment Appointees who must be confirmed by the Senate must file prior to confirmation even if that is less than 30 days from the date of their appointment Candidates must file at the same time they file their qualifying papers Thereafter file by July 1 following each calendar year in which they hold their positions Finally file a final disclosure form (Form 1F) within 60 days of leaving office or employment Filing a CE Form 1F (Final Statement of Financial Interests) does not relieve the filer of filing a CE Form 1 if the filer was in his or her position on December 31 2019

SIGNATURE OF FILER Signature

____________________________________________

Date Signed

____________________________________________

CPA or ATTORNEY SIGNATURE ONLY If a certified public accountant licensed under Chapter 473 or attorney in good standing with the Florida Bar prepared this form for you he or she must complete the following statement

I _______________________________________ prepared the CE Form 1 in accordance with Section 1123145 Florida Statutes and the instructions to the form Upon my reasonable knowledge and belief the disclosure herein is true and correct

CPAAttorney Signature ______________________________

Date Signed _______________________________________

PART G mdash TRAINING For elected municipal officers required to complete annual ethics training pursuant to section 1123142 FS

I CERTIFY THAT I HAVE COMPLETED THE REQUIRED TRAINING

CE FORM 1 - Effective January 1 2020 PAGE 2 Incorporated by reference in Rule 34-8202(1) FAC

Examplesmdash You are the sole proprietor of a dry cleaning business fromwhich you received more than 10 of your gross incomemdashanamount that was more than $1500 If only one customer auniform rental company provided more than 10 of your drycleaning business you must list the name of the uniform rentalcompany its address and its principal business activity (uniform rentals) mdash You are a 20 partner in a partnership that owns a shopping mall and your partnership income exceeded the thresholds listed above You should list each tenant of the mall that provided more than 10 of the partnershiprsquos gross income and the tenantrsquos address and principal business activity

PART C mdash REAL PROPERTY[Required by s 1123145(3)(a)3 FS]In this part list the location or description of all real property in

Florida in which you owned directly or indirectly at any time during the disclosure period in excess of 5 of the propertyrsquos value You are not required to list your residences You should list any vacation homes if you derive income from them

Indirect ownership includes situations where you are abeneficiary of a trust that owns the property as well as situations where you own more than 5 of a partnership or corporation thatowns the property The value of the property may be determined by the most recently assessed value for tax purposes in the absence of a more current appraisal

The location or description of the property should be sufficient to enable anyone who looks at the form to identify the property Astreet address should be used if one exists PART D mdash INTANGIBLE PERSONAL PROPERTY

[Required by s 1123145(3)(a)3 FS]Describe any intangible personal property that at any time

during the disclosure period was worth more than 10 of your total assets and state the business entity to which the property related Intangible personal property includes things such as cash on hand stocks bonds certificates of deposit vehicle leases interests in businesses beneficial interests in trusts money owed you Deferred Retirement Option Program (DROP) accounts the Florida Prepaid College Plan and bank accounts Intangiblepersonal property also includes investment products held in IRAs brokerage accounts and the Florida College Investment Plan Note that the product contained in a brokerage account IRA or the Florida College Investment Plan is your assetmdashnot the account or plan itself Things like automobiles and houses you own jewelryand paintings are not intangible property Intangibles relating to the same business entity may be aggregated for example CDrsquos and savings accounts with the same bank

Calculations To determine whether the intangible property exceeds 10 of your total assets total the fair market value of all of your assets (including real property intangible property and tangible personal property such as jewelry furniture etc) When making this calculation do not subtract any liabilities (debts) that may relate to the property Multiply the total figure by 10 to arrive at the disclosure threshold List only the intangibles that exceed this threshold amount The value of a leased vehicle is the vehiclersquos present value minus the lease residual (a number which can be found on the lease document) Property that is only jointly owned property should be valued according to the percentage of your joint ownership Property owned as tenants by the entirety or as joint tenants with right of survivorship should be valued at 100 None of your calculations or the value of the property have to be disclosed on the form

Example You own 50 of the stock of a small corporation that is worth $100000 the estimated fair market value of your home and other property (bank accounts automobile furniture etc) is $200000 As your total assets are worth $250000 you must disclose intangibles worth over $25000 Since the value of the stock exceeds this threshold you should list ldquostockrdquo and the name of the corporation If your accounts with a particular bank exceed $25000 you should list ldquobank accountsrdquo and bankrsquos name

PART E mdash LIABILITIES[Required by s 1123145(3)(b)4 FS]List the name and address of each creditor to whom you owed

any amount that at any time during the disclosure period exceeded your net worth You are not required to list the amount of any debt or your net worth You do not have to disclose credit card and retail installment accounts taxes owed (unless reduced to a judgment) indebtedness on a life insurance policy owed to the company of issuance or contingent liabilities A ldquocontingent liabilityrdquo is one that will become an actual liability only when one or more future events occur or fail to occur such as where you are liable only as a guarantor surety or endorser on a promissory note If you are a ldquoco-makerrdquo and are jointly liable or jointly and severally liable it is not a contingent liability

Calculations To determine whether the debt exceeds your net worth total all of your liabilities (including promissory notes mortgages credit card debts judgments against you etc) Theamount of the liability of a vehicle lease is the sum of any past-due payments and all unpaid prospective lease payments Subtract the sum total of your liabilities from the value of all your assets as calculated above for Part D This is your ldquonet worthrdquo List each creditor to whom your debt exceeded this amount unless it is one of the types of indebtedness listed in the paragraph above (credit card and retail installment accounts etc) Joint liabilities with others for which you are ldquojointly and severally liablerdquo meaning that you may be liable for either your part or the whole of the obligation should be included in your calculations at 100 of the amount owed

Example You owe $15000 to a bank for student loans $5000 for credit card debts and $60000 (with spouse) to a savings and loan for a home mortgage Your home (owned by you and your spouse) is worth $80000 and your other property is worth $20000 Since your net worth is $20000 ($100000 minus $80000) you must report only the name and address of the savings and loan

PART F mdash INTERESTS IN SPECIFIED BUSINESSES[Required by s 1123145 FS]The types of businesses covered in this disclosure include

state and federally chartered banks state and federal savings and loan associations cemetery companies insurance companies mortgage companies credit unions small loan companies alcoholic beverage licensees pari-mutuel wagering companies utilitycompanies entities controlled by the Public Service Commission and entities granted a franchise to operate by either a city or acounty government

Disclose in this part the fact that you owned during the disclosure period an interest in or held any of certain positions with the types of businesses listed above You are required to make this disclosure if you own or owned (either directly orindirectly in the form of an equitable or beneficial interest) at any time during the disclosure period more than 5 of the total assets or capital stock of one of the types of business entities listed above You also must complete this part of the form for each of these types of businesses for which you are or were at any time during thedisclosure period an officer director partner proprietor or agent (other than a resident agent solely for service of process)

If you have or held such a position or ownership interest in one of these types of businesses list the name of the business its address and principal business activity and the position held with the business (if any) If you own(ed) more than a 5 interest in the business indicate that fact and describe the nature of your interest

PART G mdash TRAINING CERTIFICATION[Required by s 1123142 FS]If you are a Constitutional or elected municipal officer whose

service began before March 31 of the year for which you are filing you are required to complete four hours of ethics training which addresses Article II Section 8 of the Florida Constitution the Code of Ethics for Public Officers and Employees and the public records and open meetings laws of the state You are required to certify on this form that you have taken such training (End of Percentage Thresholds Instructions)

CE FORM 1 - Effective January 1 2020 Incorporated by reference in Rule 34-8202 FAC PAGE 6

NOTICE Annual Statements of Financial Interests are due July 1 If the annual form is not filed or postmarked by September 1 an automatic fine of $25 for each day late will be imposed up to a maximum penalty of $1500 Failure to file also can result in removal from public office or employment [s 1123145 FS]

In addition failure to make any required disclosure constitutes grounds for and may be punished by one or more of the following disqualification from being on the ballot impeachment removal or suspension from office or employment demotion reduction in salary reprimand or a civil penalty not exceeding $10000 [s 112317 FS]

WHO MUST FILE FORM 1 1) Elected public officials not serving in a political subdivision of the

state and any person appointed to fill a vacancy in such office unlessrequired to file full disclosure on Form 62) Appointed members of each board commission authority

or council having statewide jurisdiction excluding members of solelyadvisory bodies but including judicial nominating commission membersDirectors of Enterprise Florida Scripps Florida Funding Corporationand Career Source Florida and members of the Council on the Social Status of Black Men and Boys the Executive Director Governors and senior managers of Citizens Property Insurance CorporationGovernors and senior managers of Florida Workers Compensation JointUnderwriting Association board members of the Northeast Fla RegionalTransportation Commission board members of Triumph Gulf Coast Incboard members of Florida Is For Veterans Inc and members of the Technology Advisory Council within the Agency for State Technology3) The Commissioner of Education members of the State Board

of Education the Board of Governors the local Boards of Trustees and Presidents of state universities and the Florida Prepaid College Board 4) Persons elected to office in any political subdivision (such as

municipalities counties and special districts) and any person appointedto fill a vacancy in such office unless required to file Form 65) Appointed members of the following boards councils

commissions authorities or other bodies of county municipality schooldistrict independent special district or other political subdivision thegoverning body of the subdivision community college or junior collegedistrict boards of trustees boards having the power to enforce local codeprovisions boards of adjustment community redevelopment agenciesplanning or zoning boards having the power to recommend create ormodify land planning or zoning within a political subdivision except forcitizen advisory committees technical coordinating committees andsimilar groups who only have the power to make recommendationsto planning or zoning boards and except for representatives of a military installation acting on behalf of all military installations within thatjurisdiction pension or retirement boards empowered to invest pensionor retirement funds or determine entitlement to or amount of pensions orother retirement benefits and the Pinellas County Construction LicensingBoard 6) Any appointed member of a local government board who

is required to file a statement of financial interests by the appointingauthority or the enabling legislation ordinance or resolution creating theboard 7) Persons holding any of these positions in local government

mayor county or city manager chief administrative employee or finance

director of a county municipality or other political subdivision county or municipal attorney chief county or municipal building inspectorcounty or municipal water resources coordinator county or municipalpollution control director county or municipal environmental control director county or municipal administrator with power to grant or denya land development permit chief of police fire chief municipal clerkappointed district school superintendent community college presidentdistrict medical examiner purchasing agent (regardless of title) havingthe authority to make any purchase exceeding $35000 for the localgovernmental unit8) Officers and employees of entities serving as chief administrative

officer of a political subdivision9) Members of governing boards of charter schools operated by a

city or other public entity10) Employees in the office of the Governor or of a Cabinet member

who are exempt from the Career Service System excluding secretarialclerical and similar positions11) The following positions in each state department commission

board or council Secretary Assistant or Deputy Secretary ExecutiveDirector Assistant or Deputy Executive Director and anyone having thepower normally conferred upon such persons regardless of title12) The following positions in each state department or division

Director Assistant or Deputy Director Bureau Chief and any personhaving the power normally conferred upon such persons regardless oftitle 13) Assistant State Attorneys Assistant Public Defenders criminal

conflict and civil regional counsel and assistant criminal conflict and civilregional counsel Public Counsel full-time state employees serving ascounsel or assistant counsel to a state agency administrative law judgesand hearing officers14) The Superintendent or Director of a state mental health institute

established for training and research in the mental health field or anymajor state institution or facility established for corrections trainingtreatment or rehabilitation 15) State agency Business Managers Finance and Accounting

Directors Personnel Officers Grant Coordinators and purchasingagents (regardless of title) with power to make a purchase exceeding$35000 16) The following positions in legislative branch agencies each

employee (other than those employed in maintenance clerical secretarial or similar positions and legislative assistants exempted by the presiding officer of their house) and each employee of theCommission on Ethics

INSTRUCTIONS FOR COMPLETING FORM 1 INTRODUCTORY INFORMATION (Top of Form) If your name mailing address public agency and position are already printed on the form you do not need to provide this information unless it should be changed To change any of this information write the correct information on the form and contact your agencys financial disclosure coordinator You can find your coordinator on the Commission on Ethics website wwwethics stateflus NAME OF AGENCY The name of the governmental unit which you serve or served by which you are or were employed or for which you are a candidate DISCLOSURE PERIOD The ldquodisclosure periodrdquo for your report is the calendar year ending December 31 2019

OFFICE OR POSITION HELD OR SOUGHT The title of the office or position you hold are seeking or held during the disclosure period even if you have since left that position If you are a candidate for office or are a new employee or appointee check the appropriate box PUBLIC RECORD The disclosure form and everythingattached to it is a public record Your Social Security Number is not required and you should redact it from any documents you file If you are an active or former officer or employee listed in Section 119071 FS whose home address is exempt from disclosure the Commission will maintain that confidentiality if you submit a written request

CE FORM 1 - Effective January 1 2020 Incorporated by reference in Rule 34-8202 FAC PAGE 3

PART E mdash LIABILITIES[Required by s 1123145(3)(b)4 FS]List the name and address of each creditor to whom you owed more

than $10000 at any time during the disclosure period The amount of theliability of a vehicle lease is the sum of any past-due payments and allunpaid prospective lease payments You are not required to list the amountof any debt You do not have to disclose credit card and retail installmentaccounts taxes owed (unless reduced to a judgment) indebtedness ona life insurance policy owed to the company of issuance or contingentliabilities A ldquocontingent liabilityrdquo is one that will become an actual liabilityonly when one or more future events occur or fail to occur such as whereyou are liable only as a guarantor surety or endorser on a promissorynote If you are a ldquoco-makerrdquo and are jointly liable or jointly and severallyliable then it is not a contingent liability

PART F mdash INTERESTS IN SPECIFIED BUSINESSES[Required by s 1123145(6) FS]The types of businesses covered in this disclosure include state and

federally chartered banks state and federal savings and loan associationscemetery companies insurance companies mortgage companies creditunions small loan companies alcoholic beverage licensees pari-mutuelwagering companies utility companies entities controlled by the PublicService Commission and entities granted a franchise to operate by either acity or a county government

Disclose in this part the fact that you owned during the disclosure period aninterest in or held any of certain positions with the types of businesses listedabove You must make this disclosure if you own or owned (either directly orindirectly in the form of an equitable or beneficial interest) at any time duringthe disclosure period more than 5 of the total assets or capital stock ofone of the types of business entities listed above You also must completethis part of the form for each of these types of businesses for which youare or were at any time during the disclosure period an officer directorpartner proprietor or agent (other than a resident agent solely for service ofprocess)

If you have or held such a position or ownership interest in one ofthese types of businesses list the name of the business its address andprincipal business activity and the position held with the business (if any) Ifyou own(ed) more than a 5 interest in the business indicate that fact anddescribe the nature of your interest

PART G mdash TRAINING CERTIFICATION[Required by s 1123142 FS]If you are a Constitutional or elected municipal officer whose

service began before March 31 of the year for which you are filingyou are required to complete four hours of ethics training which addresses Article II Section 8 of the Florida Constitution the Codeof Ethics for Public Officers and Employees and the public recordsand open meetings laws of the state You are required to certify onthis form that you have taken such training

(End of Dollar Value Thresholds Instructions)

PART A mdash PRIMARY SOURCES OF INCOME[Required by s 1123145(3)(a)1 FS]Part A is intended to require the disclosure of your principal

sources of income during the disclosure period You do not haveto disclose any public salary or public position(s) but income from these public sources should be included when calculating your gross income for the disclosure period The income of your spouse need not be disclosed however if there is joint income to you and your spouse from property you own jointly (such as interest or dividends from a bank account or stocks) you should include all of that income when calculating your gross income and disclose the source of that income if it exceeded the threshold

Please list in this part of the form the name address and principal business activity of each source of your income whichexceeded 5 of the gross income received by you in your own name or by any other person for your benefit or use during the disclosure period

Gross income means the same as it does for income tax purposes even if the income is not actually taxable such as interest on tax-free bonds Examples include compensation for servicesincome from business gains from property dealings interest rents dividends pensions IRA distributions social security distributive share of partnership gross income and alimony but not child support

Examplesmdash If you were employed by a company that manufactures computers and received more than 5 of your gross income from the company list the name of the company its address and its principal business activity (computer manufacturing)mdash If you were a partner in a law firm and your distributive share of partnership gross income exceeded 5 of your gross income then list the name of the firm its address and its principal business activity (practice of law)mdash If you were the sole proprietor of a retail gift business andyour gross income from the business exceeded 5 of your total gross income list the name of the business its addressand its principal business activity (retail gift sales)mdash If you received income from investments in stocks and bonds list each individual company from which you derived

more than 5 of your gross income Do not aggregate all of your investment incomemdash If more than 5 of your gross income was gain from the sale of property (not just the selling price) list as a source of income the purchaserrsquos name address and principal business activityIf the purchasers identity is unknown such as where securities listed on an exchange are sold through a brokerage firm the source of income should be listed as sale of (name of company)stock for examplemdash If more than 5 of your gross income was in the form of interest from one particular financial institution (aggregatinginterest from all CDrsquos accounts etc at that institution) list the name of the institution its address and its principal business activity

PART B mdash SECONDARY SOURCES OF INCOME[Required by s 1123145(3)(a)2 FS]This part is intended to require the disclosure of major customers

clients and other sources of income to businesses in which you ownan interest It is not for reporting income from second jobs That kindof income should be reported in Part A Primary Sources of Incomeif it meets the reporting threshold You will not have anything to reportunless during the disclosure period

(1) You owned (either directly or indirectly in the form of anequitable or beneficial interest) more than 5 of the total assetsor capital stock of a business entity (a corporation partnershipLLC limited partnership proprietorship joint venture trust firmetc doing business in Florida) and(2) You received more than 10 of your gross income from thatbusiness entity and(3) You received more than $1500 in gross income from thatbusiness entity

If your interests and gross income exceeded these thresholds thenfor that business entity you must list every source of income to thebusiness entity which exceeded 10 of the business entityrsquos grossincome (computed on the basis of the business entityrsquos most recentlycompleted fiscal year) the sourcersquos address and the sourcersquosprincipal business activity

IF YOU HAVE CHOSEN COMPARATIVE (PERCENTAGE) THRESHOLDSTHE FOLLOWING INSTRUCTIONS APPLY

CE FORM 1 - Effective January 1 2020 Incorporated by reference in Rule 34-8202 FAC PAGE 5

MANNER OF CALCULATING REPORTABLE INTEREST Filers have the option of reporting based on either thresholds that are comparative (usually based on percentage values) or thresholds that are based on absolute dollar values The instructions on the following pages specifically describe the different thresholds Check the box that reflects the choice you have made You must use the type of threshold you have chosen for each part of the form In other words if you choose to report based on absolute dollar value thresholds you cannot use a percentage threshold on any part of the form

IF YOU HAVE CHOSEN DOLLAR VALUE THRESHOLDS THE FOLLOWING INSTRUCTIONS APPLY

PART A mdash PRIMARY SOURCES OF INCOME [Required by s 1123145(3)(b)1 FS] Part A is intended to require the disclosure of your principal

sources of income during the disclosure period You do not have todisclose any public salary or public position(s) The income of yourspouse need not be disclosed however if there is joint income toyou and your spouse from property you own jointly (such as interestor dividends from a bank account or stocks) you should disclose thesource of that income if it exceeded the threshold

Please list in this part of the form the name address andprincipal business activity of each source of your income whichexceeded $2500 of gross income received by you in your own name or by any other person for your use or benefit

Gross income means the same as it does for income tax purposes even if the income is not actually taxable such as interest on tax-free bonds Examples include compensation for servicesincome from business gains from property dealings interest rentsdividends pensions IRA distributions social security distributive share of partnership gross income and alimony but not child support

Examples mdash If you were employed by a company that manufacturescomputers and received more than $2500 list the name of thecompany its address and its principal business activity (computermanufacturing) mdash If you were a partner in a law firm and your distributive shareof partnership gross income exceeded $2500 list the name ofthe firm its address and its principal business activity (practice oflaw) mdash If you were the sole proprietor of a retail gift business and yourgross income from the business exceeded $2500 list the nameof the business its address and its principal business activity(retail gift sales) mdash If you received income from investments in stocks and bondslist each individual company from which you derived more than$2500 Do not aggregate all of your investment income mdash If more than $2500 of your gross income was gain from thesale of property (not just the selling price) list as a source ofincome the purchaserrsquos name address and principal businessactivity If the purchaserrsquos identity is unknown such as wheresecurities listed on an exchange are sold through a brokeragefirm the source of income should be listed as sale of (name of company) stock for example mdash If more than $2500 of your gross income was in the formof interest from one particular financial institution (aggregatinginterest from all CDrsquos accounts etc at that institution) list the name of the institution its address and its principal business activity

PART B mdash SECONDARY SOURCES OF INCOME [Required by s 1123145(3)(b)2 FS] This part is intended to require the disclosure of major customers

clients and other sources of income to businesses in which you own aninterest It is not for reporting income from second jobs That kind of incomeshould be reported in Part A Primary Sources of Income if it meets thereporting threshold You will not have anything to report unless during thedisclosure period

(1) You owned (either directly or indirectly in the form of an equitableor beneficial interest) more than 5 of the total assets or capitalstock of a business entity (a corporation partnership LLC limitedpartnership proprietorship joint venture trust firm etc doing business in Florida) and (2) You received more than $5000 of your gross income during thedisclosure period from that business entity

If your interests and gross income exceeded these thresholds then for thatbusiness entity you must list every source of income to the business entitywhich exceeded 10 of the business entityrsquos gross income (computed onthe basis of the business entitys most recently completed fiscal year) thesourcersquos address and the sources principal business activity

Examples mdash You are the sole proprietor of a dry cleaning business from whichyou received more than $5000 If only one customer a uniform rentalcompany provided more than 10 of your dry cleaning business youmust list the name of the uniform rental company its address and itsprincipal business activity (uniform rentals) mdash You are a 20 partner in a partnership that owns a shopping malland your partnership income exceeded the above thresholds List eachtenant of the mall that provided more than 10 of the partnershipsgross income and the tenants address and principal business activity

PART C mdash REAL PROPERTY [Required by s 1123145(3)(b)3 FS] In this part list the location or description of all real property in Florida

in which you owned directly or indirectly at any time during the disclosureperiod in excess of 5 of the propertyrsquos value You are not required to listyour residences You should list any vacation homes if you derive incomefrom them

Indirect ownership includes situations where you are a beneficiary of atrust that owns the property as well as situations where you own more than5 of a partnership or corporation that owns the property The value of theproperty may be determined by the most recently assessed value for taxpurposes in the absence of a more current appraisal

The location or description of the property should be sufficient toenable anyone who looks at the form to identify the property A streetaddress should be used if one exists

PART D mdash INTANGIBLE PERSONAL PROPERTY [Required by s 1123145(3)(b)3 FS] Describe any intangible personal property that at any time during the

disclosure period was worth more than $10000 and state the businessentity to which the property related Intangible personal property includesthings such as cash on hand stocks bonds certificates of deposit vehicleleases interests in businesses beneficial interests in trusts money owedyou Deferred Retirement Option Program (DROP) accounts the FloridaPrepaid College Plan and bank accounts Intangible personal propertyalso includes investment products held in IRAs brokerage accounts andthe Florida College Investment Plan Note that the product contained in a brokerage account IRA or the Florida College Investment Plan is yourassetmdashnot the account or plan itself Things like automobiles and housesyou own jewelry and paintings are not intangible property Intangiblesrelating to the same business entity may be aggregated for example CDsand savings accounts with the same bank Property owned as tenants bythe entirety or as joint tenants with right of survivorship should be valued at100 The value of a leased vehicle is the vehiclersquos present value minusthe lease residual (a number found on the lease document)

CE FORM 1 - Effective January 1 2020 Incorporated by reference in Rule 34-8202 FAC PAGE 4

PART A mdash PRIMARY SOURCES OF INCOME[Required by s 1123145(3)(b)1 FS]Part A is intended to require the disclosure of your principal

sources of income during the disclosure period You do not have todisclose any public salary or public position(s) The income of yourspouse need not be disclosed however if there is joint income t oyou and your spouse from property you own jointly (such as interestor dividends from a bank account or stocks) you should disclose thesource of that income if it exceeded the threshold

Please list in this part of the form the name address andprincipal business activity of each source of your income whichexceeded $2500 of gross income received by you in your own name or by any other person for your use or benefit

Gross income means the same as it does for income taxpurposes even if the income is not actually taxable such as intereston tax-free bonds Examples include compensation for servicesincome from business gains from property dealings interest rentsdividends pensions IRA distributions social security distributiveshare of partnership gross income and alimony but not child support

Examplesmdash If you were employed by a company that manufacturescomputers and received more than $2500 list the name of thecompany its address and its principal business activity (computermanufacturing)mdash If you were a partner in a law firm and your distributive shareof partnership gross income exceeded $2500 list the name ofthe firm its address and its principal business activity (practice oflaw)mdash If you were the sole proprietor of a retail gift business and yourgross income from the business exceeded $2500 list the nameof the business its address and its principal business activity(retail gift sales)mdash If you received income from investments in stocks and bondslist each individual company from which you derived more than$2500 Do not aggregate all of your investment incomemdash If more than $2500 of your gross income was gain from thesale of property (not just the selling price) list as a source o fincome the purchaserrsquos name address and principal businessactivity If the purchaserrsquos identity is unknown such as wheresecurities listed on an exchange are sold through a brokeragefirm the source of income should be listed as sale of (name of company) stock for examplemdash If more than $2500 of your gross income was in the formof interest from one particular financial institution (aggregatinginterest from all CDrsquos accounts etc at that institution) list thename of the institution its address and its principal business activity

PART B mdash SECONDARY SOURCES OF INCOME[Required by s 1123145(3)(b)2 FS]This part is intended to require the disclosure of major customers

clients and other sources of income to businesses in which you own aninterest It is not for reporting income from second jobs That kind of incomeshould be reported in Part A Primary Sources of Income if it meets thereporting threshold You will not have anything to report unless during thedisclosure period

(1) You owned (either directly or indirectly in the form of an equitableor beneficial interest) more than 5 of the total assets or capitalstock of a business entity (a corporation partnership LLC limitedpartnership proprietorship joint venture trust firm etc doing business in Florida) and(2) You received more than $5000 of your gross income during thedisclosure period from that business entity

If your interests and gross income exceeded these thresholds then for thatbusiness entity you must list every source of income to the business entitywhich exceeded 10 of the business entityrsquos gross income (computed onthe basis of the business entitys most recently completed fiscal year) thesourcersquos address and the sources principal business activity

Examplesmdash You are the sole proprietor of a dry cleaning business from whichyou received more than $5000 If only one customer a uniform rentalcompany provided more than 10 of your dry cleaning business youmust list the name of the uniform rental company its address and itsprincipal business activity (uniform rentals)mdash You are a 20 partner in a partnership that owns a shopping malland your partnership income exceeded the above thresholds List eachtenant of the mall that provided more than 10 of the partnershipsgross income and the tenants address and principal business activity

PART C mdash REAL PROPERTY[Required by s 1123145(3)(b)3 FS]In this part list the location or description of all real property in Florida

in which you owned directly or indirectly at any time during the disclosureperiod in excess of 5 of the propertyrsquos value You are not required to listyour residences You should list any vacation homes if you derive incomefrom them

Indirect ownership includes situations where you are a beneficiary of atrust that owns the property as well as situations where you own more than5 of a partnership or corporation that owns the property The value of theproperty may be determined by the most recently assessed value for taxpurposes in the absence of a more current appraisal

The location or description of the property should be sufficient toenable anyone who looks at the form to identify the property A streetaddress should be used if one exists

PART D mdash INTANGIBLE PERSONAL PROPERTY[Required by s 1123145(3)(b)3 FS]Describe any intangible personal property that at any time during the

disclosure period was worth more than $10000 and state the businessentity to which the property related Intangible personal property includesthings such as cash on hand stocks bonds certificates of deposit vehicleleases interests in businesses beneficial interests in trusts money owedyou Deferred Retirement Option Program (DROP) accounts the FloridaPrepaid College Plan and bank accounts Intangible personal propertyalso includes investment products held in IRAs brokerage accounts andthe Florida College Investment Plan Note that the product contained ina brokerage account IRA or the Florida College Investment Plan is yourassetmdashnot the account or plan itself Things like automobiles and housesyou own jewelry and paintings are not intangible property Intangiblesrelating to the same business entity may be aggregated for example CDsand savings accounts with the same bank Property owned as tenants bythe entirety or as joint tenants with right of survivorship should be valued at100 The value of a leased vehicle is the vehiclersquos present value minusthe lease residual (a number found on the lease document)

Filers have the option of reporting based on either thresholds that are comparative (usually based on percentage values) orthresholds that are based on absolute dollar values The instructions on the following pages specifically describe the differentthresholds Check the box that reflects the choice you have made You must use the type of threshold you have chosen for eachpart of the form In other words if you choose to report based on absolute dollar value thresholds you cannot use a percentagethreshold on any part of the form

MANNER OF CALCULATING REPORTABLE INTEREST

IF YOU HAVE CHOSEN DOLLAR VALUE THRESHOLDSTHE FOLLOWING INSTRUCTIONS APPLY

CE FORM 1 - Effective January 1 2020 Incorporated by reference in Rule 34-8202 FAC PAGE 4

PART E mdash LIABILITIES [Required by s 1123145(3)(b)4 FS] List the name and address of each creditor to whom you owed more

than $10000 at any time during the disclosure period The amount of theliability of a vehicle lease is the sum of any past-due payments and allunpaid prospective lease payments You are not required to list the amountof any debt You do not have to disclose credit card and retail installmentaccounts taxes owed (unless reduced to a judgment) indebtedness ona life insurance policy owed to the company of issuance or contingentliabilities A ldquocontingent liabilityrdquo is one that will become an actual liabilityonly when one or more future events occur or fail to occur such as whereyou are liable only as a guarantor surety or endorser on a promissorynote If you are a ldquoco-makerrdquo and are jointly liable or jointly and severallyliable then it is not a contingent liability

PART F mdash INTERESTS IN SPECIFIED BUSINESSES [Required by s 1123145(6) FS] The types of businesses covered in this disclosure include state and

federally chartered banks state and federal savings and loan associationscemetery companies insurance companies mortgage companies creditunions small loan companies alcoholic beverage licensees pari-mutuelwagering companies utility companies entities controlled by the PublicService Commission and entities granted a franchise to operate by either acity or a county government

Disclose in this part the fact that you owned during the disclosure period aninterest in or held any of certain positions with the types of businesses listedabove You must make this disclosure if you own or owned (either directly orindirectly in the form of an equitable or beneficial interest) at any time duringthe disclosure period more than 5 of the total assets or capital stock ofone of the types of business entities listed above You also must completethis part of the form for each of these types of businesses for which youare or were at any time during the disclosure period an officer directorpartner proprietor or agent (other than a resident agent solely for service ofprocess)

If you have or held such a position or ownership interest in one ofthese types of businesses list the name of the business its address andprincipal business activity and the position held with the business (if any) Ifyou own(ed) more than a 5 interest in the business indicate that fact anddescribe the nature of your interest

PART G mdash TRAINING CERTIFICATION [Required by s 1123142 FS] If you are a Constitutional or elected municipal officer whose

service began before March 31 of the year for which you are filingyou are required to complete four hours of ethics training which addresses Article II Section 8 of the Florida Constitution the Code of Ethics for Public Officers and Employees and the public recordsand open meetings laws of the state You are required to certify onthis form that you have taken such training

(End of Dollar Value Thresholds Instructions)

IF YOU HAVE CHOSEN COMPARATIVE (PERCENTAGE) THRESHOLDS THE FOLLOWING INSTRUCTIONS APPLY

PART A mdash PRIMARY SOURCES OF INCOME [Required by s 1123145(3)(a)1 FS] Part A is intended to require the disclosure of your principal

sources of income during the disclosure period You do not haveto disclose any public salary or public position(s) but income from these public sources should be included when calculating your gross income for the disclosure period The income of your spouse need not be disclosed however if there is joint income to you and your spouse from property you own jointly (such as interest or dividends from a bank account or stocks) you should include all of that income when calculating your gross income and disclose the source of that income if it exceeded the threshold

Please list in this part of the form the name address and principal business activity of each source of your income whichexceeded 5 of the gross income received by you in your own name or by any other person for your benefit or use during the disclosure period

Gross income means the same as it does for income tax purposes even if the income is not actually taxable such as interest on tax-free bonds Examples include compensation for servicesincome from business gains from property dealings interest rents dividends pensions IRA distributions social security distributive share of partnership gross income and alimony but not child support

Examples mdash If you were employed by a company that manufactures computers and received more than 5 of your gross income from the company list the name of the company its address and its principal business activity (computer manufacturing) mdash If you were a partner in a law firm and your distributive share of partnership gross income exceeded 5 of your gross income then list the name of the firm its address and its principal business activity (practice of law) mdash If you were the sole proprietor of a retail gift business andyour gross income from the business exceeded 5 of your total gross income list the name of the business its addressand its principal business activity (retail gift sales) mdash If you received income from investments in stocks and bonds list each individual company from which you derived

more than 5 of your gross income Do not aggregate all of your investment income mdash If more than 5 of your gross income was gain from the sale of property (not just the selling price) list as a source of income the purchaserrsquos name address and principal business activityIf the purchasers identity is unknown such as where securities listed on an exchange are sold through a brokerage firm the source of income should be listed as sale of (name of company)stock for example mdash If more than 5 of your gross income was in the form of interest from one particular financial institution (aggregatinginterest from all CDrsquos accounts etc at that institution) list the name of the institution its address and its principal business activity

PART B mdash SECONDARY SOURCES OF INCOME [Required by s 1123145(3)(a)2 FS] This part is intended to require the disclosure of major customers

clients and other sources of income to businesses in which you ownan interest It is not for reporting income from second jobs That kindof income should be reported in Part A Primary Sources of Incomeif it meets the reporting threshold You will not have anything to report unless during the disclosure period

(1) You owned (either directly or indirectly in the form of anequitable or beneficial interest) more than 5 of the total assetsor capital stock of a business entity (a corporation partnershipLLC limited partnership proprietorship joint venture trust firmetc doing business in Florida) and (2) You received more than 10 of your gross income from thatbusiness entity and (3) You received more than $1500 in gross income from thatbusiness entity

If your interests and gross income exceeded these thresholds thenfor that business entity you must list every source of income to thebusiness entity which exceeded 10 of the business entityrsquos grossincome (computed on the basis of the business entityrsquos most recentlycompleted fiscal year) the sourcersquos address and the sourcersquos principal business activity

CE FORM 1 - Effective January 1 2020 Incorporated by reference in Rule 34-8202 FAC PAGE 5

NOTICE Annual Statements of Financial Interests are due July 1 If the annual form is not filed or postmarked by September 1 an automatic fine of $25 for each day late will be imposed up to a maximum penalty of $1500 Failure to file also can result in removal from public office or employment [s 1123145 FS]

In addition failure to make any required disclosure constitutes grounds for and may be punished by one or more of the following disqualification from being on the ballot impeachment removal or suspension from office or employment demotion reduction in salary reprimand or a civil penalty not exceeding $10000 [s 112317 FS]

1) Elected public officials not serving in a political subdivision of thestate and any person appointed to fill a vacancy in such office unlessrequired to file full disclosure on Form 62) Appointed members of each board commission authority

or council having statewide jurisdiction excluding members of solelyadvisory bodies but including judicial nominating commission membersDirectors of Enterprise Florida Scripps Florida Funding Corporationand Career Source Florida and members of the Council on the SocialStatus of Black Men and Boys the Executive Director Governors and senior managers of Citizens Property Insurance CorporationGovernors and senior managers of Florida Workers Compensation JointUnderwriting Association board members of the Northeast Fla RegionalTransportation Commission board members of Triumph Gulf Coast Incboard members of Florida Is For Veterans Inc and members of theTechnology Advisory Council within the Agency for State Technology3) The Commissioner of Education members of the State Board

of Education the Board of Governors the local Boards of Trustees andPresidents of state universities and the Florida Prepaid College Board4) Persons elected to office in any political subdivision (such a s

municipalities counties and special districts) and any person appointedto fill a vacancy in such office unless required to file Form 65) Appointed members of the following boards councils

commissions authorities or other bodies of county municipality schooldistrict independent special district or other political subdivision thegoverning body of the subdivision community college or junior collegedistrict boards of trustees boards having the power to enforce local codeprovisions boards of adjustment community redevelopment agenciesplanning or zoning boards having the power to recommend create ormodify land planning or zoning within a political subdivision except forcitizen advisory committees technical coordinating committees andsimilar groups who only have the power to make recommendationsto planning or zoning boards and except for representatives of amilitary installation acting on behalf of all military installations within thatjurisdiction pension or retirement boards empowered to invest pensionor retirement funds or determine entitlement to or amount of pensions orother retirement benefits and the Pinellas County Construction LicensingBoard6) Any appointed member of a local government board who

is required to file a statement of financial interests by the appointingauthority or the enabling legislation ordinance or resolution creating theboard7) Persons holding any of these positions in local government

mayor county or city manager chief administrative employee or finance

director of a county municipality or other political subdivision countyor municipal attorney chief county or municipal building inspectorcounty or municipal water resources coordinator county or municipalpollution control director county or municipal environmental controldirector county or municipal administrator with power to grant or denya land development permit chief of police fire chief municipal clerkappointed district school superintendent community college presidentdistrict medical examiner purchasing agent (regardless of title) havingthe authority to make any purchase exceeding $35000 for the localgovernmental unit8) Officers and employees of entities serving as chief administrative

officer of a political subdivision9) Members of governing boards of charter schools operated by a

city or other public entity10) Employees in the office of the Governor or of a Cabinet member

who are exempt from the Career Service System excluding secretarialclerical and similar positions11) The following positions in each state department commission

board or council Secretary Assistant or Deputy Secretary ExecutiveDirector Assistant or Deputy Executive Director and anyone having thepower normally conferred upon such persons regardless of title12) The following positions in each state department or division

Director Assistant or Deputy Director Bureau Chief and any personhaving the power normally conferred upon such persons regardless oftitle13) Assistant State Attorneys Assistant Public Defenders criminal

conflict and civil regional counsel and assistant criminal conflict and civilregional counsel Public Counsel full-time state employees serving ascounsel or assistant counsel to a state agency administrative law judgesand hearing officers14) The Superintendent or Director of a state mental health institute

established for training and research in the mental health field or anymajor state institution or facility established for corrections trainingtreatment or rehabilitation15) State agency Business Managers Finance and Accounting

Directors Personnel Officers Grant Coordinators and purchasingagents (regardless of title) with power to make a purchase exceeding$3500016) The following positions in legislative branch agencies each

employee (other than those employed in maintenance clerical secretarial or similar positions and legislative assistants exemptedby the presiding officer of their house) and each employee of theCommission on Ethics

INSTRUCTIONS FOR COMPLETING FORM 1INTRODUCTORY INFORMATION (Top of Form) If your name mailing address public agency and position are already printed on the form you do not need to provide this information unless it should be changed To change any of this information write the correct information on the form and contact your agencys financial disclosure coordinator You can find your coordinator on the Commission on Ethics website wwwethicsstateflus NAME OF AGENCY The name of the governmental unit which you serve or served by which you are or were employed or for which you are a candidate DISCLOSURE PERIOD The ldquodisclosure periodrdquo for your report is the calendar year ending December 31 2019

OFFICE OR POSITION HELD OR SOUGHT The title of the office or position you hold are seeking or held during the disclosure period even if you have since left that position If you are a candidate for office or are a new employee or appointee check the appropriate boxPUBLIC RECORD The disclosure form and everythingattached to it is a public record Your Social Security Number is not required and you should redact it from any documents you file If you are an active or former officer or employee listed in Section 119071 FS whose home address is exempt from disclosure the Commission will maintain that confidentiality if you submit a written request

WHO MUST FILE FORM 1

CE FORM 1 - Effective January 1 2020 Incorporated by reference in Rule 34-8202 FAC PAGE 3

Examples PART E mdash LIABILITIES mdash You are the sole proprietor of a dry cleaning business from [Required by s 1123145(3)(b)4 FS]which you received more than 10 of your gross incomemdashan List the name and address of each creditor to whom you owed amount that was more than $1500 If only one customer a any amount that at any time during the disclosure period exceeded uniform rental company provided more than 10 of your dry your net worth You are not required to list the amount of any debt cleaning business you must list the name of the uniform rental or your net worth You do not have to disclose credit card and retail company its address and its principal business activity (uniform installment accounts taxes owed (unless reduced to a judgment) rentals) indebtedness on a life insurance policy owed to the company of mdash You are a 20 partner in a partnership that owns a shopping issuance or contingent liabilities A ldquocontingent liabilityrdquo is one mall and your partnership income exceeded the thresholds that will become an actual liability only when one or more future listed above You should list each tenant of the mall that events occur or fail to occur such as where you are liable only as provided more than 10 of the partnershiprsquos gross income and a guarantor surety or endorser on a promissory note If you are a the tenantrsquos address and principal business activity ldquoco-makerrdquo and are jointly liable or jointly and severally liable it is not

a contingent liability PART C mdash REAL PROPERTY Calculations To determine whether the debt exceeds your

[Required by s 1123145(3)(a)3 FS] net worth total all of your liabilities (including promissory notes mortgages credit card debts judgments against you etc) TheIn this part list the location or description of all real property in amount of the liability of a vehicle lease is the sum of any past-due Florida in which you owned directly or indirectly at any time during payments and all unpaid prospective lease payments Subtract the disclosure period in excess of 5 of the propertyrsquos value You the sum total of your liabilities from the value of all your assets are not required to list your residences You should list any vacation as calculated above for Part D This is your ldquonet worthrdquo List each homes if you derive income from them creditor to whom your debt exceeded this amount unless it is one of

Indirect ownership includes situations where you are a the types of indebtedness listed in the paragraph above (credit card beneficiary of a trust that owns the property as well as situations and retail installment accounts etc) Joint liabilities with others for where you own more than 5 of a partnership or corporation that which you are ldquojointly and severally liablerdquo meaning that you may owns the property The value of the property may be determined by be liable for either your part or the whole of the obligation should be the most recently assessed value for tax purposes in the absence included in your calculations at 100 of the amount owed of a more current appraisal

Example You owe $15000 to a bank for student loans $5000 The location or description of the property should be sufficient for credit card debts and $60000 (with spouse) to a savings to enable anyone who looks at the form to identify the property A and loan for a home mortgage Your home (owned by you and street address should be used if one exists your spouse) is worth $80000 and your other property is worth PART D mdash INTANGIBLE PERSONAL PROPERTY $20000 Since your net worth is $20000 ($100000 minus

$80000) you must report only the name and address of the [Required by s 1123145(3)(a)3 FS] savings and loan Describe any intangible personal property that at any time

during the disclosure period was worth more than 10 of your PART F mdash INTERESTS IN SPECIFIED BUSINESSES total assets and state the business entity to which the property [Required by s 1123145 FS] related Intangible personal property includes things such as cash on hand stocks bonds certificates of deposit vehicle leases The types of businesses covered in this disclosure include interests in businesses beneficial interests in trusts money owed state and federally chartered banks state and federal savings and you Deferred Retirement Option Program (DROP) accounts loan associations cemetery companies insurance companies the Florida Prepaid College Plan and bank accounts Intangible mortgage companies credit unions small loan companies alcoholic personal property also includes investment products held in IRAs beverage licensees pari-mutuel wagering companies utilitybrokerage accounts and the Florida College Investment Plan companies entities controlled by the Public Service Commission Note that the product contained in a brokerage account IRA or the and entities granted a franchise to operate by either a city or a Florida College Investment Plan is your assetmdashnot the account or county governmentplan itself Things like automobiles and houses you own jewelry Disclose in this part the fact that you owned during the and paintings are not intangible property Intangibles relating to the disclosure period an interest in or held any of certain positions same business entity may be aggregated for example CDrsquos and with the types of businesses listed above You are requiredsavings accounts with the same bank to make this disclosure if you own or owned (either directly or

Calculations To determine whether the intangible property indirectly in the form of an equitable or beneficial interest) at any exceeds 10 of your total assets total the fair market value of time during the disclosure period more than 5 of the total assets all of your assets (including real property intangible property and or capital stock of one of the types of business entities listed above tangible personal property such as jewelry furniture etc) When You also must complete this part of the form for each of these types making this calculation do not subtract any liabilities (debts) that of businesses for which you are or were at any time during themay relate to the property Multiply the total figure by 10 to arrive disclosure period an officer director partner proprietor or agent at the disclosure threshold List only the intangibles that exceed (other than a resident agent solely for service of process) this threshold amount The value of a leased vehicle is the vehiclersquos If you have or held such a position or ownership interest in present value minus the lease residual (a number which can be one of these types of businesses list the name of the business its found on the lease document) Property that is only jointly owned address and principal business activity and the position held with property should be valued according to the percentage of your the business (if any) If you own(ed) more than a 5 interest in the joint ownership Property owned as tenants by the entirety or as business indicate that fact and describe the nature of your interest joint tenants with right of survivorship should be valued at 100 None of your calculations or the value of the property have to be PART G mdash TRAINING CERTIFICATIONdisclosed on the form

[Required by s 1123142 FS] Example You own 50 of the stock of a small corporation that is worth $100000 the estimated fair market value of If you are a Constitutional or elected municipal officer whoseyour home and other property (bank accounts automobile service began before March 31 of the year for which you are filing furniture etc) is $200000 As your total assets are worth you are required to complete four hours of ethics training which $250000 you must disclose intangibles worth over $25000 addresses Article II Section 8 of the Florida Constitution the Code Since the value of the stock exceeds this threshold you of Ethics for Public Officers and Employees and the public records should list ldquostockrdquo and the name of the corporation If your and open meetings laws of the state You are required to certify on accounts with a particular bank exceed $25000 you should this form that you have taken such training list ldquobank accountsrdquo and bankrsquos name

(

End of Percentage Thresholds Instructions) CE FORM 1 - Effective January 1 2020 Incorporated by reference in Rule 34-8202 FAC PAGE 6

  • 0 HP Cover Page v2
  • 1 Hawks Point Meeting Invite Draft v2
  • 2 Agenda Draft v3
  • 3 EXHIBIT 1
  • 7 HP 05-19-2020 Meeting Minutes Approved
  • 6 EXHIBIT 2
  • 9 HP May FY20 Fin
  • 8 EXHIBIT 3
  • 4 Vacant Position Qualification Requirements for Hawks Point CDD
    • Vacant Position on the Board of Supervisors of the Hawkrsquos Point Community Development District
      • Qualification Requirements
      • Instructions for Interested Candidates
      • Additional Notes
          • 5 Shami Choon Vacant Position - updated 11-5-11 resume
            • 1803 Oak Pond Street Ruskin Fl 33570 E-mailchoons27gmailcom
              • PROFESSIONAL HISTORY
                • Operations Manager Florida Distribution 2002 ndash 2005
                • Operations Manager for Florida Branch Distribution 1999 ndash 2002
                • Warehouse Manager of Miami Distribution Center 1998 ndash 1999
                • Branch Manager of West Palm Beach 1994 ndash 1998
                • Assistant Branch Manager 1991 ndash 1994
                • Customer Service Agent 1990 ndash 1991
                  • 10 EXHIBIT 4
                  • 11 New Business - Hawks Point CDD - MI proposal
                  • 12 EXHIBIT 5
                  • 13 CertaPro Proposal to Paint Exterior Wall 18th to 24th Avenue
                  • 14 Shazam Construction Proposal to Paint Exterior Wall 18th to 24th Street
                    • QUOTE
                      • TO
                          • 15 Photo to accompany Shazam Proposal
                          • 16 EXHIBIT 6
                          • 17 CertaPro Proposal for Pressure Washing Exterior Wall 18th St to 24th Street
                          • 18 Shazam Construction Proposal for Pressure Washing Exterion Wall 18th Street to 24th Street
                            • QUOTE
                              • TO
                                  • 19 EXHIBIT 7
                                  • 20 Form 1_2019i
                                      1. LAST NAME
                                      2. FIRST NAME
                                      3. MIDDLE NAME
                                      4. MAILING ADDRESS ROW 1
                                      5. MAILING ADDRESS ROW 2
                                      6. CITY
                                      7. ZIP
                                      8. COUNTY
                                      9. NAME OF AGENCY
                                      10. NAME OF OFFICE OR POSITION HELD OR SOUGHT
                                      11. CANDIDATE Off
                                      12. NEW EMPLOYEE OR APPOINTEE Off
                                      13. COMPARATIVE (PERCENTAGE) THRESHOLDS Off
                                      14. DOLLAR VALUE THRESHOLDS Off
                                      15. NAME OF SOURCE INCOME ROW 1
                                      16. ADDRESS ROW 1
                                      17. DESCRIPTION OF THE SOURCES PRINCIPAL BUSINESS ACTIVITY ROW 1
                                      18. NAME OF SOURCE INCOME ROW 2
                                      19. ADDRESS ROW 2
                                      20. DESCRIPTION OF THE SOURCES PRINCIPAL BUSINESS ACTIVITY ROW 2
                                      21. NAME OF SOURCE INCOME ROW 3
                                      22. ADDRESS ROW 3
                                      23. DESCRIPTION OF THE SOURCES PRINCIPAL BUSINESS ACTIVITY ROW 3
                                      24. NAME OF SOURCE INCOME ROW 4
                                      25. ADDRESS ROW 4
                                      26. DESCRIPTION OF THE SOURCES PRINCIPAL BUSINESS ACTIVITY ROW 4
                                      27. NAME OF BUSINESS ENTITY ROW 1
                                      28. NAME OF MAJOR SOURCES OF BUSINESS INCOME ROW 1
                                      29. ADDRESS OF SOURCE ROW 1
                                      30. PRINCIPAL BUSINESS ACTIVITY OF SOURCE ROW 1
                                      31. NAME OF BUSINESS ENTITY ROW 2
                                      32. NAME OF MAJOR SOURCES OF BUSINESS INCOME ROW 2
                                      33. ADDRESS OF SOURCE ROW 2
                                      34. PRINCIPAL BUSINESS ACTIVITY OF SOURCE ROW 2
                                      35. NAME OF BUSINESS ENTITY ROW 3
                                      36. NAME OF MAJOR SOURCES OF BUSINESS INCOME ROW 3
                                      37. ADDRESS OF SOURCE ROW 3
                                      38. PRINCIPAL BUSINESS ACTIVITY OF SOURCE ROW 3
                                      39. REAL PROPERTY ROW 1
                                      40. REAL PROPERTY ROW 2
                                      41. REAL PROPERTY ROW 3
                                      42. REAL PROPERTY ROW 4
                                      43. TYPE OF INTANGIBLE ROW 1
                                      44. BUSINESS ENTITY TO WHICH THE PROPERTY RELATES ROW 1
                                      45. TYPE OF INTANGIBLE ROW 2
                                      46. BUSINESS ENTITY TO WHICH THE PROPERTY RELATES ROW 2
                                      47. NAME OF CREDITOR ROW 1
                                      48. ADDRESS OF CREDITOR ROW 1
                                      49. NAME OF CREDITOR ROW 2
                                      50. ADDRESS OF CREDITOR ROW 2
                                      51. ADDRESS OF BUSINESS ENTITY 1
                                      52. PRINCIPAL BUSINESS ACTIVITY 1
                                      53. POSITION HELD WITH ENTITY 1
                                      54. I OWN MORE THAN A 5 INTEREST IN THE BUSINESS 1
                                      55. NATURE OF MY OWNERSHIP INTEREST 1
                                      56. ADDRESS OF BUSINESS ENTITY 2
                                      57. PRINCIPAL BUSINESS ACTIVITY 2
                                      58. POSITION HELD WITH ENTITY 2
                                      59. I OWN MORE THAN A 5 INTEREST IN THE BUSINESS 2
                                      60. NATURE OF MY OWNERSHIP INTEREST 2
                                      61. FOR ELECTED MUNICIPAL OFFICERS REQUIRED TO COMPLETE ANNUAL ETHICS TRAINING PURSUANT TO SECTION 112
                                        1. 3142 F
                                          1. S Off
                                              1. IF ANY OF PARTS A THROUGH G ARE CONTINUED ON A SEPARATE SHEET PLEASE CHECK HERE Off
                                              2. SIGNATURE
                                              3. Date Signed
Page 37: HAWKS POINT COMMUNITY DEVELOPMENT …...2020/06/16  · Hawks Point Community Development District Board of Supervisors Meeting Tuesday, June 16th at 6:30 PM via Zoom All: We welcome

Examplesmdash You are the sole proprietor of a dry cleaning business fromwhich you received more than 10 of your gross incomemdashanamount that was more than $1500 If only one customer auniform rental company provided more than 10 of your drycleaning business you must list the name of the uniform rentalcompany its address and its principal business activity (uniform rentals) mdash You are a 20 partner in a partnership that owns a shopping mall and your partnership income exceeded the thresholds listed above You should list each tenant of the mall that provided more than 10 of the partnershiprsquos gross income and the tenantrsquos address and principal business activity

PART C mdash REAL PROPERTY[Required by s 1123145(3)(a)3 FS]In this part list the location or description of all real property in

Florida in which you owned directly or indirectly at any time during the disclosure period in excess of 5 of the propertyrsquos value You are not required to list your residences You should list any vacation homes if you derive income from them

Indirect ownership includes situations where you are abeneficiary of a trust that owns the property as well as situations where you own more than 5 of a partnership or corporation thatowns the property The value of the property may be determined by the most recently assessed value for tax purposes in the absence of a more current appraisal

The location or description of the property should be sufficient to enable anyone who looks at the form to identify the property Astreet address should be used if one exists PART D mdash INTANGIBLE PERSONAL PROPERTY

[Required by s 1123145(3)(a)3 FS]Describe any intangible personal property that at any time

during the disclosure period was worth more than 10 of your total assets and state the business entity to which the property related Intangible personal property includes things such as cash on hand stocks bonds certificates of deposit vehicle leases interests in businesses beneficial interests in trusts money owed you Deferred Retirement Option Program (DROP) accounts the Florida Prepaid College Plan and bank accounts Intangiblepersonal property also includes investment products held in IRAs brokerage accounts and the Florida College Investment Plan Note that the product contained in a brokerage account IRA or the Florida College Investment Plan is your assetmdashnot the account or plan itself Things like automobiles and houses you own jewelryand paintings are not intangible property Intangibles relating to the same business entity may be aggregated for example CDrsquos and savings accounts with the same bank

Calculations To determine whether the intangible property exceeds 10 of your total assets total the fair market value of all of your assets (including real property intangible property and tangible personal property such as jewelry furniture etc) When making this calculation do not subtract any liabilities (debts) that may relate to the property Multiply the total figure by 10 to arrive at the disclosure threshold List only the intangibles that exceed this threshold amount The value of a leased vehicle is the vehiclersquos present value minus the lease residual (a number which can be found on the lease document) Property that is only jointly owned property should be valued according to the percentage of your joint ownership Property owned as tenants by the entirety or as joint tenants with right of survivorship should be valued at 100 None of your calculations or the value of the property have to be disclosed on the form

Example You own 50 of the stock of a small corporation that is worth $100000 the estimated fair market value of your home and other property (bank accounts automobile furniture etc) is $200000 As your total assets are worth $250000 you must disclose intangibles worth over $25000 Since the value of the stock exceeds this threshold you should list ldquostockrdquo and the name of the corporation If your accounts with a particular bank exceed $25000 you should list ldquobank accountsrdquo and bankrsquos name

PART E mdash LIABILITIES[Required by s 1123145(3)(b)4 FS]List the name and address of each creditor to whom you owed

any amount that at any time during the disclosure period exceeded your net worth You are not required to list the amount of any debt or your net worth You do not have to disclose credit card and retail installment accounts taxes owed (unless reduced to a judgment) indebtedness on a life insurance policy owed to the company of issuance or contingent liabilities A ldquocontingent liabilityrdquo is one that will become an actual liability only when one or more future events occur or fail to occur such as where you are liable only as a guarantor surety or endorser on a promissory note If you are a ldquoco-makerrdquo and are jointly liable or jointly and severally liable it is not a contingent liability

Calculations To determine whether the debt exceeds your net worth total all of your liabilities (including promissory notes mortgages credit card debts judgments against you etc) Theamount of the liability of a vehicle lease is the sum of any past-due payments and all unpaid prospective lease payments Subtract the sum total of your liabilities from the value of all your assets as calculated above for Part D This is your ldquonet worthrdquo List each creditor to whom your debt exceeded this amount unless it is one of the types of indebtedness listed in the paragraph above (credit card and retail installment accounts etc) Joint liabilities with others for which you are ldquojointly and severally liablerdquo meaning that you may be liable for either your part or the whole of the obligation should be included in your calculations at 100 of the amount owed

Example You owe $15000 to a bank for student loans $5000 for credit card debts and $60000 (with spouse) to a savings and loan for a home mortgage Your home (owned by you and your spouse) is worth $80000 and your other property is worth $20000 Since your net worth is $20000 ($100000 minus $80000) you must report only the name and address of the savings and loan

PART F mdash INTERESTS IN SPECIFIED BUSINESSES[Required by s 1123145 FS]The types of businesses covered in this disclosure include

state and federally chartered banks state and federal savings and loan associations cemetery companies insurance companies mortgage companies credit unions small loan companies alcoholic beverage licensees pari-mutuel wagering companies utilitycompanies entities controlled by the Public Service Commission and entities granted a franchise to operate by either a city or acounty government

Disclose in this part the fact that you owned during the disclosure period an interest in or held any of certain positions with the types of businesses listed above You are required to make this disclosure if you own or owned (either directly orindirectly in the form of an equitable or beneficial interest) at any time during the disclosure period more than 5 of the total assets or capital stock of one of the types of business entities listed above You also must complete this part of the form for each of these types of businesses for which you are or were at any time during thedisclosure period an officer director partner proprietor or agent (other than a resident agent solely for service of process)

If you have or held such a position or ownership interest in one of these types of businesses list the name of the business its address and principal business activity and the position held with the business (if any) If you own(ed) more than a 5 interest in the business indicate that fact and describe the nature of your interest

PART G mdash TRAINING CERTIFICATION[Required by s 1123142 FS]If you are a Constitutional or elected municipal officer whose

service began before March 31 of the year for which you are filing you are required to complete four hours of ethics training which addresses Article II Section 8 of the Florida Constitution the Code of Ethics for Public Officers and Employees and the public records and open meetings laws of the state You are required to certify on this form that you have taken such training (End of Percentage Thresholds Instructions)

CE FORM 1 - Effective January 1 2020 Incorporated by reference in Rule 34-8202 FAC PAGE 6

NOTICE Annual Statements of Financial Interests are due July 1 If the annual form is not filed or postmarked by September 1 an automatic fine of $25 for each day late will be imposed up to a maximum penalty of $1500 Failure to file also can result in removal from public office or employment [s 1123145 FS]

In addition failure to make any required disclosure constitutes grounds for and may be punished by one or more of the following disqualification from being on the ballot impeachment removal or suspension from office or employment demotion reduction in salary reprimand or a civil penalty not exceeding $10000 [s 112317 FS]

WHO MUST FILE FORM 1 1) Elected public officials not serving in a political subdivision of the

state and any person appointed to fill a vacancy in such office unlessrequired to file full disclosure on Form 62) Appointed members of each board commission authority

or council having statewide jurisdiction excluding members of solelyadvisory bodies but including judicial nominating commission membersDirectors of Enterprise Florida Scripps Florida Funding Corporationand Career Source Florida and members of the Council on the Social Status of Black Men and Boys the Executive Director Governors and senior managers of Citizens Property Insurance CorporationGovernors and senior managers of Florida Workers Compensation JointUnderwriting Association board members of the Northeast Fla RegionalTransportation Commission board members of Triumph Gulf Coast Incboard members of Florida Is For Veterans Inc and members of the Technology Advisory Council within the Agency for State Technology3) The Commissioner of Education members of the State Board

of Education the Board of Governors the local Boards of Trustees and Presidents of state universities and the Florida Prepaid College Board 4) Persons elected to office in any political subdivision (such as

municipalities counties and special districts) and any person appointedto fill a vacancy in such office unless required to file Form 65) Appointed members of the following boards councils

commissions authorities or other bodies of county municipality schooldistrict independent special district or other political subdivision thegoverning body of the subdivision community college or junior collegedistrict boards of trustees boards having the power to enforce local codeprovisions boards of adjustment community redevelopment agenciesplanning or zoning boards having the power to recommend create ormodify land planning or zoning within a political subdivision except forcitizen advisory committees technical coordinating committees andsimilar groups who only have the power to make recommendationsto planning or zoning boards and except for representatives of a military installation acting on behalf of all military installations within thatjurisdiction pension or retirement boards empowered to invest pensionor retirement funds or determine entitlement to or amount of pensions orother retirement benefits and the Pinellas County Construction LicensingBoard 6) Any appointed member of a local government board who

is required to file a statement of financial interests by the appointingauthority or the enabling legislation ordinance or resolution creating theboard 7) Persons holding any of these positions in local government

mayor county or city manager chief administrative employee or finance

director of a county municipality or other political subdivision county or municipal attorney chief county or municipal building inspectorcounty or municipal water resources coordinator county or municipalpollution control director county or municipal environmental control director county or municipal administrator with power to grant or denya land development permit chief of police fire chief municipal clerkappointed district school superintendent community college presidentdistrict medical examiner purchasing agent (regardless of title) havingthe authority to make any purchase exceeding $35000 for the localgovernmental unit8) Officers and employees of entities serving as chief administrative

officer of a political subdivision9) Members of governing boards of charter schools operated by a

city or other public entity10) Employees in the office of the Governor or of a Cabinet member

who are exempt from the Career Service System excluding secretarialclerical and similar positions11) The following positions in each state department commission

board or council Secretary Assistant or Deputy Secretary ExecutiveDirector Assistant or Deputy Executive Director and anyone having thepower normally conferred upon such persons regardless of title12) The following positions in each state department or division

Director Assistant or Deputy Director Bureau Chief and any personhaving the power normally conferred upon such persons regardless oftitle 13) Assistant State Attorneys Assistant Public Defenders criminal

conflict and civil regional counsel and assistant criminal conflict and civilregional counsel Public Counsel full-time state employees serving ascounsel or assistant counsel to a state agency administrative law judgesand hearing officers14) The Superintendent or Director of a state mental health institute

established for training and research in the mental health field or anymajor state institution or facility established for corrections trainingtreatment or rehabilitation 15) State agency Business Managers Finance and Accounting

Directors Personnel Officers Grant Coordinators and purchasingagents (regardless of title) with power to make a purchase exceeding$35000 16) The following positions in legislative branch agencies each

employee (other than those employed in maintenance clerical secretarial or similar positions and legislative assistants exempted by the presiding officer of their house) and each employee of theCommission on Ethics

INSTRUCTIONS FOR COMPLETING FORM 1 INTRODUCTORY INFORMATION (Top of Form) If your name mailing address public agency and position are already printed on the form you do not need to provide this information unless it should be changed To change any of this information write the correct information on the form and contact your agencys financial disclosure coordinator You can find your coordinator on the Commission on Ethics website wwwethics stateflus NAME OF AGENCY The name of the governmental unit which you serve or served by which you are or were employed or for which you are a candidate DISCLOSURE PERIOD The ldquodisclosure periodrdquo for your report is the calendar year ending December 31 2019

OFFICE OR POSITION HELD OR SOUGHT The title of the office or position you hold are seeking or held during the disclosure period even if you have since left that position If you are a candidate for office or are a new employee or appointee check the appropriate box PUBLIC RECORD The disclosure form and everythingattached to it is a public record Your Social Security Number is not required and you should redact it from any documents you file If you are an active or former officer or employee listed in Section 119071 FS whose home address is exempt from disclosure the Commission will maintain that confidentiality if you submit a written request

CE FORM 1 - Effective January 1 2020 Incorporated by reference in Rule 34-8202 FAC PAGE 3

PART E mdash LIABILITIES[Required by s 1123145(3)(b)4 FS]List the name and address of each creditor to whom you owed more

than $10000 at any time during the disclosure period The amount of theliability of a vehicle lease is the sum of any past-due payments and allunpaid prospective lease payments You are not required to list the amountof any debt You do not have to disclose credit card and retail installmentaccounts taxes owed (unless reduced to a judgment) indebtedness ona life insurance policy owed to the company of issuance or contingentliabilities A ldquocontingent liabilityrdquo is one that will become an actual liabilityonly when one or more future events occur or fail to occur such as whereyou are liable only as a guarantor surety or endorser on a promissorynote If you are a ldquoco-makerrdquo and are jointly liable or jointly and severallyliable then it is not a contingent liability

PART F mdash INTERESTS IN SPECIFIED BUSINESSES[Required by s 1123145(6) FS]The types of businesses covered in this disclosure include state and

federally chartered banks state and federal savings and loan associationscemetery companies insurance companies mortgage companies creditunions small loan companies alcoholic beverage licensees pari-mutuelwagering companies utility companies entities controlled by the PublicService Commission and entities granted a franchise to operate by either acity or a county government

Disclose in this part the fact that you owned during the disclosure period aninterest in or held any of certain positions with the types of businesses listedabove You must make this disclosure if you own or owned (either directly orindirectly in the form of an equitable or beneficial interest) at any time duringthe disclosure period more than 5 of the total assets or capital stock ofone of the types of business entities listed above You also must completethis part of the form for each of these types of businesses for which youare or were at any time during the disclosure period an officer directorpartner proprietor or agent (other than a resident agent solely for service ofprocess)

If you have or held such a position or ownership interest in one ofthese types of businesses list the name of the business its address andprincipal business activity and the position held with the business (if any) Ifyou own(ed) more than a 5 interest in the business indicate that fact anddescribe the nature of your interest

PART G mdash TRAINING CERTIFICATION[Required by s 1123142 FS]If you are a Constitutional or elected municipal officer whose

service began before March 31 of the year for which you are filingyou are required to complete four hours of ethics training which addresses Article II Section 8 of the Florida Constitution the Codeof Ethics for Public Officers and Employees and the public recordsand open meetings laws of the state You are required to certify onthis form that you have taken such training

(End of Dollar Value Thresholds Instructions)

PART A mdash PRIMARY SOURCES OF INCOME[Required by s 1123145(3)(a)1 FS]Part A is intended to require the disclosure of your principal

sources of income during the disclosure period You do not haveto disclose any public salary or public position(s) but income from these public sources should be included when calculating your gross income for the disclosure period The income of your spouse need not be disclosed however if there is joint income to you and your spouse from property you own jointly (such as interest or dividends from a bank account or stocks) you should include all of that income when calculating your gross income and disclose the source of that income if it exceeded the threshold

Please list in this part of the form the name address and principal business activity of each source of your income whichexceeded 5 of the gross income received by you in your own name or by any other person for your benefit or use during the disclosure period

Gross income means the same as it does for income tax purposes even if the income is not actually taxable such as interest on tax-free bonds Examples include compensation for servicesincome from business gains from property dealings interest rents dividends pensions IRA distributions social security distributive share of partnership gross income and alimony but not child support

Examplesmdash If you were employed by a company that manufactures computers and received more than 5 of your gross income from the company list the name of the company its address and its principal business activity (computer manufacturing)mdash If you were a partner in a law firm and your distributive share of partnership gross income exceeded 5 of your gross income then list the name of the firm its address and its principal business activity (practice of law)mdash If you were the sole proprietor of a retail gift business andyour gross income from the business exceeded 5 of your total gross income list the name of the business its addressand its principal business activity (retail gift sales)mdash If you received income from investments in stocks and bonds list each individual company from which you derived

more than 5 of your gross income Do not aggregate all of your investment incomemdash If more than 5 of your gross income was gain from the sale of property (not just the selling price) list as a source of income the purchaserrsquos name address and principal business activityIf the purchasers identity is unknown such as where securities listed on an exchange are sold through a brokerage firm the source of income should be listed as sale of (name of company)stock for examplemdash If more than 5 of your gross income was in the form of interest from one particular financial institution (aggregatinginterest from all CDrsquos accounts etc at that institution) list the name of the institution its address and its principal business activity

PART B mdash SECONDARY SOURCES OF INCOME[Required by s 1123145(3)(a)2 FS]This part is intended to require the disclosure of major customers

clients and other sources of income to businesses in which you ownan interest It is not for reporting income from second jobs That kindof income should be reported in Part A Primary Sources of Incomeif it meets the reporting threshold You will not have anything to reportunless during the disclosure period

(1) You owned (either directly or indirectly in the form of anequitable or beneficial interest) more than 5 of the total assetsor capital stock of a business entity (a corporation partnershipLLC limited partnership proprietorship joint venture trust firmetc doing business in Florida) and(2) You received more than 10 of your gross income from thatbusiness entity and(3) You received more than $1500 in gross income from thatbusiness entity

If your interests and gross income exceeded these thresholds thenfor that business entity you must list every source of income to thebusiness entity which exceeded 10 of the business entityrsquos grossincome (computed on the basis of the business entityrsquos most recentlycompleted fiscal year) the sourcersquos address and the sourcersquosprincipal business activity

IF YOU HAVE CHOSEN COMPARATIVE (PERCENTAGE) THRESHOLDSTHE FOLLOWING INSTRUCTIONS APPLY

CE FORM 1 - Effective January 1 2020 Incorporated by reference in Rule 34-8202 FAC PAGE 5

MANNER OF CALCULATING REPORTABLE INTEREST Filers have the option of reporting based on either thresholds that are comparative (usually based on percentage values) or thresholds that are based on absolute dollar values The instructions on the following pages specifically describe the different thresholds Check the box that reflects the choice you have made You must use the type of threshold you have chosen for each part of the form In other words if you choose to report based on absolute dollar value thresholds you cannot use a percentage threshold on any part of the form

IF YOU HAVE CHOSEN DOLLAR VALUE THRESHOLDS THE FOLLOWING INSTRUCTIONS APPLY

PART A mdash PRIMARY SOURCES OF INCOME [Required by s 1123145(3)(b)1 FS] Part A is intended to require the disclosure of your principal

sources of income during the disclosure period You do not have todisclose any public salary or public position(s) The income of yourspouse need not be disclosed however if there is joint income toyou and your spouse from property you own jointly (such as interestor dividends from a bank account or stocks) you should disclose thesource of that income if it exceeded the threshold

Please list in this part of the form the name address andprincipal business activity of each source of your income whichexceeded $2500 of gross income received by you in your own name or by any other person for your use or benefit

Gross income means the same as it does for income tax purposes even if the income is not actually taxable such as interest on tax-free bonds Examples include compensation for servicesincome from business gains from property dealings interest rentsdividends pensions IRA distributions social security distributive share of partnership gross income and alimony but not child support

Examples mdash If you were employed by a company that manufacturescomputers and received more than $2500 list the name of thecompany its address and its principal business activity (computermanufacturing) mdash If you were a partner in a law firm and your distributive shareof partnership gross income exceeded $2500 list the name ofthe firm its address and its principal business activity (practice oflaw) mdash If you were the sole proprietor of a retail gift business and yourgross income from the business exceeded $2500 list the nameof the business its address and its principal business activity(retail gift sales) mdash If you received income from investments in stocks and bondslist each individual company from which you derived more than$2500 Do not aggregate all of your investment income mdash If more than $2500 of your gross income was gain from thesale of property (not just the selling price) list as a source ofincome the purchaserrsquos name address and principal businessactivity If the purchaserrsquos identity is unknown such as wheresecurities listed on an exchange are sold through a brokeragefirm the source of income should be listed as sale of (name of company) stock for example mdash If more than $2500 of your gross income was in the formof interest from one particular financial institution (aggregatinginterest from all CDrsquos accounts etc at that institution) list the name of the institution its address and its principal business activity

PART B mdash SECONDARY SOURCES OF INCOME [Required by s 1123145(3)(b)2 FS] This part is intended to require the disclosure of major customers

clients and other sources of income to businesses in which you own aninterest It is not for reporting income from second jobs That kind of incomeshould be reported in Part A Primary Sources of Income if it meets thereporting threshold You will not have anything to report unless during thedisclosure period

(1) You owned (either directly or indirectly in the form of an equitableor beneficial interest) more than 5 of the total assets or capitalstock of a business entity (a corporation partnership LLC limitedpartnership proprietorship joint venture trust firm etc doing business in Florida) and (2) You received more than $5000 of your gross income during thedisclosure period from that business entity

If your interests and gross income exceeded these thresholds then for thatbusiness entity you must list every source of income to the business entitywhich exceeded 10 of the business entityrsquos gross income (computed onthe basis of the business entitys most recently completed fiscal year) thesourcersquos address and the sources principal business activity

Examples mdash You are the sole proprietor of a dry cleaning business from whichyou received more than $5000 If only one customer a uniform rentalcompany provided more than 10 of your dry cleaning business youmust list the name of the uniform rental company its address and itsprincipal business activity (uniform rentals) mdash You are a 20 partner in a partnership that owns a shopping malland your partnership income exceeded the above thresholds List eachtenant of the mall that provided more than 10 of the partnershipsgross income and the tenants address and principal business activity

PART C mdash REAL PROPERTY [Required by s 1123145(3)(b)3 FS] In this part list the location or description of all real property in Florida

in which you owned directly or indirectly at any time during the disclosureperiod in excess of 5 of the propertyrsquos value You are not required to listyour residences You should list any vacation homes if you derive incomefrom them

Indirect ownership includes situations where you are a beneficiary of atrust that owns the property as well as situations where you own more than5 of a partnership or corporation that owns the property The value of theproperty may be determined by the most recently assessed value for taxpurposes in the absence of a more current appraisal

The location or description of the property should be sufficient toenable anyone who looks at the form to identify the property A streetaddress should be used if one exists

PART D mdash INTANGIBLE PERSONAL PROPERTY [Required by s 1123145(3)(b)3 FS] Describe any intangible personal property that at any time during the

disclosure period was worth more than $10000 and state the businessentity to which the property related Intangible personal property includesthings such as cash on hand stocks bonds certificates of deposit vehicleleases interests in businesses beneficial interests in trusts money owedyou Deferred Retirement Option Program (DROP) accounts the FloridaPrepaid College Plan and bank accounts Intangible personal propertyalso includes investment products held in IRAs brokerage accounts andthe Florida College Investment Plan Note that the product contained in a brokerage account IRA or the Florida College Investment Plan is yourassetmdashnot the account or plan itself Things like automobiles and housesyou own jewelry and paintings are not intangible property Intangiblesrelating to the same business entity may be aggregated for example CDsand savings accounts with the same bank Property owned as tenants bythe entirety or as joint tenants with right of survivorship should be valued at100 The value of a leased vehicle is the vehiclersquos present value minusthe lease residual (a number found on the lease document)

CE FORM 1 - Effective January 1 2020 Incorporated by reference in Rule 34-8202 FAC PAGE 4

PART A mdash PRIMARY SOURCES OF INCOME[Required by s 1123145(3)(b)1 FS]Part A is intended to require the disclosure of your principal

sources of income during the disclosure period You do not have todisclose any public salary or public position(s) The income of yourspouse need not be disclosed however if there is joint income t oyou and your spouse from property you own jointly (such as interestor dividends from a bank account or stocks) you should disclose thesource of that income if it exceeded the threshold

Please list in this part of the form the name address andprincipal business activity of each source of your income whichexceeded $2500 of gross income received by you in your own name or by any other person for your use or benefit

Gross income means the same as it does for income taxpurposes even if the income is not actually taxable such as intereston tax-free bonds Examples include compensation for servicesincome from business gains from property dealings interest rentsdividends pensions IRA distributions social security distributiveshare of partnership gross income and alimony but not child support

Examplesmdash If you were employed by a company that manufacturescomputers and received more than $2500 list the name of thecompany its address and its principal business activity (computermanufacturing)mdash If you were a partner in a law firm and your distributive shareof partnership gross income exceeded $2500 list the name ofthe firm its address and its principal business activity (practice oflaw)mdash If you were the sole proprietor of a retail gift business and yourgross income from the business exceeded $2500 list the nameof the business its address and its principal business activity(retail gift sales)mdash If you received income from investments in stocks and bondslist each individual company from which you derived more than$2500 Do not aggregate all of your investment incomemdash If more than $2500 of your gross income was gain from thesale of property (not just the selling price) list as a source o fincome the purchaserrsquos name address and principal businessactivity If the purchaserrsquos identity is unknown such as wheresecurities listed on an exchange are sold through a brokeragefirm the source of income should be listed as sale of (name of company) stock for examplemdash If more than $2500 of your gross income was in the formof interest from one particular financial institution (aggregatinginterest from all CDrsquos accounts etc at that institution) list thename of the institution its address and its principal business activity

PART B mdash SECONDARY SOURCES OF INCOME[Required by s 1123145(3)(b)2 FS]This part is intended to require the disclosure of major customers

clients and other sources of income to businesses in which you own aninterest It is not for reporting income from second jobs That kind of incomeshould be reported in Part A Primary Sources of Income if it meets thereporting threshold You will not have anything to report unless during thedisclosure period

(1) You owned (either directly or indirectly in the form of an equitableor beneficial interest) more than 5 of the total assets or capitalstock of a business entity (a corporation partnership LLC limitedpartnership proprietorship joint venture trust firm etc doing business in Florida) and(2) You received more than $5000 of your gross income during thedisclosure period from that business entity

If your interests and gross income exceeded these thresholds then for thatbusiness entity you must list every source of income to the business entitywhich exceeded 10 of the business entityrsquos gross income (computed onthe basis of the business entitys most recently completed fiscal year) thesourcersquos address and the sources principal business activity

Examplesmdash You are the sole proprietor of a dry cleaning business from whichyou received more than $5000 If only one customer a uniform rentalcompany provided more than 10 of your dry cleaning business youmust list the name of the uniform rental company its address and itsprincipal business activity (uniform rentals)mdash You are a 20 partner in a partnership that owns a shopping malland your partnership income exceeded the above thresholds List eachtenant of the mall that provided more than 10 of the partnershipsgross income and the tenants address and principal business activity

PART C mdash REAL PROPERTY[Required by s 1123145(3)(b)3 FS]In this part list the location or description of all real property in Florida

in which you owned directly or indirectly at any time during the disclosureperiod in excess of 5 of the propertyrsquos value You are not required to listyour residences You should list any vacation homes if you derive incomefrom them

Indirect ownership includes situations where you are a beneficiary of atrust that owns the property as well as situations where you own more than5 of a partnership or corporation that owns the property The value of theproperty may be determined by the most recently assessed value for taxpurposes in the absence of a more current appraisal

The location or description of the property should be sufficient toenable anyone who looks at the form to identify the property A streetaddress should be used if one exists

PART D mdash INTANGIBLE PERSONAL PROPERTY[Required by s 1123145(3)(b)3 FS]Describe any intangible personal property that at any time during the

disclosure period was worth more than $10000 and state the businessentity to which the property related Intangible personal property includesthings such as cash on hand stocks bonds certificates of deposit vehicleleases interests in businesses beneficial interests in trusts money owedyou Deferred Retirement Option Program (DROP) accounts the FloridaPrepaid College Plan and bank accounts Intangible personal propertyalso includes investment products held in IRAs brokerage accounts andthe Florida College Investment Plan Note that the product contained ina brokerage account IRA or the Florida College Investment Plan is yourassetmdashnot the account or plan itself Things like automobiles and housesyou own jewelry and paintings are not intangible property Intangiblesrelating to the same business entity may be aggregated for example CDsand savings accounts with the same bank Property owned as tenants bythe entirety or as joint tenants with right of survivorship should be valued at100 The value of a leased vehicle is the vehiclersquos present value minusthe lease residual (a number found on the lease document)

Filers have the option of reporting based on either thresholds that are comparative (usually based on percentage values) orthresholds that are based on absolute dollar values The instructions on the following pages specifically describe the differentthresholds Check the box that reflects the choice you have made You must use the type of threshold you have chosen for eachpart of the form In other words if you choose to report based on absolute dollar value thresholds you cannot use a percentagethreshold on any part of the form

MANNER OF CALCULATING REPORTABLE INTEREST

IF YOU HAVE CHOSEN DOLLAR VALUE THRESHOLDSTHE FOLLOWING INSTRUCTIONS APPLY

CE FORM 1 - Effective January 1 2020 Incorporated by reference in Rule 34-8202 FAC PAGE 4

PART E mdash LIABILITIES [Required by s 1123145(3)(b)4 FS] List the name and address of each creditor to whom you owed more

than $10000 at any time during the disclosure period The amount of theliability of a vehicle lease is the sum of any past-due payments and allunpaid prospective lease payments You are not required to list the amountof any debt You do not have to disclose credit card and retail installmentaccounts taxes owed (unless reduced to a judgment) indebtedness ona life insurance policy owed to the company of issuance or contingentliabilities A ldquocontingent liabilityrdquo is one that will become an actual liabilityonly when one or more future events occur or fail to occur such as whereyou are liable only as a guarantor surety or endorser on a promissorynote If you are a ldquoco-makerrdquo and are jointly liable or jointly and severallyliable then it is not a contingent liability

PART F mdash INTERESTS IN SPECIFIED BUSINESSES [Required by s 1123145(6) FS] The types of businesses covered in this disclosure include state and

federally chartered banks state and federal savings and loan associationscemetery companies insurance companies mortgage companies creditunions small loan companies alcoholic beverage licensees pari-mutuelwagering companies utility companies entities controlled by the PublicService Commission and entities granted a franchise to operate by either acity or a county government

Disclose in this part the fact that you owned during the disclosure period aninterest in or held any of certain positions with the types of businesses listedabove You must make this disclosure if you own or owned (either directly orindirectly in the form of an equitable or beneficial interest) at any time duringthe disclosure period more than 5 of the total assets or capital stock ofone of the types of business entities listed above You also must completethis part of the form for each of these types of businesses for which youare or were at any time during the disclosure period an officer directorpartner proprietor or agent (other than a resident agent solely for service ofprocess)

If you have or held such a position or ownership interest in one ofthese types of businesses list the name of the business its address andprincipal business activity and the position held with the business (if any) Ifyou own(ed) more than a 5 interest in the business indicate that fact anddescribe the nature of your interest

PART G mdash TRAINING CERTIFICATION [Required by s 1123142 FS] If you are a Constitutional or elected municipal officer whose

service began before March 31 of the year for which you are filingyou are required to complete four hours of ethics training which addresses Article II Section 8 of the Florida Constitution the Code of Ethics for Public Officers and Employees and the public recordsand open meetings laws of the state You are required to certify onthis form that you have taken such training

(End of Dollar Value Thresholds Instructions)

IF YOU HAVE CHOSEN COMPARATIVE (PERCENTAGE) THRESHOLDS THE FOLLOWING INSTRUCTIONS APPLY

PART A mdash PRIMARY SOURCES OF INCOME [Required by s 1123145(3)(a)1 FS] Part A is intended to require the disclosure of your principal

sources of income during the disclosure period You do not haveto disclose any public salary or public position(s) but income from these public sources should be included when calculating your gross income for the disclosure period The income of your spouse need not be disclosed however if there is joint income to you and your spouse from property you own jointly (such as interest or dividends from a bank account or stocks) you should include all of that income when calculating your gross income and disclose the source of that income if it exceeded the threshold

Please list in this part of the form the name address and principal business activity of each source of your income whichexceeded 5 of the gross income received by you in your own name or by any other person for your benefit or use during the disclosure period

Gross income means the same as it does for income tax purposes even if the income is not actually taxable such as interest on tax-free bonds Examples include compensation for servicesincome from business gains from property dealings interest rents dividends pensions IRA distributions social security distributive share of partnership gross income and alimony but not child support

Examples mdash If you were employed by a company that manufactures computers and received more than 5 of your gross income from the company list the name of the company its address and its principal business activity (computer manufacturing) mdash If you were a partner in a law firm and your distributive share of partnership gross income exceeded 5 of your gross income then list the name of the firm its address and its principal business activity (practice of law) mdash If you were the sole proprietor of a retail gift business andyour gross income from the business exceeded 5 of your total gross income list the name of the business its addressand its principal business activity (retail gift sales) mdash If you received income from investments in stocks and bonds list each individual company from which you derived

more than 5 of your gross income Do not aggregate all of your investment income mdash If more than 5 of your gross income was gain from the sale of property (not just the selling price) list as a source of income the purchaserrsquos name address and principal business activityIf the purchasers identity is unknown such as where securities listed on an exchange are sold through a brokerage firm the source of income should be listed as sale of (name of company)stock for example mdash If more than 5 of your gross income was in the form of interest from one particular financial institution (aggregatinginterest from all CDrsquos accounts etc at that institution) list the name of the institution its address and its principal business activity

PART B mdash SECONDARY SOURCES OF INCOME [Required by s 1123145(3)(a)2 FS] This part is intended to require the disclosure of major customers

clients and other sources of income to businesses in which you ownan interest It is not for reporting income from second jobs That kindof income should be reported in Part A Primary Sources of Incomeif it meets the reporting threshold You will not have anything to report unless during the disclosure period

(1) You owned (either directly or indirectly in the form of anequitable or beneficial interest) more than 5 of the total assetsor capital stock of a business entity (a corporation partnershipLLC limited partnership proprietorship joint venture trust firmetc doing business in Florida) and (2) You received more than 10 of your gross income from thatbusiness entity and (3) You received more than $1500 in gross income from thatbusiness entity

If your interests and gross income exceeded these thresholds thenfor that business entity you must list every source of income to thebusiness entity which exceeded 10 of the business entityrsquos grossincome (computed on the basis of the business entityrsquos most recentlycompleted fiscal year) the sourcersquos address and the sourcersquos principal business activity

CE FORM 1 - Effective January 1 2020 Incorporated by reference in Rule 34-8202 FAC PAGE 5

NOTICE Annual Statements of Financial Interests are due July 1 If the annual form is not filed or postmarked by September 1 an automatic fine of $25 for each day late will be imposed up to a maximum penalty of $1500 Failure to file also can result in removal from public office or employment [s 1123145 FS]

In addition failure to make any required disclosure constitutes grounds for and may be punished by one or more of the following disqualification from being on the ballot impeachment removal or suspension from office or employment demotion reduction in salary reprimand or a civil penalty not exceeding $10000 [s 112317 FS]

1) Elected public officials not serving in a political subdivision of thestate and any person appointed to fill a vacancy in such office unlessrequired to file full disclosure on Form 62) Appointed members of each board commission authority

or council having statewide jurisdiction excluding members of solelyadvisory bodies but including judicial nominating commission membersDirectors of Enterprise Florida Scripps Florida Funding Corporationand Career Source Florida and members of the Council on the SocialStatus of Black Men and Boys the Executive Director Governors and senior managers of Citizens Property Insurance CorporationGovernors and senior managers of Florida Workers Compensation JointUnderwriting Association board members of the Northeast Fla RegionalTransportation Commission board members of Triumph Gulf Coast Incboard members of Florida Is For Veterans Inc and members of theTechnology Advisory Council within the Agency for State Technology3) The Commissioner of Education members of the State Board

of Education the Board of Governors the local Boards of Trustees andPresidents of state universities and the Florida Prepaid College Board4) Persons elected to office in any political subdivision (such a s

municipalities counties and special districts) and any person appointedto fill a vacancy in such office unless required to file Form 65) Appointed members of the following boards councils

commissions authorities or other bodies of county municipality schooldistrict independent special district or other political subdivision thegoverning body of the subdivision community college or junior collegedistrict boards of trustees boards having the power to enforce local codeprovisions boards of adjustment community redevelopment agenciesplanning or zoning boards having the power to recommend create ormodify land planning or zoning within a political subdivision except forcitizen advisory committees technical coordinating committees andsimilar groups who only have the power to make recommendationsto planning or zoning boards and except for representatives of amilitary installation acting on behalf of all military installations within thatjurisdiction pension or retirement boards empowered to invest pensionor retirement funds or determine entitlement to or amount of pensions orother retirement benefits and the Pinellas County Construction LicensingBoard6) Any appointed member of a local government board who

is required to file a statement of financial interests by the appointingauthority or the enabling legislation ordinance or resolution creating theboard7) Persons holding any of these positions in local government

mayor county or city manager chief administrative employee or finance

director of a county municipality or other political subdivision countyor municipal attorney chief county or municipal building inspectorcounty or municipal water resources coordinator county or municipalpollution control director county or municipal environmental controldirector county or municipal administrator with power to grant or denya land development permit chief of police fire chief municipal clerkappointed district school superintendent community college presidentdistrict medical examiner purchasing agent (regardless of title) havingthe authority to make any purchase exceeding $35000 for the localgovernmental unit8) Officers and employees of entities serving as chief administrative

officer of a political subdivision9) Members of governing boards of charter schools operated by a

city or other public entity10) Employees in the office of the Governor or of a Cabinet member

who are exempt from the Career Service System excluding secretarialclerical and similar positions11) The following positions in each state department commission

board or council Secretary Assistant or Deputy Secretary ExecutiveDirector Assistant or Deputy Executive Director and anyone having thepower normally conferred upon such persons regardless of title12) The following positions in each state department or division

Director Assistant or Deputy Director Bureau Chief and any personhaving the power normally conferred upon such persons regardless oftitle13) Assistant State Attorneys Assistant Public Defenders criminal

conflict and civil regional counsel and assistant criminal conflict and civilregional counsel Public Counsel full-time state employees serving ascounsel or assistant counsel to a state agency administrative law judgesand hearing officers14) The Superintendent or Director of a state mental health institute

established for training and research in the mental health field or anymajor state institution or facility established for corrections trainingtreatment or rehabilitation15) State agency Business Managers Finance and Accounting

Directors Personnel Officers Grant Coordinators and purchasingagents (regardless of title) with power to make a purchase exceeding$3500016) The following positions in legislative branch agencies each

employee (other than those employed in maintenance clerical secretarial or similar positions and legislative assistants exemptedby the presiding officer of their house) and each employee of theCommission on Ethics

INSTRUCTIONS FOR COMPLETING FORM 1INTRODUCTORY INFORMATION (Top of Form) If your name mailing address public agency and position are already printed on the form you do not need to provide this information unless it should be changed To change any of this information write the correct information on the form and contact your agencys financial disclosure coordinator You can find your coordinator on the Commission on Ethics website wwwethicsstateflus NAME OF AGENCY The name of the governmental unit which you serve or served by which you are or were employed or for which you are a candidate DISCLOSURE PERIOD The ldquodisclosure periodrdquo for your report is the calendar year ending December 31 2019

OFFICE OR POSITION HELD OR SOUGHT The title of the office or position you hold are seeking or held during the disclosure period even if you have since left that position If you are a candidate for office or are a new employee or appointee check the appropriate boxPUBLIC RECORD The disclosure form and everythingattached to it is a public record Your Social Security Number is not required and you should redact it from any documents you file If you are an active or former officer or employee listed in Section 119071 FS whose home address is exempt from disclosure the Commission will maintain that confidentiality if you submit a written request

WHO MUST FILE FORM 1

CE FORM 1 - Effective January 1 2020 Incorporated by reference in Rule 34-8202 FAC PAGE 3

Examples PART E mdash LIABILITIES mdash You are the sole proprietor of a dry cleaning business from [Required by s 1123145(3)(b)4 FS]which you received more than 10 of your gross incomemdashan List the name and address of each creditor to whom you owed amount that was more than $1500 If only one customer a any amount that at any time during the disclosure period exceeded uniform rental company provided more than 10 of your dry your net worth You are not required to list the amount of any debt cleaning business you must list the name of the uniform rental or your net worth You do not have to disclose credit card and retail company its address and its principal business activity (uniform installment accounts taxes owed (unless reduced to a judgment) rentals) indebtedness on a life insurance policy owed to the company of mdash You are a 20 partner in a partnership that owns a shopping issuance or contingent liabilities A ldquocontingent liabilityrdquo is one mall and your partnership income exceeded the thresholds that will become an actual liability only when one or more future listed above You should list each tenant of the mall that events occur or fail to occur such as where you are liable only as provided more than 10 of the partnershiprsquos gross income and a guarantor surety or endorser on a promissory note If you are a the tenantrsquos address and principal business activity ldquoco-makerrdquo and are jointly liable or jointly and severally liable it is not

a contingent liability PART C mdash REAL PROPERTY Calculations To determine whether the debt exceeds your

[Required by s 1123145(3)(a)3 FS] net worth total all of your liabilities (including promissory notes mortgages credit card debts judgments against you etc) TheIn this part list the location or description of all real property in amount of the liability of a vehicle lease is the sum of any past-due Florida in which you owned directly or indirectly at any time during payments and all unpaid prospective lease payments Subtract the disclosure period in excess of 5 of the propertyrsquos value You the sum total of your liabilities from the value of all your assets are not required to list your residences You should list any vacation as calculated above for Part D This is your ldquonet worthrdquo List each homes if you derive income from them creditor to whom your debt exceeded this amount unless it is one of

Indirect ownership includes situations where you are a the types of indebtedness listed in the paragraph above (credit card beneficiary of a trust that owns the property as well as situations and retail installment accounts etc) Joint liabilities with others for where you own more than 5 of a partnership or corporation that which you are ldquojointly and severally liablerdquo meaning that you may owns the property The value of the property may be determined by be liable for either your part or the whole of the obligation should be the most recently assessed value for tax purposes in the absence included in your calculations at 100 of the amount owed of a more current appraisal

Example You owe $15000 to a bank for student loans $5000 The location or description of the property should be sufficient for credit card debts and $60000 (with spouse) to a savings to enable anyone who looks at the form to identify the property A and loan for a home mortgage Your home (owned by you and street address should be used if one exists your spouse) is worth $80000 and your other property is worth PART D mdash INTANGIBLE PERSONAL PROPERTY $20000 Since your net worth is $20000 ($100000 minus

$80000) you must report only the name and address of the [Required by s 1123145(3)(a)3 FS] savings and loan Describe any intangible personal property that at any time

during the disclosure period was worth more than 10 of your PART F mdash INTERESTS IN SPECIFIED BUSINESSES total assets and state the business entity to which the property [Required by s 1123145 FS] related Intangible personal property includes things such as cash on hand stocks bonds certificates of deposit vehicle leases The types of businesses covered in this disclosure include interests in businesses beneficial interests in trusts money owed state and federally chartered banks state and federal savings and you Deferred Retirement Option Program (DROP) accounts loan associations cemetery companies insurance companies the Florida Prepaid College Plan and bank accounts Intangible mortgage companies credit unions small loan companies alcoholic personal property also includes investment products held in IRAs beverage licensees pari-mutuel wagering companies utilitybrokerage accounts and the Florida College Investment Plan companies entities controlled by the Public Service Commission Note that the product contained in a brokerage account IRA or the and entities granted a franchise to operate by either a city or a Florida College Investment Plan is your assetmdashnot the account or county governmentplan itself Things like automobiles and houses you own jewelry Disclose in this part the fact that you owned during the and paintings are not intangible property Intangibles relating to the disclosure period an interest in or held any of certain positions same business entity may be aggregated for example CDrsquos and with the types of businesses listed above You are requiredsavings accounts with the same bank to make this disclosure if you own or owned (either directly or

Calculations To determine whether the intangible property indirectly in the form of an equitable or beneficial interest) at any exceeds 10 of your total assets total the fair market value of time during the disclosure period more than 5 of the total assets all of your assets (including real property intangible property and or capital stock of one of the types of business entities listed above tangible personal property such as jewelry furniture etc) When You also must complete this part of the form for each of these types making this calculation do not subtract any liabilities (debts) that of businesses for which you are or were at any time during themay relate to the property Multiply the total figure by 10 to arrive disclosure period an officer director partner proprietor or agent at the disclosure threshold List only the intangibles that exceed (other than a resident agent solely for service of process) this threshold amount The value of a leased vehicle is the vehiclersquos If you have or held such a position or ownership interest in present value minus the lease residual (a number which can be one of these types of businesses list the name of the business its found on the lease document) Property that is only jointly owned address and principal business activity and the position held with property should be valued according to the percentage of your the business (if any) If you own(ed) more than a 5 interest in the joint ownership Property owned as tenants by the entirety or as business indicate that fact and describe the nature of your interest joint tenants with right of survivorship should be valued at 100 None of your calculations or the value of the property have to be PART G mdash TRAINING CERTIFICATIONdisclosed on the form

[Required by s 1123142 FS] Example You own 50 of the stock of a small corporation that is worth $100000 the estimated fair market value of If you are a Constitutional or elected municipal officer whoseyour home and other property (bank accounts automobile service began before March 31 of the year for which you are filing furniture etc) is $200000 As your total assets are worth you are required to complete four hours of ethics training which $250000 you must disclose intangibles worth over $25000 addresses Article II Section 8 of the Florida Constitution the Code Since the value of the stock exceeds this threshold you of Ethics for Public Officers and Employees and the public records should list ldquostockrdquo and the name of the corporation If your and open meetings laws of the state You are required to certify on accounts with a particular bank exceed $25000 you should this form that you have taken such training list ldquobank accountsrdquo and bankrsquos name

(

End of Percentage Thresholds Instructions) CE FORM 1 - Effective January 1 2020 Incorporated by reference in Rule 34-8202 FAC PAGE 6

  • 0 HP Cover Page v2
  • 1 Hawks Point Meeting Invite Draft v2
  • 2 Agenda Draft v3
  • 3 EXHIBIT 1
  • 7 HP 05-19-2020 Meeting Minutes Approved
  • 6 EXHIBIT 2
  • 9 HP May FY20 Fin
  • 8 EXHIBIT 3
  • 4 Vacant Position Qualification Requirements for Hawks Point CDD
    • Vacant Position on the Board of Supervisors of the Hawkrsquos Point Community Development District
      • Qualification Requirements
      • Instructions for Interested Candidates
      • Additional Notes
          • 5 Shami Choon Vacant Position - updated 11-5-11 resume
            • 1803 Oak Pond Street Ruskin Fl 33570 E-mailchoons27gmailcom
              • PROFESSIONAL HISTORY
                • Operations Manager Florida Distribution 2002 ndash 2005
                • Operations Manager for Florida Branch Distribution 1999 ndash 2002
                • Warehouse Manager of Miami Distribution Center 1998 ndash 1999
                • Branch Manager of West Palm Beach 1994 ndash 1998
                • Assistant Branch Manager 1991 ndash 1994
                • Customer Service Agent 1990 ndash 1991
                  • 10 EXHIBIT 4
                  • 11 New Business - Hawks Point CDD - MI proposal
                  • 12 EXHIBIT 5
                  • 13 CertaPro Proposal to Paint Exterior Wall 18th to 24th Avenue
                  • 14 Shazam Construction Proposal to Paint Exterior Wall 18th to 24th Street
                    • QUOTE
                      • TO
                          • 15 Photo to accompany Shazam Proposal
                          • 16 EXHIBIT 6
                          • 17 CertaPro Proposal for Pressure Washing Exterior Wall 18th St to 24th Street
                          • 18 Shazam Construction Proposal for Pressure Washing Exterion Wall 18th Street to 24th Street
                            • QUOTE
                              • TO
                                  • 19 EXHIBIT 7
                                  • 20 Form 1_2019i
                                      1. LAST NAME
                                      2. FIRST NAME
                                      3. MIDDLE NAME
                                      4. MAILING ADDRESS ROW 1
                                      5. MAILING ADDRESS ROW 2
                                      6. CITY
                                      7. ZIP
                                      8. COUNTY
                                      9. NAME OF AGENCY
                                      10. NAME OF OFFICE OR POSITION HELD OR SOUGHT
                                      11. CANDIDATE Off
                                      12. NEW EMPLOYEE OR APPOINTEE Off
                                      13. COMPARATIVE (PERCENTAGE) THRESHOLDS Off
                                      14. DOLLAR VALUE THRESHOLDS Off
                                      15. NAME OF SOURCE INCOME ROW 1
                                      16. ADDRESS ROW 1
                                      17. DESCRIPTION OF THE SOURCES PRINCIPAL BUSINESS ACTIVITY ROW 1
                                      18. NAME OF SOURCE INCOME ROW 2
                                      19. ADDRESS ROW 2
                                      20. DESCRIPTION OF THE SOURCES PRINCIPAL BUSINESS ACTIVITY ROW 2
                                      21. NAME OF SOURCE INCOME ROW 3
                                      22. ADDRESS ROW 3
                                      23. DESCRIPTION OF THE SOURCES PRINCIPAL BUSINESS ACTIVITY ROW 3
                                      24. NAME OF SOURCE INCOME ROW 4
                                      25. ADDRESS ROW 4
                                      26. DESCRIPTION OF THE SOURCES PRINCIPAL BUSINESS ACTIVITY ROW 4
                                      27. NAME OF BUSINESS ENTITY ROW 1
                                      28. NAME OF MAJOR SOURCES OF BUSINESS INCOME ROW 1
                                      29. ADDRESS OF SOURCE ROW 1
                                      30. PRINCIPAL BUSINESS ACTIVITY OF SOURCE ROW 1
                                      31. NAME OF BUSINESS ENTITY ROW 2
                                      32. NAME OF MAJOR SOURCES OF BUSINESS INCOME ROW 2
                                      33. ADDRESS OF SOURCE ROW 2
                                      34. PRINCIPAL BUSINESS ACTIVITY OF SOURCE ROW 2
                                      35. NAME OF BUSINESS ENTITY ROW 3
                                      36. NAME OF MAJOR SOURCES OF BUSINESS INCOME ROW 3
                                      37. ADDRESS OF SOURCE ROW 3
                                      38. PRINCIPAL BUSINESS ACTIVITY OF SOURCE ROW 3
                                      39. REAL PROPERTY ROW 1
                                      40. REAL PROPERTY ROW 2
                                      41. REAL PROPERTY ROW 3
                                      42. REAL PROPERTY ROW 4
                                      43. TYPE OF INTANGIBLE ROW 1
                                      44. BUSINESS ENTITY TO WHICH THE PROPERTY RELATES ROW 1
                                      45. TYPE OF INTANGIBLE ROW 2
                                      46. BUSINESS ENTITY TO WHICH THE PROPERTY RELATES ROW 2
                                      47. NAME OF CREDITOR ROW 1
                                      48. ADDRESS OF CREDITOR ROW 1
                                      49. NAME OF CREDITOR ROW 2
                                      50. ADDRESS OF CREDITOR ROW 2
                                      51. ADDRESS OF BUSINESS ENTITY 1
                                      52. PRINCIPAL BUSINESS ACTIVITY 1
                                      53. POSITION HELD WITH ENTITY 1
                                      54. I OWN MORE THAN A 5 INTEREST IN THE BUSINESS 1
                                      55. NATURE OF MY OWNERSHIP INTEREST 1
                                      56. ADDRESS OF BUSINESS ENTITY 2
                                      57. PRINCIPAL BUSINESS ACTIVITY 2
                                      58. POSITION HELD WITH ENTITY 2
                                      59. I OWN MORE THAN A 5 INTEREST IN THE BUSINESS 2
                                      60. NATURE OF MY OWNERSHIP INTEREST 2
                                      61. FOR ELECTED MUNICIPAL OFFICERS REQUIRED TO COMPLETE ANNUAL ETHICS TRAINING PURSUANT TO SECTION 112
                                        1. 3142 F
                                          1. S Off
                                              1. IF ANY OF PARTS A THROUGH G ARE CONTINUED ON A SEPARATE SHEET PLEASE CHECK HERE Off
                                              2. SIGNATURE
                                              3. Date Signed
Page 38: HAWKS POINT COMMUNITY DEVELOPMENT …...2020/06/16  · Hawks Point Community Development District Board of Supervisors Meeting Tuesday, June 16th at 6:30 PM via Zoom All: We welcome

PART E mdash LIABILITIES[Required by s 1123145(3)(b)4 FS]List the name and address of each creditor to whom you owed more

than $10000 at any time during the disclosure period The amount of theliability of a vehicle lease is the sum of any past-due payments and allunpaid prospective lease payments You are not required to list the amountof any debt You do not have to disclose credit card and retail installmentaccounts taxes owed (unless reduced to a judgment) indebtedness ona life insurance policy owed to the company of issuance or contingentliabilities A ldquocontingent liabilityrdquo is one that will become an actual liabilityonly when one or more future events occur or fail to occur such as whereyou are liable only as a guarantor surety or endorser on a promissorynote If you are a ldquoco-makerrdquo and are jointly liable or jointly and severallyliable then it is not a contingent liability

PART F mdash INTERESTS IN SPECIFIED BUSINESSES[Required by s 1123145(6) FS]The types of businesses covered in this disclosure include state and

federally chartered banks state and federal savings and loan associationscemetery companies insurance companies mortgage companies creditunions small loan companies alcoholic beverage licensees pari-mutuelwagering companies utility companies entities controlled by the PublicService Commission and entities granted a franchise to operate by either acity or a county government

Disclose in this part the fact that you owned during the disclosure period aninterest in or held any of certain positions with the types of businesses listedabove You must make this disclosure if you own or owned (either directly orindirectly in the form of an equitable or beneficial interest) at any time duringthe disclosure period more than 5 of the total assets or capital stock ofone of the types of business entities listed above You also must completethis part of the form for each of these types of businesses for which youare or were at any time during the disclosure period an officer directorpartner proprietor or agent (other than a resident agent solely for service ofprocess)

If you have or held such a position or ownership interest in one ofthese types of businesses list the name of the business its address andprincipal business activity and the position held with the business (if any) Ifyou own(ed) more than a 5 interest in the business indicate that fact anddescribe the nature of your interest

PART G mdash TRAINING CERTIFICATION[Required by s 1123142 FS]If you are a Constitutional or elected municipal officer whose

service began before March 31 of the year for which you are filingyou are required to complete four hours of ethics training which addresses Article II Section 8 of the Florida Constitution the Codeof Ethics for Public Officers and Employees and the public recordsand open meetings laws of the state You are required to certify onthis form that you have taken such training

(End of Dollar Value Thresholds Instructions)

PART A mdash PRIMARY SOURCES OF INCOME[Required by s 1123145(3)(a)1 FS]Part A is intended to require the disclosure of your principal

sources of income during the disclosure period You do not haveto disclose any public salary or public position(s) but income from these public sources should be included when calculating your gross income for the disclosure period The income of your spouse need not be disclosed however if there is joint income to you and your spouse from property you own jointly (such as interest or dividends from a bank account or stocks) you should include all of that income when calculating your gross income and disclose the source of that income if it exceeded the threshold

Please list in this part of the form the name address and principal business activity of each source of your income whichexceeded 5 of the gross income received by you in your own name or by any other person for your benefit or use during the disclosure period

Gross income means the same as it does for income tax purposes even if the income is not actually taxable such as interest on tax-free bonds Examples include compensation for servicesincome from business gains from property dealings interest rents dividends pensions IRA distributions social security distributive share of partnership gross income and alimony but not child support

Examplesmdash If you were employed by a company that manufactures computers and received more than 5 of your gross income from the company list the name of the company its address and its principal business activity (computer manufacturing)mdash If you were a partner in a law firm and your distributive share of partnership gross income exceeded 5 of your gross income then list the name of the firm its address and its principal business activity (practice of law)mdash If you were the sole proprietor of a retail gift business andyour gross income from the business exceeded 5 of your total gross income list the name of the business its addressand its principal business activity (retail gift sales)mdash If you received income from investments in stocks and bonds list each individual company from which you derived

more than 5 of your gross income Do not aggregate all of your investment incomemdash If more than 5 of your gross income was gain from the sale of property (not just the selling price) list as a source of income the purchaserrsquos name address and principal business activityIf the purchasers identity is unknown such as where securities listed on an exchange are sold through a brokerage firm the source of income should be listed as sale of (name of company)stock for examplemdash If more than 5 of your gross income was in the form of interest from one particular financial institution (aggregatinginterest from all CDrsquos accounts etc at that institution) list the name of the institution its address and its principal business activity

PART B mdash SECONDARY SOURCES OF INCOME[Required by s 1123145(3)(a)2 FS]This part is intended to require the disclosure of major customers

clients and other sources of income to businesses in which you ownan interest It is not for reporting income from second jobs That kindof income should be reported in Part A Primary Sources of Incomeif it meets the reporting threshold You will not have anything to reportunless during the disclosure period

(1) You owned (either directly or indirectly in the form of anequitable or beneficial interest) more than 5 of the total assetsor capital stock of a business entity (a corporation partnershipLLC limited partnership proprietorship joint venture trust firmetc doing business in Florida) and(2) You received more than 10 of your gross income from thatbusiness entity and(3) You received more than $1500 in gross income from thatbusiness entity

If your interests and gross income exceeded these thresholds thenfor that business entity you must list every source of income to thebusiness entity which exceeded 10 of the business entityrsquos grossincome (computed on the basis of the business entityrsquos most recentlycompleted fiscal year) the sourcersquos address and the sourcersquosprincipal business activity

IF YOU HAVE CHOSEN COMPARATIVE (PERCENTAGE) THRESHOLDSTHE FOLLOWING INSTRUCTIONS APPLY

CE FORM 1 - Effective January 1 2020 Incorporated by reference in Rule 34-8202 FAC PAGE 5

MANNER OF CALCULATING REPORTABLE INTEREST Filers have the option of reporting based on either thresholds that are comparative (usually based on percentage values) or thresholds that are based on absolute dollar values The instructions on the following pages specifically describe the different thresholds Check the box that reflects the choice you have made You must use the type of threshold you have chosen for each part of the form In other words if you choose to report based on absolute dollar value thresholds you cannot use a percentage threshold on any part of the form

IF YOU HAVE CHOSEN DOLLAR VALUE THRESHOLDS THE FOLLOWING INSTRUCTIONS APPLY

PART A mdash PRIMARY SOURCES OF INCOME [Required by s 1123145(3)(b)1 FS] Part A is intended to require the disclosure of your principal

sources of income during the disclosure period You do not have todisclose any public salary or public position(s) The income of yourspouse need not be disclosed however if there is joint income toyou and your spouse from property you own jointly (such as interestor dividends from a bank account or stocks) you should disclose thesource of that income if it exceeded the threshold

Please list in this part of the form the name address andprincipal business activity of each source of your income whichexceeded $2500 of gross income received by you in your own name or by any other person for your use or benefit

Gross income means the same as it does for income tax purposes even if the income is not actually taxable such as interest on tax-free bonds Examples include compensation for servicesincome from business gains from property dealings interest rentsdividends pensions IRA distributions social security distributive share of partnership gross income and alimony but not child support

Examples mdash If you were employed by a company that manufacturescomputers and received more than $2500 list the name of thecompany its address and its principal business activity (computermanufacturing) mdash If you were a partner in a law firm and your distributive shareof partnership gross income exceeded $2500 list the name ofthe firm its address and its principal business activity (practice oflaw) mdash If you were the sole proprietor of a retail gift business and yourgross income from the business exceeded $2500 list the nameof the business its address and its principal business activity(retail gift sales) mdash If you received income from investments in stocks and bondslist each individual company from which you derived more than$2500 Do not aggregate all of your investment income mdash If more than $2500 of your gross income was gain from thesale of property (not just the selling price) list as a source ofincome the purchaserrsquos name address and principal businessactivity If the purchaserrsquos identity is unknown such as wheresecurities listed on an exchange are sold through a brokeragefirm the source of income should be listed as sale of (name of company) stock for example mdash If more than $2500 of your gross income was in the formof interest from one particular financial institution (aggregatinginterest from all CDrsquos accounts etc at that institution) list the name of the institution its address and its principal business activity

PART B mdash SECONDARY SOURCES OF INCOME [Required by s 1123145(3)(b)2 FS] This part is intended to require the disclosure of major customers

clients and other sources of income to businesses in which you own aninterest It is not for reporting income from second jobs That kind of incomeshould be reported in Part A Primary Sources of Income if it meets thereporting threshold You will not have anything to report unless during thedisclosure period

(1) You owned (either directly or indirectly in the form of an equitableor beneficial interest) more than 5 of the total assets or capitalstock of a business entity (a corporation partnership LLC limitedpartnership proprietorship joint venture trust firm etc doing business in Florida) and (2) You received more than $5000 of your gross income during thedisclosure period from that business entity

If your interests and gross income exceeded these thresholds then for thatbusiness entity you must list every source of income to the business entitywhich exceeded 10 of the business entityrsquos gross income (computed onthe basis of the business entitys most recently completed fiscal year) thesourcersquos address and the sources principal business activity

Examples mdash You are the sole proprietor of a dry cleaning business from whichyou received more than $5000 If only one customer a uniform rentalcompany provided more than 10 of your dry cleaning business youmust list the name of the uniform rental company its address and itsprincipal business activity (uniform rentals) mdash You are a 20 partner in a partnership that owns a shopping malland your partnership income exceeded the above thresholds List eachtenant of the mall that provided more than 10 of the partnershipsgross income and the tenants address and principal business activity

PART C mdash REAL PROPERTY [Required by s 1123145(3)(b)3 FS] In this part list the location or description of all real property in Florida

in which you owned directly or indirectly at any time during the disclosureperiod in excess of 5 of the propertyrsquos value You are not required to listyour residences You should list any vacation homes if you derive incomefrom them

Indirect ownership includes situations where you are a beneficiary of atrust that owns the property as well as situations where you own more than5 of a partnership or corporation that owns the property The value of theproperty may be determined by the most recently assessed value for taxpurposes in the absence of a more current appraisal

The location or description of the property should be sufficient toenable anyone who looks at the form to identify the property A streetaddress should be used if one exists

PART D mdash INTANGIBLE PERSONAL PROPERTY [Required by s 1123145(3)(b)3 FS] Describe any intangible personal property that at any time during the

disclosure period was worth more than $10000 and state the businessentity to which the property related Intangible personal property includesthings such as cash on hand stocks bonds certificates of deposit vehicleleases interests in businesses beneficial interests in trusts money owedyou Deferred Retirement Option Program (DROP) accounts the FloridaPrepaid College Plan and bank accounts Intangible personal propertyalso includes investment products held in IRAs brokerage accounts andthe Florida College Investment Plan Note that the product contained in a brokerage account IRA or the Florida College Investment Plan is yourassetmdashnot the account or plan itself Things like automobiles and housesyou own jewelry and paintings are not intangible property Intangiblesrelating to the same business entity may be aggregated for example CDsand savings accounts with the same bank Property owned as tenants bythe entirety or as joint tenants with right of survivorship should be valued at100 The value of a leased vehicle is the vehiclersquos present value minusthe lease residual (a number found on the lease document)

CE FORM 1 - Effective January 1 2020 Incorporated by reference in Rule 34-8202 FAC PAGE 4

PART A mdash PRIMARY SOURCES OF INCOME[Required by s 1123145(3)(b)1 FS]Part A is intended to require the disclosure of your principal

sources of income during the disclosure period You do not have todisclose any public salary or public position(s) The income of yourspouse need not be disclosed however if there is joint income t oyou and your spouse from property you own jointly (such as interestor dividends from a bank account or stocks) you should disclose thesource of that income if it exceeded the threshold

Please list in this part of the form the name address andprincipal business activity of each source of your income whichexceeded $2500 of gross income received by you in your own name or by any other person for your use or benefit

Gross income means the same as it does for income taxpurposes even if the income is not actually taxable such as intereston tax-free bonds Examples include compensation for servicesincome from business gains from property dealings interest rentsdividends pensions IRA distributions social security distributiveshare of partnership gross income and alimony but not child support

Examplesmdash If you were employed by a company that manufacturescomputers and received more than $2500 list the name of thecompany its address and its principal business activity (computermanufacturing)mdash If you were a partner in a law firm and your distributive shareof partnership gross income exceeded $2500 list the name ofthe firm its address and its principal business activity (practice oflaw)mdash If you were the sole proprietor of a retail gift business and yourgross income from the business exceeded $2500 list the nameof the business its address and its principal business activity(retail gift sales)mdash If you received income from investments in stocks and bondslist each individual company from which you derived more than$2500 Do not aggregate all of your investment incomemdash If more than $2500 of your gross income was gain from thesale of property (not just the selling price) list as a source o fincome the purchaserrsquos name address and principal businessactivity If the purchaserrsquos identity is unknown such as wheresecurities listed on an exchange are sold through a brokeragefirm the source of income should be listed as sale of (name of company) stock for examplemdash If more than $2500 of your gross income was in the formof interest from one particular financial institution (aggregatinginterest from all CDrsquos accounts etc at that institution) list thename of the institution its address and its principal business activity

PART B mdash SECONDARY SOURCES OF INCOME[Required by s 1123145(3)(b)2 FS]This part is intended to require the disclosure of major customers

clients and other sources of income to businesses in which you own aninterest It is not for reporting income from second jobs That kind of incomeshould be reported in Part A Primary Sources of Income if it meets thereporting threshold You will not have anything to report unless during thedisclosure period

(1) You owned (either directly or indirectly in the form of an equitableor beneficial interest) more than 5 of the total assets or capitalstock of a business entity (a corporation partnership LLC limitedpartnership proprietorship joint venture trust firm etc doing business in Florida) and(2) You received more than $5000 of your gross income during thedisclosure period from that business entity

If your interests and gross income exceeded these thresholds then for thatbusiness entity you must list every source of income to the business entitywhich exceeded 10 of the business entityrsquos gross income (computed onthe basis of the business entitys most recently completed fiscal year) thesourcersquos address and the sources principal business activity

Examplesmdash You are the sole proprietor of a dry cleaning business from whichyou received more than $5000 If only one customer a uniform rentalcompany provided more than 10 of your dry cleaning business youmust list the name of the uniform rental company its address and itsprincipal business activity (uniform rentals)mdash You are a 20 partner in a partnership that owns a shopping malland your partnership income exceeded the above thresholds List eachtenant of the mall that provided more than 10 of the partnershipsgross income and the tenants address and principal business activity

PART C mdash REAL PROPERTY[Required by s 1123145(3)(b)3 FS]In this part list the location or description of all real property in Florida

in which you owned directly or indirectly at any time during the disclosureperiod in excess of 5 of the propertyrsquos value You are not required to listyour residences You should list any vacation homes if you derive incomefrom them

Indirect ownership includes situations where you are a beneficiary of atrust that owns the property as well as situations where you own more than5 of a partnership or corporation that owns the property The value of theproperty may be determined by the most recently assessed value for taxpurposes in the absence of a more current appraisal

The location or description of the property should be sufficient toenable anyone who looks at the form to identify the property A streetaddress should be used if one exists

PART D mdash INTANGIBLE PERSONAL PROPERTY[Required by s 1123145(3)(b)3 FS]Describe any intangible personal property that at any time during the

disclosure period was worth more than $10000 and state the businessentity to which the property related Intangible personal property includesthings such as cash on hand stocks bonds certificates of deposit vehicleleases interests in businesses beneficial interests in trusts money owedyou Deferred Retirement Option Program (DROP) accounts the FloridaPrepaid College Plan and bank accounts Intangible personal propertyalso includes investment products held in IRAs brokerage accounts andthe Florida College Investment Plan Note that the product contained ina brokerage account IRA or the Florida College Investment Plan is yourassetmdashnot the account or plan itself Things like automobiles and housesyou own jewelry and paintings are not intangible property Intangiblesrelating to the same business entity may be aggregated for example CDsand savings accounts with the same bank Property owned as tenants bythe entirety or as joint tenants with right of survivorship should be valued at100 The value of a leased vehicle is the vehiclersquos present value minusthe lease residual (a number found on the lease document)

Filers have the option of reporting based on either thresholds that are comparative (usually based on percentage values) orthresholds that are based on absolute dollar values The instructions on the following pages specifically describe the differentthresholds Check the box that reflects the choice you have made You must use the type of threshold you have chosen for eachpart of the form In other words if you choose to report based on absolute dollar value thresholds you cannot use a percentagethreshold on any part of the form

MANNER OF CALCULATING REPORTABLE INTEREST

IF YOU HAVE CHOSEN DOLLAR VALUE THRESHOLDSTHE FOLLOWING INSTRUCTIONS APPLY

CE FORM 1 - Effective January 1 2020 Incorporated by reference in Rule 34-8202 FAC PAGE 4

PART E mdash LIABILITIES [Required by s 1123145(3)(b)4 FS] List the name and address of each creditor to whom you owed more

than $10000 at any time during the disclosure period The amount of theliability of a vehicle lease is the sum of any past-due payments and allunpaid prospective lease payments You are not required to list the amountof any debt You do not have to disclose credit card and retail installmentaccounts taxes owed (unless reduced to a judgment) indebtedness ona life insurance policy owed to the company of issuance or contingentliabilities A ldquocontingent liabilityrdquo is one that will become an actual liabilityonly when one or more future events occur or fail to occur such as whereyou are liable only as a guarantor surety or endorser on a promissorynote If you are a ldquoco-makerrdquo and are jointly liable or jointly and severallyliable then it is not a contingent liability

PART F mdash INTERESTS IN SPECIFIED BUSINESSES [Required by s 1123145(6) FS] The types of businesses covered in this disclosure include state and

federally chartered banks state and federal savings and loan associationscemetery companies insurance companies mortgage companies creditunions small loan companies alcoholic beverage licensees pari-mutuelwagering companies utility companies entities controlled by the PublicService Commission and entities granted a franchise to operate by either acity or a county government

Disclose in this part the fact that you owned during the disclosure period aninterest in or held any of certain positions with the types of businesses listedabove You must make this disclosure if you own or owned (either directly orindirectly in the form of an equitable or beneficial interest) at any time duringthe disclosure period more than 5 of the total assets or capital stock ofone of the types of business entities listed above You also must completethis part of the form for each of these types of businesses for which youare or were at any time during the disclosure period an officer directorpartner proprietor or agent (other than a resident agent solely for service ofprocess)

If you have or held such a position or ownership interest in one ofthese types of businesses list the name of the business its address andprincipal business activity and the position held with the business (if any) Ifyou own(ed) more than a 5 interest in the business indicate that fact anddescribe the nature of your interest

PART G mdash TRAINING CERTIFICATION [Required by s 1123142 FS] If you are a Constitutional or elected municipal officer whose

service began before March 31 of the year for which you are filingyou are required to complete four hours of ethics training which addresses Article II Section 8 of the Florida Constitution the Code of Ethics for Public Officers and Employees and the public recordsand open meetings laws of the state You are required to certify onthis form that you have taken such training

(End of Dollar Value Thresholds Instructions)

IF YOU HAVE CHOSEN COMPARATIVE (PERCENTAGE) THRESHOLDS THE FOLLOWING INSTRUCTIONS APPLY

PART A mdash PRIMARY SOURCES OF INCOME [Required by s 1123145(3)(a)1 FS] Part A is intended to require the disclosure of your principal

sources of income during the disclosure period You do not haveto disclose any public salary or public position(s) but income from these public sources should be included when calculating your gross income for the disclosure period The income of your spouse need not be disclosed however if there is joint income to you and your spouse from property you own jointly (such as interest or dividends from a bank account or stocks) you should include all of that income when calculating your gross income and disclose the source of that income if it exceeded the threshold

Please list in this part of the form the name address and principal business activity of each source of your income whichexceeded 5 of the gross income received by you in your own name or by any other person for your benefit or use during the disclosure period

Gross income means the same as it does for income tax purposes even if the income is not actually taxable such as interest on tax-free bonds Examples include compensation for servicesincome from business gains from property dealings interest rents dividends pensions IRA distributions social security distributive share of partnership gross income and alimony but not child support

Examples mdash If you were employed by a company that manufactures computers and received more than 5 of your gross income from the company list the name of the company its address and its principal business activity (computer manufacturing) mdash If you were a partner in a law firm and your distributive share of partnership gross income exceeded 5 of your gross income then list the name of the firm its address and its principal business activity (practice of law) mdash If you were the sole proprietor of a retail gift business andyour gross income from the business exceeded 5 of your total gross income list the name of the business its addressand its principal business activity (retail gift sales) mdash If you received income from investments in stocks and bonds list each individual company from which you derived

more than 5 of your gross income Do not aggregate all of your investment income mdash If more than 5 of your gross income was gain from the sale of property (not just the selling price) list as a source of income the purchaserrsquos name address and principal business activityIf the purchasers identity is unknown such as where securities listed on an exchange are sold through a brokerage firm the source of income should be listed as sale of (name of company)stock for example mdash If more than 5 of your gross income was in the form of interest from one particular financial institution (aggregatinginterest from all CDrsquos accounts etc at that institution) list the name of the institution its address and its principal business activity

PART B mdash SECONDARY SOURCES OF INCOME [Required by s 1123145(3)(a)2 FS] This part is intended to require the disclosure of major customers

clients and other sources of income to businesses in which you ownan interest It is not for reporting income from second jobs That kindof income should be reported in Part A Primary Sources of Incomeif it meets the reporting threshold You will not have anything to report unless during the disclosure period

(1) You owned (either directly or indirectly in the form of anequitable or beneficial interest) more than 5 of the total assetsor capital stock of a business entity (a corporation partnershipLLC limited partnership proprietorship joint venture trust firmetc doing business in Florida) and (2) You received more than 10 of your gross income from thatbusiness entity and (3) You received more than $1500 in gross income from thatbusiness entity

If your interests and gross income exceeded these thresholds thenfor that business entity you must list every source of income to thebusiness entity which exceeded 10 of the business entityrsquos grossincome (computed on the basis of the business entityrsquos most recentlycompleted fiscal year) the sourcersquos address and the sourcersquos principal business activity

CE FORM 1 - Effective January 1 2020 Incorporated by reference in Rule 34-8202 FAC PAGE 5

NOTICE Annual Statements of Financial Interests are due July 1 If the annual form is not filed or postmarked by September 1 an automatic fine of $25 for each day late will be imposed up to a maximum penalty of $1500 Failure to file also can result in removal from public office or employment [s 1123145 FS]

In addition failure to make any required disclosure constitutes grounds for and may be punished by one or more of the following disqualification from being on the ballot impeachment removal or suspension from office or employment demotion reduction in salary reprimand or a civil penalty not exceeding $10000 [s 112317 FS]

1) Elected public officials not serving in a political subdivision of thestate and any person appointed to fill a vacancy in such office unlessrequired to file full disclosure on Form 62) Appointed members of each board commission authority

or council having statewide jurisdiction excluding members of solelyadvisory bodies but including judicial nominating commission membersDirectors of Enterprise Florida Scripps Florida Funding Corporationand Career Source Florida and members of the Council on the SocialStatus of Black Men and Boys the Executive Director Governors and senior managers of Citizens Property Insurance CorporationGovernors and senior managers of Florida Workers Compensation JointUnderwriting Association board members of the Northeast Fla RegionalTransportation Commission board members of Triumph Gulf Coast Incboard members of Florida Is For Veterans Inc and members of theTechnology Advisory Council within the Agency for State Technology3) The Commissioner of Education members of the State Board

of Education the Board of Governors the local Boards of Trustees andPresidents of state universities and the Florida Prepaid College Board4) Persons elected to office in any political subdivision (such a s

municipalities counties and special districts) and any person appointedto fill a vacancy in such office unless required to file Form 65) Appointed members of the following boards councils

commissions authorities or other bodies of county municipality schooldistrict independent special district or other political subdivision thegoverning body of the subdivision community college or junior collegedistrict boards of trustees boards having the power to enforce local codeprovisions boards of adjustment community redevelopment agenciesplanning or zoning boards having the power to recommend create ormodify land planning or zoning within a political subdivision except forcitizen advisory committees technical coordinating committees andsimilar groups who only have the power to make recommendationsto planning or zoning boards and except for representatives of amilitary installation acting on behalf of all military installations within thatjurisdiction pension or retirement boards empowered to invest pensionor retirement funds or determine entitlement to or amount of pensions orother retirement benefits and the Pinellas County Construction LicensingBoard6) Any appointed member of a local government board who

is required to file a statement of financial interests by the appointingauthority or the enabling legislation ordinance or resolution creating theboard7) Persons holding any of these positions in local government

mayor county or city manager chief administrative employee or finance

director of a county municipality or other political subdivision countyor municipal attorney chief county or municipal building inspectorcounty or municipal water resources coordinator county or municipalpollution control director county or municipal environmental controldirector county or municipal administrator with power to grant or denya land development permit chief of police fire chief municipal clerkappointed district school superintendent community college presidentdistrict medical examiner purchasing agent (regardless of title) havingthe authority to make any purchase exceeding $35000 for the localgovernmental unit8) Officers and employees of entities serving as chief administrative

officer of a political subdivision9) Members of governing boards of charter schools operated by a

city or other public entity10) Employees in the office of the Governor or of a Cabinet member

who are exempt from the Career Service System excluding secretarialclerical and similar positions11) The following positions in each state department commission

board or council Secretary Assistant or Deputy Secretary ExecutiveDirector Assistant or Deputy Executive Director and anyone having thepower normally conferred upon such persons regardless of title12) The following positions in each state department or division

Director Assistant or Deputy Director Bureau Chief and any personhaving the power normally conferred upon such persons regardless oftitle13) Assistant State Attorneys Assistant Public Defenders criminal

conflict and civil regional counsel and assistant criminal conflict and civilregional counsel Public Counsel full-time state employees serving ascounsel or assistant counsel to a state agency administrative law judgesand hearing officers14) The Superintendent or Director of a state mental health institute

established for training and research in the mental health field or anymajor state institution or facility established for corrections trainingtreatment or rehabilitation15) State agency Business Managers Finance and Accounting

Directors Personnel Officers Grant Coordinators and purchasingagents (regardless of title) with power to make a purchase exceeding$3500016) The following positions in legislative branch agencies each

employee (other than those employed in maintenance clerical secretarial or similar positions and legislative assistants exemptedby the presiding officer of their house) and each employee of theCommission on Ethics

INSTRUCTIONS FOR COMPLETING FORM 1INTRODUCTORY INFORMATION (Top of Form) If your name mailing address public agency and position are already printed on the form you do not need to provide this information unless it should be changed To change any of this information write the correct information on the form and contact your agencys financial disclosure coordinator You can find your coordinator on the Commission on Ethics website wwwethicsstateflus NAME OF AGENCY The name of the governmental unit which you serve or served by which you are or were employed or for which you are a candidate DISCLOSURE PERIOD The ldquodisclosure periodrdquo for your report is the calendar year ending December 31 2019

OFFICE OR POSITION HELD OR SOUGHT The title of the office or position you hold are seeking or held during the disclosure period even if you have since left that position If you are a candidate for office or are a new employee or appointee check the appropriate boxPUBLIC RECORD The disclosure form and everythingattached to it is a public record Your Social Security Number is not required and you should redact it from any documents you file If you are an active or former officer or employee listed in Section 119071 FS whose home address is exempt from disclosure the Commission will maintain that confidentiality if you submit a written request

WHO MUST FILE FORM 1

CE FORM 1 - Effective January 1 2020 Incorporated by reference in Rule 34-8202 FAC PAGE 3

Examples PART E mdash LIABILITIES mdash You are the sole proprietor of a dry cleaning business from [Required by s 1123145(3)(b)4 FS]which you received more than 10 of your gross incomemdashan List the name and address of each creditor to whom you owed amount that was more than $1500 If only one customer a any amount that at any time during the disclosure period exceeded uniform rental company provided more than 10 of your dry your net worth You are not required to list the amount of any debt cleaning business you must list the name of the uniform rental or your net worth You do not have to disclose credit card and retail company its address and its principal business activity (uniform installment accounts taxes owed (unless reduced to a judgment) rentals) indebtedness on a life insurance policy owed to the company of mdash You are a 20 partner in a partnership that owns a shopping issuance or contingent liabilities A ldquocontingent liabilityrdquo is one mall and your partnership income exceeded the thresholds that will become an actual liability only when one or more future listed above You should list each tenant of the mall that events occur or fail to occur such as where you are liable only as provided more than 10 of the partnershiprsquos gross income and a guarantor surety or endorser on a promissory note If you are a the tenantrsquos address and principal business activity ldquoco-makerrdquo and are jointly liable or jointly and severally liable it is not

a contingent liability PART C mdash REAL PROPERTY Calculations To determine whether the debt exceeds your

[Required by s 1123145(3)(a)3 FS] net worth total all of your liabilities (including promissory notes mortgages credit card debts judgments against you etc) TheIn this part list the location or description of all real property in amount of the liability of a vehicle lease is the sum of any past-due Florida in which you owned directly or indirectly at any time during payments and all unpaid prospective lease payments Subtract the disclosure period in excess of 5 of the propertyrsquos value You the sum total of your liabilities from the value of all your assets are not required to list your residences You should list any vacation as calculated above for Part D This is your ldquonet worthrdquo List each homes if you derive income from them creditor to whom your debt exceeded this amount unless it is one of

Indirect ownership includes situations where you are a the types of indebtedness listed in the paragraph above (credit card beneficiary of a trust that owns the property as well as situations and retail installment accounts etc) Joint liabilities with others for where you own more than 5 of a partnership or corporation that which you are ldquojointly and severally liablerdquo meaning that you may owns the property The value of the property may be determined by be liable for either your part or the whole of the obligation should be the most recently assessed value for tax purposes in the absence included in your calculations at 100 of the amount owed of a more current appraisal

Example You owe $15000 to a bank for student loans $5000 The location or description of the property should be sufficient for credit card debts and $60000 (with spouse) to a savings to enable anyone who looks at the form to identify the property A and loan for a home mortgage Your home (owned by you and street address should be used if one exists your spouse) is worth $80000 and your other property is worth PART D mdash INTANGIBLE PERSONAL PROPERTY $20000 Since your net worth is $20000 ($100000 minus

$80000) you must report only the name and address of the [Required by s 1123145(3)(a)3 FS] savings and loan Describe any intangible personal property that at any time

during the disclosure period was worth more than 10 of your PART F mdash INTERESTS IN SPECIFIED BUSINESSES total assets and state the business entity to which the property [Required by s 1123145 FS] related Intangible personal property includes things such as cash on hand stocks bonds certificates of deposit vehicle leases The types of businesses covered in this disclosure include interests in businesses beneficial interests in trusts money owed state and federally chartered banks state and federal savings and you Deferred Retirement Option Program (DROP) accounts loan associations cemetery companies insurance companies the Florida Prepaid College Plan and bank accounts Intangible mortgage companies credit unions small loan companies alcoholic personal property also includes investment products held in IRAs beverage licensees pari-mutuel wagering companies utilitybrokerage accounts and the Florida College Investment Plan companies entities controlled by the Public Service Commission Note that the product contained in a brokerage account IRA or the and entities granted a franchise to operate by either a city or a Florida College Investment Plan is your assetmdashnot the account or county governmentplan itself Things like automobiles and houses you own jewelry Disclose in this part the fact that you owned during the and paintings are not intangible property Intangibles relating to the disclosure period an interest in or held any of certain positions same business entity may be aggregated for example CDrsquos and with the types of businesses listed above You are requiredsavings accounts with the same bank to make this disclosure if you own or owned (either directly or

Calculations To determine whether the intangible property indirectly in the form of an equitable or beneficial interest) at any exceeds 10 of your total assets total the fair market value of time during the disclosure period more than 5 of the total assets all of your assets (including real property intangible property and or capital stock of one of the types of business entities listed above tangible personal property such as jewelry furniture etc) When You also must complete this part of the form for each of these types making this calculation do not subtract any liabilities (debts) that of businesses for which you are or were at any time during themay relate to the property Multiply the total figure by 10 to arrive disclosure period an officer director partner proprietor or agent at the disclosure threshold List only the intangibles that exceed (other than a resident agent solely for service of process) this threshold amount The value of a leased vehicle is the vehiclersquos If you have or held such a position or ownership interest in present value minus the lease residual (a number which can be one of these types of businesses list the name of the business its found on the lease document) Property that is only jointly owned address and principal business activity and the position held with property should be valued according to the percentage of your the business (if any) If you own(ed) more than a 5 interest in the joint ownership Property owned as tenants by the entirety or as business indicate that fact and describe the nature of your interest joint tenants with right of survivorship should be valued at 100 None of your calculations or the value of the property have to be PART G mdash TRAINING CERTIFICATIONdisclosed on the form

[Required by s 1123142 FS] Example You own 50 of the stock of a small corporation that is worth $100000 the estimated fair market value of If you are a Constitutional or elected municipal officer whoseyour home and other property (bank accounts automobile service began before March 31 of the year for which you are filing furniture etc) is $200000 As your total assets are worth you are required to complete four hours of ethics training which $250000 you must disclose intangibles worth over $25000 addresses Article II Section 8 of the Florida Constitution the Code Since the value of the stock exceeds this threshold you of Ethics for Public Officers and Employees and the public records should list ldquostockrdquo and the name of the corporation If your and open meetings laws of the state You are required to certify on accounts with a particular bank exceed $25000 you should this form that you have taken such training list ldquobank accountsrdquo and bankrsquos name

(

End of Percentage Thresholds Instructions) CE FORM 1 - Effective January 1 2020 Incorporated by reference in Rule 34-8202 FAC PAGE 6

  • 0 HP Cover Page v2
  • 1 Hawks Point Meeting Invite Draft v2
  • 2 Agenda Draft v3
  • 3 EXHIBIT 1
  • 7 HP 05-19-2020 Meeting Minutes Approved
  • 6 EXHIBIT 2
  • 9 HP May FY20 Fin
  • 8 EXHIBIT 3
  • 4 Vacant Position Qualification Requirements for Hawks Point CDD
    • Vacant Position on the Board of Supervisors of the Hawkrsquos Point Community Development District
      • Qualification Requirements
      • Instructions for Interested Candidates
      • Additional Notes
          • 5 Shami Choon Vacant Position - updated 11-5-11 resume
            • 1803 Oak Pond Street Ruskin Fl 33570 E-mailchoons27gmailcom
              • PROFESSIONAL HISTORY
                • Operations Manager Florida Distribution 2002 ndash 2005
                • Operations Manager for Florida Branch Distribution 1999 ndash 2002
                • Warehouse Manager of Miami Distribution Center 1998 ndash 1999
                • Branch Manager of West Palm Beach 1994 ndash 1998
                • Assistant Branch Manager 1991 ndash 1994
                • Customer Service Agent 1990 ndash 1991
                  • 10 EXHIBIT 4
                  • 11 New Business - Hawks Point CDD - MI proposal
                  • 12 EXHIBIT 5
                  • 13 CertaPro Proposal to Paint Exterior Wall 18th to 24th Avenue
                  • 14 Shazam Construction Proposal to Paint Exterior Wall 18th to 24th Street
                    • QUOTE
                      • TO
                          • 15 Photo to accompany Shazam Proposal
                          • 16 EXHIBIT 6
                          • 17 CertaPro Proposal for Pressure Washing Exterior Wall 18th St to 24th Street
                          • 18 Shazam Construction Proposal for Pressure Washing Exterion Wall 18th Street to 24th Street
                            • QUOTE
                              • TO
                                  • 19 EXHIBIT 7
                                  • 20 Form 1_2019i
                                      1. LAST NAME
                                      2. FIRST NAME
                                      3. MIDDLE NAME
                                      4. MAILING ADDRESS ROW 1
                                      5. MAILING ADDRESS ROW 2
                                      6. CITY
                                      7. ZIP
                                      8. COUNTY
                                      9. NAME OF AGENCY
                                      10. NAME OF OFFICE OR POSITION HELD OR SOUGHT
                                      11. CANDIDATE Off
                                      12. NEW EMPLOYEE OR APPOINTEE Off
                                      13. COMPARATIVE (PERCENTAGE) THRESHOLDS Off
                                      14. DOLLAR VALUE THRESHOLDS Off
                                      15. NAME OF SOURCE INCOME ROW 1
                                      16. ADDRESS ROW 1
                                      17. DESCRIPTION OF THE SOURCES PRINCIPAL BUSINESS ACTIVITY ROW 1
                                      18. NAME OF SOURCE INCOME ROW 2
                                      19. ADDRESS ROW 2
                                      20. DESCRIPTION OF THE SOURCES PRINCIPAL BUSINESS ACTIVITY ROW 2
                                      21. NAME OF SOURCE INCOME ROW 3
                                      22. ADDRESS ROW 3
                                      23. DESCRIPTION OF THE SOURCES PRINCIPAL BUSINESS ACTIVITY ROW 3
                                      24. NAME OF SOURCE INCOME ROW 4
                                      25. ADDRESS ROW 4
                                      26. DESCRIPTION OF THE SOURCES PRINCIPAL BUSINESS ACTIVITY ROW 4
                                      27. NAME OF BUSINESS ENTITY ROW 1
                                      28. NAME OF MAJOR SOURCES OF BUSINESS INCOME ROW 1
                                      29. ADDRESS OF SOURCE ROW 1
                                      30. PRINCIPAL BUSINESS ACTIVITY OF SOURCE ROW 1
                                      31. NAME OF BUSINESS ENTITY ROW 2
                                      32. NAME OF MAJOR SOURCES OF BUSINESS INCOME ROW 2
                                      33. ADDRESS OF SOURCE ROW 2
                                      34. PRINCIPAL BUSINESS ACTIVITY OF SOURCE ROW 2
                                      35. NAME OF BUSINESS ENTITY ROW 3
                                      36. NAME OF MAJOR SOURCES OF BUSINESS INCOME ROW 3
                                      37. ADDRESS OF SOURCE ROW 3
                                      38. PRINCIPAL BUSINESS ACTIVITY OF SOURCE ROW 3
                                      39. REAL PROPERTY ROW 1
                                      40. REAL PROPERTY ROW 2
                                      41. REAL PROPERTY ROW 3
                                      42. REAL PROPERTY ROW 4
                                      43. TYPE OF INTANGIBLE ROW 1
                                      44. BUSINESS ENTITY TO WHICH THE PROPERTY RELATES ROW 1
                                      45. TYPE OF INTANGIBLE ROW 2
                                      46. BUSINESS ENTITY TO WHICH THE PROPERTY RELATES ROW 2
                                      47. NAME OF CREDITOR ROW 1
                                      48. ADDRESS OF CREDITOR ROW 1
                                      49. NAME OF CREDITOR ROW 2
                                      50. ADDRESS OF CREDITOR ROW 2
                                      51. ADDRESS OF BUSINESS ENTITY 1
                                      52. PRINCIPAL BUSINESS ACTIVITY 1
                                      53. POSITION HELD WITH ENTITY 1
                                      54. I OWN MORE THAN A 5 INTEREST IN THE BUSINESS 1
                                      55. NATURE OF MY OWNERSHIP INTEREST 1
                                      56. ADDRESS OF BUSINESS ENTITY 2
                                      57. PRINCIPAL BUSINESS ACTIVITY 2
                                      58. POSITION HELD WITH ENTITY 2
                                      59. I OWN MORE THAN A 5 INTEREST IN THE BUSINESS 2
                                      60. NATURE OF MY OWNERSHIP INTEREST 2
                                      61. FOR ELECTED MUNICIPAL OFFICERS REQUIRED TO COMPLETE ANNUAL ETHICS TRAINING PURSUANT TO SECTION 112
                                        1. 3142 F
                                          1. S Off
                                              1. IF ANY OF PARTS A THROUGH G ARE CONTINUED ON A SEPARATE SHEET PLEASE CHECK HERE Off
                                              2. SIGNATURE
                                              3. Date Signed
Page 39: HAWKS POINT COMMUNITY DEVELOPMENT …...2020/06/16  · Hawks Point Community Development District Board of Supervisors Meeting Tuesday, June 16th at 6:30 PM via Zoom All: We welcome

PART A mdash PRIMARY SOURCES OF INCOME[Required by s 1123145(3)(b)1 FS]Part A is intended to require the disclosure of your principal

sources of income during the disclosure period You do not have todisclose any public salary or public position(s) The income of yourspouse need not be disclosed however if there is joint income t oyou and your spouse from property you own jointly (such as interestor dividends from a bank account or stocks) you should disclose thesource of that income if it exceeded the threshold

Please list in this part of the form the name address andprincipal business activity of each source of your income whichexceeded $2500 of gross income received by you in your own name or by any other person for your use or benefit

Gross income means the same as it does for income taxpurposes even if the income is not actually taxable such as intereston tax-free bonds Examples include compensation for servicesincome from business gains from property dealings interest rentsdividends pensions IRA distributions social security distributiveshare of partnership gross income and alimony but not child support

Examplesmdash If you were employed by a company that manufacturescomputers and received more than $2500 list the name of thecompany its address and its principal business activity (computermanufacturing)mdash If you were a partner in a law firm and your distributive shareof partnership gross income exceeded $2500 list the name ofthe firm its address and its principal business activity (practice oflaw)mdash If you were the sole proprietor of a retail gift business and yourgross income from the business exceeded $2500 list the nameof the business its address and its principal business activity(retail gift sales)mdash If you received income from investments in stocks and bondslist each individual company from which you derived more than$2500 Do not aggregate all of your investment incomemdash If more than $2500 of your gross income was gain from thesale of property (not just the selling price) list as a source o fincome the purchaserrsquos name address and principal businessactivity If the purchaserrsquos identity is unknown such as wheresecurities listed on an exchange are sold through a brokeragefirm the source of income should be listed as sale of (name of company) stock for examplemdash If more than $2500 of your gross income was in the formof interest from one particular financial institution (aggregatinginterest from all CDrsquos accounts etc at that institution) list thename of the institution its address and its principal business activity

PART B mdash SECONDARY SOURCES OF INCOME[Required by s 1123145(3)(b)2 FS]This part is intended to require the disclosure of major customers

clients and other sources of income to businesses in which you own aninterest It is not for reporting income from second jobs That kind of incomeshould be reported in Part A Primary Sources of Income if it meets thereporting threshold You will not have anything to report unless during thedisclosure period

(1) You owned (either directly or indirectly in the form of an equitableor beneficial interest) more than 5 of the total assets or capitalstock of a business entity (a corporation partnership LLC limitedpartnership proprietorship joint venture trust firm etc doing business in Florida) and(2) You received more than $5000 of your gross income during thedisclosure period from that business entity

If your interests and gross income exceeded these thresholds then for thatbusiness entity you must list every source of income to the business entitywhich exceeded 10 of the business entityrsquos gross income (computed onthe basis of the business entitys most recently completed fiscal year) thesourcersquos address and the sources principal business activity

Examplesmdash You are the sole proprietor of a dry cleaning business from whichyou received more than $5000 If only one customer a uniform rentalcompany provided more than 10 of your dry cleaning business youmust list the name of the uniform rental company its address and itsprincipal business activity (uniform rentals)mdash You are a 20 partner in a partnership that owns a shopping malland your partnership income exceeded the above thresholds List eachtenant of the mall that provided more than 10 of the partnershipsgross income and the tenants address and principal business activity

PART C mdash REAL PROPERTY[Required by s 1123145(3)(b)3 FS]In this part list the location or description of all real property in Florida

in which you owned directly or indirectly at any time during the disclosureperiod in excess of 5 of the propertyrsquos value You are not required to listyour residences You should list any vacation homes if you derive incomefrom them

Indirect ownership includes situations where you are a beneficiary of atrust that owns the property as well as situations where you own more than5 of a partnership or corporation that owns the property The value of theproperty may be determined by the most recently assessed value for taxpurposes in the absence of a more current appraisal

The location or description of the property should be sufficient toenable anyone who looks at the form to identify the property A streetaddress should be used if one exists

PART D mdash INTANGIBLE PERSONAL PROPERTY[Required by s 1123145(3)(b)3 FS]Describe any intangible personal property that at any time during the

disclosure period was worth more than $10000 and state the businessentity to which the property related Intangible personal property includesthings such as cash on hand stocks bonds certificates of deposit vehicleleases interests in businesses beneficial interests in trusts money owedyou Deferred Retirement Option Program (DROP) accounts the FloridaPrepaid College Plan and bank accounts Intangible personal propertyalso includes investment products held in IRAs brokerage accounts andthe Florida College Investment Plan Note that the product contained ina brokerage account IRA or the Florida College Investment Plan is yourassetmdashnot the account or plan itself Things like automobiles and housesyou own jewelry and paintings are not intangible property Intangiblesrelating to the same business entity may be aggregated for example CDsand savings accounts with the same bank Property owned as tenants bythe entirety or as joint tenants with right of survivorship should be valued at100 The value of a leased vehicle is the vehiclersquos present value minusthe lease residual (a number found on the lease document)

Filers have the option of reporting based on either thresholds that are comparative (usually based on percentage values) orthresholds that are based on absolute dollar values The instructions on the following pages specifically describe the differentthresholds Check the box that reflects the choice you have made You must use the type of threshold you have chosen for eachpart of the form In other words if you choose to report based on absolute dollar value thresholds you cannot use a percentagethreshold on any part of the form

MANNER OF CALCULATING REPORTABLE INTEREST

IF YOU HAVE CHOSEN DOLLAR VALUE THRESHOLDSTHE FOLLOWING INSTRUCTIONS APPLY

CE FORM 1 - Effective January 1 2020 Incorporated by reference in Rule 34-8202 FAC PAGE 4

PART E mdash LIABILITIES [Required by s 1123145(3)(b)4 FS] List the name and address of each creditor to whom you owed more

than $10000 at any time during the disclosure period The amount of theliability of a vehicle lease is the sum of any past-due payments and allunpaid prospective lease payments You are not required to list the amountof any debt You do not have to disclose credit card and retail installmentaccounts taxes owed (unless reduced to a judgment) indebtedness ona life insurance policy owed to the company of issuance or contingentliabilities A ldquocontingent liabilityrdquo is one that will become an actual liabilityonly when one or more future events occur or fail to occur such as whereyou are liable only as a guarantor surety or endorser on a promissorynote If you are a ldquoco-makerrdquo and are jointly liable or jointly and severallyliable then it is not a contingent liability

PART F mdash INTERESTS IN SPECIFIED BUSINESSES [Required by s 1123145(6) FS] The types of businesses covered in this disclosure include state and

federally chartered banks state and federal savings and loan associationscemetery companies insurance companies mortgage companies creditunions small loan companies alcoholic beverage licensees pari-mutuelwagering companies utility companies entities controlled by the PublicService Commission and entities granted a franchise to operate by either acity or a county government

Disclose in this part the fact that you owned during the disclosure period aninterest in or held any of certain positions with the types of businesses listedabove You must make this disclosure if you own or owned (either directly orindirectly in the form of an equitable or beneficial interest) at any time duringthe disclosure period more than 5 of the total assets or capital stock ofone of the types of business entities listed above You also must completethis part of the form for each of these types of businesses for which youare or were at any time during the disclosure period an officer directorpartner proprietor or agent (other than a resident agent solely for service ofprocess)

If you have or held such a position or ownership interest in one ofthese types of businesses list the name of the business its address andprincipal business activity and the position held with the business (if any) Ifyou own(ed) more than a 5 interest in the business indicate that fact anddescribe the nature of your interest

PART G mdash TRAINING CERTIFICATION [Required by s 1123142 FS] If you are a Constitutional or elected municipal officer whose

service began before March 31 of the year for which you are filingyou are required to complete four hours of ethics training which addresses Article II Section 8 of the Florida Constitution the Code of Ethics for Public Officers and Employees and the public recordsand open meetings laws of the state You are required to certify onthis form that you have taken such training

(End of Dollar Value Thresholds Instructions)

IF YOU HAVE CHOSEN COMPARATIVE (PERCENTAGE) THRESHOLDS THE FOLLOWING INSTRUCTIONS APPLY

PART A mdash PRIMARY SOURCES OF INCOME [Required by s 1123145(3)(a)1 FS] Part A is intended to require the disclosure of your principal

sources of income during the disclosure period You do not haveto disclose any public salary or public position(s) but income from these public sources should be included when calculating your gross income for the disclosure period The income of your spouse need not be disclosed however if there is joint income to you and your spouse from property you own jointly (such as interest or dividends from a bank account or stocks) you should include all of that income when calculating your gross income and disclose the source of that income if it exceeded the threshold

Please list in this part of the form the name address and principal business activity of each source of your income whichexceeded 5 of the gross income received by you in your own name or by any other person for your benefit or use during the disclosure period

Gross income means the same as it does for income tax purposes even if the income is not actually taxable such as interest on tax-free bonds Examples include compensation for servicesincome from business gains from property dealings interest rents dividends pensions IRA distributions social security distributive share of partnership gross income and alimony but not child support

Examples mdash If you were employed by a company that manufactures computers and received more than 5 of your gross income from the company list the name of the company its address and its principal business activity (computer manufacturing) mdash If you were a partner in a law firm and your distributive share of partnership gross income exceeded 5 of your gross income then list the name of the firm its address and its principal business activity (practice of law) mdash If you were the sole proprietor of a retail gift business andyour gross income from the business exceeded 5 of your total gross income list the name of the business its addressand its principal business activity (retail gift sales) mdash If you received income from investments in stocks and bonds list each individual company from which you derived

more than 5 of your gross income Do not aggregate all of your investment income mdash If more than 5 of your gross income was gain from the sale of property (not just the selling price) list as a source of income the purchaserrsquos name address and principal business activityIf the purchasers identity is unknown such as where securities listed on an exchange are sold through a brokerage firm the source of income should be listed as sale of (name of company)stock for example mdash If more than 5 of your gross income was in the form of interest from one particular financial institution (aggregatinginterest from all CDrsquos accounts etc at that institution) list the name of the institution its address and its principal business activity

PART B mdash SECONDARY SOURCES OF INCOME [Required by s 1123145(3)(a)2 FS] This part is intended to require the disclosure of major customers

clients and other sources of income to businesses in which you ownan interest It is not for reporting income from second jobs That kindof income should be reported in Part A Primary Sources of Incomeif it meets the reporting threshold You will not have anything to report unless during the disclosure period

(1) You owned (either directly or indirectly in the form of anequitable or beneficial interest) more than 5 of the total assetsor capital stock of a business entity (a corporation partnershipLLC limited partnership proprietorship joint venture trust firmetc doing business in Florida) and (2) You received more than 10 of your gross income from thatbusiness entity and (3) You received more than $1500 in gross income from thatbusiness entity

If your interests and gross income exceeded these thresholds thenfor that business entity you must list every source of income to thebusiness entity which exceeded 10 of the business entityrsquos grossincome (computed on the basis of the business entityrsquos most recentlycompleted fiscal year) the sourcersquos address and the sourcersquos principal business activity

CE FORM 1 - Effective January 1 2020 Incorporated by reference in Rule 34-8202 FAC PAGE 5

NOTICE Annual Statements of Financial Interests are due July 1 If the annual form is not filed or postmarked by September 1 an automatic fine of $25 for each day late will be imposed up to a maximum penalty of $1500 Failure to file also can result in removal from public office or employment [s 1123145 FS]

In addition failure to make any required disclosure constitutes grounds for and may be punished by one or more of the following disqualification from being on the ballot impeachment removal or suspension from office or employment demotion reduction in salary reprimand or a civil penalty not exceeding $10000 [s 112317 FS]

1) Elected public officials not serving in a political subdivision of thestate and any person appointed to fill a vacancy in such office unlessrequired to file full disclosure on Form 62) Appointed members of each board commission authority

or council having statewide jurisdiction excluding members of solelyadvisory bodies but including judicial nominating commission membersDirectors of Enterprise Florida Scripps Florida Funding Corporationand Career Source Florida and members of the Council on the SocialStatus of Black Men and Boys the Executive Director Governors and senior managers of Citizens Property Insurance CorporationGovernors and senior managers of Florida Workers Compensation JointUnderwriting Association board members of the Northeast Fla RegionalTransportation Commission board members of Triumph Gulf Coast Incboard members of Florida Is For Veterans Inc and members of theTechnology Advisory Council within the Agency for State Technology3) The Commissioner of Education members of the State Board

of Education the Board of Governors the local Boards of Trustees andPresidents of state universities and the Florida Prepaid College Board4) Persons elected to office in any political subdivision (such a s

municipalities counties and special districts) and any person appointedto fill a vacancy in such office unless required to file Form 65) Appointed members of the following boards councils

commissions authorities or other bodies of county municipality schooldistrict independent special district or other political subdivision thegoverning body of the subdivision community college or junior collegedistrict boards of trustees boards having the power to enforce local codeprovisions boards of adjustment community redevelopment agenciesplanning or zoning boards having the power to recommend create ormodify land planning or zoning within a political subdivision except forcitizen advisory committees technical coordinating committees andsimilar groups who only have the power to make recommendationsto planning or zoning boards and except for representatives of amilitary installation acting on behalf of all military installations within thatjurisdiction pension or retirement boards empowered to invest pensionor retirement funds or determine entitlement to or amount of pensions orother retirement benefits and the Pinellas County Construction LicensingBoard6) Any appointed member of a local government board who

is required to file a statement of financial interests by the appointingauthority or the enabling legislation ordinance or resolution creating theboard7) Persons holding any of these positions in local government

mayor county or city manager chief administrative employee or finance

director of a county municipality or other political subdivision countyor municipal attorney chief county or municipal building inspectorcounty or municipal water resources coordinator county or municipalpollution control director county or municipal environmental controldirector county or municipal administrator with power to grant or denya land development permit chief of police fire chief municipal clerkappointed district school superintendent community college presidentdistrict medical examiner purchasing agent (regardless of title) havingthe authority to make any purchase exceeding $35000 for the localgovernmental unit8) Officers and employees of entities serving as chief administrative

officer of a political subdivision9) Members of governing boards of charter schools operated by a

city or other public entity10) Employees in the office of the Governor or of a Cabinet member

who are exempt from the Career Service System excluding secretarialclerical and similar positions11) The following positions in each state department commission

board or council Secretary Assistant or Deputy Secretary ExecutiveDirector Assistant or Deputy Executive Director and anyone having thepower normally conferred upon such persons regardless of title12) The following positions in each state department or division

Director Assistant or Deputy Director Bureau Chief and any personhaving the power normally conferred upon such persons regardless oftitle13) Assistant State Attorneys Assistant Public Defenders criminal

conflict and civil regional counsel and assistant criminal conflict and civilregional counsel Public Counsel full-time state employees serving ascounsel or assistant counsel to a state agency administrative law judgesand hearing officers14) The Superintendent or Director of a state mental health institute

established for training and research in the mental health field or anymajor state institution or facility established for corrections trainingtreatment or rehabilitation15) State agency Business Managers Finance and Accounting

Directors Personnel Officers Grant Coordinators and purchasingagents (regardless of title) with power to make a purchase exceeding$3500016) The following positions in legislative branch agencies each

employee (other than those employed in maintenance clerical secretarial or similar positions and legislative assistants exemptedby the presiding officer of their house) and each employee of theCommission on Ethics

INSTRUCTIONS FOR COMPLETING FORM 1INTRODUCTORY INFORMATION (Top of Form) If your name mailing address public agency and position are already printed on the form you do not need to provide this information unless it should be changed To change any of this information write the correct information on the form and contact your agencys financial disclosure coordinator You can find your coordinator on the Commission on Ethics website wwwethicsstateflus NAME OF AGENCY The name of the governmental unit which you serve or served by which you are or were employed or for which you are a candidate DISCLOSURE PERIOD The ldquodisclosure periodrdquo for your report is the calendar year ending December 31 2019

OFFICE OR POSITION HELD OR SOUGHT The title of the office or position you hold are seeking or held during the disclosure period even if you have since left that position If you are a candidate for office or are a new employee or appointee check the appropriate boxPUBLIC RECORD The disclosure form and everythingattached to it is a public record Your Social Security Number is not required and you should redact it from any documents you file If you are an active or former officer or employee listed in Section 119071 FS whose home address is exempt from disclosure the Commission will maintain that confidentiality if you submit a written request

WHO MUST FILE FORM 1

CE FORM 1 - Effective January 1 2020 Incorporated by reference in Rule 34-8202 FAC PAGE 3

Examples PART E mdash LIABILITIES mdash You are the sole proprietor of a dry cleaning business from [Required by s 1123145(3)(b)4 FS]which you received more than 10 of your gross incomemdashan List the name and address of each creditor to whom you owed amount that was more than $1500 If only one customer a any amount that at any time during the disclosure period exceeded uniform rental company provided more than 10 of your dry your net worth You are not required to list the amount of any debt cleaning business you must list the name of the uniform rental or your net worth You do not have to disclose credit card and retail company its address and its principal business activity (uniform installment accounts taxes owed (unless reduced to a judgment) rentals) indebtedness on a life insurance policy owed to the company of mdash You are a 20 partner in a partnership that owns a shopping issuance or contingent liabilities A ldquocontingent liabilityrdquo is one mall and your partnership income exceeded the thresholds that will become an actual liability only when one or more future listed above You should list each tenant of the mall that events occur or fail to occur such as where you are liable only as provided more than 10 of the partnershiprsquos gross income and a guarantor surety or endorser on a promissory note If you are a the tenantrsquos address and principal business activity ldquoco-makerrdquo and are jointly liable or jointly and severally liable it is not

a contingent liability PART C mdash REAL PROPERTY Calculations To determine whether the debt exceeds your

[Required by s 1123145(3)(a)3 FS] net worth total all of your liabilities (including promissory notes mortgages credit card debts judgments against you etc) TheIn this part list the location or description of all real property in amount of the liability of a vehicle lease is the sum of any past-due Florida in which you owned directly or indirectly at any time during payments and all unpaid prospective lease payments Subtract the disclosure period in excess of 5 of the propertyrsquos value You the sum total of your liabilities from the value of all your assets are not required to list your residences You should list any vacation as calculated above for Part D This is your ldquonet worthrdquo List each homes if you derive income from them creditor to whom your debt exceeded this amount unless it is one of

Indirect ownership includes situations where you are a the types of indebtedness listed in the paragraph above (credit card beneficiary of a trust that owns the property as well as situations and retail installment accounts etc) Joint liabilities with others for where you own more than 5 of a partnership or corporation that which you are ldquojointly and severally liablerdquo meaning that you may owns the property The value of the property may be determined by be liable for either your part or the whole of the obligation should be the most recently assessed value for tax purposes in the absence included in your calculations at 100 of the amount owed of a more current appraisal

Example You owe $15000 to a bank for student loans $5000 The location or description of the property should be sufficient for credit card debts and $60000 (with spouse) to a savings to enable anyone who looks at the form to identify the property A and loan for a home mortgage Your home (owned by you and street address should be used if one exists your spouse) is worth $80000 and your other property is worth PART D mdash INTANGIBLE PERSONAL PROPERTY $20000 Since your net worth is $20000 ($100000 minus

$80000) you must report only the name and address of the [Required by s 1123145(3)(a)3 FS] savings and loan Describe any intangible personal property that at any time

during the disclosure period was worth more than 10 of your PART F mdash INTERESTS IN SPECIFIED BUSINESSES total assets and state the business entity to which the property [Required by s 1123145 FS] related Intangible personal property includes things such as cash on hand stocks bonds certificates of deposit vehicle leases The types of businesses covered in this disclosure include interests in businesses beneficial interests in trusts money owed state and federally chartered banks state and federal savings and you Deferred Retirement Option Program (DROP) accounts loan associations cemetery companies insurance companies the Florida Prepaid College Plan and bank accounts Intangible mortgage companies credit unions small loan companies alcoholic personal property also includes investment products held in IRAs beverage licensees pari-mutuel wagering companies utilitybrokerage accounts and the Florida College Investment Plan companies entities controlled by the Public Service Commission Note that the product contained in a brokerage account IRA or the and entities granted a franchise to operate by either a city or a Florida College Investment Plan is your assetmdashnot the account or county governmentplan itself Things like automobiles and houses you own jewelry Disclose in this part the fact that you owned during the and paintings are not intangible property Intangibles relating to the disclosure period an interest in or held any of certain positions same business entity may be aggregated for example CDrsquos and with the types of businesses listed above You are requiredsavings accounts with the same bank to make this disclosure if you own or owned (either directly or

Calculations To determine whether the intangible property indirectly in the form of an equitable or beneficial interest) at any exceeds 10 of your total assets total the fair market value of time during the disclosure period more than 5 of the total assets all of your assets (including real property intangible property and or capital stock of one of the types of business entities listed above tangible personal property such as jewelry furniture etc) When You also must complete this part of the form for each of these types making this calculation do not subtract any liabilities (debts) that of businesses for which you are or were at any time during themay relate to the property Multiply the total figure by 10 to arrive disclosure period an officer director partner proprietor or agent at the disclosure threshold List only the intangibles that exceed (other than a resident agent solely for service of process) this threshold amount The value of a leased vehicle is the vehiclersquos If you have or held such a position or ownership interest in present value minus the lease residual (a number which can be one of these types of businesses list the name of the business its found on the lease document) Property that is only jointly owned address and principal business activity and the position held with property should be valued according to the percentage of your the business (if any) If you own(ed) more than a 5 interest in the joint ownership Property owned as tenants by the entirety or as business indicate that fact and describe the nature of your interest joint tenants with right of survivorship should be valued at 100 None of your calculations or the value of the property have to be PART G mdash TRAINING CERTIFICATIONdisclosed on the form

[Required by s 1123142 FS] Example You own 50 of the stock of a small corporation that is worth $100000 the estimated fair market value of If you are a Constitutional or elected municipal officer whoseyour home and other property (bank accounts automobile service began before March 31 of the year for which you are filing furniture etc) is $200000 As your total assets are worth you are required to complete four hours of ethics training which $250000 you must disclose intangibles worth over $25000 addresses Article II Section 8 of the Florida Constitution the Code Since the value of the stock exceeds this threshold you of Ethics for Public Officers and Employees and the public records should list ldquostockrdquo and the name of the corporation If your and open meetings laws of the state You are required to certify on accounts with a particular bank exceed $25000 you should this form that you have taken such training list ldquobank accountsrdquo and bankrsquos name

(

End of Percentage Thresholds Instructions) CE FORM 1 - Effective January 1 2020 Incorporated by reference in Rule 34-8202 FAC PAGE 6

  • 0 HP Cover Page v2
  • 1 Hawks Point Meeting Invite Draft v2
  • 2 Agenda Draft v3
  • 3 EXHIBIT 1
  • 7 HP 05-19-2020 Meeting Minutes Approved
  • 6 EXHIBIT 2
  • 9 HP May FY20 Fin
  • 8 EXHIBIT 3
  • 4 Vacant Position Qualification Requirements for Hawks Point CDD
    • Vacant Position on the Board of Supervisors of the Hawkrsquos Point Community Development District
      • Qualification Requirements
      • Instructions for Interested Candidates
      • Additional Notes
          • 5 Shami Choon Vacant Position - updated 11-5-11 resume
            • 1803 Oak Pond Street Ruskin Fl 33570 E-mailchoons27gmailcom
              • PROFESSIONAL HISTORY
                • Operations Manager Florida Distribution 2002 ndash 2005
                • Operations Manager for Florida Branch Distribution 1999 ndash 2002
                • Warehouse Manager of Miami Distribution Center 1998 ndash 1999
                • Branch Manager of West Palm Beach 1994 ndash 1998
                • Assistant Branch Manager 1991 ndash 1994
                • Customer Service Agent 1990 ndash 1991
                  • 10 EXHIBIT 4
                  • 11 New Business - Hawks Point CDD - MI proposal
                  • 12 EXHIBIT 5
                  • 13 CertaPro Proposal to Paint Exterior Wall 18th to 24th Avenue
                  • 14 Shazam Construction Proposal to Paint Exterior Wall 18th to 24th Street
                    • QUOTE
                      • TO
                          • 15 Photo to accompany Shazam Proposal
                          • 16 EXHIBIT 6
                          • 17 CertaPro Proposal for Pressure Washing Exterior Wall 18th St to 24th Street
                          • 18 Shazam Construction Proposal for Pressure Washing Exterion Wall 18th Street to 24th Street
                            • QUOTE
                              • TO
                                  • 19 EXHIBIT 7
                                  • 20 Form 1_2019i
                                      1. LAST NAME
                                      2. FIRST NAME
                                      3. MIDDLE NAME
                                      4. MAILING ADDRESS ROW 1
                                      5. MAILING ADDRESS ROW 2
                                      6. CITY
                                      7. ZIP
                                      8. COUNTY
                                      9. NAME OF AGENCY
                                      10. NAME OF OFFICE OR POSITION HELD OR SOUGHT
                                      11. CANDIDATE Off
                                      12. NEW EMPLOYEE OR APPOINTEE Off
                                      13. COMPARATIVE (PERCENTAGE) THRESHOLDS Off
                                      14. DOLLAR VALUE THRESHOLDS Off
                                      15. NAME OF SOURCE INCOME ROW 1
                                      16. ADDRESS ROW 1
                                      17. DESCRIPTION OF THE SOURCES PRINCIPAL BUSINESS ACTIVITY ROW 1
                                      18. NAME OF SOURCE INCOME ROW 2
                                      19. ADDRESS ROW 2
                                      20. DESCRIPTION OF THE SOURCES PRINCIPAL BUSINESS ACTIVITY ROW 2
                                      21. NAME OF SOURCE INCOME ROW 3
                                      22. ADDRESS ROW 3
                                      23. DESCRIPTION OF THE SOURCES PRINCIPAL BUSINESS ACTIVITY ROW 3
                                      24. NAME OF SOURCE INCOME ROW 4
                                      25. ADDRESS ROW 4
                                      26. DESCRIPTION OF THE SOURCES PRINCIPAL BUSINESS ACTIVITY ROW 4
                                      27. NAME OF BUSINESS ENTITY ROW 1
                                      28. NAME OF MAJOR SOURCES OF BUSINESS INCOME ROW 1
                                      29. ADDRESS OF SOURCE ROW 1
                                      30. PRINCIPAL BUSINESS ACTIVITY OF SOURCE ROW 1
                                      31. NAME OF BUSINESS ENTITY ROW 2
                                      32. NAME OF MAJOR SOURCES OF BUSINESS INCOME ROW 2
                                      33. ADDRESS OF SOURCE ROW 2
                                      34. PRINCIPAL BUSINESS ACTIVITY OF SOURCE ROW 2
                                      35. NAME OF BUSINESS ENTITY ROW 3
                                      36. NAME OF MAJOR SOURCES OF BUSINESS INCOME ROW 3
                                      37. ADDRESS OF SOURCE ROW 3
                                      38. PRINCIPAL BUSINESS ACTIVITY OF SOURCE ROW 3
                                      39. REAL PROPERTY ROW 1
                                      40. REAL PROPERTY ROW 2
                                      41. REAL PROPERTY ROW 3
                                      42. REAL PROPERTY ROW 4
                                      43. TYPE OF INTANGIBLE ROW 1
                                      44. BUSINESS ENTITY TO WHICH THE PROPERTY RELATES ROW 1
                                      45. TYPE OF INTANGIBLE ROW 2
                                      46. BUSINESS ENTITY TO WHICH THE PROPERTY RELATES ROW 2
                                      47. NAME OF CREDITOR ROW 1
                                      48. ADDRESS OF CREDITOR ROW 1
                                      49. NAME OF CREDITOR ROW 2
                                      50. ADDRESS OF CREDITOR ROW 2
                                      51. ADDRESS OF BUSINESS ENTITY 1
                                      52. PRINCIPAL BUSINESS ACTIVITY 1
                                      53. POSITION HELD WITH ENTITY 1
                                      54. I OWN MORE THAN A 5 INTEREST IN THE BUSINESS 1
                                      55. NATURE OF MY OWNERSHIP INTEREST 1
                                      56. ADDRESS OF BUSINESS ENTITY 2
                                      57. PRINCIPAL BUSINESS ACTIVITY 2
                                      58. POSITION HELD WITH ENTITY 2
                                      59. I OWN MORE THAN A 5 INTEREST IN THE BUSINESS 2
                                      60. NATURE OF MY OWNERSHIP INTEREST 2
                                      61. FOR ELECTED MUNICIPAL OFFICERS REQUIRED TO COMPLETE ANNUAL ETHICS TRAINING PURSUANT TO SECTION 112
                                        1. 3142 F
                                          1. S Off
                                              1. IF ANY OF PARTS A THROUGH G ARE CONTINUED ON A SEPARATE SHEET PLEASE CHECK HERE Off
                                              2. SIGNATURE
                                              3. Date Signed
Page 40: HAWKS POINT COMMUNITY DEVELOPMENT …...2020/06/16  · Hawks Point Community Development District Board of Supervisors Meeting Tuesday, June 16th at 6:30 PM via Zoom All: We welcome

NOTICE Annual Statements of Financial Interests are due July 1 If the annual form is not filed or postmarked by September 1 an automatic fine of $25 for each day late will be imposed up to a maximum penalty of $1500 Failure to file also can result in removal from public office or employment [s 1123145 FS]

In addition failure to make any required disclosure constitutes grounds for and may be punished by one or more of the following disqualification from being on the ballot impeachment removal or suspension from office or employment demotion reduction in salary reprimand or a civil penalty not exceeding $10000 [s 112317 FS]

1) Elected public officials not serving in a political subdivision of thestate and any person appointed to fill a vacancy in such office unlessrequired to file full disclosure on Form 62) Appointed members of each board commission authority

or council having statewide jurisdiction excluding members of solelyadvisory bodies but including judicial nominating commission membersDirectors of Enterprise Florida Scripps Florida Funding Corporationand Career Source Florida and members of the Council on the SocialStatus of Black Men and Boys the Executive Director Governors and senior managers of Citizens Property Insurance CorporationGovernors and senior managers of Florida Workers Compensation JointUnderwriting Association board members of the Northeast Fla RegionalTransportation Commission board members of Triumph Gulf Coast Incboard members of Florida Is For Veterans Inc and members of theTechnology Advisory Council within the Agency for State Technology3) The Commissioner of Education members of the State Board

of Education the Board of Governors the local Boards of Trustees andPresidents of state universities and the Florida Prepaid College Board4) Persons elected to office in any political subdivision (such a s

municipalities counties and special districts) and any person appointedto fill a vacancy in such office unless required to file Form 65) Appointed members of the following boards councils

commissions authorities or other bodies of county municipality schooldistrict independent special district or other political subdivision thegoverning body of the subdivision community college or junior collegedistrict boards of trustees boards having the power to enforce local codeprovisions boards of adjustment community redevelopment agenciesplanning or zoning boards having the power to recommend create ormodify land planning or zoning within a political subdivision except forcitizen advisory committees technical coordinating committees andsimilar groups who only have the power to make recommendationsto planning or zoning boards and except for representatives of amilitary installation acting on behalf of all military installations within thatjurisdiction pension or retirement boards empowered to invest pensionor retirement funds or determine entitlement to or amount of pensions orother retirement benefits and the Pinellas County Construction LicensingBoard6) Any appointed member of a local government board who

is required to file a statement of financial interests by the appointingauthority or the enabling legislation ordinance or resolution creating theboard7) Persons holding any of these positions in local government

mayor county or city manager chief administrative employee or finance

director of a county municipality or other political subdivision countyor municipal attorney chief county or municipal building inspectorcounty or municipal water resources coordinator county or municipalpollution control director county or municipal environmental controldirector county or municipal administrator with power to grant or denya land development permit chief of police fire chief municipal clerkappointed district school superintendent community college presidentdistrict medical examiner purchasing agent (regardless of title) havingthe authority to make any purchase exceeding $35000 for the localgovernmental unit8) Officers and employees of entities serving as chief administrative

officer of a political subdivision9) Members of governing boards of charter schools operated by a

city or other public entity10) Employees in the office of the Governor or of a Cabinet member

who are exempt from the Career Service System excluding secretarialclerical and similar positions11) The following positions in each state department commission

board or council Secretary Assistant or Deputy Secretary ExecutiveDirector Assistant or Deputy Executive Director and anyone having thepower normally conferred upon such persons regardless of title12) The following positions in each state department or division

Director Assistant or Deputy Director Bureau Chief and any personhaving the power normally conferred upon such persons regardless oftitle13) Assistant State Attorneys Assistant Public Defenders criminal

conflict and civil regional counsel and assistant criminal conflict and civilregional counsel Public Counsel full-time state employees serving ascounsel or assistant counsel to a state agency administrative law judgesand hearing officers14) The Superintendent or Director of a state mental health institute

established for training and research in the mental health field or anymajor state institution or facility established for corrections trainingtreatment or rehabilitation15) State agency Business Managers Finance and Accounting

Directors Personnel Officers Grant Coordinators and purchasingagents (regardless of title) with power to make a purchase exceeding$3500016) The following positions in legislative branch agencies each

employee (other than those employed in maintenance clerical secretarial or similar positions and legislative assistants exemptedby the presiding officer of their house) and each employee of theCommission on Ethics

INSTRUCTIONS FOR COMPLETING FORM 1INTRODUCTORY INFORMATION (Top of Form) If your name mailing address public agency and position are already printed on the form you do not need to provide this information unless it should be changed To change any of this information write the correct information on the form and contact your agencys financial disclosure coordinator You can find your coordinator on the Commission on Ethics website wwwethicsstateflus NAME OF AGENCY The name of the governmental unit which you serve or served by which you are or were employed or for which you are a candidate DISCLOSURE PERIOD The ldquodisclosure periodrdquo for your report is the calendar year ending December 31 2019

OFFICE OR POSITION HELD OR SOUGHT The title of the office or position you hold are seeking or held during the disclosure period even if you have since left that position If you are a candidate for office or are a new employee or appointee check the appropriate boxPUBLIC RECORD The disclosure form and everythingattached to it is a public record Your Social Security Number is not required and you should redact it from any documents you file If you are an active or former officer or employee listed in Section 119071 FS whose home address is exempt from disclosure the Commission will maintain that confidentiality if you submit a written request

WHO MUST FILE FORM 1

CE FORM 1 - Effective January 1 2020 Incorporated by reference in Rule 34-8202 FAC PAGE 3

Examples PART E mdash LIABILITIES mdash You are the sole proprietor of a dry cleaning business from [Required by s 1123145(3)(b)4 FS]which you received more than 10 of your gross incomemdashan List the name and address of each creditor to whom you owed amount that was more than $1500 If only one customer a any amount that at any time during the disclosure period exceeded uniform rental company provided more than 10 of your dry your net worth You are not required to list the amount of any debt cleaning business you must list the name of the uniform rental or your net worth You do not have to disclose credit card and retail company its address and its principal business activity (uniform installment accounts taxes owed (unless reduced to a judgment) rentals) indebtedness on a life insurance policy owed to the company of mdash You are a 20 partner in a partnership that owns a shopping issuance or contingent liabilities A ldquocontingent liabilityrdquo is one mall and your partnership income exceeded the thresholds that will become an actual liability only when one or more future listed above You should list each tenant of the mall that events occur or fail to occur such as where you are liable only as provided more than 10 of the partnershiprsquos gross income and a guarantor surety or endorser on a promissory note If you are a the tenantrsquos address and principal business activity ldquoco-makerrdquo and are jointly liable or jointly and severally liable it is not

a contingent liability PART C mdash REAL PROPERTY Calculations To determine whether the debt exceeds your

[Required by s 1123145(3)(a)3 FS] net worth total all of your liabilities (including promissory notes mortgages credit card debts judgments against you etc) TheIn this part list the location or description of all real property in amount of the liability of a vehicle lease is the sum of any past-due Florida in which you owned directly or indirectly at any time during payments and all unpaid prospective lease payments Subtract the disclosure period in excess of 5 of the propertyrsquos value You the sum total of your liabilities from the value of all your assets are not required to list your residences You should list any vacation as calculated above for Part D This is your ldquonet worthrdquo List each homes if you derive income from them creditor to whom your debt exceeded this amount unless it is one of

Indirect ownership includes situations where you are a the types of indebtedness listed in the paragraph above (credit card beneficiary of a trust that owns the property as well as situations and retail installment accounts etc) Joint liabilities with others for where you own more than 5 of a partnership or corporation that which you are ldquojointly and severally liablerdquo meaning that you may owns the property The value of the property may be determined by be liable for either your part or the whole of the obligation should be the most recently assessed value for tax purposes in the absence included in your calculations at 100 of the amount owed of a more current appraisal

Example You owe $15000 to a bank for student loans $5000 The location or description of the property should be sufficient for credit card debts and $60000 (with spouse) to a savings to enable anyone who looks at the form to identify the property A and loan for a home mortgage Your home (owned by you and street address should be used if one exists your spouse) is worth $80000 and your other property is worth PART D mdash INTANGIBLE PERSONAL PROPERTY $20000 Since your net worth is $20000 ($100000 minus

$80000) you must report only the name and address of the [Required by s 1123145(3)(a)3 FS] savings and loan Describe any intangible personal property that at any time

during the disclosure period was worth more than 10 of your PART F mdash INTERESTS IN SPECIFIED BUSINESSES total assets and state the business entity to which the property [Required by s 1123145 FS] related Intangible personal property includes things such as cash on hand stocks bonds certificates of deposit vehicle leases The types of businesses covered in this disclosure include interests in businesses beneficial interests in trusts money owed state and federally chartered banks state and federal savings and you Deferred Retirement Option Program (DROP) accounts loan associations cemetery companies insurance companies the Florida Prepaid College Plan and bank accounts Intangible mortgage companies credit unions small loan companies alcoholic personal property also includes investment products held in IRAs beverage licensees pari-mutuel wagering companies utilitybrokerage accounts and the Florida College Investment Plan companies entities controlled by the Public Service Commission Note that the product contained in a brokerage account IRA or the and entities granted a franchise to operate by either a city or a Florida College Investment Plan is your assetmdashnot the account or county governmentplan itself Things like automobiles and houses you own jewelry Disclose in this part the fact that you owned during the and paintings are not intangible property Intangibles relating to the disclosure period an interest in or held any of certain positions same business entity may be aggregated for example CDrsquos and with the types of businesses listed above You are requiredsavings accounts with the same bank to make this disclosure if you own or owned (either directly or

Calculations To determine whether the intangible property indirectly in the form of an equitable or beneficial interest) at any exceeds 10 of your total assets total the fair market value of time during the disclosure period more than 5 of the total assets all of your assets (including real property intangible property and or capital stock of one of the types of business entities listed above tangible personal property such as jewelry furniture etc) When You also must complete this part of the form for each of these types making this calculation do not subtract any liabilities (debts) that of businesses for which you are or were at any time during themay relate to the property Multiply the total figure by 10 to arrive disclosure period an officer director partner proprietor or agent at the disclosure threshold List only the intangibles that exceed (other than a resident agent solely for service of process) this threshold amount The value of a leased vehicle is the vehiclersquos If you have or held such a position or ownership interest in present value minus the lease residual (a number which can be one of these types of businesses list the name of the business its found on the lease document) Property that is only jointly owned address and principal business activity and the position held with property should be valued according to the percentage of your the business (if any) If you own(ed) more than a 5 interest in the joint ownership Property owned as tenants by the entirety or as business indicate that fact and describe the nature of your interest joint tenants with right of survivorship should be valued at 100 None of your calculations or the value of the property have to be PART G mdash TRAINING CERTIFICATIONdisclosed on the form

[Required by s 1123142 FS] Example You own 50 of the stock of a small corporation that is worth $100000 the estimated fair market value of If you are a Constitutional or elected municipal officer whoseyour home and other property (bank accounts automobile service began before March 31 of the year for which you are filing furniture etc) is $200000 As your total assets are worth you are required to complete four hours of ethics training which $250000 you must disclose intangibles worth over $25000 addresses Article II Section 8 of the Florida Constitution the Code Since the value of the stock exceeds this threshold you of Ethics for Public Officers and Employees and the public records should list ldquostockrdquo and the name of the corporation If your and open meetings laws of the state You are required to certify on accounts with a particular bank exceed $25000 you should this form that you have taken such training list ldquobank accountsrdquo and bankrsquos name

(

End of Percentage Thresholds Instructions) CE FORM 1 - Effective January 1 2020 Incorporated by reference in Rule 34-8202 FAC PAGE 6

  • 0 HP Cover Page v2
  • 1 Hawks Point Meeting Invite Draft v2
  • 2 Agenda Draft v3
  • 3 EXHIBIT 1
  • 7 HP 05-19-2020 Meeting Minutes Approved
  • 6 EXHIBIT 2
  • 9 HP May FY20 Fin
  • 8 EXHIBIT 3
  • 4 Vacant Position Qualification Requirements for Hawks Point CDD
    • Vacant Position on the Board of Supervisors of the Hawkrsquos Point Community Development District
      • Qualification Requirements
      • Instructions for Interested Candidates
      • Additional Notes
          • 5 Shami Choon Vacant Position - updated 11-5-11 resume
            • 1803 Oak Pond Street Ruskin Fl 33570 E-mailchoons27gmailcom
              • PROFESSIONAL HISTORY
                • Operations Manager Florida Distribution 2002 ndash 2005
                • Operations Manager for Florida Branch Distribution 1999 ndash 2002
                • Warehouse Manager of Miami Distribution Center 1998 ndash 1999
                • Branch Manager of West Palm Beach 1994 ndash 1998
                • Assistant Branch Manager 1991 ndash 1994
                • Customer Service Agent 1990 ndash 1991
                  • 10 EXHIBIT 4
                  • 11 New Business - Hawks Point CDD - MI proposal
                  • 12 EXHIBIT 5
                  • 13 CertaPro Proposal to Paint Exterior Wall 18th to 24th Avenue
                  • 14 Shazam Construction Proposal to Paint Exterior Wall 18th to 24th Street
                    • QUOTE
                      • TO
                          • 15 Photo to accompany Shazam Proposal
                          • 16 EXHIBIT 6
                          • 17 CertaPro Proposal for Pressure Washing Exterior Wall 18th St to 24th Street
                          • 18 Shazam Construction Proposal for Pressure Washing Exterion Wall 18th Street to 24th Street
                            • QUOTE
                              • TO
                                  • 19 EXHIBIT 7
                                  • 20 Form 1_2019i
                                      1. LAST NAME
                                      2. FIRST NAME
                                      3. MIDDLE NAME
                                      4. MAILING ADDRESS ROW 1
                                      5. MAILING ADDRESS ROW 2
                                      6. CITY
                                      7. ZIP
                                      8. COUNTY
                                      9. NAME OF AGENCY
                                      10. NAME OF OFFICE OR POSITION HELD OR SOUGHT
                                      11. CANDIDATE Off
                                      12. NEW EMPLOYEE OR APPOINTEE Off
                                      13. COMPARATIVE (PERCENTAGE) THRESHOLDS Off
                                      14. DOLLAR VALUE THRESHOLDS Off
                                      15. NAME OF SOURCE INCOME ROW 1
                                      16. ADDRESS ROW 1
                                      17. DESCRIPTION OF THE SOURCES PRINCIPAL BUSINESS ACTIVITY ROW 1
                                      18. NAME OF SOURCE INCOME ROW 2
                                      19. ADDRESS ROW 2
                                      20. DESCRIPTION OF THE SOURCES PRINCIPAL BUSINESS ACTIVITY ROW 2
                                      21. NAME OF SOURCE INCOME ROW 3
                                      22. ADDRESS ROW 3
                                      23. DESCRIPTION OF THE SOURCES PRINCIPAL BUSINESS ACTIVITY ROW 3
                                      24. NAME OF SOURCE INCOME ROW 4
                                      25. ADDRESS ROW 4
                                      26. DESCRIPTION OF THE SOURCES PRINCIPAL BUSINESS ACTIVITY ROW 4
                                      27. NAME OF BUSINESS ENTITY ROW 1
                                      28. NAME OF MAJOR SOURCES OF BUSINESS INCOME ROW 1
                                      29. ADDRESS OF SOURCE ROW 1
                                      30. PRINCIPAL BUSINESS ACTIVITY OF SOURCE ROW 1
                                      31. NAME OF BUSINESS ENTITY ROW 2
                                      32. NAME OF MAJOR SOURCES OF BUSINESS INCOME ROW 2
                                      33. ADDRESS OF SOURCE ROW 2
                                      34. PRINCIPAL BUSINESS ACTIVITY OF SOURCE ROW 2
                                      35. NAME OF BUSINESS ENTITY ROW 3
                                      36. NAME OF MAJOR SOURCES OF BUSINESS INCOME ROW 3
                                      37. ADDRESS OF SOURCE ROW 3
                                      38. PRINCIPAL BUSINESS ACTIVITY OF SOURCE ROW 3
                                      39. REAL PROPERTY ROW 1
                                      40. REAL PROPERTY ROW 2
                                      41. REAL PROPERTY ROW 3
                                      42. REAL PROPERTY ROW 4
                                      43. TYPE OF INTANGIBLE ROW 1
                                      44. BUSINESS ENTITY TO WHICH THE PROPERTY RELATES ROW 1
                                      45. TYPE OF INTANGIBLE ROW 2
                                      46. BUSINESS ENTITY TO WHICH THE PROPERTY RELATES ROW 2
                                      47. NAME OF CREDITOR ROW 1
                                      48. ADDRESS OF CREDITOR ROW 1
                                      49. NAME OF CREDITOR ROW 2
                                      50. ADDRESS OF CREDITOR ROW 2
                                      51. ADDRESS OF BUSINESS ENTITY 1
                                      52. PRINCIPAL BUSINESS ACTIVITY 1
                                      53. POSITION HELD WITH ENTITY 1
                                      54. I OWN MORE THAN A 5 INTEREST IN THE BUSINESS 1
                                      55. NATURE OF MY OWNERSHIP INTEREST 1
                                      56. ADDRESS OF BUSINESS ENTITY 2
                                      57. PRINCIPAL BUSINESS ACTIVITY 2
                                      58. POSITION HELD WITH ENTITY 2
                                      59. I OWN MORE THAN A 5 INTEREST IN THE BUSINESS 2
                                      60. NATURE OF MY OWNERSHIP INTEREST 2
                                      61. FOR ELECTED MUNICIPAL OFFICERS REQUIRED TO COMPLETE ANNUAL ETHICS TRAINING PURSUANT TO SECTION 112
                                        1. 3142 F
                                          1. S Off
                                              1. IF ANY OF PARTS A THROUGH G ARE CONTINUED ON A SEPARATE SHEET PLEASE CHECK HERE Off
                                              2. SIGNATURE
                                              3. Date Signed